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BOS 20040503000012
. Return Address: 11111111111111111111111 City Clerk's Office City of Renton 1055 South Grady Way Renton,WA 98055 20040503000012 CITY OF RENTON BS 21.00 PAGE001 OF 003 KING3COUNTY08WA7 BILL OF SALE Proj Name:5T, 1TW I'( Property Tax Parcel Number: ee Project File#:U o3©4,27 Street Intersection: 4-a1* -,iAddress: 314 Reference Number(s)of Documents assigned or released:Additional reference numbers are on page . Grantor(s): coeporAT1od oi+ me Grantee(s): 1. C.D•THoLuc ttfZC1-11D Ic3 CES. ©1= 1. City of Renton,a Municipal Corporation 2. SC—KT TLE The Grantor,as named above,for,and in consideration of mutual benefits,hereby grants,bargains,sells and delivers to the Grantee,as named above,the following described personal property: WATER SYSTEM: Length Size Tvne 120' L.F.of 12- " D1 Water Main L.F.of " P 1 Water Main 12.9 L.F.of Co " D 1 Water Main 1b each of 12- " Gate Valves 1 each of b " Gate Valves 2. each of Fire Hydrant Assemblies SANITARY SEWER SYSTEM: Length Size Tvne 74 L.F.of Co " PVC. Sewer Main L.F.of Sewer Main L.F.of Sewer Main each of " Diameter Manholes each of " Diameter Manholes each of " Lift Stations STORM DRAINAGE SYSTEM: Length Size Type 4/11 L.F.of 12. 0-12 Storm Main L.F.of Storm Main LI.of 72" " Storm Main MN each of 54" " Storm 4nletLOutlet 1411 10 each of Storm Catch Basin Cv each of 48 " Manhole STREET IMPROVMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement) Curb,Gutter,Sidewalk 50 L.F. Asphalt Pavement SY or L.F.of Width STREET LIGHTING: #of Poles r71-6°11-- fyt _®0 9(R ha-al By this conveyance,Grantor will warrant and defend the sale hereby made unto the Grantee against all and every person or persons, whomsoever,lawfully claiming or to claim the same. This conveyance shall bind the heirs,executors,administrators and assigns forever. O:\Forms\PBPW\BILLSALE2.DOC\bh Page 1 IN WITNESS WHEREOF,said Grantor : caused this instrument to be executed this 3 day of March,20 04 ,.00.1.—Sursely, Attorney—in—Fact INDIVIDUAL FORM OF ACKNOWLEDGMENT Notary Seal must be within box STATE OF WASHINGTON )ss COUNTY OF KING ) I certify that I know or have satisfactory evidence that signed this instrument and acknowledged it to be his/her/their free and voluntary act for the uses and purposes mentioned in the instrument Notary Public in and for the State of Washington Notary(Print) My appointment expires: Dated: REPRESENTATIVE FORM OFACKNOWLEDGMENT Notary Seal must be within box STATE OF WASHINGTON )ss COUNTY OF KING ) I certify that I know or have satisfactory evidence that signed this instrument,on oath stated that he/she/they was/were authorized to execute the instrument and acknowledged it as the and of to be the free and voluntary act of such party/parties for the uses and purposes mentioned in the instrument. Notary Public in and for the State of Washington Notary(Print) My appointment expires: Dated: CORPORATE FORM OF ACKNOWLEDGMENT Notary Seal must be within box STATE OF WASHINGTON )SS COUNTY OF KING ) ,1 t On this/,! day of 94 z,,Fj ,206"/before me personally appeared �A GUrp 'itt � / — `��rOtikb,:% ,,,,! r y"CJ �� h6 2d f. to me known to ibe ��iv .a. of the corporation that �,� N/' executed the ' 'n instrument,and acknowledge the said instrument to be the free sV 43"tros• N% to •and voluntary act and deed of said corporation,for the uses and purposes therein •S V Z mentioned, and each on oath stated that he/she was authorized to execute said UQ'` ` instrument and that the seal affixed is the corporate seal of said corporation. Cr q6 e43 W p,, °` = Notary Pu ' • fo 'e State of Washington ``` •• Notary(Print),v,A A/CV/Y•GGGT —ef,,4 S' i i My appointment expires: G —,2 7-0 6 Dated: 3-4/-.4.4 O:\Fomia1PBPW\BILLSALE2.DOC\bh Page 2 , St. Anthony Bill of Sale (Tax Parcel Numbers) 7839800150 7839800181 7839800185 7840800050 7840800055 7840800060 7840800065 7840800070 7840800075 7841300035 7841300080 7841300090 7841300100 7841300105 7841300120 7841300125 7841300110 7840800105