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HomeMy WebLinkAboutBOS 20040329000228 Return Address: City Clerk's Office 111111111 11111111111111111 City of Renton 20040329000228 1055 South Grady Way Renton,WA 98055 CITY OF 02 20.00 03/29/2004 09:54 KING COUNTY, WA Pro Tax Parcel Number: BILL OF SALE ��"( s�r�.- pf 6� perp' 3 3 43 Rb2 C1'a Pr 'ect File#: Intersection: .01 Address: 6 i l Ltc tk-02,2'tilted —.2I z 7— z_e-F2* /4624( t4'. Reference Number(s)of Documents assigned or released:Additional reference numbers are on page . Grantor(s): Grantee(s): 1. £&lh4-&4avIS T P-ucrretA 1-76 1. City of Renton,a Municipal Corporation 2. 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 Type L.F.of Water Main L.F.of " Water Main L.F.of " Water Main each of " Gate Valves each of " Gate Valves each of Fire Hydrant Assemblies SANITARY SEWER SYSTEM: Length Size Type ( � 1 L.F.of S " Sewer Main L.F.of Sewer Main L.F.of Sewer Main Z each of 302.2_ " Diameter Manholes each of " Diameter Manholes each of " Diameter Manholes STORM DRAINAGE SYSTEM: Length Size Type L.F.of Storm Line L.F.of Storm Line L.F.of " Storm Line each of Storm Inlet/Outlet each of Storm Catch Basin each of Manhole STREET IMPROVEMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement) Curb,Gutter,Sidewalk L.F. Asphalt Pavement: 53 Z SY or L.F.of Width STREET LIGHTING: #of Poles By this conveyance,Gran r 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. g,OD 43_cot?a b c, H:\FILE.SYS\FRM\84HNDOUTIBILLSALE.DOC\MAB Page 1 a Form 84 0001/bh IN WITNESS WHEREOF,I have hereunto set my hand and seal the day and year as written below. 776.410- . b. 5T 14 / INDIVIDUAL FORM OF ACKNOWLEDGMENT Notary Seal must be within box STATE OF WASHINGTON )ss %%%%%%%%%%%%%% COUNTY OF KING ) y pct�; I certify that I know or have satisfactory evidence that T kora Jr s gS10%yF yTtoii sui4A signed this instrument and Ups NoTA4,„11 1% 1, acknowledged acknowledged it to be his/her/their free and voluntary act for the uses and purposes : o..,� mentioned in the instrument / • om'• PUBUG '2 : (L9 • ka.l-, ,1�'•s.2g.fl .•.•'°: Notary Publics and for the State ofWashington -- If, Op WASH'...'' Notary(Print) MARILYN KA(tlICHEiF '‘‘t•%%%%%% My appointment expires: APPOINTMENT EXPIIIES C29-O7 Dated: 3 1 ldy 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 ) On this day of ,19 ,before me personally appeared to me known to be of the corporation that executed the within instrument,and acknowledge the said instrument to be the free and voluntary act and deed of said corporation,for the uses and purposes therein mentioned,and each on oath stated that he/she was authorized to execute said instrument and that the seal affixed is the corporate seal of said corporation. Notary Public in and for the State of Washington Notary(Print) My appointment expires: Dated: Page 2