HomeMy WebLinkAboutBOS 20050316000021 Return Address: 050316000021
City Clerk's Office
Y OF RENTON BS 20.00
City of Renton CITPAGE001 OF 002
1055 South Grady Way 03/16/200508 :44
KING Renton,WA 98055 2005011300057WA 0
CITY OF RENTON DT
27.00
PAGE001 OF 008
KING3COUNTY,9UA4 -
BILL OF SALE Property Tax Parcel Number: 6391800010
Project File#:3113 utaav /eeis lnter�e n `�+4 45th Street Davisbs: Avenue South
Reference Number(s)of Documents assigned or released:Additional reference numbers are on page .
Grantor(s): Grantee(s):
1.Public Hospital District No. 1 of 1. City of Renton,a Municipal Corporation
wKing County
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
270 L.F.of 12 " DI Water Main
L.F.of " Water Main
L.F.of Water Main
each of " Gate Valves
each of " Gate Valves
2 each of Fire Hydrant Assemblies
SANITARY SEWER SYSTEM: Length Size Type
L.F.of 57 Sewer Main
L.F.of " Sewer Main
L.F.of Sewer Main
each of " 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: cludin Curb,Gutter,Sidewalk,Asphalt Pavement)
� g
Curb,Gutter,Sidewalk 253 L.F.
Asphalt Pavement: SY or L.F.of Width
STREET LIGHTING:
#of Poles —0— o5-000c1,16
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.
H:\FILE.SYS\FRM\84IINDOVIIBILLSALE.DOC\MAB Page 1
•
Form 84 0001/bh
IN WITNESS WHEREOF,I have hereunto set my hand and seal the day and year as written below.
•
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 OF ACKNOWLEDGMENT
Notary Seal must be within box STALE OF WASHINGTON )ss
COUNTY OF KING/j)
)
ccertify that I know or have satisfactory evidence that
tom- y / � _ j-�Q e S signed this instrument,on oath
i1 ,� ` stated that Q'she/they
ere authorized to execute the instrument and
4� l if • acknowledged it as the rhjg,c elln4 04:c carand
of Vcj I eyy ea....-der to be Itie free and voluntary act of such
. - .`rARyo party/parties for the uses and purposes in ntioned in the instrument.
�, U fir' m +r Notary Public in and for the State of Washington
Qj 19I'to
\ Notary(Print) d-ro/ /161-rY)e-/
d F V,'as My appointment expires: /o A g/7 2
Dated: /,Q/3a /c
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