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BOS 20050309000106
ii-/- , .... , .....„ , , ., , , Return Address: City Clerk's Office 111111111111111111111 I City of 1055 Southton Grady Way 200503090 CITY OF RENTON BS 00106 Renton,WA 98055 PAGE001 OF 002 20.00 03/09/2005 09:03 KING COUNTY, WA BILL OF SALE Proj Name:A/Q/9aeat/4khopi4 21 3Property'Tax Parcel Number: cZ l 4SDO goo Project File#: Street Intersection:SE 12$ ST/SHAIk Ad E Me Reference Number(s)of Documents assigned or released:Additional reference numbers are on page . Grantor(s): `1,LL_-i/'/ Grantee(s): 1. , i/hOuv b/ iZS, �hc . 1. City of Renton,a Municipal Corporation 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 CC w q�\ • L.F.of Water Main K L.F.of " Water Main each of " Gate Valves each of " Gate Valves each of Fire Hydrant Assemblies SANITARY SEWER SYSTEM: Length Size Type Z I(v 3 L.F.of f3 " PVC. Sewer Main L.F.of " Sewer Main L.F.of " Sewer Main i 3 each of 4Diameter Manholes I each of �i`t " Diameter Manholes each of " Lift Stations STORM DRAINAGE SYSTEM: Length Size Type _D L.F.of 24 pyc Storm Main f 0 L.F.of l0, PVC Storm Main 1/00 L.F.of I Z " PVL Storm Main each of Storm Inlet/Outlet -Lb each of — " 'NM Y Storm Catch Basin each of " Manhole 10 VA +0° ror1t cArcii SAS/At STREET IMPROVMENTS: (Includin Curb,Gutter,Sidewalk,Asphalt Pavement) Curb,Gutter,Sidewalk 4 a 0 L.F. Asphalt Pavement -7-9 C7- SY or L.F.of Width STREET LIGHTING: #of Poles (PSE) a 005 p©,3 4 �✓�j� 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\PBPWIBILLSALE2DOC\bh Page 1 IN WITNESS WHEREOF,said Grantor has caul:,. ..'s instrument to be executed this a day of..ana, ///k;vpormiw,ip z' : . INDIVIDUAL FORM OF ACKNOWLEDGMENT Notary Seal must be within box STATE OF WASHINGTON )ss COUNTY OF KING l, I certify that I know or have satisfactory evidence that BEY. o ' i awe Mil 1 ,. , Yi signed this instrument and ,sem Q,0•SS ON '"•.;( moi. acknowledged it to be his/her/thei free and voluntary act for the uses and purposes 2 CO•4 /q �. Z me . . in the instrument tcoi NOTARY r' I f 0" PUBLIC w �j'�'� ' blic in. d for the State of Washington No' 'c```'•.9;11%20;;:••" 4. Notary(Print) I�tC-e K-• 11 a+�"1 "'‘t',f WA$M . 0 My appointment expires: q I.-1-1 Dated: J/1 .� -�-��1 111/ Zb v 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 ,20 ,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: O:\Forms\PBPW\BILLSALE2.DOC\bh Page 2