HomeMy WebLinkAboutBOS 20050121000893 Return Address:
City Clerk's Office
City of Renton
1055 South Grady Way
111111111111111
Renton,WA 98055
200501821000893
CITY OF
PAGE001 OF 002
KINGICOUNTY,1WA
BILL OF SALE Proj Name: Property Tax Parcel Number:
Project File#: Street Intersection: ate,l Address: 3550 ASw
Reference Number(s)of Documents assigned or released:Additional reference numbers are on page
Grantor(s): Grantee(s):
1. 1)a-Yid G r coo Fri 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
L.F.of 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
L.F.of Storm Main
L.F.of Storm Main
L.F.of Storm Main
each of Storm Inlet/Outlet
each of Storm Catch Basin
each of Manhole
STREET IMPROVMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement)
Curb,Gutter,Sidewalk 220 L.F.
Asphalt Pavement: SY or L.F.of Width
STREET LIGHTING:
#of Poles �1 m/_o1r
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.
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IN WIESS WH OF,said Grantor has caused this instrument to be executed this_day of ,20_
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INDIVIDUAL AL FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON )ss
_,.-w.r.N\Ne COUNTY OF KING )
RA, i‘1 i I certify that I know or have satisfactory evidence that 4 Y/G1 6;Ya Yawl')
.,
...--,04'.......‘••\9)SIO�• '."y l) signed this instrument and
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e Q :*.� -(�: lt acknowledged it to be his/her/their free and voluntary act for the uses and purposes
Q o" NOTARf,m: i men' ped in the instrument
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73
�// N: �' BUG O1/1-ta-,�
.A'• 5 Notary Public in and for the State of Washington
IsIl' :'';49-06••; e.: Notary(Print) , d✓ran7'I Ate KaP?C/- /
t';9� /ASIAS°C" My appointment expires: 3 /5 - P.4
aa� Dated: / -/3- O,S-
REPRESENTATIVE 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,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:
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