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Home My WebLink AboutBill of Sale.pdfTYPE OF DOCUMENT: GRANTOR(S): GRANTEE: NAME OF PROJECT: ADDRESS OF PROJECT: PROJECT FILE NUMBERS: LEGAL DESCRIPTION: PERSONAL PROPERTY DESCRIPTION: Reference Number(s) of Documents assigned or released: Additional reference #’s on page _____ of document By By Its Its Bonnell Family LLC. 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 as described in Exhibit B of this document. City of Renton, a Municipal Corporation ABBREVIATED LEGAL DESCRIPTION: Lot 1, City of Renton Lot Line Adjustment No LUA 15-000237, recording no. 20151006900005 ASSESSOR TAX PARCEL I.D. NUMBERS: 1923059048 Walmart Store #2516 Pickup Expansion 743 Rainier Ave. S LUA21-000044, C21002472, PLR-4185 See Attached Exhibit A of this Document Return Address: City Clerk’s Office City of Renton 1055 South Grady Way Renton, WA 98057 BILL OF SALE Please make no mark in the margin space - Reserved for County Auditor's Use Only Bill of Sale See Attached Exhibit B of this Document 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. IN WITNESS WHEREOF, said Grantor(s) has caused this instrument to be executed this ________ day of _______________________ 20 _____ . Page 1 of 4 INDIVIDUAL FORM OF ACKNOWLEDGEMENT 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 volumtary act for the uses and purposes mentioned in this instrument. Notary Public in and for the State of Washington Notary (Print): ___________________________________________________ My appointment expires: __________________________________________ Dated: _________________________________________________________ REPRESENTATIVE FORM OF ACKNOWLEDGEMENT 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 acknowledge it as the ______________________________ and __________________________ of _______________________ to be 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 ACKNOWLEDGEMENT 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 therin 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: _________________________________________________________ BILL OF SALE Project File Number: LUA21-000044, C21002472, PLR-4185 Page 2 of 4 Lot 1, City of Renton Lot Line Adjustment No LUA 15-000237, recording no. 20151006900005 BILL OF SALE EXHIBIT A Legal Description Project File Number: LUA21-000044, C21002472, PLR-4185 Page 3 of 4 WTR - 4185 WWP - N/A SWP - 4185 TRO - N/A TED - 4185 PROJECT NAME: CONSTRUCTION PERMIT NO. PROJECT FILE NUMBER: ROADWAY, STREET LIGHTS AND SIGNALS DESCRIPTION QTY UNIT TOTAL COST Grand Total Roadway, Street Lights and Signals -$ STORMWATER SYSTEM IMPROVEMENTS QTY UNIT SIZE TYPE TOTAL COST Grand Total Stormwater System Improvements -$ STORMWATER FACILITIES QTY UNIT ITEM TOTAL COST Grand Total Stormwater Facilities -$ WATER SYSTEM IMPROVEMENTS QTY UNIT SIZE TYPE TOTAL COST 238 EA.6"DI Water Main Pipe and Fittings 19,040.00$ 1 EA.6"Gate Valve Assembly 700.00$ 1 EA.6"Fire Hydrant Assembly 4,000.00$ Subtotal 23,740.00$ Sales Tax 2,397.74$ Grand Total Water System Improvements 26,137.74$ SANITARY SEWER SYSTEM IMPROVEMENTS QTY UNIT SIZE TYPE TOTAL COST Grand Total Sanitary Sewer System Improvements -$ Per the request of the City of Renton the following information is furnished concerning final costs for improvements installed and turned over to the City for the referenced project. DESCRIPTION ITEM DESCRIPTION (City Staff Use Only) EXHIBIT "B" Contributary Assets City Project Numbers: Walmart Store #2516 Pickup Expansion 21002472 21-000044 Return Address: City Clerk’s Office City of Renton 1055 South Grady Way Renton, WA 98057 Page 4 of 4