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HomeMy WebLinkAboutBill of Sale & Cost data with Exhibit A and Exhibit BTYPE 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 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 _____ . 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 King County Parks, c/o Jason Rich 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:Abbreviated Legal ASSESSOR TAX PARCEL I.D. NUMBERS: See list Lake to Sound Trail Segment A Varies (one adjacent parcel is 1323049080) LUA15-00257, U16006840, PLR-3938 See Attached Exhibit A of this Document 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 Page 2 Project File Number: LUA15-00257, U16006840, PLR-3938 BILL OF SALE EXHIBIT A Legal Description Project File Number: LUA15-00257, U16006840, PLR-3938 WTR -3938 WWP - N/A SWP - 3938 TRO - 3938 TED - 3938 PROJECT NAME: CONSTRUCTION PERMIT NO. PROJECT FILE NUMBER: ROADWAY, STREET LIGHTS AND SIGNALS DESCRIPTION QTY UNIT TOTAL COST Curb and Gutter 257 L.F.3,790.75$ Sidewalk 166 S.Y.6,557.00$ Asphalt Concrete Pavement 258 S.Y.7,408.29$ Monument Case and Cover 0 EA.-$ Traffic Signs - Complete System 10 L.S.3,100.00$ Number of Luminaires and Poles 0 EA.-$ Subtotal 20,856.04$ Sales Tax 1,981.32$ Grand Total Roadway, Street Lights and Signals 22,837.36$ STORMWATER SYSTEM IMPROVEMENTS QTY UNIT SIZE TYPE TOTAL COST 3 EA.48"TYPE 1 Catch Basin 4,500.00$ 1 EA.48"TYPE 2 Catch Basin 2,300.00$ Subtotal 6,800.00$ Sales Tax 646.00$ Grand Total Stormwater System Improvements 7,446.00$ STORMWATER FACILITIES QTY UNIT ITEM TOTAL COST 1 EA.Other: Adjust Manhole 500.00$ 1 EA.Other: Adjust Catch Basin 500.00$ 1 EA.Other: Circular Frame (Ring) and Cover Type 2 1,200.00$ Subtotal 2,200.00$ Sales Tax 209.00$ 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 (City Staff Use Only) EXHIBIT "B" Contributary Assets City Project Numbers: Lake to Sound Trail Segment A 16006840 15-00257 Return Address: City Clerk’s Office City of Renton 1055 South Grady Way Renton, WA 98057 Page 1 of 2 PROJECT NAME: CONSTRUCTION PERMIT NO. PROJECT FILE NUMBER: EXHIBIT "B" Contributary Assets Lake to Sound Trail Segment A 16006840 15-00257 Grand Total Stormwater System Improvements 2,409.00$ Page 2 of 2