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Return Address:
City Clerk's Office
City of Renton ItLiiIliEuinuuiiiiii208
1055 South Grady Way CITY OF RE 0 BS 5
Renton,WA 98055 PAGE 001 OF 002
08/06/2002 11.02
KING COUNTY, WA
BILL OF SALE Property Tax Parcel Number:
Project File#:LJI A o i �68sH�Street Intersk'g: Ga Mas /9 Address:z 3oq �v£' /6 ,t),
Reference Number(s)of Documents assigned or released:Additional reference numbers are on page
Grantor(s): o Grantee(s):
1. .E 9 wei.42,0 5' S i••4 1+31 1. City of Renton,a Municipal Corporation
2. M t 1 bM4.C,
The Grantor,as named above,for,and in consideration of mutual benefits,hereby grants,bargains,sells and delivers to
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the Grantee,as named above,the following described personal property:
WATER SYSTEM: Length Size Type
2 '0 L.F.of " D I Water Main
`� ) 2.0 L.F.of � 1) f 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
rou
0 L.F.of Sewer Main
L.F.of 55 Sewer Main
L.F.of " Sewer Main
each of " Diameter Manholes
each of " Diameter Manholes
each of " Diameter Manholes
STORM DRAINAGE SYSTEM: Len h Size Type
L.F.of / 2- " LC PE Storm Line
- L.F.of Storm Line
L.F.of " Storm Line
each of " Storm Inlet/Outlet
/ each of I Storm Catch Basin
/ each of W 8 " 2 Manhole
STREET IMPROVEMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement)
Curb,Gutter,Sidewalk i Z 0 L.F.
Asphalt Pavement: 120 0 SY or L.F.of Width
STREET LIGHTING: \�
#of Poles 0002„-ea6;] # 4 Fl
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\84HNDOUT\BILLSALE.DOC\MAB Page 1
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Form 84 0001/bh
lN WI I SS WHEREOF,I have hereunto set y hand and seal the day and year as written below.
-rne:411612) 1,4 4t)
INDIVIDUAL FORM OF ACKNOWLEDGMENT
Notary Seal rausktke`within box STATE •F WASHINGTON )ss
L. 11,q,',%,t CO1UN OF KING )
���G,•
••... ..L 11 I certify `at I know or have satisfactory evidence that [ 4A(2..0 S.
s\o� , 5 -1",•. 1
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� QTARY 9' 1� 1 i i / $ d r ;1114 signed this instrument and
O N f ackn•wled:ed it to be free and voluntary act for the uses and purposes
•U •
/ men oned i the ins ent
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11 8•_ O4".
1 � � • = No Public in and for the Sta e of Washington
h sOF WAS r Notary(Print) l(1 MI( L.• L4AYt—
My appointment expires: J& • is• Q'1.,
Dated:1./t.02
REPRESENTATIVE FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON )ss
E"• COUNTY OF KING )
'-"r' I certify that I know or have satisfactory evidence that
oc
signed this instrument,on oath
stated that he/she/they was/were authorized to execute the instrument and
cts acknowledged it as the and
of to be the free and voluntary act of such
=1" party/parties for the uses and purposes mentioned in the instrument.
car
c=)
' Notary Public in and for the State of Washington
Q.',. 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 , 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:
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