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BOS 20100127000849
Return Address: City Clerk's Office City of Renton 1055 South Grady.Way Renton,WA 9805511111111111111 27000849 201001 63. CITY 0 fir 002 S PAGE-001 A 27/2010 14.A KING_COUNTY, WA BILL OF SALE Proj Name:Draw e P Property Tax Parcel Number: 4,2305-4022_ Project File#(/V 7�©7� Street Intersection:R,IiI so. 2.4d Address: Rath4,GY 6k,s• Reference Number(s)of Documents assigned or released:Additional reference numbers are on page Grantor(s): Grantee(s): 1. O'FFalrotti filY hets 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 TVYp�e-� L.F.of t " 01,101-4 inf'9n 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 L.F. Asphalt Pavement: SY or L.F.of Width STREET LIGHTING: #of Poles • 2 n„l o —coo By this conveyance_Grantor will warrant and defend the sale hereby made unto the Grantee against all and every person or persons, whomsoever,law fill'claiming or to claim the same. This conveyance shall bind the heirs,executors,administrators and assi_is forever. O:1Forms\PBPW\BILLSALE2.DOC\bh Page 1 IN WITNESS WHEREOF,said Grantor hascaused this instrument to be executed this day of'"'aw,20 to G.(Tdry i Q` yQYa `41 INDIVIDUAL FORM OF.4CKNOWEEDGM1IF_.NT Notary Seal must be within box STATE OF WASHINGTON )ss 11, COUNTY 42' tt'/y' � llllI cerrtiy haft I know or have satisfactory evidence that G te..io.a.1C . "r'r• .. "'"-i i E� ?� signed this instrument and j*1 , acknowledged it to be his/her/their free and voluntary act for the uses and purposes Z mentioned in the instrument sj, d 02 t* Notary Public in and for the State of Washington j. A oerti ';gF�W P.S\�. Notary (Print) \A A C-��r 0,A6 o aXI�U(l .4,11,N�‘��‘x„` My appointment expires: g Cl - (;2p 13 Dated: S con v Z 21 a e:A O REPRF_SENT.4TIVE 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: CORPOR4TE 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