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Return Address: m
City Clerk's Office .:_
City of Renton �
200 Mill Avenue South n
- Renton, WA 98055-2189 '
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BILL OF SALE Property Tax Parcel Number: `n
Project File#: �� +� Street In ers�c�i�� Address: �
Reference Number(s)of Documents assigned or released:Additional reference numbers aze on page �'
Grantor(s): Grantee(s):
I 1. �E tiJE �� � �-�-��G�� �� 1. City of Renton,a Municipal Corporation
2. �
The Grantor,as named above,for,and in consideration of mutual benefits,hereby grants,bazgains,sells and delivers to �' I
the Grantee,as named above,the following described personal property:
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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. � r,D�j�'
H:\FILE.SYS\FRM�84HNDOU"I10041.DOC\bh Page 1
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Form 84 0001/bh
IN WITNESS REOF,I e here et my hand and seal the day and year as written below.
INDIVIDUAL FORMOFACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON )SS
,,,,,,;`���,����:,.,, COUNTYOFKING )
' #'�}��� I certify that I know or have satisfactory evidence that G �!�j� (�,
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:�``• ��.�, �., � signed this instrument and
, ,�`� 't+l,, '� acknowledged it to be hisfNeffthcit free and voluntary act for the uses and purposes
� ���Q�.� �,,� ��r�.► . mentioned in the instrument
_ ,;� � � � � 2 . �it/I'ta�d � • � •
' ��� ti�' � No Public in and for the S e o Washin on '
' �,��"- _ .�\'�' ." Notar}'(I'rint) I�.-( C lC J� S 1
-f'., : ` b'�� My appointment expires: � q� ��QD
J'��� .���ir7-. .,
Dated: ta-(a q
REPRESENTATIVE FORM OFACKNOWLEDGMENT
Not2ry 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/sheJthey 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
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,t�,� 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 , 19 ,before me personally appeared
to me known to
be of the cocporation 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 I
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: