HomeMy WebLinkAboutBOS 20001208000455 � , � � � � • ,
• � � , ,
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Return Address:
City Clerk's Office
, ,., ,City of Renton
1055 South Grady Way _��� �
-; ", Renton,WA 98055 :
20001208000455 �
CITY OF RENTON BS 9.00
PAGE 001 OF 002
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BILL OF SALE Property Tax Parcel Number: (�� 9�
Project File#: Str t I ter g ion• Address: • '
s. � /-(i S. ��-d� GU
, Reference Number(s)of Documents assigned or r eased:Additional reference numbers are on page
Grauto,}•(s • Grantee(s):
1. /p�ry ������ L� 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: Len h Size T e ;
L.F.of �" Water Main
er�
_ � rj L.F.of �" / �,(1 Water Main
�.n L.F.of " Water Main
'� � each of � Gate Valves �
�" each of " Gate Valves
�
c� each of Fire Hydrant Assemblies
oa
SANITARY SEWER SYSTEM: Length Size Type
� L.F.of " Sewer Main
� L.F.of " Sewer Main
L.F.of " Sewer Main
oeach of " Diameter Manholes
� each of " Diameter Manholes ,
�`' each of " Diameter Manholes
STORM DRAINAG�SYSTEM: Len h Size Type
L.F.of " Storm Line
L.F.of " Storm Line
L.F.of " Storm Line
each of " Storm InledOutlet
each of " Storm Catch Basin
each of " Manhole
STREET IMPROVEMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement)
Curb,Gutter,Sidewalk L.F.
Asphalt Pavement: SY or L.F.of Width
STREET LIGHTING:
#of Poles
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, ,I
administrators and assigns forever. .,, (��¢�3, ,
H:�FILE.SYS�FRM\84HNDOUT�BILLSALE.DOC�MAB ' . Page 1
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Form 84 0001/bh
IN WITNESS WHEREOF,I have hereunto set my hand and seal the day and year as written below. —
INDIVIDUAL FORM OFACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON )SS
COUNTY OF K1NG )_
I certify that I know or have satisfactory evidence that !
signed this instrument and '
acknowledged it to be his/her/their free and voluntary act for the uses and purposes
mentioned in the instrument
I
Notary Public in and for the State of Washington '
Notary(Print)
My appointment expires: ,
Dated: .
REPRESENTATIVE FORM OFACKNOIi'LEDCMENT
Notary Seai must be within box STATE OF WASHINGTON )SS a ..
COUNTY OF K1NG ) - '
� I certify that I know or have satisfactory evidence that �i�d/ 0 �lj'' ..
�
�' HENRIKA SANDORFFY signe this instrument,on oath
cs stated that she/they were authorized:o execste the instrument and
� � STATE OF WASHiN6TON acknowledged it as the and
�` of to be the free and voluntary act of such
oc�. NOTARY--°-- P�BL1� party/parties for the uses and purposes mentioned in the instrument.
� �IY CONNISSION EXPIRE59-15-02 �
rte
� Notary Public in and or the State of hi ton ,
� Notary(Print)_��_[��1CA �'.iPrnl,�pQ,•�y
i� � My appointment expires: q��S-O 2 ,
�
Dated: � �
CORPORATE FORM OF ACKNOWLEDCMENT '
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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