HomeMy WebLinkAboutReal Property Voucher T Washington State REAL PROPERTY VOUCHER
Department of Transportation
DEPARTMENT OF TRANSPORTATION GRANTOR OR CLAIMANT(NAME&ADDRESS) SWV NO.:
Real Estate Services City of Renton SW00122000 0
PO Box 47338 1055 S. Grady Way
Olympia,WA 98504-7338 Renton,WA 98057-3232 •
PROJECT NO. A40504N
RW PLAN TITLE SR 405,N.E. 3rd St. Vic.to S.E. 64th St. Vic.
FEDERAL AID NO. PARCEL NO. WORK ORDER GROUP: WORK OP: C.S.: ORG NO.:
F-405 ( ) 1-24345 RW5367 I 01 1 0221 174311 I 413001
VOUCHER NO.: I hereby certify under pens ty of perjury t at the items and amounts
listed herein are proper charges against the State of Washington,
that the same or any part thereof has not been paid, and that I am
Authorized to sign.
AMOUNT: SIGNATURE IN INK FOR EACH CLAIMANT: DATED
'SIUNA1 URh:
LAND
$20,000.00
IMPROVEMENTS $0.00
DAMAGES:
COST TO CURE: City of Renton, a Washington municipal corporation
$0.00
PROXIMITY: $0.00 G ��
OTHER: $0.00 By: L.Lth ( �'
Denis Law, Mayor of the City of Rentotew'��"""+r,, Dated
SPECIAL BENEFITS $0.00 .�`� C)F FMT,,�4
REMAINDER $0.00 - C� a AM,
DEDUCTIONS: ATTES * SEAL * jj
AMOUNT PREVIOUSLY PAID $0.00
��//
°RATED se ``.•�
PERFORMANCE BOND
$0.00 Jason A. Set , City Clerk,, 111111 .
SALVAGE AMOUNT $0.00
PRE-PAID RENT $0.00
OTHER $0.00
ADMINISTRATIVE
SETTLEMENT $0.00
STATUTORY
EVALUATION ACQUISITION AGENT: DATED
ALLOWANCE $0.00
ESCROW FEE BY: Rosalia Jennifer
$0.00 AUTHORIZED SIGNATORY FOR WSDOT: DATED
REAL ESTATE EXCISE TAX
$0.00 BY: Hal Wolfe
OTHER: $0.00 TOTAL AMOUNT DUE: 520,000.00
RES-321 07/15
A40502H