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HomeMy WebLinkAboutBOS 20041202000410 f '�' .. 4 r Return Address: City Clerk's Office City of Renton 1055 South Grady Way IIIIIIIIII II III 1000 Ill 100 Renton,WA 98055 20041202000410 CITY OF RENTON BS 20.00 PAGE001 OF 002 12/02/2004 09:42 KING COUNTY, WA BILL OF SALE Proj Name'yVi9Soit!c#6,R pc/AT Property Tax Parcel Number:00 g',5" .0 67 6 3 0 Project File#: Street Intersection: Address: .5—a- 3/ si f El/NEW/CK Reference Number(s)of Documents assigned or released:Additional reference numbers are on page . Grantor(s):S&vsoa P1u9CE LG Grantee(s): 1. .D Vt7D F. A' Som 1. City of Renton,a Municipal Corporation 2. �-tom. The tor,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 Tyne L.F.of Water Main N169 L.F.of " Water Main L.F.of " Water Main COOS GT.C= fc WArig each of " Gate Valves each of " Gate Valves each of Fire Hydrant Assemblies SANITARY SEWER SYSTEM: Length Size Tyne L.F.of " Sewer Main N//z L.F.of Sewer Main L.F.of Sewer Main 5-005 G?&&- SE0A)&7R each of " Diameter Manholes each of " Diameter Manholes each of " Lift Stations STORM DRAINAGE SYSTEM: Length Size Type Z6? L.F.of 12_ " Duty/€4' Storm Main L.F.of " Storm Main L.F.of " Storm Main each of Storm Inlet/Outlet Z each of 'j_Pt S " Coi'e RETE Storm Catch Basin each of Manhole STREET IMPROVMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement) Curb,Gutter,Sidewalk 26 2 L.F. Asphalt Pavement: /60 SY or L.F.of Width STREET LIGHTING: #of Poles N,f} D C 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. O:\Fonns\PBPWIBILLSALE2.DOC\bh Page 1 1 a IN WITNESS WHEREOF,said Grantor has caused this instrument to be executed this_day of ,20_. INDIVIDUAL 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 and acknowledged it to be his/her/their free and voluntary act for the uses and purposes mentioned in the instrument Notary Public in and for the State of Washington Notary(Print) My appointment expires: Dated: REPRESENTATIVE 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: CORPORATE FORM OF ACKNOWLEDGMENT Notary ' must be wi ' 1; box STATE OF WASHINGTON )ss COUNTY OF KING ) Onthis 16 day of NoU 11862 ,2004 ,before me personally appeared i o w i 161 U 0(l) F, NASO f\) tome known to to Z a o; be 0 .0— O!N N E 2 of the corporation that w N; executed the within instrument,and acknowledge the said instrument to be the free zo tri and voluntary act and deed of said corporation,for the uses and purposes therein clt Cr) r /./.)m, mentioned,and each on oath stated that he/she was authorized to execute said - C % i ent and that the seal affixed is the corporate seal of said corporation. X5O 4• QRLL",, I o , ZOU w i' Notary Public in and for the State of Washington D" Notary (Print) to 6 ff M ff/\1 My appointment expires: $gf 7. 5, .)00? Dated: O:\Forrns\PBPW\BILLSALE2.DOC\bh Page 2 1