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HomeMy WebLinkAboutBOS 20120730001647 Return Address: City Clerk's Office I I ill II I 1111 1 III III II City of Renton 1055 South Grady Way 20120730001647 Renton,WA 98055 RENTON CITY CL BS 63.00 PAGE-001 OF 002 07/30/2012 11:45 KING COUNTY, WA BILL OF SALE Proj Name:/ y/fjyf 5 0 ; Property Tax Parcel Number: 00a5-... gZ2e, Project File#:aiiaq/ Street Intersection: 057/440/01dress: Reference Number(s)of Documents assigned or released:Additional reference numbers are on page Grantor (s): Grantee (s): 1.✓/uEWA° �i0/% �G 1. City of Renton,a Municipal Corporation 2. OE consideration of mutual benefits,herebygrants,bargains,sells and delivers to the The Grantor,as named above,for,and in onst g , 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: Len th Size Type G L5 L.F.of " PVC Sewer Main L.F.of Sewer Main L.F.of Sewer Main 2 each of Diameter Manholes each of " Diameter Manholes each of " Lift Stations STORM DRAINAGE SYSTEM: Length Size Tvpe 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 INIPROVMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement) Curb,Gutter,Sidewalk L.F. Asphalt Pavement: SY or L.F.of Width STREET LIGHTING: #of Poles C 'a- ...00.5'Cv 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:\Forms\PBPW\BILLSALE2.DOC\bh • Page 1 • • , .a IN WITNESS WHEREOF,said Grantor has caused this instrument to be executed thj2day ofJLLaa,20,LZ If Air # l'/5,' /— INDIVIDUAL FORM OFACKNOWLEDGMENT 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 ) 0" t I certify that I know or have satisfactoryevidence that • / t?csigned this instrument,on oath ,�•�r`' it stated that he/she/they was/were authorized to execute the instrument and Z Obi >r acknowledged it s t e`�� � �Z �tiand f�‘W to be the free and voluntary act of such i 0 p party/parti s for the uses and purposes mentioned in the instrument. uw 41 tA (_;14,0-tot, ''"i,,, q7 o �Q�/ NotaryPublic in and for the State of Washington a g `jt�viiimam of Notary(Print) H . A_ G r- �e r Print My appointment expires: A,A3(...4 act/ ao i?, Dated: LA_ne, aCi t a.o la_ CORPORATE 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