HomeMy WebLinkAbout1991 - Bill of Sale - State Farm Insurance - 9101231526
9101231526
BILL OF SALE
91/O1.r23
RECD F
RECFEE
:ASHEL.
4159S 0
10.00
2.00 00 \
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KNOW ALL MEN BY THESE PRESENTS, That for valuable
consideration, State Farm Mutual Automobile Insurance Company, an I l l i n o i s
corporation,
the Grantor, does hereby grant, bargain, convey and sell to the
CITY OF TUKWILA, King County, Washington, a municipal corpora-
tion, the Grantee, the following described improvements situa-
ted in King County, Washington, and located within the easement
right -of -way described on Exhibit A hereto as
Asphalt trail - 640Li,neal feet
Concrete sidewalk approximately 6 feet wide and 515
length, located generally as shown in crosshatching
map attached as Exhibit A.
Together with any other appurtenances
(f./
follows:
feet in 7a
on the
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thereto.
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To have and to hold the same to the said Grantee, its
successors and assigns forever.
The undersigned hereby covenants that it is the lawful
owner of said property; that the same is free from all encumbrances;
that all bills for labor and material have been paid; that it has
the right to sell the same as aforesaid; that it will warrant and
defend the same against the lawful claims and demand of all
persons and will pay any costs, including reasonable attorney's
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fees incurred by Grantee, arising out of any such claim or demand.
The Bill of Sale is given in consideration of the
agreement of the Grantee, for itself, its successors and assigns
to incorporate said utilities in its utility system and to main-
tain them as provided in the applicable City Ordinances.
This Bill of Sale is given and accepted pursuant to a
motion duly made, seconded and passed by the City Council of the
City of Tukwila, King County, Washington, on the day of
ATTEST:
STATE OF WASHINGTON )
ss.
County of King )
On this ,3 day of .,f_Ge4-9 4 , 19/ 1 , before
me, the undersigned, a Notary Public in and for the State of
Washington, duly and sworn, personally appeared
69 ff V f . // -/V er.S'e. and
2?, 6 41-iv7 f , known to me to be the Mayor and
City Clerk, respectively, of CITY OF TUKWILA, the municipal
GRANTEE
STATE FARM MUTUAL AUTOMOBILE INSURANCE
COMPANY, an Illinois corporation
2
CITY OF TUKWILA
City Clerk
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STATE OF ILL INOf" ' 0R•)
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County of McLEAN )
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corporation that executed the foregoing Bill of Sale and acknow-
ledged said Bill of Sale to be the free and voluntary act and
deed of said municipal corporation, for the uses and purposes
therein mentioned, and on oath stated that they are authorized
to execute the said Bill of Sale.
WITNESS my hand and official seal hereto affixed the
day and year first above written.
NOTARY PUBL in and for the Ste of
Washington, residing at /
My appointment expires �� 9 9 5z
NOTARY PUBLIC in and
ilashillgten, residing
Illinois
My appointment expires
N;c14,
On this 22nd day of October , 19 , before
me, the undersigned, a Notary Public in and for the State of Illinois
Wash3-ngten -, duly commissioned and sworn, personally appeared
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to me known to be the in ividual described in and who executed
the foregoing Bill of Sale, and acknowledged to me that he
signed and sealed the said Bill of Sale as his free and
voluntary act and deed for the uses and purposes therein mentioned.
WITNESS my hand and official seal hereto affixed the
day and year above written.
for the State of
at Bloomington
R -30 -g1
"OFFICIAL SEAL"
Ina M. Vandegraft
Notary Public, State of Illinois
My Commission Expires 8/30/91
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MAP
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EXHIBIT A
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if i�► R nut' AEACAAav • f `'J my or Ataxy / / 40,
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ACCOUNT
TITLE &
NUMBER
DESCRIPTION
/4&Pbiti -t
QUANTITY
AVERAGE
UNIT
COST
4 5,00 / ,Cr.
DATE
INSTALLED
5/5 ' x 40=0" • it TO
3, 09a '1: 1 2 • SD r:
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TOTAL
SERVICE
LIFE
. TJ yg6
Sb fiS.
TOTAL
ORIGINAL
COST
et 3 moo
7,726.
DEPRECIATION
PER YEAR
ACCUMULATED
DEPRECIATION
12/31/ qc
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INSTRUCTIONS: This form is to be completed anytime a capital item is acquired by the City.
It is to be filled in as soon as possible and forwarded to the City Clerk with complete
documentation for recording. NOTE: State law requires assets acquired from a special
service district to be transferred by ordinance.
TRANSACTION: 1 J
1. [ ] Developers Agreement: Name: S7`4 f' :7 Co
2. [ Bill of Sale: Amt.
3. [ ] Other:
Explain
ASSET DESCRIPTION: [ ] WATER [ ] SEWER [ ] STORM [ $] CURB /GUTTER/
G, r of a5phAe - T2ArL _ 3� �•� SIDEWALK AND
STREET
I certif that t the best of my knowledge the above information is true and accurate.
//,2'c
S - ture - epartment Manager
I hereby approve
ayor
6 ` Ok"" (o'O' 40/06 6,o,'41 1 7
7, 7e
Recquired for assets over $25,000 in value:
By Council action at the regular meeting (date:
above assets were accepted.
Council President
ATTEST: City Clerk
th
ceptance
Distribution: ( ✓) Risk Manager
( ✓ ) Maint. Div. I, Utility
( / ) City Clerk (ORIGINALS)
DOCUMENTATION ATTACHED -
( ) Bill of Sale
( ) Easements
( ✓) Permits
CITY OF TUKWILA
SEWER, WATER AND STORM
CAPITAL ASSET ACQUISITION
Council Action: (Res. No. ) Date:
STrtTE Ot2M /Ns. Co .
$ . ?t$, °° From: (4qA5 SOvrw c.'i17Ze 8L 4) . Date l//
Owner: /0(.r
of the named asset(s) on behalf of the City.
Dade
Date
Date
List: (i:e., Bill of Sale, P.O.,
List, Easements, Agreement
( I) List of Materials /Cost
( ) Agreement
(/ ) Drawings As r,*
) of the Tukwila City Council, the
( 0 Utility Asset Accounting
( ) Infrastructure File 2.00.19
Receipts, Drawings, Materials
, Permits)
( ) Ordinance /Resolution
( /) Letter of Recommended
Acceptance