01787.u.. 331/ fRF!'. 12 60,
REAL PRUPERTY VUULHE1
-, ^•+..,�_--- .`_
%'--
r_—_ _
HEADOUARrER5 USr• ONLY
-. AGENCY NAME
ORDER NUMBER
U+i11.
BA n ACLT
Ie ,o
6UND AGENCY'
tl•z� ts•;c
_ _ _
y WMNINGTON STATE HIGHWAY COMMISSION
�x�, ��
DEPARTMENT OF HIGHWAYS
HIGHWAYS - LICENSES BUILDING
_®
I HF.REBY CERTIFY UNDER PCNALTY OF PERJURY THAT THE ITEMS AND
OLYMPIA,WpSHINGI'ON
AMOUNTS LISIED HEREIN ARE PROPER CHARGES AGAINST THE STATE OF
WASHINGTON. rHAT THE S.%MF OR ANY PART THEREOF HAS NOT 13EEN
PAID, AND THAT I AM AUTHORIZED TO SIGN FOR THE CLAIMANT.
GRANTOR oR CLAIMANT
NAME.Richa_rd J. Dlandau m»;?-_
- -
�'
Olive hrwel.lon 131rcndau
____________ :i1�
f ADDREss.5ho.!"drionds --_ ------------------
Ecbnond_,,L_+d3sliir.i��n �fi020 _. ---____--
zzz
f
(SIGN IN INK) ll OATIf I -
I"ROJECT,TITLE:
i
PARCEL:
SR 104 mends Ferry Ts�-xminal. to ; th Ave
1-7682
IN FULL, COMPLETE AND FINAL PAYMENT AND SETTLEMENT FOR the sale
to the 6-c'ate o :1as..-i ir.� ton of a portion Ol
Section 25 J.o;In. ship 27 1:orth 1't�.z;e 3 r.:i.c�i.,
and as ftal.l;� set forth in. warrant•S► dwed of even
I date. Also for all daina.-ge of -whatsoever kind
or nature to remaining lnads by reason of cons -
truction, location, maintenance of said hizh:rw. includin2c access rivhts.
I
AMOUNT
FOR ALL LANDS CONVEYED —
I ,an r"Q
Ln fee approximately 10,700 sa. ft. riore or less including
access rights
FOR ALL IMPROVEMENTS
landscari n
2 9 000.00`
FOR STATUTORY EVALUATION ALLOWANCE
A•ovraisel fee
200.00',
FOR ALL OTHER ITEMS darriAges
16,100.00
i
Reimbursement for prepa_d 1970 taxes -per chanter 236 laws
19692 lst Ax. Sess.
5.3L
DEDUCTIONS: ISPECIFYI
SUB TOTAL
-------------
-------------
2 2,O J •
I
TOTAL DEDUCTIONS
NET TOTAL
ESCROW FEE S SALES TAX ON ESCROW FEE S
TOTAL FEE
JOB NUMBER CONTROL SECTION
I AMOUNT TO T' .7�,�1����• •J/
R f 1913 413101 r-OLD.-2 () .3130-1 U
BE PAID
7--6 19.2i 134F27: ]9 30.31 3530 39•44 5e•AI 62.70
71.60 APPRU EO
140 PARCEL PPOIECT UNIT Gap Iat+l FUNC. ACCT ei, �r OR0. NO. NON•PA4T
AMOUNT
11-21
17620 P : r191. ;i1 � I -
D_ • ._t'+�r.�t�__.
n 11 11 11 1.11 1074 11 11
200.00
-ml R/d ' Ren�t oAl✓ )--op -7
R n 1 it Ft I it 1078R it
56 31
.0 �
� (
`
:jAI_t- - -
_ 22,605- <1 %rs•-/-
REAL- PROPERTY OR INTEREST THEREIN hL.l:•' ITT1t �
1 CERTIFY THA1 THE Al1UYE r)ATA All;-. CORRECT, THAT THE
EStiARY FOR THE AUUVE DESCW0kt) HIGHWAY PROJECT 14AS BEEN ACQUIRED IN THE NAME
OF THE STArr
OF WASHINGTON. ANU INAT THE. 1'1;:Cr.S PAID ARE nA?L:D ON HONA FIUI. AFI•RAISALS A\D OrHf:R WRIITCN
JUSTIrIC,ATION C.t:NI'AINED IN 1'111: S1':, T L•S FILES. IN AC C-ORDA14CE WITH 1'ILVI:EUURES AS SUOMI TIED TO AND
ACCEPTED BY THE F'01 RAL HIGH%%,AN ADMINISTRATOR
'r H
' DIRECTOR OF HIGHWAYS
' �/ �r � •• r. 6Lf;�".-�•y ]
nv \ .�i •1 �+ L I TITLE• 1GENbATC• / `I
tlttt
/ / ��►, 1. 1/�_p•`'CHi R NO � M.IRR^AN ,�"••S
r ti e ®A / �"'"I.
No