HomeMy WebLinkAbout20100928000671 WARRANTY DEED 20100928000672 DEATH CERTIFICATE 092810 x � i
City f Auburn 20100928000671
Y PACIFIC NW TIT WD 65.00
25 West Main Street PAGE-001 OF 004
09/28/2010 12:06
Auburn,WA 98001-4998 KING COUNTY, WA
City Clerk
E2460093
09/28/2010 11:55
KINNG COUNTY, WA $10.00
SALE $0.00 PAGE-001 OF 001
PAQIFI NORTI-W,S c s; .
Above this line reserved for recording information. ( I (]V? 7-i'7s
WARRANTY DEED 0011
Reference#(if applicable):
Grantor: Elisabeth Muller,an unmarried woman
Grantee: City of Auburn,
a municipal corporation of the State of Washington
Legal Description/STR: LOT 15&PTN LOT 14,BLK.3,RIVERDALE
ADD.OF CITY OF AUBURN,VOL. 19,PG.40,
KING COUNTY
Assessor's Tax Parcel ID#: 733540-0250 r ) r
Property Address: 305 M Street SE,Auburn,WA 98002
For and in consideration of the sum of TEN DOLLARS ($10.00) and other good and valuable
consideration, receipt of which is hereby acknowledged, Grantor, Elisabeth Muller, an
unmarried woman, hereby conveys and warrants to the CITY OF AUBURN, a municipal
corporation of the State of Washington, its successors and assigns, under the imminent threat of
the Grantee's exercise of its rights of Eminent Domain,the property legally described as follows:
For legal description and depiction see Exhibits A and B,
attached hereto and made a part hereof.
Also, the Grantor requests the Assessor and Treasurer of said County to set over to the remainder
of Tax Parcel No.733540-0250, the lien of all unpaid taxes, if any, affecting the real estate herein
conveyed, as provided for by RCW 84.60.070.
Dated this day of , 2010
Warranty Deed Tax Parcel No.733540-0250
Page I of 4
•
GRANTOR:
ELISABETH MULLER
STATE OF $ tk )
) ss
COUNTY OF /Li&j )
I certify that I know or have satisfactory evidence that ELISABETH MULLER, an unmarried
woman, is the person who appeared before me, and said person acknowledged that she signed
this instrument, on oath stated that she was authorized to execute the instrument and
acknowledged it to be her free and voluntary, act for the uses and purposes mentioned in this
instrument.
Dated 8"4-a -oil)/ 1
,TAA,t &A
,��s�►` A-ow . Ma-tic t eta.
KRISTINE ANN M.MARISTEL.A Notary Public in and for the State of Mot
NOTARY PUOUC Residing at �vi i G(J
STATE OF WASHINGTON My appointment expires Pot, 9,d-0/2
COMMISSION EXPIRES
MAYS 2012
Warranty Deed Tax Parcel No.733540-0250
Page 2 of 4
EXHIBIT A
RIGHT OF WAY ACQUISITION FROM PARCEL NO.7335400250
All that portion of the below described PARENT PARCEL,being a portion of GOVT
LOT 12,M Section 18,Township 21 North, Range 5 East, KM.,in King County,
Washington,lying easterly of the following described line:
Beginning at the intersection of the northerly margin of 412. ST.SE and the westerly'
margin of'NF ST.SE,in said Section 18,Township 2'1 North, Range 3 East, thence along
said westerly margin North 00°53'1 t" East, 234.73 feet to the TRUE POINT OF
BEGINNING of the hereinafter described line, thence South 02'2030" West,25.62 feet to
the southerly line of said PARENT PARCEL,and the terminus of said line description,
containing 8 square feet, more or less.
PARENT PARCEL
LOT 15,AND THE NORTH 25 FEET OF LOT 14,BLOCK 3,RIVERDALE ADDITION
OF CITY OF AUBURN,ACCORDING TO PLAT RECORDED IN VOLUME 19 OF
PLATS,PAGE 40, IN KING COUNTY, WASHINGTON
fl
ti•
7/21/2010
Warranty Deed Tax Parcel No.733540-0250
Page 3 of 4
. . . ,
. a
EXHIBIT 'B'
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Warranty Deed
Tax Parcel No.733540-0250
Page 4 of 4
City of Auburn
25 West Main St
Auburn, WA 98001-4998
City Clerk 111 I III I 11 111 I 11111 1111111111 2010 0928000672
PACIFIC NW TIT DCERT 34.00
PAGE-001 OF 003
09/28/2010 12:06
KING COUNTY, WA
Return Address:
City of Auburn
City Clerk ,
West
Auburn,WA A 98001 / l
Above this line reserved for recording information. t
riew print ar t.: antarmatia.WASII1NGTON STATE RI CO.1 ER'S Cover Sheet txcw 65.60 '' (/
Document Ttatle(s)(c:r iransaetioas contained therein):tall areas applicable to your document 312U ct be filled in)
1. MATH CERT1 f t CP 0E2. .
y 4
Reference IVaatber(s)of Documents assigned or released:
Additional tef fence it's on page ....._. of document
Grunter(s) Ex . rarec(s) onrtocnt
1. EN JA W. WAum_.ILER- 3• .
z._ 4.
Additional names on page of document
Gra nteefml rtraetly as names)apnea on document
2. 4
Additional names on page ..... ...of document
Legal description(abbroviaamd: Le.1u3,.Week,plat or section.townshtip,range)
Additional legal is on page. ..__ _-.of doemnent-
Assessor's Property Tax Parcel/Account Number 0 Assessor Tax#not yet
assigned
The Audtot/R.ecorder*>.il1 rely on the information provided on this form The staffwifl not read the document
to verify the accuracy or votiveness of the indexing information Rmvided herein
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CERTIFIED...COPY OF DEATH CERTIFICATE ;
I TYPE OR PRINT IN PERMANENT BLACK INK r. pe r n,sae DT:000r 4
9180 - k411( h
146
LOCAL FILE NUMBER CERTIFICATE OF DEATH STATE FILE NUMBER
`'; 1 NAME First Middle Lasl 2 SEX(M I F) 3 DEATH DATE(Mo,Day.Yr)
Edward W. ivULLER Male September 22, 1993
4.AGE LAST BIRTH- 5.UNDER 1 YEAR I 6 UNDER 1 DAY 7 BIRTHRATE(Mo,Day,Yr) 8.BIRTHPLACE 9 WAS DECEDENT EVER IT COUNTY OF DEATH
j.;. DAY(Yrs) MOS DAYS ( HOURS MINS (City,Slate or Foreign Country) IN U S ARMED FORCES?
81 1 10-24-1911 Germany (Yes/N°) No King
11,CITY,TOWN OR LOCATION OF DEATH 12.PLACE OF DEATH--Dd BOX FOR PLACE THEN GIVE ADDRESS OR INSTITUTION NAME 13.SMOKING IN LAST
1. HOME 2 0 IN TRANSPORT 3 O EMEBG.RM/OUT PIN 4 0 HOSP. 5 Ll NUR HOME 6 O OTHER PLACE 15 YEARS?(Yes)No)
„.. 7G
E
• Auburn X0e I'M" S SR No
C 14.MARITAL STATUS-Married, 15.SURVIVING SPOUSE(if wife,give maiden name) 16.SOCIAL SECURITY NO. 17.DECEDENT'S EDUCATION
.E Never Married,Widowed, (Specify only highest grade completed)
'O Divorced(Specify)
Elementary/Secondary(0-12) College(1-4 or 5+)
E'
• Married Elisabeth Barnert 12
18.USUAL OCCUPATION(Give kind Al work done 19.KIND OF BUSINESS OR INDUSTRY 20..Was Decedent of Hispanic origin Or descent?(Ancestry)(Specify 21.RACE(Specify)
during most of working life.DO NOT USE RETIRED) Yes or No if Yes.specify Cuban,Manloon.Puerto Rican,etc.)
.: Tool and Dye Maker Manufacturing (Yes/ND)Specdy: i1'bite
22.RESIDENCE-NUMBER AND STREET 23.CITY/TOWN OR LOCATION 24.INSIDE CITY 25A.COUNTY 258.LENGTH OF-26.STATE 27 ZIP CODE
LIMITS? I RES.IN CO.
' (Yes/No)
1 " 305 M Street Se Auburn Yes King 5 YRS Wa 98002
P 28.FATHER'S NAME-FIRST,MIDDLE,LAST 29 MOTHERS NAME-FIRST.MIDDLE,MAIDEN SURNAME
1 'N„4 Heinrich Muller
I 30.INFORMANT-NAME 31 MAILING ADDRESS STREET OH Rh./Nu. Li IY UH TOWN STATE ZIP
I
S, Elisabeth Muller 305 M Street SE Auburn, Wa 98002
w� 1O 32.RURIAL,CREMATION 33.DATE(MO,Day,Yr) 34.CEMETERY/CREMATORY-NAME 35.LOCATION--CITYITOWN,STATE
S REMOVAL,OTHER(Specify)
rI S,Cremation 9-23-1993 I P•wer Wo•.1.wn L..- _.SumEler, Washington
I 36.F,r ERAL DIRECTOR SI- 37.NAME OF FACILITY 38.ADDRESS OF FACILITY
I N / r ,e Price-Helton Funeral Chapel 114 N. Division. Auburn. Wa, op
s. TO BE COMPLETED ONLY BY CERTIFYING PHYSICIAN TO BE COMPLETED ONLY BY MEDICAL EXAMINER OR CORONER
39.TO THE BEST OF MY KNOWLEDGE,DEATH OCCURRED AT THE TIME,DATE AND PLACE 43.ON THE BASIS OF EXAMINATION AND/OR INVESTIGATION,IN MY OPINION DEATH OCCURRED AT
I '1:E� AND W *1 TO THE CAUSE(SF'STATED. THE TIME,DATE AND PLACE AND WAS DUE TO THE CAUSE(S)STATED,
Cy SIGNAT • TI LE SIGNATURE AND TITLE
i
} E X ItSs____ X
1 ( T 40.DATE IMP;( o.,Da,Yr 41.HOUR OF DEATH(24 Hrs.) 44 DATE SIGNED(MO.,Day.TI) 45.HOUR OF DEATH(24 Mrs)
1
�
` September 22, 1993 12:00 +
,E. 42.NAME A P TI of ATTENDING PHYSICIAN IF OTHER THAN CERTIFIER(Type Or Print) 46 PRONOUNCED DEAD(MO.,Day,Yr) 47.HOUR PRONOUNCED DEAD
„S: (24 Hrs.)
48.NAME AN* *PRESS OF CERTIFIER--PI IYSICIAN,MEDICAL EXAMINER OR CORONER(Type or Print) 49.ME/CORONER FILE NUMBER
` r Dr. Charles Larson 735 12th Street SE Auburn, Wa 98002 3108-93
• ,.0" 5o.ENTER THE DISEASES,INJURIES,OR COMPLICATIONS WHICH CAUSED THE DEATH.
l"'E`; IMMEDIATE CAUSE(Final disuse of INTERVAL BETWEEN ONSET AND••
DEATH
cDndamnreSDuingmdeam). A. CHF, probable cause. 5 years
DO NOT ENTER THE MODE OF DUE TO OR AS A CONSEQUENCE OF'. INTERVAL BETWEEN ONSET AND
DYING,SUCH AS CARDIAC OR DEATH
' ,C RESPIRATORY ARREST,SHOCK,OR e. ASCVD 5 years
'A HEART FAILURE. LIST ONLY ONE INTERVAL BETWEEN ONSET AND-
SUr CAUSE ON EACH LINE. DUE TO.OR AS A CONSEQUENCE OF: DEATH
5' Sequenliall list conditions,Ilan •
,
,E Y Y D. History of ventricular tachycardia 5 years
leading to immediate cause.Enter
0.. UNDERLYING CAUSE(Disease Of DUE TO,OR AS A CONSEQUENCE OF - INTERVAL DEATH BETWEEN ONSET AND
injury which initiated events resulting
in death)LAST D.
(• 51.OTHER SIGNIFICANT CONDITIONS-CONDITIONS CONTRIBUTING TO DEATH BUT NOT RESULTING IN THE UNDERLYING CAUSE GIVEN ABOVE. 52.AUTOPSY? 53.WAS CASE REFERRED TO
COPD (Yes/No) MEDICAL EXAMINER OR
C D
Te No y's�e5
"3 , 54.ACC.SUICIDE,HOM.,UNDET., 55.INJURY DATE(Mo,Day.Yr) 56.HOUR OF INJURY 57.DESCRIBE HOW INJURY OCCURRED:
OR PENDING INVEST.(Specify) (24 Hrs)
.)
Ill . No
58.INJURY AT WORK? 59.PLACE OF INJURY-AT HOME.FARM,STREET,FACTORY.OFFICE. 60 LOCATION-STREET OR RFD NO.,CITY/TOM.STATE
(Yec/No) BLDG.ETC.(Specify)
r
I No ,
61.RECORD AMENDMENT(Registrar use Doty) 62,REGISTRAR 63.DATE RECEIVED(Mo.,Day.Yr.)
ITEM DOCUMENTARY REVIEWED BY DATE SIGNATURE..
EVIDENCE ,,,,.1
X 7. � , , SEP 2 4 1993
--- ,t ., - DOH 110-000 (Rev.7/97) (formerly DSHS 9.150)
FOR INSTRUCTIONS SEE BACK AND HANDBOOK p
A
-- DOH 01-003 (5,92)
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CERTIFIED COPY OF DEATH CERTIFICATE
I TYPE OR PRINT IN PERMANENT BLACK INK I WdinjisrSue Drp,rmml4
7 9180 7 Health 146
LOCAL FILE NUMBER CERTIFICATE OF DEATH STATE FILE NUMBER
1.NAME Fast Middle Last 2 SEX(M/F) 3 DEATH DATE(Mo,Day,Yr)
t8
Edward W. MJLLER Male September 22, 1993
4 AGE LAST BIRTH- 5 UNDER 1 YEAR I 6 UNDER 1 DAY 7 BIRTHDATE(Mo,Day.Yr) B.BIRTHPLACE 9 WAS DECEDENT EVER 10.COUNTY OF DEATH
DAY(Yrs) MOS DAYS I HOURS MINS (City.State or Foreign Country) IN U.S.ARMED FORCES?
81 I 10-24-1911 Germany (Yes/NO) No King
I I.CITY.TOWN OR LOCATION OF DEATH 12.PLACE OF DEATH-Dd BOX FOR PLACE THEN GIVE ADDRESS OR INSTITUTION NAME 13.SMOKING IN LAST 1
1.17 X HOME 2 O IN TRANSPORT 3 0 EMERG.RWOUT PTA 4 0 HOSP. 5 0 NUR HOME 6 0 OTHER PLACE 15 YEARS?(Yes I No)
eAuburn .3 A II • SE No
C 14.Never Ma STATUS-Married, 15.SURVIVING SPOUSE(if wife.give maiden name 16.SOCIAL SECURITY NO. 17.DECEDENT'S EDUCATION
-E Never Married,Widowed, (Specify only highest grade completed)
•D Divorced(Specify) Elementary/Secondary(0.12) College(1-4 or 5+)
E
' Married Elisabeth Barnert 12
T
16.USUAL OCCUPATION(Give kind of work done 19.KING OF BUSINESS OR INDUSTRY 20..Was Decedent of Hispanic origin or descent?(Ancestry)(Specify 21.RACE(Specify)
during most of working tile.DO NOT USE RETIRED) Yes or No,If Yes,specify Cuban.Mexican.Puerto Rican.etc.)
Tool and Dye Maker Manufacturing (Yes/No)Specify: _White
22.RESIDENCE-NUMBER AND STREET 23.CITY/TOWN OR LOCATION 24.INSIDE CITY 25A:COUNTY 251.1-11b/:::1)=-10E-
I ENGTH OFF 26.STATE 27 ZIP CODE
LIMITS? RES.IN CO.
(Yes/No)
i `% 1 305 M Street Se Auburn Yes King 5 YRS Wa 98002
P 28.FATHERS NAME-FIRST,MIDDLE,LAST 29 MOTHER'S NAME-FIRST',MIDDLE,MAIDEN SURNAME
.A Heinrich Muller
I H„ 30.INFORMANT-NAME 31 MAILING ADDRESS STREE I UM Hru NO ulY OH IOWN STATE ZIP
11
$ Elisabeth Muller 305 M Street SE Auburn, Wa 98002
� O 32.BURIALCREMATION 33.DATE(Mn.Day.Yr) 34.CEMETERY/CREMATORY-NAME 35.LOCATION-GITY/TOWN,STATE
� REMOVAL,OTHER(Specify)
0 Cremation 9-23-1993 Powers Woodlawn Abbey Sumner, Washington
1. 36.F ERAL DIRECTOR SIC 37.NAME OF FACILITY 38.ADDRESS OF FACILITY
• N !Price-Helton Funeral Chapel 114 N. Division, Auburn, Wa
TO BE COMPLETED ONLY BY CERTIFYING PHYSICIAN TO BE COMPLETED ONLY BY MEDICAL EXAMINER OR CORONER
•�
39.TO THE BEST OF MY KNOWLEDGE DEATH OCCURRED AT THE TIME,DATE AND PLACE 4a ON THE BASIS OF EXAMINATION AND/OR INVESTIGATION.IN MY OPINION DEATH OCCURRED AT
f AND W a TO THE CAUSE( STATED. THE'TIME.DATE AND PLACE AND WAS DUE TO THE CAUSE(S)STATED.
$ SIGNAT IT'LE SIGNATURE AND TITLE
O'^ ' /a „a V
i t I , 44.DATE SIGNED Mn( ,Day.Yr) 45.HOUR OF GEATH(24 Mrs)
T 40.DATE!�r( •..Da,Yr 41.HOUR OF DEATH(24 Hrs.)
I
e I' September 221 1993 12:00 +
46 PRONOUNCED DEAD(Mo.,Day.Yr) 47,HOUR PRONOUNCED DEAD
5 42.NAME A F ATTENDING PHYSICIAN IF OTHER THAN CERTIFIER(Type a Print) (24 Hrs.)
fl
',I.. . •
'I •, 48.NAME ANTIMRESS OF CERTIFIER-PI IYSICIAN,MEDICAL EXAMINER Off CORONER(Type or Print) 49.ME/CORONER FILE NUMBER
i Dr. Charles Larson 735 12th Street SE Auburn, Wa 98002 3108-93
,
50.ENTER THE DISEASES,INJURIES.OR COMPLICATIONS WHICH CAUSED THE DEATH.
\t k`Y' IMMEDIATE CAUSE(Final disease or INTERVAL BETWEEN ONSET AND
DEATH
cor.Aitionresulting indealh). A. CHF, probable cause. 1 5 years
DO NOT ENTER THE MODE OF INTERVAL BETWEEN ONSET AND
1. DUE TO,OR AS A CONSEQUENCE OF: I DEATH
Drwc,SUCH AS CARDIAC OR 5 years
C; RESPIRATORY ARREST,SHOCK.OR B. ASCVD
A HEART FAILURE. LIST ONLY ONE I INTERVAL BETWEEN ONSET AND
RI• CAUSE ON EACH LINE. DUE TO,OR AS A CONSEQUENCE OF DEATH
I'
Sequential( list conditions,if an
E Y Y c. History of ventricular tachycardia 15 years
leading to immediate cause,Enter INTERVAL BETWEEN ONSET AND
':0,. UNDERLYING CAUSE(Disease Or DUE TO,OR AS A CONSEQUENCE OF DEATH
F. injury which initiated events resulting I
in death)LAST D. 1_-__--
E: 55 OTHER COPD CONDITIONS CONDITIONS CONTRIBUTING TO DEATH BUT NOT RESULTING IN THE UNDERLYING CAUSE GIVEN ABOVE: 52 AUTOPSY?
o)? MEDICAL EXAMINER OR
a No Coaor 6?gas/No)
Tr_
54.ACC.SUICIDE,HOM..UNDET., 55.INJURY DATE(MO.Day.Yr) 56.ZO HR OF INJURY 57.DESCRIBE HOW INJURY OCCURRED
OR PENDING INVEST.(Specify) ( )
'-'° No
p CITY/TOWN.STATE
� ! 58.INJURY AT WORK? 59.PLACE OF INJURY-AT HOME.FARM,STREET,FACTORY,OFFICE 60 I OCATION-STREET OR RFD NO„
(Yes/No) BLDG.ETC.(Speclly)
,,i No
7 .
61.RECORD AMENDMENT(Registrar use only) 62.REGISTRAR 63 DATE RECEIVED(Mn,.Day.Yr.)
ITEM DOCUMENTARY REVIEWED BY DATE •SIGNATURC,, _
EVIDENCE
X _ SEP 2 4 1993
r DOH 110-008 (Has 7/91) (formerly DSH59-150)
FOR INSTRUCTIONS SEE BACK AND HANDBOOK -
•
` - DOH 01-003 (5;92