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RETURN NAME & ADDRESS <br />��jYlS�CNSCrr CpIV R� � 1Y i"�pVNC)� �HC <br />O !3 �` P S <br />�-r. c�, o � <br />Please print neatly or type information <br />Document Title(s) <br />��is� w�en l' <br />NO EXCISE 1�X <br />REQUIRED <br />JUN 0 8 2004 <br />BOB DANTINt, Snonomisn �uw�y ��easurei <br />gy_ 90B pANTINI <br />I�IIN �III NI� ulll Iiltl IIIII II�i IIIII Iliil IIIII �III IIIII IIII IIO <br />200406080780 2 PGS <br />SNOHOMISH4COUNTYpmWASkINGTON <br />ree w� �k—t— <br />Reference Number(s) of related documents: <br />Grantor(s) ��asi, Firsl, and Middle Initial) <br />v�s't` � ( �r- I-� <br />�Ksc-.,, k� , Y � r <br />, <br />Grantee(s) ��a5�, First, and Middle Initial) <br />Addltional Reterence #'s on page _ <br />Additional Grantors on page _ <br />Additional Grantees on page _ <br />L0g8I D2SCCIpt1011 �abbreviated torm: i.e. bt, block, plat or section, townshiF, renge, <br />quartcrlquaKer) <br />Asse�;sor's Property Tax Parcel/Account Number c�mP�e�� ��ga� o� Pa9� _ <br />0D-S��-f 70 � Z_oz7 00 <br />Additional parcel t{'s on page _ <br />The Auditor/Recorder will rely on the information provided on this form. The <br />responsibility for the accuracy oi the indexing information is that of the docun;ent <br />preparer. <br />