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�. <br />_ , j� i ..� a-�„'....,,..� . <br />L �l== n� Ylc '� .'. <br />w � � <br />\ �" .�. �soat.4racet <br />I'�"'�"•••"""�'*"ar`' FUND�96% S� Bonde <br />o[ar. (EIlQin rin�) <br />To ' Harry J. Romo aad <br />Rnth A, Romo <br />aad <br />Ianreace W, Romo and <br />CLarlotte D. Romo <br />g:a:hu I uon <br />. O. 626 <br />TJl'nL <br />COODS ON SERVICES <br />Purchaee of the followiag described property <br />in the area af Elm and� for etreet <br />purpooee: u/Oo/�' fL <br />� st 96 feet, ae measured along the North � <br />, liae of Lot 2, Olqmpic View Add, to Everett, <br />according to the plat thereof recorded oa <br />Vol. 10, Plats, Pg, 117, reeorde of Suohomish1 <br />CounLy, State of �Vashington l <br />�_J <br />W. O. 711-G. G. B?.6 <br />AMOVNT <br />21925 ��U <br />�RE1GH7 <br />fOTl1L FOR G0005 OR SEHVICES <br />N'IISHINGTOH STIITE SALES fA% <br />T0Tl1l CITY ESTIAUTE <br />Warrant No. <br />Purchase Order No. � <br />March 26 .ly 6� /D <br />9Z5, o0 <br />�YENDOR MUST COMPLETE � TOTAL AMOUkT--s--- <br />DUE ON THIS CLAIM <br />VENDOR'S CERTIFICATION � cer�rly Nat �ry¢ �p��e artmies were rece.im w rcoa <br />mma�o� ane� a�e mznece�en, acceo�a�ce. a-e cei:.�•y <br />prmr to parment, or Inc sCrvic^s C^rlcrmcE as atJ�M, <br />1, 1�! unOCrSignM, Eo here�y certdY unCtt pCnaRy ol and Iha{ D�ming is cOneC6 <br />CHI��Y. t�al t�e malerial Iumis�c0, Scrv�ce rCnacrea, <r <br />otner item ol mCc�tcOncss as ctargeA in I�e luc�;omg ' <br />Ciil rs a lrve an0 enrrca ceaege against Nc Gty ol <br />Evlreil, Ihxt I�t claim is jusl an0 Cu,; t�at no pert <br />01 SdT.t Ildi �CPO pdid. IM1d( IMC�d1 C�CiSC Id�CS d!C lIOI <br />incluece m tnc amoums aue an m�; eu�m. ane m�i i n. �v ��' aot. <br />am autnonne0 to-sipn Yor �ne Cayee. ' ����MOdtl <br />D�TC <br />VeM1'JJ6.i <br />�.1=..�.iT....! . . <br />' RIIFIC.ITION <br />I, I�e bnUvsi:ped, Ccrt�y cerLly ur.Cn penally o� <br />OerI��Y. I�ai I�c� malenal5 �arc Dcen IUIII�SPCE. III! <br />SC�IKCS fClIQCICC O� ll:p i,00� ov�o�men .,s ee:a�eca <br />�crein. an� I11d1 IhB CI�.T IS d ry51, tl11C JnC uno.+�a <br />COIi�J(1011 .l:�l�l,'.{ (!IC [Ily 0� �YffCt�. dllp ���� � �m <br />___ I avt�oniCJ lo aul�enl�wtc and ccrUty to u�a c:aim. <br />CITY CIEHk.�OM11PiPOlLCR <br />� <br />���J....�..... _ <br />Vendor's Filo Coov <br />