HomeMy WebLinkAbout001024 Original ContractCity of Port Angeles
Record # 001024
AGREEMENT TO RELEASE CLAIM
I, Blake Bamford, for and in consideration of the payment to me in the amount of
$4651.38, receipt of which I acknowledge by my signature on this release, do hereby
acknowledge the full and complete settlement of any claim or demand of any nature whatsoever
that I, my heirs, successors or assigns, have or could have against the City of Port Angeles, or
any of their respective officers or employees, arising from or in any way related to the billing of
my utility account.
Executed at Port Angeles, Washington, this day of (�.C�� 20 13
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Blake Bamford, Claimant
STATE OF WASHINGTON )
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County of a-," Y-, )
On this day personally appeared before me, a Notary Public, duly commissioned and
sworn, ��, \� \� �� �� \ , to me known to be the individuaV described in
and who executed the within and foregoing agreement, and acknowledg6d to me that
signed the same as h� ��_J free and voluntary act and deed, for
the uses and purposes therein stated.
GIVEN under my hand and official seal this —O day of ��$ /1Ez , 20/-.
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Notary Public 'n and for
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My commission expires:
tate of Washington