90-43284 ~ Durham Road ~ Summerfield Drive
90-.43284
Washington County
WARRANTY DEED - STATUTORY FORM
Ada Niva, Grantor(s), convey and warrant to The City of Tigard, Oregon, a Municipal
Corporation, Grantee, the following described real property free of encumbrances except
as specifically set forth herein, situated in Washington County, Oregon, to-wit:
See Exhibit "A" attached to and by re erence made a part of this warranty deed.
Reserving, however, unto the Grantor, its successors and assigns, the following,
THIS INSTRUMENT DOES NOT GUARANTEE THAT ANY PARTICULAR USE
MAY BE MADE OF THE PROPERTY DESCRIBED IN THIS INSTRUMENT. A
BUYER SHOULD CHECK WITH THE APPROPRIATE CITY OR COUNTY
PLANNING DEPARTMENTS TO VERIFY APPROVED USES.
The said property is free from encumbrances except Conditions, Restrictions, Restrictive
Covenants and Easements of Record, if any, and the provisions of any ordinance of the
of the City of Tigard, Oregon, enacted prior to the date hereof.
The true consideration for this conveyance is Forty Four Hundred Fifty Dollars ($4,450.00
as specified per the requirements of ORS 93.030.)
Dated thiso24- day of 1990.
by
Ada Niva
STATE OF OREGON )
ss
COUNTY OF WASHINGTON )
Personally appeared the above named Ada Niva, who executed this instrument and
acknowledged to me that this instrument was executed voluntarily and freely.
IN TESTIMONY WHEREOF, I have hereunto set my hand and seal this
day of /~i4f- 1990.
10
Notary Public r Oregon
My Commission Expires a S /3
Approved as to legal description this ~ day o 1990.
f
By: - -
Title: ,
Accepted for road purposes this ~l day of UlYe , 1990.
DEPARTMENT OF CO NITY DEVELOPMENT
By:
Title:
After recording return . to:.
CITY RECORDER
P.O. BOX 23397
TIGARD, OREGON 97223
1. Q tL i.
RNMEN
OREGON STATE HEALTH DIVISION
y VITAL STATISTICS SECTION
STATE OF OREGON
HEALTH DIVISION DEPARTMENT OF HUMAN RESOURCES 79-0 19 O 7 2
111141 SIMI.IICa Swim
TYPE ~Z `I , CERTIFICATE OF DEATH
OR PRINT LOC81 F .w Numt»r Stale Ftls Number
M1 i IN DECEASED-NAME FHa, LlyddN WI I DATE OF MAT" Imonin, day. V& w)
PERMA"E"'.
sLAeK I Albert NIVA 2 November 23, 1979
INK RACE YVnlts. etaew, Amenean InOW. SEX AOE-Last UnOer I Yasr tM,Aar t Say PATE Of BIRTH (TOmn.day.yrr)
FOR stc. (.paftfyl osthday (yer.) mrs have worr
~ucnOhs White . dale Is. 91 sbnos x 6 March 9, 1888
> [ COt•NTY Of DEATH CRY, TOWN OR LOCATION OF DEATH "CAPITAL On O,twA a.TRYn'Xa-trAMa n Hav OP ...sr .,11.u.. 00.
NANDOOOK .w •w • wmP a» rrnw .•s •...eP.t.... w,. rors•. Its.r,•r,
711 Washin on rb Tigard 7c Tigard Care Center 711 In Stiehl
STATE OF WITH Ilf not U.S.A.. CITIZEN OF WNAT COUNTRY 0. INIVIII m r SPOUSE IIF MARRIED, WIDOWED) i-wo it~i, r M J S
na Qa,I ryt
' a Michigan 6 USA 10 married n Ada E. uP"J.r.."n"
No
P oE.,H
OCCU1.40. SOCIAL SECURRY NUMBER ,O,IAt 4t10r s"' •^0 °•'0~ eerv °i^"o +,aw ° ip1'"o KIND OF BUSINESS OR Room. MY
,3 712-05-2S90 ,+a En ineer (retired) ,.b Union Pacific Rail Road
R M ~ 0 RE&OENCE-STA COUNTY ~C7TY. TOWN. OII LOCATION STREET AND NUMBER OR R.F.C.. a► 97223 lO City Lumts
(.Pectb or no)
Is. Oregon ,sb Kashin ton ',x Tigard 15d 10985 SK Durham Rd. tya des
FATHER-NAME tint ITIMdle Wt MOTHER--- , Name tint middle Oat INFORMANT-NAME and fWatlmm to tO dwomeD
t6 Isaac Niva 17 Sophia Backstrom ,9 Ada E. Niva-S use
BURIAL. CREMATION. CEMETERT OR CREMATORT-NAME LOCATION city or town Math `
AL. MAtIS, tI , 1,~
Olt remat ion 6b Young's Crematory +Se Tigard, OR. ljl
. e e FUNERAL IC' - NSE; i Apxra As NAME AND ADDRESS OF FACILITY
ISIY p .3i6_ AL
20,E 200 1' n c Funeral Home 11831 SW Pacific Ht:v. Ti ard, OR. 97223
'Y 2. r j' s T, M. heel o, my wnowisape ov u mid a rw puce anO DATE SIGNED IMO.. DRY. vr.) HOUR OF DEATH
GALA to the caJ3.I e, stated
;64,1 uun L~ I2+0 f l- 2 G- i A 21c 5:10 P r
7. y" or )
LING ADDRESS (rs.I. CITY a town, .nn. ZIP)
at 21d R.M. Johnson bI.D. 13200 S.W. Pacific Hwv. Tigard, Oregon 97223
MAI
I 2%, NAME OF ATTENDING PHYSICIAN IF OTHER THAN CERTIFIER I Tyq or Pnnlj
pQ `w
~ V 2,11
DATE RECEIVED 8r REGISTRAR Info.. Dar. W-1 REGISTRAR
cOrpr•~pHS 22. NOV 2 8 22b I•I-->✓ -
s u..
EGA 23 IMMEDIATE CAUSE r (ENTER ONLY ONE CAUSE PER LINE Fj)A Ia6 IDI, AND ICI.; w'~a^w ousel em aeon
SETO It
CA" rE PART ICI) L-. e Y- l p T,I V r t[ a( a 4 r, S,Atq ASE
U VILALIND DUE TO. OR AS A CONSEOUENCE OF: W~ beN_ prow w a.m
CAM LAST A
1 1_~. ~ tb) t•4a. r, 0 sear.- ~ , rc>G. ~ r
DUE TO. OR AS A CONSEQUENCE OF: eww~rr prow .r,a O.Nh .a
1 a IC)
a PART OTHER SIGNIFICANT CONDITIONS-Cortdnien. Contnb ufing 1001111th out not reletad to cau11e Owen In PART I III) AUTOPSY 1..1, rn NUS CASE REFERRED TO MEDICAL
w w EXAMINER
R 111 NO 25 Aso wit rw P, wW No
- a.
ACCIDENT IS.,P, Ye, or Nol DATE OF INJURY Iwo. Day. Yrl 'HOOP OF MJURI DESCRIBE HOW INJURY OCCURRED
S'
260 26c M 26d
6. INJURY AT WOIp PLACE OF 11 -m nonw. ran. w.ew rFCrory. LOCATION STREET OR R F D NO CITY OR TDNM STATE
ISOwrr Yn e. Nol an.ce wJOnrp. wc.ISPecrTri
28s 2& 2811
RESERVED FOR REGISTRARS USE
VSP2 Fie. A 76 P4151112
1
1
I
! ~`'~v\`~~+ttlhl I CERTIFY THAT THIS IS A TRUE, FULL AND CORRECT COPY OF THE ORIGINAL CERTIFICATE ON FILE IN
~ ~ ~ ~ ;illr ~ T r IU
1 ly,° ' ~ , J THE VITAL RECORDS UNIT OF THE OREGON STATE HEALTH DIVISION. J 1 h l
DATE ISSUED MAY 2 5 1990
Z~
RiL EDWARD J. JOHNSON 11
STATE REGISTRAR ~~hi fl
TIG002
Ada Niva
10985 S.W. Durham Rd.
Tigard, Oregon
97223
Book 145 Page 449
Washington County
Deed Records
2S 1 10 DD
Z: x(11/B/T Tax Lot 400
PARCEL I
_ A portion of that real property situated in the Southeast one-
quarter of section 10, Township 2 South, Range 1 West of the
Willamette Meridian, City of Tigard, Washington County, Oregon,
described in deed to Albert Niva and Ada Niva recorded in Deed
Book 145, Page 449, Washington County Deed Records, said
property being more fully described as follows:
Lots numbered Thirteen (13) and Fourteen (14) Willow
Brook Farm, as shown on the duly recorded map and plat
thereof.
Excepting therefrom that land contained in the plat of
Summerfield Brookside Condominium, a duly recorded plat in
Washington County.
Said PARCEL I being that portion of the above described real
property lying southerly of a line which is parallel with and
45.00 feet northerly of, when measured at right angles to the
centerline of S.W. Durham Road (County Road # 429)
The parcel of land to which this description applies contains
2225 square feet, more or less, outside the existing right-of-
way.
DAVID EVANS AND ASSOCIATES, INC
ENG INTERS, SURVEYORS. PLANNERS, LANDSCAPE ARCHITECTS, SCIENTISTS
OFFICES LN OREGON. WASHINGTON AND CALIFORNIA
2828 S.W. CORBETT AVENTUE
PORTLAND, OREGON 97201-4830
(503) 223.6663 FAX (503) 223-2701 •/(1L.
9300
600.4Z Ac. 1000 pc.
l3 Bg Ac,. L.° yd
2~ o
V 400
.34 Ac 2
g00
C
Atee
m ~es~c~b~ z 8~pc.
Durham 2
800
/.82 Ac.
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c£~ 4.14
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o
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