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SERVICE PROVIDER; Please fill in the spaces:and sign in they.box appropriate for <br /> your business entity. <br /> Corporation <br /> 04.244 X tAc <br /> [Service Provider's Complete Legal Name] <br /> By: t4thaek <br /> Typed/Printed NAroe S Se it 44$4,1%,% <br /> 11/4“tyttAtitii p. <br /> Date: 41 <br /> 4 Alr -•• <br /> Partnership <br /> (genera° [Sevice Provider's Complete LegalName] <br /> a Washington getteral partnership <br /> By: <br /> Ted/Printed Name: <br /> General Pd!Ler <br /> Date: <br /> Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> a Washinenn Thiitpartners1iip <br /> By: <br /> Typed/Printed Name: <br /> General Partner <br /> Date: <br /> Sole <br /> PrWriet°rshiP Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: <br /> Limited <br /> [Service fttrVicier's CepipIete Legal Name] <br /> compoy a Washington limited liabflity.company <br /> By:. <br /> Typed/Printed Name: <br /> Managing Member <br /> Date: <br /> Page 11 <br /> ()talc:2019 <br /> 44 <br />