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6 <br /> SERVICE PROVIDER: Please fill in the spaces and sign in the box appropriate for <br /> your business entity. <br /> Corporation <br /> A 'v%/! <br /> [Serv'ce P ovider's Complete Legal lame] <br /> BM ct2 't'� � <br /> Typed/Printed Name: 1�i (�. <br /> Its: Fla PX_t?AL <br /> Date: (2•(tj-t Z! <br /> Partnership <br /> (general) [Service Provider's Complete Legal Name] <br /> • <br /> a Washington general partnership <br /> By: <br /> Typed/Printed Name: <br /> General Partner <br /> Date: <br /> Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> a Washington limited partnership <br /> By: <br /> Typed/Printed Name: <br /> General Partner <br /> Date: <br /> Sole <br /> Proprietorship Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: <br /> Limited <br /> Liability [Service Provider's Complete Legal Name] <br /> Company a Washington limited liability company <br /> By: <br /> Typed/Printed Name: <br /> Managing Member <br /> Date: <br /> Page 11 <br /> (Form Approved by City Attorney's Office January 7,2010,updated June 7,2012) <br /> 32 <br />