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9 <br /> SERVICE PROVIDER: Please fill in the spaces and sign in the box appropriate for <br /> your business entity. <br /> Corporation <br /> The Gordian Group, Inc. <br /> [Service Provider's Complete Legal Name] <br /> By: //�i iloi /. <br /> Typed/Printed Name: Ammon T.Lesher <br /> Its: Vice President of Legal Affairs <br /> Date: 05/27/2014 <br /> Partnership <br /> (general) [Service Provider's Complete Legal Name] <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 /> Pagel <br /> (Form Approved by City Attorney's Office January 7,2010,updated June7,2012) <br /> 15 <br />