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SERVICE PROVIDER: Please fill itt the -spaces and sign in the box appropriate fo <br />your business entity, <br />• <br />Corporation <br />[Service Provider's Complete Legal IWaiie] <br />By: <br />Tybed/Printed Name; <br />Its: <br />Date: <br />Partnership <br />(general) <br />[Service Provider's Complete Legal Name] <br />a Washington general partnership <br />By: <br />Typed/Printed Name: <br />General Partner <br />Date: <br />-.� <br />Partnership <br />(lilitited) <br />[Service Provider's Complete Legal Name] <br />a Washington limited partnership <br />By: <br />Typed/Printed Name: <br />Genet al Partner <br />Date: <br />Sole <br />Proprietorship Typed/Printed Name: <br />Solo Proprietor: <br />Date: <br />Limited <br />Liabiity <br />Corpaay <br />HFirrnseii, LTAC <br />[Service Provider's Complete Legal Name] <br />a Washington limited Liability company <br />By: ` ` `_--� t‘_/. <br />Typc /Pi'if & fName: David g armsen <br />Managing Member <br />Date: 1.1/25/2o20 <br />Page 11 <br />(Form Approved by City Attorney's Office January 7, 2010, updated August 16, 2019) <br />