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SERVICE PROVIDER: Please fill in the spaces and sign in the box appropriate for <br /> your business entity. , <br /> Corporation <br /> [Service Provider's Complete Lega[Name] <br /> By: <br /> Typed/Printed Name: <br /> Its: <br /> Date: <br /> Partnership <br /> (genera!) [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 Harmsen, LLC <br /> Liability [Service Provider's Complete Legal Name] <br /> Company a Washington limited liability comp y <br /> By: �_ cA..- 141 <br /> ---- Typed1Prm� ame: David 4armsen <br /> Managing Member <br /> Date: t1/25/2020 <br /> Page 11 <br /> (Form Approved by City Attorney's Office January 7,2010,updated August 16,2019) <br /> 1 <br />