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GRANT RECIPIENT: Please fill in the spaces and sign <br /> in the box appropriate for your business entity. <br /> CITY OF EVERETT, Corporation <br /> WASHINGTON ' <br /> 0 � <br /> By: [Grant Recipient's omple Legal Name] <br /> By: (1441iA- j <br /> Ca a rankli , ayor Typed .nted Name: &Vlt! 1444 <br /> Its: 1/ w�C7� <br /> Date <br /> Date: (y �O l ZG L <br /> i <br /> A S; • Partnership <br /> [Grant Recipient's Complete Legal Name] <br /> a Washington general/limited partnership <br /> iaron Fuller,City Clerk <br /> By: <br /> 2-1 Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Limited <br /> APPROVED AS TO FORM: <br /> Liability [Grant Recipient's Complete Legal Name] <br /> Company a Washington limited liability company <br /> Office of the City Attorney <br /> APPROVED AS TO FORM <br /> Dav d C.Hail,City Attorney By: <br /> City Attorney Typed/Printed Name: <br /> Managing Member <br /> � � ' I Date: <br /> Date <br /> Sale <br /> Proprietorship <br /> Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: <br /> Other <br /> [Grant Recipient's Complete Legal Name] <br /> By: <br /> Typed/Printed Name: <br /> Its: <br /> Date: <br /> Page 7 of 7 <br />