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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 /> tiA d if t 5 ( OI?SCf✓Ct/1 <br /> [Service Provider's Corn 1 Legal Name] <br /> '4rh <br /> By: j .,0 Uy✓ <br /> Typed/Printed Name: J4MiE jyLA5GOT-✓ <br /> Its: Director of Science and Research <br /> Date: V P/22, <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 /> Page 11 <br /> (Form Approved by City Attorney's Office January 7,2010,updated January 6,2022) <br />