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SERVICE PROVIDER: Please fill in the spaces and sign <br /> in the box appropriate for your business entity. <br /> CITY OF EVERETT, Corporation iOna _i <br /> WASHINGTON kt <br /> ( /4 / <br /> [ ervice Provider's Complete Legal Name] <br /> 4111.ED By: <br /> e ran or Typ rinted Name:C_Arl c'wan er <br /> P2 Z. Its: presi ALn 4- I C E G <br /> Date Date: <br /> A[TEST: Partnership <br /> (general) <br /> [Service Provider's Complete Legal Name] <br /> /'----- a Washington general partnership <br /> Office of ity Clerk <br /> By: <br /> Typed/Printed Name: <br /> General Partner <br /> Date: <br /> Partnership <br /> Standard Document (limited) [Service Provider's Complete Legal Name] <br /> Approved as to Form a Washington limited partnership <br /> Office of the City Attorney <br /> 5.13.22 By: <br /> Typed/Printed Name: <br /> General Partner <br /> Date: <br /> Sole <br /> Proprietorship <br /> 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 8 <br /> Ergometrics 2022 <br />