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Employer of Record Contact Name <br />Susan <br />First <br />Gustafson <br />Last <br />Employer of Record is the WorkSource partner/ liason <br />Employer of Record Signature Date <br />5/25/2023 <br />BUSINESS: CITY OF EVERETT <br />By: ______________________ <br />CASSIE FRANKLIN, MAYOR <br />Cassie Franklin