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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 /> ItSSoco Ax. Scrt-✓ceSt (^Pc <br /> [Service Provider's omplete Legal Name] <br /> By: <br /> "P <br /> Typed/Printed Na e: /eA'irds:4/ A. <br /> Its: `C�i-"a?*4t— <br /> Date: 6-17,/y <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 10 <br /> (Form Approved by City Attorney's Office January 7,2010, updated June 15,2014) <br />