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SERVICE PROVIDER: Please fill in the spaces and <br /> sign in the box appropriate for your business entity. <br /> CITY OF EVERETT, Corporation <br /> WASHINGTON <br /> [Service Provider's Complete Legal Name] <br /> By: <br /> Ray Ste son, yor <br /> Typed/Printed Name: <br /> Its: <br /> Date: <br /> Date <br /> ATTES Partnership <br /> (general) <br /> /111A072,4 [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> Sharon Fuller,City Clerk <br /> By: <br /> Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> APPROVED AS TO FORM: Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> 1(4. a Washington limited partnership <br /> aures D. Iles,City Aaillyt-• <br /> By: <br /> 1 I !s/lv Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole <br /> Proprietorship <br /> Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: <br /> Limited C cn Ing Sf r V i Ces LLC, <br /> Liability [Service Provider's Complete Legal Name] <br /> Company a Washington limited liability company <br /> By:\.,afYl.0T c a ti <br /> Typed/Printed Name: QInera . L,eese4,e r5 <br /> Managing Member <br /> Date: ll 1 llc <br /> Page 7 <br /> Captioning Services LLC 2016 <br />