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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, <br /> WASHINGTON Corporation <br /> [Service Provider's Complete Legal Name] <br /> Ray $ ancon, ayor By: <br /> Typed/Printed Name: <br /> 41_0-01C0 Its: <br /> Date Date: <br /> ATTEST: Partnership <br /> (general) <br /> (AA [Service Provider's Complete Legal Name] <br /> Qn a Washington general partnership <br /> Sharon Fuller,City Clerk <br /> 1 ^^�� By: <br /> — '/O/ (p Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> APPROVED AS TO FORM: Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> k AA a Washington limited partnership <br /> .mes D. Iles, City • . - <br /> By: <br /> fi j51/(� Typed/Printed Name: <br /> Date / General Partner <br /> Date: <br /> Sole Kit `� rtA4keTS*16,1i) <br /> Proprietorship <br /> Typed/Printed Name: <br /> ‘CA. 0 r-44.121-5LAluif <br /> Sole Proprietor:� ���V► <br /> Date: _ l(J <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 7 <br /> (Form Approved by City Attorney's Office January 1,2010,updated June 15,2014) <br />