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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 St: .t.nson, yor By: <br /> Typed/Printed Name: <br /> ( j)01� Its: <br /> Date: <br /> Date <br /> ATTEST: Partnership <br /> (general) <br /> IAN Cati C ,MPArsl�t <br /> [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> Sharon Fuller,City Clerk <br /> /1--6,11—,0)-0 l(t By: <br /> Typed/Printed Name: 3. I "Nr,I <br /> Date General Partner <br /> Date: G'1 -3 0--I Jo <br /> APPROVED AS TO FORM: Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> a Washington limited partnership <br /> aures D. Iles, City Attorney <br /> I I S ll By: <br /> Typed/Printed Name: <br /> Date 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 7 <br /> (Form Approved by City Attorney's Office January 1,2010,updated June 15,2014) <br />