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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 /> i �ArAskliVPI"` <br /> By: <br /> Ray 417 anson,r ayor <br /> Typed/Printed Name: <br /> 3 .4 —94214- Its: <br /> Date Date: <br /> ATTEST: Partnership <br /> (general) <br /> /�� n [Service Provider's Complete Legal Name] <br /> QO)1 h p,..- Poor t.e4.1 -- a Washington general partnership <br /> Sharon Fuller,City Clerk <br /> By: <br /> a -1 -0 Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> APPROVED AS TO FORM: Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> (( i - Mks- a Washington limited partnership <br /> aures D. Iles,City Attorney <br /> By: <br /> 3 / I // - Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole <br /> Proprietorship <br /> Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: <br /> r N <br /> Limited \\i cA1 ( 5 V 1 n <br /> Liability [Service Providerr's Complete Legal Name] <br /> Company a Washington limited liability company <br /> Af/ f 0By: / �i <br /> Type rinted Name: � 1T \L ,1( L ch40 _40 <br /> Managin: ;mber <br /> Date: / / 7 <br /> ,; I / <br /> Page 7 <br /> (Form Approved by City Attorney's Office January 1,2010,updated November 21,2016) <br />