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• <br /> a <br /> SERVICE PROVIDER: Please fill in the spaces and <br /> sign in the box appropriate for your business entity. <br /> CITY OF EVERETT, 1 <br /> Corporation <br /> WASHINGTON Vl/� 0o SclQ,NCCS 1NC <br /> [Service Provider's Complete Legal Name] <br /> By: <br /> Ray Stephanson, Mayor <br /> Typed/Printed n /1�tN t E St,6 Ai( <br /> Its: VI rAfT <br /> Date Date: g- sq- o$ <br /> ATTEST: Partnership <br /> (general) <br /> [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> Sharon Marks.City Clerk <br /> By: <br /> • <br /> Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> • <br /> APPROVED AS TO FORM: Partnership <br /> (limited) <br /> [Service Provider's Complete Legal Name] <br /> a Washington limited partnership <br /> James D. lies,City Attorney <br /> 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 /> 1 <br /> 1V ] <br />