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SERVICE PROVIDER: Please fill in the spaces and <br />sign in the box appropriatefor your business entity, <br />CITY OF EVERETT, Corporation <br />WASHINGTON <br />[Service Provider's Complete Legal Name] <br />Ray Stephanson, Mayor <br />Date <br />ATTEST: <br />Sharon Marks, City Clerk <br />Date <br />APPROVED AS TO FORM: <br />James D. lies, City Attorney <br />Date <br />Partnership <br />(general) <br />Partnership <br />(limited) <br />By: <br />Typed/Printed Name: <br />Its: <br />Date: <br />[Service Provider's Complete Legal Name] <br />a Washington general partnership <br />By: <br />Typed/Printed Name: <br />General Partner <br />Date: <br />[Service Provider's Complete Legal Name] <br />a Washington limited partnership <br />By: <br />Typed/Printed Name: <br />General Partner <br />Date: <br />Sole <br />Proprietorship <br />Typed/Printed Name: <br />Sole Proprietor: <br />Date: <br />Limited J $02 -C -A ; K A75SOC (A YES L L C <br />Liability [Service Provider's Complete Legal Name] <br />Company a Washington Ii ted liability company <br />BY: <br />Typed/Printed Name: 0Z�-�4T <br />Managing Member <br />Date: hEc :5 2C��8 <br />6 <br />ti4 <br />