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J <br /> SERVICE PROVIDER: Please fill in the spaces and sign in <br /> the box appropriate for your business entity. <br /> CITY OF EVERETT <br /> WASHINGTONCorporation <br /> ciRLCTJiZAL ► IC)M AG5Cr.,- <br /> INC <br /> [Servic-41 o'.de (om. e e - Name] <br /> Ray Stephanson, Mayor <br /> By: <br /> Typed/Printed N.me:C1-1R l S CO\I 1 N ETON, <br /> Its: PR ES I DEIN` <br /> Date Date: D 3/ '2 51 09 <br /> ATTEST: Partnership <br /> (general) <br /> [Service Provider's Complete Legal Name] <br /> Sharon Marks, City Clerk a Washington general partnership <br /> Date: By: <br /> Typed/Printed Name: <br /> General Partner <br /> Date: <br /> APPROVED AS TO FORM: Partnership <br /> (limited) <br /> [Service Provider's Complete Legal Name] <br /> a Washington limited partnership <br /> James D. Iles, City Attorney <br /> By: <br /> Date: Typed/Printed Name: <br /> General Partner <br /> Date: <br /> Sole <br /> proprietorship <br /> Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: <br /> Limited <br /> Liability _ <br /> Company [Service Provider's Complete Legal Name] <br /> a Washington limited liability company <br /> 24 <br />