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l <br /> 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 Tr a CAA -L.J -kr) C ' <br /> [Service Provider's Complete Legal Name] <br /> By: �. ,,.,.1.J <br /> Ray Stephanson,Mayor Typed/Prin�ed Name: n W ��0 ST£2.. <br /> Its: .J'c.a Q ck <br /> Date: bl9 I D <br /> Date <br /> Partnership <br /> ATTEST: (general) <br /> [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> Sharon Marks,City Clerk <br /> By: <br /> Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> • Partnership <br /> APPROVED AS TO FORM: (limited) <br /> [Service Provider's Complete Legal Name] <br /> a Washington limited partnership <br /> James D. Iles,City Attorney <br /> By: <br /> Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole <br /> Proprietorship 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 8 <br /> (Form Approved by City Attorney's Office January 1,2010) <br /> 67 <br />