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SERVICE PROVIDER: Please fill in the spaces and 11 <br /> sign in the box appropriate for your business entity. <br /> CITY OF EVERETT, Corporation • --- <br /> WASHINGTON i n°+. S • <br /> [Service Provider'Complete Legal Name] <br /> Stephanson,Mayor By: <br /> (1:4"-• <br /> Ray P y Typed/ rioted Name , <br /> Its: V i w� t?S re51 3r <br /> Date: 6/91(0 <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 /> 73 <br />