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2011/10/05 Council Agenda Packet
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2011/10/05 Council Agenda Packet
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Council Agenda Packet
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10/5/2011
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I <br /> SERVICE PROVIDER: Please fill in the spaces and sign in the box appropriate for <br /> your business entity. <br /> Corporation - <br /> l hs neer Gro <br /> [Service Provi is Compl e Legal Name] <br /> • Tyd/P nte:I1 ame: _ l eria�c. <br /> sv <br /> Its �dri �L/G�., ..�.% �/ <br /> Date: <br /> Partnership <br /> (general) [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> By: <br /> Typed/Printed Name: <br /> General Partner <br /> Date: • <br /> Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> a Washington limited partnership <br /> By: <br /> Typed/Printed Name: <br /> General Partner <br /> Date: <br /> • <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 /> • <br /> Page 10 <br /> (Form Approved by City Attorney's Office January 7,2010) <br /> 11 <br />
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