Laserfiche WebLink
3 <br /> SERVICE PROVIDER: Please fill in the spaces and sign in the box appropriate for <br /> your business entity. <br /> Corporation a. % /��� ` 1/7 �) j; '' `i <br /> _ � � �i(tel I�.f l ��S�L�I a� � , //zc <br /> [Service rovider s'Comp1�te Leggy Name] <br /> 7 <br /> By: AQPIñ 1/W <br /> T e rated Name:/ KAEVA/ ^j11/SG) <br /> Its: / i <br /> Date / <br /> , <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 /> 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 10 <br /> (Form Approved by City Attorney's Office January 7,2010) <br /> 35 <br />