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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 g 2c ,4 Ca (d 6s.- ,!3044 /Mt f <br /> [Service Provider's Complete Legal Name] /' 1/$'j9 <br /> Ray St:. .nson, M yor <br /> By: _ � �F! <br /> Type,/ rinted Name. f a(4 )1 �`t b" /� <br /> 6 <br /> " 6 i7 Its: Pga/tISAJT <br /> Date Date: f , 2 .2.0173,.2.017 <br /> ATTEST: Partnership <br /> (general) <br /> [Service Provider's Complete Legal Name] <br /> (14M/1(14M/1 ' a Washington general partnership <br /> Sharon Fuller,City Clerk <br /> By: <br /> Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> • <br /> APPROVED AS TO FORM: Partnership • <br /> (limited) [Service Provider's Complete Legal Name] <br /> a Washington limited partnership <br /> aures D. Iles,City ey--- <br /> �/ �1�� By:y <br /> Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole <br /> Proprietorship <br /> 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 7 <br /> (Form Approved by City Attorney's Office January 1,2010,updated November 21,2016) <br />