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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, <br /> WASHINGTON Corporation <br /> 1 I fa / [Service Provider's Complete Legal Name] <br /> Ray Ste Il7,; s.n, 'yor By: <br /> Typed/Printed Name: <br /> /1 )4420Its: <br /> Date 1Q Date: <br /> ATT T: Partnership <br /> (general) <br /> �,n [Service Provider's Complete Legal Name] <br /> N/G a Washington general partnership <br /> Sharon Fuller,City Clerk <br /> &M/9 / By: <br /> Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> APP'OVED AS TO FORM: Partnership <br /> (limited) <br /> li <br /> 14t [Service Provider's Complete Legal Name] <br /> 4 a Washington limited partnership <br /> ames D. Iles, City Attorney <br /> By: <br /> ° / Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole le-,k11,-\ 17 ry Ci v t 1 <br /> Proprietorship <br /> Typed/Printed Name: / <br /> 1/ <br /> `r ► <br /> St e 'rsprietor: <br /> Date: -I 1 / 1"7 <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 March 16,2015,updated November 21,2016) <br />