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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 /> [Service Provider's Complete Legal Name] <br /> By: <br /> Ray to h n,M or Typed/Printed Name: <br /> ' Its: <br /> Date: <br /> Date <br /> ATT"T: Partnership <br /> (general) <br /> / /, [Service Provider's Complete Legal Name] <br /> �� a Washington general partnership <br /> Sharon Fuller, City Clerk <br /> By: <br /> �// s9/.--eteli 7- <br /> ` <br /> 7 Typed/Printed Name: <br /> Date ! General Partner <br /> Date: <br /> APPROVED AS TO FORM: Partnership <br /> / (limited) [Service Provider's Complete Legal Name] <br /> �,,`.......... _ I.-- a Washington limited partnership <br /> James D. Iles,City Attorney <br /> By: <br /> w ilte / Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole � ''k � f---16,, o <br /> Proprietorship <br /> ✓Yi5o �t <br /> Typed/P Na e: <br /> • . <br /> A,‘_—i)IAt,L--N--------.._ <br /> S s e 'roprietor: <br /> Date: 1/7_3/2y° / 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 7 <br /> (Form Approved by City Attorney's Office January 1,2010,updated November 21,2016) <br /> VI <br />