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l <br /> SERVICE PROVIDER: Please fill in the spaces and sign in the box appropriate for <br /> your business entity. • <br /> Corporation <br /> DLR`rod inc, a Washington Corporation <br /> [Servi o ider's C.Ilete Legal Name] <br /> BY: III /,i11 <br /> Typei•inted�'ante:Lori Coppenrath <br /> Its; Pcipai <br /> Date:August 1,2017 <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 liinited partnership <br /> • By: <br /> • <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 /> • <br /> Page 11 <br /> (Form Approved by City Attorney's Office January 7,2010,updated November 21,2016) <br /> • <br /> • 86 <br />