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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 <br /> WASTiINGTONEy Corporation • <br /> e`-''' <br /> [Service Provider's C .,.1ete Legal Name]• <br /> ��1'� . A I . ByC -�--- <br /> ay ` a son, ayor Ty I ed/Printed Name: \r, ' �' .,r <br /> �j,(� Its: _ `- _ `_ C. a <br /> Dale <br /> r Date: -g. WI <br /> B <br /> Partnership <br /> Al" ST: (general) <br /> I <br /> [Service Provider's Complete Legal Name] <br /> J'/04004 <br /> a Washington general partnership <br /> Sharon Fuller,City Clerk <br /> By: <br /> /O 61/ Typed/Printed Name: <br /> Dae ll/ General Partner <br /> Date: <br /> I <br /> t <br /> APPROVED AS TO FORM: <br /> Partnership <br /> A (limited) [Service Provider's Complete Legal Name] <br /> a Washington limited partnership <br /> aures D. Iles,21//9"- By:l 2 /1 <br /> Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole <br /> Proprietorship f <br /> Typed/Printed Name: i <br /> I <br /> 1 <br /> Sole Proprietor: <br /> Date: <br /> 1 <br /> Limited 1 <br /> Liability [Service Provider's Complete Legal Name] i <br /> Company a Washington limited liability company <br /> By: 1 <br /> Typed/Printed Name: <br /> Managing Member <br /> Date: <br /> I <br /> i <br /> I <br /> Page 7 1 <br /> (Form Approved by City Attorney's Office January 1,2010,updated November 21,2016) I <br /> r <br /> I <br /> 1 <br /> i <br /> 1 <br />