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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 <br /> r +' ' [Service Provider's Complete Legal Name] <br /> t <br /> Ray Ste anson, ayor By: <br /> Typed/Printed Name: <br /> 111960(7/1. Its: <br /> Date Date: <br /> A EST: Partnership <br /> (general) <br /> 4 <br /> it <br /> [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> Sharon Fuller,City Clerk <br /> l;--ege/ 9- By: <br /> / Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> APPROVED AS TO FORM: Partnership iid.. L,,(,. <br /> / (limited) [Servic• Provider's C•uu plete L=:al Name] <br /> ,,, _ Ilka Wash gton lim. d •artner - <br /> ames D. Iles,City Attorney I/ <br /> S • <br /> d1 <br /> By. '1 L L. <br /> 'W',i <br /> T W'rinted <br /> Name: aDate Ge l Patter` <br /> Date: 11/41117 <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 />