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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 AJ ri{WCSr A,/Nov/€T,r,k) R eel-,it <br /> [Service Provider's Complete Legal Name] <br /> By: 6,4, 7-), )1%4_, <br /> Ray Stephanson,Mayor <br /> Typed/Printed Name: /Au i►, (4111 e,1-)41- <br /> Its: E cc,u itie 212ECTV <br /> Date Date: (c rr c , ,z , t <br /> ATTEST: Partnership <br /> (general) <br /> [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> Sharon Fuller,City Clerk <br /> By: <br /> Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> APPROVED AS TO FORM: Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> a Washington limited partnership <br /> James D. Iles, City Attorney <br /> By: <br /> Typed/Printed Name: <br /> Date General Partner <br /> Date: <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 June 15,2014) <br />