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SERVICE PROVIDER: Please fill in the spaces and sign <br /> in the box appropriate for your business entity. <br /> CITY OF EVERETT, <br /> WASHINGTON Corporation <br /> [Service Provider's Complete Legal Name] <br /> rl .dAk AO/ 1 0 <br /> Ray Ste, so , Ma G r By: <br /> Typed/Printed Name: <br /> I (I(1/21/— Its: <br /> Date: <br /> Date <br /> jATST: Partnership <br /> (general) <br /> / [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> Sharon Fuller, City Clerk <br /> !a—/ / i 9-- 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 /> aures D. Ile/s, City Attorney <br /> 12—I Gl /- 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: ii rv"'`l ,! ''" <br /> Typed/Printed Name: Lrv►AL- ( ,04-14-1 <br /> Managing <br /> 0.a- <br /> Managing Member <br /> Date: /i•30• 11' <br /> Page 7 <br /> (Form Approved by City Attorney's Office March 16,2015,updated November 21,2016) <br />