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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 /> Ray St4 nson, yor By: <br /> Typed/Printed Name: <br /> Its: <br /> Date Date: <br /> AT ' ST: Partnership <br /> (general) <br /> [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> Sharon Fuller,City Clerk <br /> /dBy: <br /> 1 f/ Typed/Printed Name: <br /> Date // /?13/9-- 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. Iles,City Attorney <br /> By: <br /> I 2/ (./1 q- Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole -*1 <br /> Typed/Printed <br /> Dit.. ,44 <br /> Proprietorship <br /> Typed/Printed Name: <br /> 4S2(2/ - <br /> gad6L) <br /> Sole Proprietor:ii � Cs?Date: L0 cC — <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 />