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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 /> [Service Provider's Complete Legal Name] <br /> �--� By: <br /> Ray St anson, yor Typed/Printed Name: <br /> 6 &i Xi Its: <br /> Date Date: <br /> A EST: Partnership <br /> (general) <br /> / I. <br /> [Service Provider's Complete Legal Name] <br /> ' _ _ � a Washington general partnership <br /> Sharon Fuller, City Clerk <br /> 1 al/ / By: <br /> �/�l Typed/Printed Name: <br /> Date /// General Partner <br /> Date: <br /> APPROVED AS TO FORM: Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> IZ. a Washington limited partnership <br /> aures D. Iles, City Attorney <br /> By: <br /> 1. 2-14-4/ 3- Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole l <br /> Proprietorship "Ii —' • r ' T <br /> Ty,ed/P.inted Name: <br /> ,31 . <br /> at, kliCalt0Z-711---- <br /> Sole P oP rietor: <br /> Date: 1O ' 03 - 7.04- <br /> Limited <br /> 0 -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 7,2012) <br />