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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 /> !4' <br /> By: <br /> Ray Ste tson, N or <br /> Typed/Printed Name: <br /> Date: <br /> Date <br /> ATTEST: Partnership <br /> (general) <br /> [Service Provider's Complete Legal Name] <br /> /49a Washington general partnership <br /> aron Fuller,City Clerk <br /> By: <br /> pl.l /' �J - 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 /> f 2 !3 Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole <br /> Proprietorship <br /> Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: / _ ' <br /> Limited • S�Na1_ UP Lc*s&ku i <br /> Liability [Service Provider's Complete Legal Name] <br /> Company a Washin on limite ility company <br /> By. <br /> Typed/Printed Name: ,c. k PkVk IN.Q1 <br /> Mana�j�.mh rr LOO <br /> Date: 8 DCC.eo ( 200- <br /> Page 7 <br /> (Form Approved by City Attorney's Office January 1, 2010, updated November 21, 2016) <br />