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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, <br /> WA INGTON Corporation <br /> �� [Service Provider's Complete Legal Name] <br /> + '1'Elorty flier-a.% <br /> Ray Stephanson,Mayor By: <br /> Typed/Printed Name: <br /> 1_( 24 114- Its: <br /> Date Date: <br /> ATTEST: Partnership <br /> (general) <br /> [Service Provider's Complete Legal Name] <br /> QA"-La 1)44 ,. H-.— a Washington general partnership <br /> 1101'. Sharon Fuller, City Clerk <br /> By: <br /> /02 • I- 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 /> At; J a Washington limited partnership <br /> ames D. Iles,City Attorney <br /> By: <br /> • Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole sig S;t° k-/ w 2PIOr (11 ,� <br /> Proprietorship <br /> Typed/' ' ted Name: (' <br /> : <br /> Sole•roprietor: <br /> 1\ <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 November 21,2016) <br />