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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 /> W HINGT N Corporation <br /> [Service Provider's Complete Legal Name] <br /> Ray Stephanson, Mayor By: <br /> Typed/Printed Name: <br /> 12121 //- ?- <br /> Its: <br /> Date Date: <br /> ATTEST: Partnership <br /> (general) <br /> [Service Provider's Complete Legal Name] <br /> IknetPa� iGh� a Washington general partnership <br /> OK Sharon Fuller, City Clerk <br /> By: <br /> IA.1 AI I i'i 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. Iles, City Attorney <br /> By: <br /> 12 / !l9— Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole �U n 6 4) <br /> Proprietorship <br /> Typed ed Na <br /> Sole roprietor: <br /> Date: 1«I 1 <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 />