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e� <br /> i . . . . .. . _ ... . . <br /> �� ` �-'�� � �`'��e � �2� <br /> C�TI'Ol+.T����12��'T <br /> PTJBILIC llxSCI,OS�7�REQUIE�`�'FOR T�Ir�12ii�AT1OJ.�T <br /> Phone:(425)257-8610 �;tx:(�f2S)257-874T 2930�'(�etn�ore�4,ve.,Everett,4'4'A,9II20T <br /> $.15 per ppg�fdy�costs o,�`'copying(Trtle 9212.C:T�!) <br /> Requ estor's <br /> Printed Natzie;_ , � ���,�� <br /> flud/or <br /> Busi�7ess Name: <br /> ----- <br /> ' Si�natare: � ��� <br /> Address:��'�-��'� �'.t�'��?�-�`��'L� ,�'��� /� �� �C • <br /> � e-inail: <br /> � <br /> �'ilone No.:�''��3Jp..��-�3 �yote: If yout�plione I�as a blocic oil it rt�e caunof contacf yot�, <br /> �lease eontact us a�ter�ve busiiless days. <br /> Cir- i t.�e-�- � ��✓��.���� <br /> Allorv me to; �ilispe� reqt�est a c py ofthe following records:I'lease i�e s�ecifie. <br /> -�-�o � ���.��� d�'�'Y°- �c7BP3 �a��,n,� /� .�- <br /> �"`� ���'��.;y '� �'� � �,',�� �/�i's�C' �„��'B��o� <br /> —��'��-�2"`��'�r' ��`f°���������" J� � ey� �i7���st.7 <br /> -,��rl-�.D��—e�/��_�� '.(�.".�,r'� �'� Po ��.�,-� <br /> If record(s)couceru iudivicit�al(s}other than requestar.Please state. � <br /> Ts/are tlxe reqttested record(s)to be used for a comt�c�•eial pui•��ose? Yes �No <br /> �� �� <br /> � � <br /> �� _ � .. <br /> � � � <br /> , �, ����. <br />