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GRANT RECIPIENT: Please fill in the spaces and sign <br /> in the box appropriate for your business entity. <br /> CITY OF EVERETT �1 `,� <br /> ' Corporation !J epcL i izz i244L, tii2 iv <br /> WASHINGTON <br /> aie <br /> By: [Grant Recipient's Complete Legal Name] <br /> B :4/ _i_ot <br /> e • ankh! ayor Typed/Printed Name: /1-/-/Ej-,S011 <br /> 7 <br /> 5/ / Its: <br /> Date: ' /S• /g <br /> Date <br /> ATTAI074. <br /> /AO [Grant <br /> [Grant Recipient's Complete Legal Name] <br /> a Washington general/limited partnership <br /> Sharron fuller, <br /> City lerk <br /> `7— /a By:/ Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> APPROVED AS TO FORM: Limited <br /> Liability [Grant Recipient's Complete Legal Name] <br /> Company a Washington limited liability company <br /> aures D. Iles,City tto�•ney_ By: <br /> Typed/Printed Name: <br /> 513//6 Managing Member <br /> Date Date: <br /> Sole <br /> Proprietorship <br /> Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: <br /> Other <br /> [Grant Recipient's Complete Legal Name] <br /> By: <br /> Typed/Printed Name: <br /> Its: <br /> Date: <br /> Page 7 of 7 <br />