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• <br /> GRANT RECIPIENT: Please fill in the spaces and sign <br /> in the box appropriate for your business entity. <br /> CITY OF EVERETT, Corporation <br /> WASHINGTON <br /> Olyytn(�+c PxIIr-I' 1hcr- . <br /> By: [Grant Recipient's Complete Legal Name] <br /> 4 ,-•-'' By:Mat4f)501) Ca-A,'t; Kc Putcki <br /> ranklin, nor Typed/PrintedName: I4'1GLret UnScn <br /> Its: /h v <br /> "' Date: '/ ,/ig <br /> • Date <br /> LVA Partnership <br /> jtocc <br /> [Grant Recipient's Complete Legal Name] <br /> a Washington general/limited partnership <br /> n Fuller,City Clerk <br /> By: <br /> ifc-//tr' Typed/Printed Name: <br /> Date <br /> General Partner <br /> Date: <br /> Limited <br /> APPROVED AS TO FORM: Liability [Grant Recipient's Complete Legal Name] <br /> Company a Washington limited liability company <br /> s D.Iles City m� By: <br /> Jame ty Att y <br /> S"7// //� ManaginTyped/Prg ted Name: <br /> 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 />