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SERVICE PROVIDER: Please fill in the spaces and <br /> sign in the box appropriate for your business e 'ty. <br /> CITY OF EVERETT, Corporation <br /> WASHINGTONd _ �r 1� <br /> [Servic- 'rovi.er�..mp ete Legal Name] <br /> C. ieFra� ..' a • By: /l . kj�/ <br /> ~` Type./' rr" <br /> o(DwZOOS Its: . <br /> te: <br /> Date <br /> ATTEST: Partnership <br /> (general) <br /> Li [Service Provider's Complete Legal Name] <br /> / a Washington general partnership <br /> Sharon Fuller,City Clerk <br /> By: <br /> Typed/Printed Name: <br /> Date <br /> Oid-4,2/grYkk <br /> General Partner <br /> Date: <br /> APPROVED AS TO FORM: Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> Ate,u.` P / a Washington limited partnership <br /> .mes D. Iles,City • _ - <br /> By: <br /> j Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole <br /> Proprietorship <br /> Typed/Printed Name: <br /> Sole Proprietor: <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 8 <br /> (Form Approved by City Attorney's Office January 1,2010,updated November 21,2016) <br />