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SERVICE PROVIDER: Please fill in the spaces and sign <br /> in the box appropriate for your business entity. <br /> CITY OF EVERETT, Corporation <br /> WASHINGTON <br /> [Service Provider's Complete Legal Name] <br /> By: <br /> Cassie Fra ayor Typed/Printed Name: <br /> (I/ /t8" Its: <br /> Date: <br /> Date: <br /> AT ST: Partnership <br /> (general) <br /> [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> Sharon Fuller,City Clerk <br /> Q By: <br /> `� �a Typed/Printed Name: <br /> Date <br /> General Partner <br /> Date: <br /> PROVED AS TO ORM: Partnership <br /> (limited) <br /> /ell 4-- [Service Provider's Complete Legal Name] <br /> a Washington limited partnership <br /> James D. Iles, City Attorney <br /> - I Q By: <br /> Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole <br /> Proprietorship <br /> Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: <br /> Limited C -� L ysT yooA LL C <br /> Liability [Service Provider's Complete Legal Name] <br /> Company a Washing on limited liability company <br /> B . <br /> Typed/Printed Name: a ""a <br /> Managing M mbe <br /> Date: la (� r <br /> Page 8 <br /> (Form Approved by City Attorney's Office January 1,2010,updated July 23,2018) <br />