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• <br /> SERVICE PROVIDER: Please fill in the spaces and sign in the box appropriate for <br /> your business entity. <br /> CorporationS- CDR P <br /> Nv L 46644ro41c-s, �Nc• <br /> ) <br /> [Service Provider's Complete Legal Name] <br /> By: $01***---. <br /> Typed/Printed Name: `l c /}-S 4-N <br /> Its: M41444 f 'FID ScRv:cQS <br /> Date: 11— t q—l R <br /> Partnership <br /> (general) [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> By: <br /> Typed/Printed Name: <br /> General Partner <br /> Date: <br /> Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> a Washington limited partnership <br /> By: <br /> Typed/Printed Name: <br /> General Partner <br /> Date: <br /> Sole <br /> Proprietorship 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 II <br /> (Form Approved by City Attorney's Office January 7,2010,updated July 23, 2018) <br />