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Snohomish County Human Services 2/26/2021
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Snohomish County Human Services 2/26/2021
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Last modified
3/10/2021 9:23:58 AM
Creation date
3/10/2021 9:23:53 AM
Metadata
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Template:
Contracts
Contractor's Name
Snohomish County Human Services
Approval Date
2/26/2021
End Date
12/31/2021
Department
Administration
Department Project Manager
Julie Willie
Subject / Project Title
2021 Signature Authorization Form
Tracking Number
0002811
Total Compensation
$0.00
Contract Type
Agreement
Contract Subtype
Interlocal
Retention Period
6 Years Then Destroy
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2021 Signature Authorization Form 44 <br /> Effective January 1, 2021 through December 31, 2021 Snohomish County <br /> Human Services <br /> - MAIL COMPLETED ORIGINAL FORM TO: Snohomish County Human Services -Attn: HSD Contracts <br /> 3000 Rockefeller, M/S 305 - Everett, WA 98201 <br /> Or •► EMAIL SCANNED (PDF) COPY TO: HSD.Contracts(c�snoco.orq <br /> Please sign in ink,electronic signature,or both. ALL SECTIONS below must be completed. <br /> SECTION 1: Official Business Name of Organization <br /> Business Name: City of Everett Community Development Date Submitted: 2/26/2021 <br /> 2930 Wetmore Ave, Suite 8A, <br /> Mailing Address: Everett, WA 98201 <br /> Street City State Zip <br /> SECTION 2: Authorizing Authority <br /> TAignature(s) Type or Print Name Title <br /> -=---- ---`'�� Cassie Franklin Mayor <br /> SECTION 3: Authorization to Sign Contracts I Contract Amendments <br /> Sigpature(s) Type or Print Name Title <br /> Cassie Franklin Mayor <br /> SECTION 4: Authorization to Sign Invoices I Requests for Reimbursements <br /> Signature(s) Type or Print Name Title <br /> Community Development <br /> (,(Aag. Julie Willie <br /> Director <br /> SECTION 5: Email Address for Contract Delivery Designation <br /> Email Address(es)printed/typed Type or Print Name Title <br /> jwillie(�everettwa.gov Julie Willie Community Development <br /> Director <br /> Rev. 12/15/20 <br />
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