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2021 Signature Authorization Form 44* <br /> Effective January 1, 2021 through December 31, 2021 Snohomish County <br /> Human Services <br /> ,;;6. 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.ContractsOsnoco.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 Police Department Date Submitted: 03/02/21 <br /> Mailing Address: 3002 Wetmore Ave Everett WA 98201 <br /> Street City State Zip <br /> SECTION 2: Authorizing Authority <br /> lippriPP- ture(s; Type or Print Name Title <br /> Cassie Franklin Mayor <br /> SECTION 3: Authorization to Sign Contracts/Contract Amendments <br /> ature(s) Type or Print Name Title <br /> Cassie Franklin Mayor <br /> SECTION 4: Authorization to Sign Invoices/ Requests for Reimbursements <br /> Signaturet:> Type or Print Name Title <br /> j ,L, Tracey L. Landry Police Svcs Program Manager <br /> 4{1 �/t G. L Fi Amanda Harper Police Admin Coordinator <br /> SECTION 5: Email Address for Contract Delivery Designation <br /> Email Address(es)pnnteu,typeu Type or Print Name Title <br /> TLandry@everettwa.gov Tracey L. Landry Police Svcs Program Manager <br /> AT S 1 : Office of the City Attorney <br /> Rev. 12/15/20 APPROVED A5 TO FORM <br /> David C. Hall,City Attorney <br /> City Clerk <br />