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SIGNATURE AUTHORIZATION FORM <br /> WASHINGTON STATE MILITARY DEPARTMENT <br /> Camp Murray, Washington 98430-5122 <br /> Please read instructions on reverse side before completing this form. <br /> NAME OF ORGANIZATION DATE SUBMITTED <br /> City of Everett 8/19/22 <br /> PROJECT DESCRIPTION CONTRACT NUMBER <br /> Permanent Generator at Evergreen Pump Station <br /> D22-024 Revised <br /> 1. AUTHORIZING AUTHORITY <br /> SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br /> L_________ <br /> fir; ._- Cassie Franklin Mayor <br /> _____________) <br /> 2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br /> SIGNATURE PRINT OR TYPE NAME TITLE <br /> a% Cassie Franklin Mayor <br /> 3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br /> SIGNATURE PRINT OR TYPE NAME TITLE <br /> 1.4-140 C r _ Matt Welborn Finance & Internal Services Mgr. <br /> !: . ----— Jennifer Bailey Water Resource Specialist <br /> 49-1 •L1\HOME\KARENB\....\WP\SIGNAUTH Revised 3/03 <br /> ATTE - <br /> cm,�, <br /> II =puty City CI; ' <br />