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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 <br />Seattle Police Department <br />DATE SUBMITTED <br />PROJECT DESCRIPTION <br />UASI 21 Grant Agreement <br />CONTRACT NUMBER <br />E22-113 <br />1. AUTHORIZING AUTHORITY <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE/TERM OF OFFICE <br />Brian Maxey <br />Chief Operating Officer <br />1 <br />Angela Socci <br />Exec. Director Budget & Finance <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE <br />_ <br />Brian Maxey <br />Chief Operating Officer <br />Angela Socci <br />Exec. Director Budget & Finance <br />3. <br />AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE <br />s <br />GI/ Ctiaidto <br />Valarie Anderson <br />Exec. Director of Administration <br />lTA_c.1..,AnaMaria <br />Nunez <br />Fiscal Unit Manager <br />E\KA <br />ENB\ <br />.\WP\SIGNAUTH Revised 3/03 <br />