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SIG NATU RE 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. AUTHORIZINGAUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />Brian Maxey Chief Operating Officer <br />Angela Socci Exec. Director Budget & Finance <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TITLE <br />Brian Maxey Chief Operating Officer <br />Angela Socci Exec. Director Budget & Finance <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />SIGNATURE PRINT OR TYPE NAME TITLE <br />J <br />t <br />I /A r^Valarie Anderson Exec. Director of Administration <br />Pk J'c AnaMaria Nunez Fiscal Unit Manager <br />NB\\WP\SIGNAUTH Revised 3/03