Laserfiche WebLink
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 />City of Everett Office of Emergency Management <br />DATE SUBMITTED <br />7/1/2024 <br />PROJECT DESCRIPTION <br />22 EMPG Grant Funds Reallocation <br />CONTRACT NUMBER <br />E24-372 <br />1. AUTHORIZING AUTHORITY <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE/TERM OF OFFICE <br />Cassie Franklin <br />Mayor <br />arrest. <br />� <br />Lz-,9j" <br />RF TT Office of she City Clerk <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE <br />�--- <br />Cassie Frankin <br />Mayor <br />Attest: <br />C /' tt <br />E YE RE TT Office of the City Clerk <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE <br />3 <br />Jim Sande <br />Director <br />.7'Q",,044.a., <br />Dan Templeman <br />Senior Executive Director <br />\\NAC-1\VOL1\HOME\KARENB\....\WP\SIGNAUTH Revised 3/03 <br />EAPPROVED AS TO FORM <br />OFFICE OF THE CITY ATTORNEY <br />EVERETT <br />