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SIGNATURE AUTHORIZATION FORM (SAF) <br />WASHINGTON MILITARY DEPARTMENT <br />Camp Murray, Washington 98430-5122 <br />Please read instructions on page 2 before completing this form. <br />NAME OF ORGANIZATION <br />Everett Office of Emergency Management <br />DATE SUBMITTED <br />GRANT PROGRAM - Acronyms Accepted <br />25EMPG <br />AGREEMENT NUMBER(S) <br />E26-223 <br />1. AUTHORIZING AUTHORITY <br />PHYSICAL SIGNATURE <br />E-SIGNATURE <br />PRINT OR <br />TYPE NAME <br />TITLE & TERM OF OFFICE <br />(If applicable) <br />Cassie Franklin <br />Mayor <br />2. AUTHORIZED TO SIGN AGREEMENTS / AMENDMENTS <br />PHYSICAL SIGNATURE <br />E-SIGNATURE <br />PRINT OR <br />TYPE NAME <br />TITLE & TERM OF OFFICE <br />(If applicable) <br />Cassie Franklin <br />Mayor <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />PHYSICAL SIGNATURE <br />E-SIGNATURE <br />PRINT OR <br />TYPE NAME <br />TITLE & TERM OF OFFICE <br />(If applicable) <br />s <br />Jim Sande <br />Director <br />D%ee. <br />Dan Templeman <br />Senior Executive Director <br />SAF Revised 5/8/2024 <br />Page of <br />_ Attest: <br />FVF RE TT Office of the City Clerk <br />