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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 Office of Emergency Management November 21, 2016 <br /> PROJECT DESCRIPTION CONTRACT NUMBER <br /> Hazard Mitigation Grant between the City of Everett and the WA <br /> E17-102 <br /> State Military Department <br /> 1. AUTHORIZING AUTHORITY <br /> SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br /> Ray Stephanson Mayor, City of Everett <br /> 2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br /> SIGNATURE PRINT OR TYPE NAME TITLE <br /> Ray Stephanson Mayor, City of Everett <br /> James Iles City Attorney, City of Everett <br /> Sharon Fuller City Clerk, City of Everett <br /> 3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br /> SIGNATURE PRINT OR TYPE NAME TITLE <br /> Brent Stainer Director, Everett OEM <br /> Sarah LaVelle Planning and Ops Coor., OEM <br /> MAC-11VOL1\HOMEKARENB\...\WP\SIGNAUTH Revised 3/03 <br /> 182 <br />