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14 <br /> SIGNATURE AUTHORI TION 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 EMERGENCY MANAGEMENT MAY 26, 2010 <br /> 2811 Oakes Avenue <br /> Everett, WA 98201 _ <br /> PROJECT DESCRIPTION CONTRACT NUMBER <br /> Emergency Management Performance Grant (EMPG) E10-249 <br /> between City of Everett & WA State Military <br /> 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 D. ILES CITY ATTORNEY <br /> SHARON MARKS CITY CLERK <br /> 3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br /> SIGNATURE PRINT OR TYPE NAME TITLE <br /> DAVE DeHAAN DIRECTOR, EMERGENCY MGMT. <br /> RENEE DARNELL ADMIN. ASST.- EMERGENCY <br /> MANAGEMENT <br /> 11NAC-11VOL1\HOME1KARENB\....\WP\SIGNAUTH Revised 5100 <br /> 101 <br />