|
1. 1
<br /> SIGNATURE AUTHORIZATION FORM
<br /> 1 WASHINGTON STATE MILITARY DEPARTMENT
<br /> -Camp Murray, Washington 98430-5422
<br /> P/aA'sere-Oringrudionsiop reverse sidebefore;ocyppletingtilfStortm
<br /> NAME OF'ORGANIZA-110N DATE SUBMITTED
<br /> CITY OF EVERETT EMERGENCY MANAGEMENT
<br /> 2811 Oakes Avenue
<br /> Everett, WA 98201
<br /> Pk0j8CTokre'rr,d4 '...1 - •. . - . CONIIWT NUMBER
<br /> EMERGENCY MANAGEMENT PERFORMANCE GRANT (EMPG) between
<br /> City of Everett & WA State Military Department EU-04l.
<br /> 1.
<br /> AUTHORIZING AUTHORITY
<br /> SIGNATURE- .RR1NrORTYPE•iNAME . TfTLEAERM.VP OFFICE .
<br /> RAY STEPHANSON MAYOR, CITY OF EVERETT
<br /> 1 .
<br /> .1 •
<br /> . j,;,!•&f','":.' ' L : t. '1 ' -' '''''',': :,n '',7 „...:.-:-- .:11.:r :;1-7 7',.:"::-'''.,:5.7,:'':: : . :_ .r, ,,-:---: ,:•.-.-',--;:).:''' =: -,,- _ 7,-:77,7;7:7:7„;,n1.=
<br /> 2. AUTHO.RIZEIIMSIGN CONTRACTV.CIONTRACT AMENDMENTS . .
<br /> ... SIGNATURE .' .PRINT OR,TYPENAME. TITLE
<br /> RAY STEPHANSON MAYOR, CITY OF EVERETT
<br /> . . ... , . . . . , .._...
<br /> JAMES D. ILES CITY ATTORNEY
<br /> SHARON MARKS CITY CLERK
<br /> 4i,::,f:•-• ' '-,,,..'t- ' 7,-1 `'..:'4'''' ',f` 'T,-'7: •-,:fr r'V 'z'.. -!':,,,-.,, ',,,,-...777.77. -7. ,.' :-----_,.,-------7-----,- -,-.-.-'7A=.7".Th-'.--7-r:';'T"-',7; .
<br /> "i,'-f.!_:,::t___Li,:: ::1,,A,A7e'Llti '' __,LE;i:P,'T-VA0Alit'i,:v..4:ii;Vi.'-'';' L: 1-";':i LILL''Y`4':,:as.;'_•1. __ _ _-:' '''- ' - - - " • '''•
<br /> 3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT.
<br /> •
<br /> SIGNATURE . . r. PRINT OR TYPE NAME
<br /> TITLES
<br /> DAVE DeHAAN DIRECTOR, EVERETT EMERGENCY
<br /> 9(- . ._ _. . .. . . MANAGEMENT ' •
<br /> "-- 1 i , •7RENEE DARNELL ADMIN. ASST.-EVERETT
<br /> /
<br /> i •-g.4••Ge-e, .....- / /-
<br /> EMERGENCY MANAGEMENT
<br /> MAC-1W0L1\HOMEWRENBLAWFISIGNAUTH Revited 5100
<br /> •
<br /> 106
<br />
|