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SIGNATURE AUTHORIZATION FORM <br /> s <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 Fire Department April 24, 2013 <br /> PROJECT DESCRIPTION CONTRACT NUMBER <br /> IGA E13-103 for Mutual Aid E13-103 <br /> 1. AUTHORIZING AUTHORITY <br /> SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br /> R / 'r,rt C' ' i ; I s RAY STEPHANSON MAYOR; TERM EXP 12/31/13 <br /> i <br /> 2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br /> SIGNATURE PRINT OR TYPE NAME TITLE <br /> • <br /> a.` At i = , 1 1, 4-% �. RAY STEPHANSON MAYOR <br /> Vi <br /> 3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br /> I SIGNATURE PRINT OR TYPE NAME TITLE <br /> hfA 01(----1(L62-1 hO ro ti FaLi-eir, &:-1-(1C <br /> \NAC-1\VOL1\I-IOME\KARENB\....\WP\SIGNAUTH Revised 5/00 <br /> 142 <br />