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SIGNATURE AUTHORIZATION FORM <br /> WASHINGTON STATE MILITARY DEPARTMENT <br /> JAN 0 2 2018 <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 <br /> PROJECT DESCRIPTION CONTRACT NUMBER <br /> EMAC and PNEMA Assistance IGA #U18-090 <br /> 1. AUTHORIZING AUTHORITY <br /> SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br /> trilf40)L4644444 11\C1/4'Li , 2-014 <br /> tot <br /> 2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br /> SIGNATURE PRINT OR TYPE NAME TITLE <br /> 24146A44114AAA-/ 13J ,p5 Son -�� .AirY — �'ou�� l 20 / <br /> J 3 t ?-o (4 <br /> 3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br /> SIGNATURE PRINT OR TYPE NAME TITLE <br /> \\NAC-1\VOL1\HOME\KARENB\....\WP\SIGNAUTH Revised 3/03 <br />