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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 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 /> 126(5 Aft,b1444444_,, RAY STEPHANSON MAYOR; TERM EXP 12/31/13 <br /> 2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br /> SIGNATURE PRINT OR TYPE NAME TITLE <br /> 9,ein RAY STEPHANSON MAYOR <br /> 3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br /> f SIGNA URE PRINT OR TYPE NAME TITLE <br /> ___/// <br /> hm oft / /• <br /> 3 hO ro"-I rat. 1.e(r- <br /> \\NAC-1\VOL1\HOME\KARENB\....\WP\SIGNAUTH Revised 5/00 <br />