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4 • <br /> 2018 Signature Authorization Form 44* <br /> Effective January 1, 2018 through December 31, 2018 Snohomish County <br /> Human Services <br /> Submit completed original form to: <br /> Snohomish County Human Services, Attn: HSD Contracts, 3000 Rockefeller, M/S 305, Everett,WA 98201 <br /> Please print or type clearly all names and sign in blue ink. <br /> SECTION 1: Official Business Name of Organization <br /> Business Name: City of Everett Date Submitted: <br /> Mailing Address: 3002 Wetmore Ave Everett WA 98201 <br /> Street City State Zip <br /> SECTION 2: Authorizing Authority <br /> Signature Print or Type Name Title <br /> Cassie Franklin Mayor <br /> SECTION 3: Authorization to Sign Contracts/Contract Amendments <br /> Signature Print or Type Name Title <br /> Cassie Franklin Mayor <br /> SECTION 4: Authorization to Sign Invoices/Requests for Reimbursements <br /> Si nature Print or Type Name Title <br /> ----kaVoteift__„64.6._ <br /> Tracey L. Versteeg Police Budget& Finance Manager <br /> SECTION 5: Contract Delivery Designation <br /> Email Address Print or Type Name Title <br /> tversteegc everettwa.gov Tracey L. Versteeg Police Budget & Finance Manager <br /> • <br /> 70 <br /> Rev. 11/7/17 <br />