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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 Office of Emergency Management 11/5/2018 <br /> PROJECT DESCRIPTION CONTRACT NUMBER <br /> Emergency Management Performance Grant (EMPG) between the E19-125 <br /> City of Everett and the WA State Military Department <br /> 1. AUTHORIZING AUTHORITY <br /> SIG► ' . 'E PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br /> Cassie Franklin Mayor, City of Everett <br /> 2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br /> SIGNATURE PRINT OR TYPE NAME TITLE <br /> Cassie Franklin Mayor, City of Everett <br /> 3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br /> SI NATURE PRINT OR TYPE NAME TITLE <br /> Brent Stainer Director, Everett OEM <br /> Rachael Doniger Emergency Management Coord. <br /> MAC-1\VOL1\HOME\KARENB\....\WP\SIGNAUTH Revised 3/03 <br />