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SIGNATURE AUTHORIZATION FORM <br />WASHINGTON STATE MILITARY DEPARTMENT <br />CAMP MURRAY, WASHINGTON 98430-5122 <br />NEW FORM WILL REPLACE PREVIOUS FORMS <br />NAME OF ORGANIZATION <br />DATE SUBMITTED <br />Kiffitas County <br />10/17/2017 <br />PROJECT DESCRIPTION <br />CONTRACT NUMBER <br />FY18 SECO County Basic Service Operations <br />---- <br />Contract <br />E18-024 <br />1. AUTHORIZING AUTHORITY <br />SIGNATURE - <br />PRINT OR TYPE NAME <br />TITLE/TERM OF OFFICE <br />Darlene Mainwaring <br />Chairman, Board of County <br />---- <br />Paul Jewell <br />Commissioners <br />�.r <br />Vice -Chairman Board of County <br />/ <br />Laura Osiadacz <br />Commissioners <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNAJ�I}RE- <br />PRINT OR TYPE NAME <br />TITLE/TERM OF OFFICE <br />Darlene Mainwaring <br />Chairman, Board of County <br />3 <br />Paul Jewell <br />Commissioners <br />�.r <br />Vice -Chairman Board of County <br />Laura Osiadacz <br />Commissioners <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT (A-19) <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE/TERM OF OFFICE <br />Darlene Mainwaring <br />Director <br />3 <br />Judy Pless <br />I Budget -Finance Manager <br />-J <br />Please com/lete form with any new contract or any time personnel changes. <br />Submit one original to State E911 Office <br />