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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 />I'l' <br />. ~ ,t . e '. ;;~ A '" c • "c< .~ ~ ~ <br />NAME OF ORGANIZATION DATE SUBMITIED <br />Kittitas County <br />PROJECT DESCRIPTION CONTRACT NUMBER <br />FY16 E911 County Contract E17-021 <br />.,,' ,; ':' ",. . .. ~ .. ... " · ... r , ,...- <br />_.1lI <br />11, AUTHORIZING AOTRpRl."fY I <br />SIGNATURE '" ' . PRINT ORTYPE NAME TITLEITERM OF OFFICE - <br />~ .~ <br />Chairman Board of County <br />7 r/~ ~dtJt Commissioners, Jan 1. 2015 - <br />'\ Obie O'Brien Dec 31,2018 <br />Vice Chairman Board of County <br />ABSENT Commissioners, Jan 1, 2013 - <br />Paul Jewell Dec 31,2016 <br />.,.,p-r.-III , .>'"-~ c~ '-'--" "; '" :ff _ -: ~ ; , <br />12, AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS I <br />SIGNATURE PRINT OR TYPE NAME TITLEITERM OF OFFICE <br />\ Chairman Board of County ~MCJ2:.-Commissioners, Jan 1, 2015 - <br />Obie O'Brien Dec 31, 2018 <br />Vice Chairman Board of County -ABSENT Commissioners, Jan 1, 2013 - <br />;', ... ~ . <br />Paul Jewell Dec 31,2016 '., <br />~ ~', ~ " .~~-; ~ ~ .. -. ...-:£:... ' ~4'" .'oY'"' <br />"' <br />~ "~ <br />~' -' <br />13. AUTHORIZEQ TO SIGN REQUESTS FOR REIMBURSEMENT {A-19} I <br />SIGNATURE PRINT OR TYPE NAME TITLEfTERM OF OFFICE <br />. <br />~Jl~~ l(avl<J~w Director of KITICOM, appOinted <br />Darlene Mainwaring <br />CMJ~· () <br />Kittitas County budget & Finance, -:'; Judy Pless <br />appOinted <br />Please co lrtr{ete~orm with an new contract or an p y y time ersonnel chan esc p 9 <br />Submit one original to State E911 Office <br />•• . ......• ,1 • .--I ' ,