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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 />N AME O F ORGANI ZATION <br />Kittitas County <br />PROJECT DESCRIPTION <br />SFY17 E911 County Basic Service Operations <br />Contract <br />AUTRORIZ1NG AUTHORITY <br />PRINT O'R TYPE NAME <br />Paul Jewell <br />Laura Osiadacz <br />AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />PRINT OR TYPE NAME <br />Paul Jewell <br />Laura Osiadacz <br />13. AUTHOR IZED TO' SIGN REQUESTS FO'R REIMBURSEMENT (A-19 ) <br />DATE SUBMITTED <br />CONTRACT NUMBER <br />E17 -021 <br />TITLEITERM OF OFFICE <br />Chairman Board of County <br />Commissioners, Jan 1, 2017- <br />Dec 31,2020 <br />Vice Chair Board of County <br />Commissioners, Jan 1, 2017 - <br />Dec 31,2020 <br />TITLEITERM O'F OFFICE <br />Chairman Board of County <br />Commissioners, Jan 1, 2017 - <br />Dec 31,2020 <br />Vice Chair Board of County <br />Commissioners, Jan 1, 2017 - <br />Dec 31,2020 <br />s;:-' PRINT OR TYP E NAME T ITLEITERM OF OFFICE <br />DI Q,~ll(V vl. ~l:\)f'f (\ i-I'/IW _-t~_Do:::::;a:::-r_le_ne_M _ai_nw_a_r_in_g _--1I--D_ir_e_ct_or_/E_9_1_1 _c _oo_r_di_na_to_r_o_f ~I ~ ~ \.l W \"v U KITTCOM, appointed <br />i8 Judy Pless <br />Plea com plete form with any new contract or any time personnel changes . <br />Submit one original to State E911 O'ffice <br />Kittitas County Budget & <br />Finance, appointed