Laserfiche WebLink
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 DATE SUBMITTED <br />Ki tti ta s County 1011712017 <br />PROJECT DESCRIPTION CONTRACT NUMBER <br />FY18 SECO County Basic Service Operations E18-024 Contract <br />11. AUTHORIZING AUTHORITY 1 <br />SIGNATUR ~ PRINT OR TYPE NAME TITLEITERM OF OFFICE <br />~ Chairman, Board of County <br />Paul Jewell Commissioners <br />G?i~) X~ Vice-Chairman Board of County <br />Laura Osiadacz Commissioners <br />'--' '-""""" <br />12 . AUTHORIZED TO S IGN CQNTRACTS/CQNTRACT AME NDMENTS 1 <br />SIGN~ PRINT OR TYPE NAME TITLEITERM OF OFFICE <br />!~ Chairman, Board of County <br />Paul Jewell Commissioners <br />L/~ (') Vice-Ch airman Board of County <br />-' Laura Osiadacz Commissioners <br />L.I' ~ <br />13 . AUTHORIZED TO S IGN REQUESTS FOR REIMBURSEMENT (A-19) 1 <br />SIGNATURE PRINT OR TYPE NAME TITLEITERM OF OFFICE <br />J)0AltV\L \j CUvrl ~(~~ Darlene Mainwaring Director <br />__ M~ Judy Pless Budget-Finance Manager <br />Pleas~ c~t~ f~rm with any new c?ntract or any time personnel changes. <br />Submit one onglnal to State E911 Office