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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 />- <br />NAME OF ORGANIZATION DATE SUBMITTED <br />KITTITAS COUNTY 9/18/2018 <br />PROJECT DESCRIPTION CONTRACT NUMBER <br />FY19 SECO County Basic Service Operations E19 -025 Contract <br />1 . AUTHQRLZlNG AUTHGRLT't <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE ~o Chairman of the Board of County <br />Laura Osiadacz Commissioners, Jan1, 2017 - <br />Dec 31, 2020 <br />1'?Jt<e;,()JB, ~ Vice Chair of the Board of <br />Obie O'Brien County Commissioners, Jan 1, <br />2015-Dec 31, 2018 <br />- <br />~ <br />12 -AU ifHORIZED10 Sl~N CONTR~€TS/CONTRACT,;AMENJJ,M!=Nl:S I <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />~C) Chairman of the Board of County <br />Laura Osiadacz Commissioners, Jan1, 2017 - <br />Dec 31, 2020 'lJL -~M{!;;:_ Vice Chair of the Board of <br />Obie O'Brien County Commissioners, Jan 1, <br />2015-Dec 31, 2018 <br />I <br />1a. ~UTHORIZED TQ, SIGN REQU.ES "FS FOR REIMBURSEMENT fA ·H)') I <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />LeN-t{, -~~ Darlene Mainwaring Director/E911 Coordinator of <br />KITTCOM, appointed -,--0 Mt ;/J,f~ Judy Pless Kittitas County Budget & <br />Finance, appointed <br />Please com i~e fo~m with an new contract or any time personnel changes. p y <br />Submit one original to State E911 Office