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SIGNATURE AUTHORIZATION FORM <br />WASHINGTON STATE MILITARY DEPARTMENT <br />Camp Murray, Washington 98430-5122 <br />Please read instructions on reverse side before completing this form <br />NAME OF ORGANIZATION <br />Kittitas, County of <br />DATE SUBMITTED <br />June 16, 2020 <br />PROJECT DESCRIPTION <br />Fire Management Assistance Grant Program, .FM-s253-wA <br />CONTRACT NUMBER <br />D19-1004 <br />1. AUTHORIZINGAUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLEiTERM OF OFFICE <br />Brett Wachsmith County Commissioner <br />Laura Osiadacz County Commissioner <br />Cory Wright County Commissioner <br />2. OTHER INDIVIDUALS AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TITLE <br />Judy Pless Budget Finance Manager <br />Jerry Pettit County Auditor <br />SIGNAUTH - PA, Revised 1'll09