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SIGNATURE AUTHORIZATION FORM <br />WASHI NGTON STATE M ILITARY DEPARTMENT <br />CAMP MURRAY, WASHINGTON 98430-5122 <br />NEW FORM WILL REPLACE PREVIOUS FORMS <br />NAME OF ORGANIZATION <br />KITTITAS COUNTY <br />DATE SUBMITTED <br />7/20/2021 <br />PROJECT DESCRIPTION <br />FY22 SECO County Basic Service Operations <br />Contract <br />CONTRACT NUMBER <br />E22-024 <br />1, AUTHORIZINGAUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />l <br />Brett Wachsmith <br />Chairman, Board of County <br />Commissioners <br />0 1 I 0 1 I 20 1 9 -1 2t 31 I 2022 <br />Laura Osiadacz <br />Chairman, Board of County <br />Commissioners <br />0 1 I 0 1 I 2021 -12t 31 I 2024 <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />Brett Wachsmith <br />Chairman, Board of County <br />Commissioners <br />0 1 t 0 1 I 20 1 9 - 1 2 t 3 1 t 2022 <br />Laura Osiadacz <br />Chairman, Board of County <br />Commissioners <br />0 1 I 0 1 t2021 -1 2t 31 I 2024 <br />REQUESTS <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />Georqe Lonq Director <br />9t*;Judy Pless Budget & Finance Manager <br />Please co form with any new contract or any time personnel changes. <br />Submit one original to State E911 Office