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IN WITNESS WHEREOF, the parties have executed this Agreement this day <br />of , 2021. <br />Ellensburg Family Medicine <br />ignature of8idnatory <br />(Date y1/L2� ) <br />Print Name of Signatory <br />Contractor Address: <br />Ellensburg Family Medicine <br />2156 Payne Rd. <br />Ellensburg, WA 98926 <br />Contractor Contact: <br />Zach Deffinbaugh <br />Professional Services Agreement (Form rev. 09/24/2018) <br />Page 2 of 21 <br />COUNTY OF KITTITAS <br />BOARD OF COUNTY COMMISIONERS <br />Chairman <br />Vice -Chairman <br />Commissioner <br />COUNTY OF KITTITAS <br />SHERIFF'S OFFICE <br />Clay My6rs, She <br />ATTEST: <br />❑ Clerk of the Board- Julie Kjorsvik <br />❑ Deputy Clerk of the Board- Mandy <br />Buchholz <br />APPROVED AS TO FORM: <br />Douglas R. Mitchell, <br />Deputy Prosecuting Attorney <br />County's Address: <br />Kittitas County <br />205 West 51h Avenue, Suite 108 <br />Ellensburg, WA 98962 <br />Project Contact: <br />Steve Panattoni, Superintendent <br />509-962-7527 <br />