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<br /> Page 19 of 31 <br /> <br />Mailing Contact: <br /> <br />_______________________________________ <br /> <br />Mailing Address: <br /> <br />_______________________________________ <br /> <br />_______________________________________ <br /> <br />_______________________________________ <br /> <br />Billing Contact: <br /> <br />_______________________________________ <br /> <br />Phone Number: __________________________ <br /> <br />Email Address: ___________________________ <br /> <br />Billing Address: <br /> <br />_______________________________________ <br /> <br />_______________________________________ <br /> <br />_______________________________________ <br /> <br />Tax Exempt? No □ Yes □ If yes, please attach copy of tax exempt certificate <br /> <br />Agency Project Manager Contact: <br /> <br />_______________________________________ <br /> <br />Phone Number: __________________________ <br /> <br />Email Address: ___________________________ <br /> <br />Project IT Contact: <br /> <br />_______________________________________ <br /> <br />Phone Number: __________________________ <br /> <br />Email Address: ___________________________ <br />DocuSign Envelope ID: 3377D49A-96B6-494B-8513-80B50958A234 <br />jacob.schroeder.pa@co.kittitas.wa.us <br />509-962-7683 <br />Room 213 <br />205 West 5th Ave <br />205 West 5th Ave <br />Jacob Schroeder <br />Jacob Schroeder <br />Elishia Harvill <br />X <br />509-962-7600 <br />Ellensburg, WA 98926 <br />jacob.schroeder.pa@co.kittitas.wa.us <br />509-962-7683 <br />Ellensburg, WA 98926 <br />elishia.harvill@co.kittitas.wa.us <br />Room 213 <br />Jacob Schroeder