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SIGNATURE AUTHORIZATION FORM <br />WASHI NGTON STATE MI LITARY DEPARTMENT <br />CAMP MURRAY, WASHINGTON 98430-5122 <br />NEW FORM WILL REPLACE PREVIOUS FORMS <br />NAME OF ORGANIZATION <br />Kittitas Cou nty <br />DATE SUBMITTED <br />o+lcslgz <br />PROJECT DESCRIPTION <br />FY24 SECO Basic Service Operations Contract <br />CONTRACT NUMBER <br />E24-025 <br />1. AUTHORIZINGAUTHORITY <br />STGNATUFET / .".-^,PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />Cory Wright <br />Chair, Board of County <br />Commission ers, 1 I 1 121 -12131 124 <br />Brett Wachsmith <br />Vice Chair, Board of County <br />Comm ission ers 1 I 1 123-12131 126 <br />2. AUTHORIZED TO S'G'V CONTRACTS/CONTRACT A <br />SIGNATURE lpn INT OR TYPE NAME TITLE/TERM OF OFFICE <br />Cory Wright <br />Chair, Board of County <br />Commission ers, 1 I I 121 -12131 124 <br />Brett Wachsmith <br />Vice Chair, Board of County <br />Comm ission ers 1 I 1 123-1 21 31 126 <br />TO <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />George Long E91'1 Coordinator <br />I <br />Brian Carlson Budqet & Finance Director <br />Please complete form with any new contract or any time personnel changes. <br />Submit one original to State E911 Office