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Signature of Signatory Chair n <br />Date: <br />MI-C- TeaPrint Name of Signatory )man <br />Contractor's Address <br />606 W 3rd Ave <br />Ellensburg, WA 98926 <br />Project Contact <br />Name Susan Grindle <br />ssioner <br />/C,�711urt5�TU� Attest: <br />rtiti�� 1l <br />r~ <br />i, <br />e ,_ t� <br />erk o e Board <br />��utttly �� <br />Approved as to Form: <br />Deputy Prosecuting Attorney <br />County's Address <br />205 West 5th Ave, Suite 108 <br />Ellensburg, WA 98926 <br />Project Contact <br />Name Chelsey Loeffers <br />Title CEO Title Public Health Director <br />