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Signature of Signatory <br />Date: <br />n <br />4tm <br />Print Name of Signatory <br />Contractor's Address <br />606 W 3'd Ave <br />Ettensburg, WA 98926 <br />Project Contact <br />Name Susan Grindte <br />Titte CEO <br />an <br />ssloner <br />ttest: <br />rk Board <br />Approved as to Form: <br />Deputy Prosecuti ng Attorney <br />County's Address <br />205 West Sth Ave, Suite 108 <br />Ettensburg, WA 98926 <br />Project Contact <br />Name Chetsey Loeffers <br />Titte Pubtic Heal,th Director <br />co <br />\-laourlly <br />s LAL