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SIGNATURE AUTHORIZATION FORM <br />WASHINGTON STATE MILITARY DEPARTMENT <br />Camp Murray,Washington 98430-5122 <br />Please read instructions on reverse side before completing this form. <br />NAME OF ORGANIZATION DATE SUBMITTED <br />Kittitas,County of June 16,2020 <br />PROJECT DESCRIPTION CONTRACT NUMBER <br />Fire Management Assistance Grant Program,·FM-5253-WA D19-1004 <br />1.AUTHORIZINGAUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLEITERMOF OFFICE <br />Brett Wachsmith County Commissioner <br />Laura Osiadacz County Commissioner <br />Cory Wright County Commissioner <br />2.OTHER INDIVIDUALS AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TITLE <br />Judy Pless Budget Finance Manager <br />Jerry Pettit County Auditor <br />SIGNAUTH -PA,Revised 11/09