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Signature Authorization Form
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Meetings
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2020
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11. November
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2020-11-03 10:00 AM - Commissioners' Agenda
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Signature Authorization Form
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Last modified
11/5/2020 11:46:48 AM
Creation date
11/5/2020 11:46:46 AM
Metadata
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Template:
Meeting
Date
11/3/2020
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
f
Item
Request to Approve a Signature Authorization Form for the Washington State Military Department for FY2020 SECO County Basic Service Operations Contract
Order
6
Placement
Consent Agenda
Row ID
68283
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SIGNATURE AUTHORIZATION FORM <br />WASHINGTON STATE MILITARY DEPARTMENT <br />CAMP MURRAY, WASHINGTON 98430-5122 <br />NEW FORM WILL REPLACE PREVIOUS FORMS <br />NAME OF ORGANIZATION <br />KITTITAS COUNTY <br />DATE SUBMITTED <br />10/21/2020 <br />DESCRIPTION <br />FY20 SECO County Basic Service Operations <br />Contract <br />CONTRACT NUMBER <br />E20 - 0214 <br />1. AUTHORIZINGAUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />Brett Wachsmith <br />Chair of the Board of County <br />Commissioners, Jan 1, 2019- <br />Dec 31 ,2022 <br />Laura Osiadacz <br />Vice Chair of the Board of <br />County Commissioners, Jan 1, <br />2017-Dec 31,2020 <br />A <br />RE PRINT OR TYPE NAME TITLE/TERM OF OFFICEncBrett Wachsmith <br />Chair of the Board of County <br />Commissioners, Jan 1, 2019- <br />Dec 31 ,2022qLaura Osiadacz <br />Vice Chair of the Board of <br />County Commissioners, Jan 1, <br />2O17-Dec 31,2020 <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />George Long Director/E91 1 Coordinator of <br />KITTCOM, appointed <br />Judy Pless Kittitas County Budget & <br />Finance, appointed <br />Please plete rm with any new coniract or any time personnel changes <br />Submit one original to State Eg'11 Office
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