HomeMy WebLinkAbout*Other - BOCCSIGNATURE AUTHORIZATION FORM
WASHINGTON STATE MILITARY DEPARTMENT
CAMP MURRAY, WASHINGTON 98430-5122
NEW FORM WILL REPLACE PREVIOUS FORMS
NAME OF ORGANIZATION
DATE SUBMITTED
GRANT COUNTY
2.10.2023
PROJECT DESCRIPTION
CONTRACT NUMBER
FY23 SECO County Coordinator Professional
Cindy Carter
/ice C, air
E23-013
Development (CPD) Contract
Danny Stone :Member
11, . L AUTHORIZING. AUTHORITY
SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE
"�f�"'`� Rob Jones Chair. BOCC
2, AUTRORIZt-b-10 SIGN- CON T- A $ZO—NTRACT AMEND ENTS�--
PRINT OR TYPE NAME
TITLE/TERM OF OFFICE
Cindy Carter
/ice C, air
Danny Stone :Member
BOCC
51, AUTHORIZED' TO SIGN REQUESTS FOR REIMBURSEMENT A-19
SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE
D.T. Donaldson MACC. Director
Christal White
MACC Financial Manaaer
Please complete form with any new contract or any time personnel changes.
Submit one original to State E911 Office