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SIGNATURE AUTHORIZATION FOR <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 Sheriffs Office 11/16/2016 <br />PROJECT DESCRIPTION CONTRACT NUMBER <br />Homeland Security Grant FFY 2016 E17-075 <br />1. AUTHORIZING AUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />Gene Dana Sheriff / 2019 <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TITLE <br />Gene Dana Sheriff <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />SIGNATURE PRINT OR TYPE NAME TITLE <br />w � <br />Darren Higashiyama Commander <br />Heather Seibert Chief Financial Manager <br />11NAC-11VOL11HOMEIKARENBI.,..iWP\SIGNAUTH Rev1sed 3/03 <br />