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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 <br />DATE SUBMITTED <br />Kittitas County (Sheriffs Office) <br />it <br />PROJECT DESCRIPTION <br />CONTRACT NUMBER <br />SHSP FFY-17 <br />E20-168 <br />1. AUTHORIZING AUTHORITY <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE/TERM OF OFFICE <br />Clayton Myers <br />Sheriff/2020 <br />Sharrie McPherson <br />Fiscal Analyst <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE <br />Clayton Myers <br />Sheriff <br />Sharrie McPherson <br />Fiscal Analyst <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />S I GXA-W RE <br />PRINT OR TYPE NAME <br />TITLE <br />Darren Higashiyama <br />Commander <br />Sharrie McPherson <br />Fiscal Analyst <br />\\NAC- 1 \VOL 1 \HOME\KARENB\...AW P\S1 GNAUTH Revised 3/03 <br />