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SIGNATURE AUTHORIZAT ION 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 {Sherirfs Office) <br />PROJECT DESCRIPTION CONTRACT NUMBER I <br />SHSP FFY-17 <br />E20-168 <br />1. AUTHORIZING AUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />~/-. <br />Clayton Myers Sheriff/2020 <br />~'1 --.,,,, <br />. <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TITLE <br />. <br />e~~/ Clayton Myers Sheriff <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />SIG~RE PRINT OR TYPE NAME TITLE <br />(J_ )~ VJ_ .. -Darren Higashiyama Commander <br />---..... <br />1 <br />J.JJ/~-Sharrie McPherson Fiscal Analyst <br />\INAC-1\VOL 1\HOMBKARENBI .... \WP\SIGNAUTH Revised 3/03