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SIGNATU RE 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 />Kittitas County <br />DATE SUBMITTED <br />212412020 <br />PROJECT DESCRIPTION <br />19HSGP (SHSP) <br />CONTRACT NUMBER <br />E20-087 <br />1. AUTHORIZINGAUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />&.. hTtl*l+)- <br />Clay Myers Sheriff/2020 <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TITLE <br />i!/ay v,?g.-t <br />Clay Myers Sheriff <br />I <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />S,}gNATURE PRINT OR TYPE NAME TITLE <br />I <br />*dMaL <br />Darren Higashiyama Chief Deputy <br />Sharrie McPherson FiscalAnalyst <br />\\NAC.1VOL1\HOME\KARENB\....\WP\SIGNAUTH ReViSed 3/03