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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 />Kittitas County <br />DATE SUBMITTED <br />9t14t20 <br />PROJECT DESCRIPTION <br />EPMG FFY-20 <br />CONTRACT NUMBER <br />E20-270 <br />1. AUTHORIZINGAUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />&*- f!**irt& " <br />Clay Myers Sheriff f |AA2O20 <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TITLE <br />Na.t ry41 Clay Myers Sheriff <br />3. AUTHORIZED TO SIGN REQUESTS FOR RE]MBURSEMENT <br />SIG}+ATURE PRINT OR TYPE NAME TITLEilDarren Higashiyama Chief Deputy <br />/ (-/Jfry(fl'-**Sharrie McPherson FiscalAnalyst <br />\\NAC-lWOL1\HOME\KARENBI....\WP\SIGNAUTH Revised 3/03