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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 <br />PROJECT DESCRIPTION <br />CONTRACT NUMBER <br />20 SHSP <br />E21-082 <br />1. AUTHORIZING AUTHORITY <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE/TERM OF OFFICE <br />Clay Myers <br />Sheriff/Nov. 3, 2020 <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TITLE <br />Clay Myers Sheriff <br />MAC-1WOLIMMEWAREW.... %WMIGNAU7H Revised 3103 <br />