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SIGNATURE AUTHORIZATION FORM <br />WASHINGTON STATE MILITARY DEPARTMENT <br />Camp Murray, Washington 98430-5122 <br />Please read instrucfions on reverse side before comoletino this form <br />NAME OF ORGANIZATION <br />Kittitas County <br />DATE SUBMITTED <br />PROJECT DESCRIPTION <br />20 SHSP <br />CONTRACT NUMBER <br />E21-082 <br />1. AUTHORIZINGAUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />C4*z W.<-g- <br />Clay Myers SheritflNov .3,2A2A <br />SIGNATURE <br />AUTHORIZED TO SIGN CONTRACTSICONTRACT AMENDMENTS2 <br />PRINT OR TYPE NAME TITLE <br />CiaF fay*z--4 SheriffClay Myers <br />3. AUTHORIZED TO S]GN REQUESTS FOR REIMBURSEMENT <br />SIG}IATURE PRINT OR TYPE NAME TITLE <br />6)I Darren Higashiyama Chief Deputy <br />Alfl Sharrie McPherson FiscalAnalyst <br />\\NAC-lvOLl\HOME\KARENB\,...\WP\S|GNAUTH Revised 3/03