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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 DATE SUBMITTED <br />Kittitas County <br />PROJECT DESCRIPTION CONTRACT NUMBER <br />EMPG FFY-20 <br />E21-152 <br />1. AUTHORIZING AUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />PRINT OR TYPE NAME <br />Clay Myers <br />Sheriff / Dec. 2022 <br />Clay Myers <br />Sheriff <br />[2- AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE <br />Clay Myers <br />Sheriff <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />TURE <br />yj'Jcr�° --- <br />Darren Higashiyama <br />Sharrie McPherson <br />MACAWOMHOMEWARENM .... \WPIMIGNAUTH Revised 3103 <br />E <br />Chief Deputy <br />Fiscal Analyst <br />