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SIGNATURE AUTHORIZATION FORM <br />WASHINGTON STATE MILITARY DEPARTMENT <br />Camp Murray, Washington 984i0-5122 <br />Please read instructions on reverse side b efore this form. <br />NAME OF ORGANIZATION <br />Kittitas County <br />DATE SUBMITTED <br />2t17t21 <br />PROJECT DESCRIPTION <br />20EMPG-S <br />CONTRACT NUMBER <br />E20-270 <br />1, AUTHORIZINGAUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />Uau h?a<Clay Myers Sheriffl2022 <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TlTLE <br />U<r? Uq Clay Myers Sheriff <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />SIGNAJURE PRI NT OR ryPE NAME TITLE <br />Darren Higashiyama Chief Deputy <br />Sharrie McPherson FiscalAnalyst <br />\\NAC-lWOL1\HOME\KARENB\....\WP\SIGNAUTH Revised 3/03