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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 this form. <br />NAME OF ORGANIZATION <br />Kittitas County <br />DATE SUBMITTED <br />3t3t21 <br />PROJECT DESCRIPTION <br />SHSP FFY-18 <br />CONTRACT NUMBER <br />E21-1A7 <br />1. AUTHORIZINGAUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />e?$q'V4*e*Clay Myers Sherilfl22 <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TITLE <br />[/"2/ 7za/."'c*a Clay Myers Sheriff <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />SIG$ATURE PRINT OR TYPE NAME TITLE <br />Darren Higashiyama Chief Deputy <br />-'( <br />Sharrie McPherson FiscalAnalyst <br />\\NAc-1\VOLI\HOME\KARENB\....\WP\SIGNAUTH Revised 3/03