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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 />21 SHSP Homeland Security Grant <br />E22-131 <br />1. AUTHORIZING AUTHORITY <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE/TERM OF OFFICE <br />Clay Myers <br />Sheriff/2022 <br />Sharrie McPherson <br />Fiscal Analyst <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE <br />Clay Myers <br />Sheriff <br />Sharrie McPherson <br />Fiscal Analyst <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />SIGN URE <br />PRINT OR TYPE NAME <br />TITLE <br />Darren Higashiyama <br />Chief Deputy <br />Sharrie McPherson <br />Fiscal Analyst <br />\\NAC-1\VOL1\HOME\KARENB\.... \WP\SIGNAUTH Revised 3/03 <br />