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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 />Kittitas County <br />DATE SUBMITTED <br />PROJECT DESCRIPTION <br />21 SHSP Homeland Security Grant <br />CONTRACT NUMBER <br />E22-131 <br />1. AUTHORIZINGAUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />9r/q 4rrgJ/, <br />Clay Myers Sheriff/2022 <br />2. AUTHORIZED TO SIGN CONTRACTSiCONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TITLE <br />fA- ala.-.-,ru, <br />Glay Myers Sheriff <br />L <br />*/Jroy f le''>bu,$*| fr,nn',,,, lflqe <br />{/{/ <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />SIGNATURE PRINT OR TYPE NAME TITLE <br />61.Darren Higashiyama Chief Deputy <br />g I <br />-//4(H--Sharrie McPherson FiscalAnalyst <br />IINAC-1WOL1\HOME\KARENB\....\WP\SIGNAUTH Revlsed 3i03