Laserfiche WebLink
SIGNATURE AUTHORIZATION FORM <br />WASHINGTON STATE MILITARY DEPARTMENT <br />Camp Murray, Washington 98430-5122 <br />Please read instructions on reverse side before_com Dleting this form. <br />NAME OF ORGANIZATION DATE SUBMITTED <br />Kittitas County <br />I oZt <br />PROJECT DESCRIPTION CONTRACT NUMBER <br />SHSP FFY-18 <br />E22-187 <br />1. AUTHORIZING AUTHORITY <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE/TERM OF OFFICE <br />-n <br />Clay Myers <br />Sheriff/2022 <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 />SI URE PRINT OR TYPE NAME TITLE <br />Darren Higashiyama Chief Deputy <br />Sharrie McPherson Fiscal Analyst <br />1WAG1WOMHOMEWARENBI .... IWMIGNAUTH Revised 3103 <br />