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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 comoleting this form. <br />NAME OF ORGANIZATION DATE SUBMITTED <br />Kittitas County <br />'/l,la� <br />PROJECT DESCRIPTION CONTRACT NUMBER <br />EMPG FFY-21 <br />E22-217 <br />1. AUTHORIZING AUTHORITY <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLEITERM OF OFFICE <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 />SIGNATURE PRINT OR TYPE NAME TITLE <br />Darren Higashiyama Chief Deputy <br />Sharrie McPherson Fiscal Analyst <br />11 NACAWOMHOMEWARENBI...MRSIGNAUTH Revised 3/03 <br />