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SIGNATURE AUTHORIZATION FORM <br />WASHINGTON STATE MILITARY DEPARTMENT <br />Camp Murray, Washington 98430-51 22 <br />P/ease read instructions on re verse side before completins this form. <br />NAME OF ORGANIZATION <br />Kittitas County <br />DATE SUBMITTED <br />t f ttiaq <br />PROJECT DESCRIPTION <br />EMPG FFY-21 <br />CONTRACT NUMBER <br />E22-217 <br />1. AUTHORIZINGAUTHORIry <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF O FFICE <br />e4 *+y*r Clay Myers Sheriff 12022 <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TITLE <br />Ary tu7rrtt Clay Myers Sheriff <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />SIGNATURE PRINT OR TYPE NAME TITLEo( <br />Darren Higashiyama Chief Deputy <br />'-d4rP+ <br />"U <br />Sharrie McPherson FiscalAnalyst <br />\\NAGIWOL1IHOMAKARENB\....IWP\SIGNAUTH Revisod 3/03