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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 com <br />lefing this form. <br />NAME OF ORGANIZATION <br />DATE SUBMITTED <br />Kittitas County Sheriffs Office <br />al <br />PROJECT DESCRIPTION <br />CONTRACT/ NUMBER <br />19SHSP Homeland Security Grant <br />E22-260 <br />1. AUTHORIZING AUTHORITY <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE/TERM 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 />N3AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />SIGNATURE PRINT OR TYPE NAME TITLE <br />Darren Higashiyama Chief Deputy <br />Sharrie McPherson Fiscal Analyst <br />11NAC-11VOLMOMEWARENBI.... 1WMIGNAUTH Revised 3103 <br />