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SIG NATURE AUTHORIZATION FORM <br />WASHINGTON STATE MILITARY DEPARTMENT <br />Camp Murray, Washington 98430-5122 <br />Please read instrucfions on reverse side before completing this form <br />NAME OF ORGANIZATION <br />Kittitas County Sheriffs Office <br />DATE SUBMITTED <br />a/ r/aa <br />PROJECT DESCRIPTION <br />1gSHSP Homeland Security Grant <br />CONTRACT NUMBER <br />E22-264 <br />1. AUTHORIZINGAUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />K..y 2+a7l'L Clay Myers Sheriff 12022 <br />2, AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TITLE <br />/'.7*7a Clay Myers Sheriff <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />SIGNATURE PRINT OR TYPE NAME TITLE{l Darren Higashiyama Chief Deputy <br />{ (,/ <br />Sharrie McPherson FiscalAnalyst <br />\NAC.1VOL1\HOME\KARENB\.,.,\WP\SIGNAUTH Revised 3/03