Laserfiche WebLink
NATURE AUTHORIZATION FORM <br />WASHINGTON STATE MILITARY DEPARTMENT <br />Camp Murray, Washington gB43O-8122 <br />form. <br />src <br />Please read instructions on reverse side before <br />NAME OF ORGANIZATION <br />Kittitas County <br />DATE <br />J JA <br />21EMPG-ARPA <br />PROJ CoNTRAcT NLMBER- <br />E22-2M <br />at <br />1. AUTHORIZINGAUTHORITY <br />SIGNATURE TYP NAllrlE OFTITL <br />ry4'Clay Myers Sherittl2O22 <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME <br />e4 ryer Clay Myers Sherifi <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />PRINT OR TYPE NAME TITLEr\Darren Higashiyama Chief Deputy <br />Sharrie McPherson FiscalAnalyst <br />\IMC.IIVOLI\HOMEIISRENBT.,..IWHSIGNATJTH Revlsed 3r0:l