Laserfiche WebLink
SIGNATURE AUTHORIZATION FORM <br />WASHINGTON STATE MILITARY DEPARTMENT <br />Camp Murray, Washington 98430-5122 <br />Please read instructions on reverse side before this form. <br />NAME OF ORGANIZATION <br />Kittitas County <br />DATE SUBMITTED <br />rl rc ;)J <br />PROJECT DESCRIPTION <br />FFY22 EMPG <br />CONTRACT NUMBER <br />E23-184 <br />1. AUTHORIZINGAUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />eh, ry4,Clay Myers Sheriff / 2026 <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TITLE <br />il6, t2,,4 Clay Myers Sheriff <br />3. AUTHORIZED TO SIGN REOUESTS FOR REIMBURSEMENT <br />SIGNJATURE PRINT OR TYPE NAME TITLE <br />()r Darren Higashiyama Chief Deputy <br />J rilcft-*Shanie McPherson FiscalAnalyst <br />I\NAC-I VOLI\HOM E\KARENB\..,.IWP\S IGNAUTH Revlsed 3/03