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SIGNATURE AUTHORIZATION FORM <br />WASHI NGTON STATE MILITARY DEPARTMENT <br />Camp Murray, Washington 98430-5122 <br />P/ease read instructions on re yerse side before completins this form. <br />NAME OF ORGANIZATION <br />Kittitas, The County of <br />DATE SUBMITTED <br />PROJECT DESCRIPTION <br />z2HSGP (SHSP) <br />CONTRACT NUMBER <br />E23-1 16 <br />1. AUTHORIZINGAUTHORIW <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />€,{e, fuu,Clay Myers Sheriff lDec22 <br />2, AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TY PE NAME TITLE <br />d*y ry3 Clay Myers Sheriff <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />SIGNATURE PRINT OR TYPE NAME TITLE <br />Darren Higashiyama Chief Deputy <br />J,/4 Sharrie McPherson FiscalAnalyst <br />\INAC-IVOL1\HOME\KARENB\....\WP\S|GNAUTH Revised s/09