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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 completing this form. <br />NAME OF ORGANIZATION DATE SUBMITTED <br />Kittitas, County of (Kittitas County Sheriffs Office La y <br />zo � <br />PROJECT DESCRIPTION CONTRACT NUMBER <br />20HSGP (SHSP) E24-059 <br />7 AUTHORIZING AUTHORITY <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE/TERM OF OFFICE <br />Clay Myers <br />Sheriff / 12-31-202 <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE <br />Clay Myers <br />Sheriff <br />=3.AUUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />SIGN4TURE <br />PRINT OR TYPE NAME <br />TITLE <br />Darren Higashiyama <br />Chief Deputy <br />Shame McPherson <br />Fiscal Analyst <br />MAC-11V0L11HOMEIKARENBI.... %WMIGNAUTH Revised 3103 <br />