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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 completina this form. <br />NAME OF ORGANIZATION <br />Kittitas, County of Sheriffs Office <br />PROJECT DESCRIPTION <br />Homeland Security Grant SHSP FFY-24 <br />DATE SUBMITTED <br />11 /28/2023 <br />CONTRACT NUMBER <br />E24-135 <br />1. AUTHORIZING AUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />Clay Myers Sheriff / 12/31/2026 <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE <br />Clay Myers <br />Sheriff <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE <br />r` <br />Darren Higashiyama <br />Chief Deputy <br />\\NAC-1\V0L1\H0ME\KARENB\ .\WMSIGNAUTH Revised 3103 <br />