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SIGNATU RE AUTHORIZATION FORM <br />WASHINGTON STATE MILITARY DEPARTMENT <br />Camp Murray, Washington 98430-5122 <br />P/ease read instrucfions an reverse side before completing this form <br />NAME OF ORGANIZATION <br />Kittitas, County of Sheriffs Office <br />DATE SUBMITTED <br />11t28t2023 <br />PROJECT DESCRIPTION <br />Homeland Security Grant SHSP FFY-24 <br />CONTRACT NUMBER <br />824-135 <br />1. AUTHORIZINGAUTHORITY <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />ee'*n*t-4.*-zt <br />Clay Myers Sheriff I 1213112026 <br />2. AUTHORIZED TO SIGN CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TITLE <br />U*4 *fL\t*t"l <br />Clay Myers Sheriff <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />SIGNATURE PRINT OR TYPE NAME TITLE <br />()( <br />\Darren Higashiyama Chief Deputy <br />( <br />{____ <br />\\NAC-1\VOL1\HOME\KARENB\....\WP\SIcNAUTH Revised 3/03