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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 <br />PROJECT DESCRIPTION CONTRACT NUMBER <br />22EMPG <br />E24-339 <br />1. AUTHORIZING AUTHORITY <br />SIGNATURE <br />PRINT OR TYPE NAME <br />TITLE/TERM OF OFFICE <br />Clay Myers <br />Sheriff/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 />` <br />Darren Higashiyama <br />Chief Deputy <br />A I AKh A! <br />Nancy Shaff <br />Chief Administrative Deputy <br />\\N4C I\VOL1\HOlGIE1 F'$1=NB\. .\ \SIC �UTH Revised 3/03 <br />