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STGNATURE AUTHORIZATION FORM (SAF) <br />WASH I NGTON M I LITARY DEPARTMENT <br />Camp Murray, Washington 98430-51 22 <br />Please read instrucfions on page 2 before completing this form. <br />NAME OF ORGANIZATION <br />Kittitas County Sheriff's Office Kittitas Co. <br />DATE SUBMITTED <br />2124125 <br />GRANT PROGRAM - Acronyms AccePted <br />24 SHSP <br />AGREEMENT NUMBER(S) <br />E25-224 <br />1. AUTHORIZING AUTHORITY <br />PHYSICAL SIGNATURE E.SIGNATURE PRINT OR <br />TYPE NAME <br />TITLE & TERM OF OFFICE <br />lfa licable <br />Clay Myers Sheriff I 2026 <br />2. AUTHORIZED TO SIGN AGREEMENTS / AMENDMENTS <br />PHYSICAL SIGNATURL E-SIGNATURE PRINT OR <br />TYPE NAME <br />TITLE & TERM OF OFFICE <br />Ui^rl /h'e4E Clay Myers Sheriff I 2026 <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />./-P\YSICAL SIGNATURE I <br />E-SIGNATURE PRINT OR <br />TYPE NAME <br />TITLE & TERM OF OFFICE <br />.t)tl <br />Darren Higashiyama Chief Deputy <br />ilM^hhl l/Nancy Shaff Chief Admin Deputy <br />:J- " [/ <br />I <br />SAF Revised 51812024 <br />Page _ of _