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SIGNATURE AUTHORIZATION FORM <br />WASH INGTON MILITARY DEPARTMENT <br />Camp Murray, Washingto n 98430-5122 <br />Please read instructions on page 2 before completing this form. <br />(sAF) <br />DATE SUBMITTED <br />Kittitas County <br />NAME OF ORGANIZATION <br />AGREEMENT NUMBER(S) <br />E26-254 <br />GRANT PROGRAM - AcronYms AccePted <br />24EMPG <br />,1. AUTHORIZING AUTHORITY <br />TITLE & TERM OF OFFICE <br />tf <br />PRINT OR <br />TYPE NAMEE-SIGNATUREPHYSICAL SIGNATURE <br />Sheriff/December 2026Clay Myers <br />2. AUTHORIZED TO SIGN AGREEMENTS / AMENDMENTS <br />TITLE & TERM OF OFFICE <br />(tf ble <br />PRINT OR <br />TYPE NAMEE-SIGNATUREPHYSICAL SIGNATURE <br />Sheriff/December 2026Clay Myers <br />3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT <br />TITLE & TERM OF OFFICE <br />lfa icable <br />PRINT OR <br />TYPE NAMEE-SIGNATUREHYSICAL SIGNATU <br />Chief Administrative DePutYNancy Shaff <br />Chief DeputyDarren Higashiyama <br />SAF Revised 5/8/2024 <br />Page of--