HomeMy WebLinkAboutE26-350 Kittitas County 25SHSP SAF signedSIGNATURE AUTHORIZATION FORM (SAF)
WASHINGTON MILITARY DEPARTMENT
Camp Murray, Washington 98430-5122
Please read instructions on page 2 before completing this form.
NAME OF ORGANIZATION
DATE SUBMITTED
GRANT PROGRAM - Acronyms Accepted
AGREEMENT NUMBER(S)
1. AUTHORIZING AUTHORITY
PHYSICAL SIGNATURE
E-SIGNATURE
PRINT OR
TYPE NAME
TITLE & TERM OF OFFICE
(If applicable)
1a, nw(5
511,�t
2. AUTHORIZED TO SIGN AGREEMENTS / AMENDMENTS
PHYSICAL SIGNATURE
E-SIGNATURE
PRINT OR
TYPE NAME
TITLE & TERM OF OFFICE
(If applicable)
3. AUTHORIZED TO SIGN REQUESTS FOR REIMBURSEMENT
R YSICAL SIGNATURE
E-SIGNATURE
PRINT OR
TYPE NAME
TITLE & TERM OF OFFICE
(If applicable)
SAF Revised 5/8/2024 /
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