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HomeMy WebLinkAboutE-Signature page - page 30Renewable Energy Fund Round 13 ALASKA Grant Application — Standard Form ENERGY ,A&#A AUTHORITY SEGTI0 AutH IRIZE[ SIGI�E � III -° Community/Grantee Name: Regular Election is held: Date: l�! Sf—Pl Z©--�-0 Authorized Grant Signer(s): Printed Name Title Term Signature Ll ry 1U 1 A authorize the above person(s) to sign Grant Documents: Must be authorized by the highest ranking or anization/communi Imunici al official Printed Name Title Term Signature JAwt( t (� �'vk 2 � LO A . K- Aj lA q,�- Grantee Contact Information: LI/ Mailing Address: P v 1 S Phone Number: Fax Number: Email Address: 'a-4 L e-de3h o" 9� a Federal Tax ID #: r `' d. Please submit an updated form whenever there is a change to the above information. AEA 21010 Page 30 of 32 7/20/2020