HomeMy WebLinkAboutRound 8 SignatureRenewable Energy Fund Round Vlll411111RD
Grant Application Heat Proiects MMU--- ENERGY AUTHORITY
SECTION 10 —AUTHORIZED SIGNERS FORM
Community/Grantee Name:
Native Village of Tazlina
Regular Election is held: July 25, 2014 Date: 9/18/2014
Authorized Grant Signer(s):
Printed Name
Title
Term
Signature
Rickey Young
Tribal Administrator
I authorize the above person(s) to sign Grant Documents:
(Highest ranking organization/community/municipal official)
Printed Name
Title
Term
Signature
Gloria Stickwan
Council President
2
)0_
Grantee Contact Information:
0-
Mailing Address:
PO Box 87
Phone Number:
907 822 4375
Fax Number:
907 822 5865
E-mail Address:
prog.mang.tazlina@cvinternet.net
Federal Tax ID #:
92-0068390
Please submit an updated form whenever there is a change to the above information.
AEA 2014-006 Grant Application Page 28 of 29 7/2/2013