HomeMy WebLinkAboutSKMBT_C55212092809542Renewable Energy Fund Round 6 nr .p 9
Grant Application et012DEM33GYAUTI-IO ry
Y SECTION 10 - AUTHORIZED SIGNERS FORM
Chugach Electric Assn., Inc.
Regular Election is held: Date: 9/27/12
Annual Meeting in Mav Each Year
Authorized Grant Sianer/sl:
Printed Name
Title
Term
Signature
Ronald K. Vecera
Director of Renewable
Energy Business
Development
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I
J
I
I authorize the above person(s) to sign Grant Documents:
(Highest ranking organization/community/municipal official)
Printed Name
Title
Term
Signature
Bradley W. Evans
Chief Executive Officer
Grantee Contact Information: V
Mailing Address: P.O. Box 196300
Anchorage, Ak 99519-6300
Phone Number: (907) 762-4759
Fax Number: (907) 762-4191
E-mail Address:
ron vecera@chugachelectric.com
Federal Tax ID #: 92-0014224
Please submit an updated form whenever there is a change to the above information.
AEA13-006 Grant Application Page 19 of 20 7/3//2012