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HomeMy WebLinkAboutSection 10Renewable Energy Fund Round 6 ©ENERGYAUTHORITY Grant Application SECTION 10 —AUTHORIZED SIGNERS FORM Community/Grantee Name: Alaska Gateway School District Regular Election is held: Every 3 Years Date: First Week in October Authorized Grant Signer(s): Printed Name Title Term Signa re Todd Poage Superintendent N/A rJU I authorize the above person(s) to sign Grant Documents: (Highest ranking organization/community/municipal official) Printed Name Title Term Signature Lisa Conrad Board President 3 year Grantee Contact Information: Mailing Address: P.O. Box 226, Tok, AK 99780 Phone Number: 907-883-5151 Fax Number: 907-883-5154 E-mail Address; tuoageO-agsd.us Federal Tax ID #: 92-0058369 Please submit an updated form whenever there is a change to the above information. AEA13-006 Grant Application Page 39 of 40 7/3//2012