HomeMy WebLinkAbout4 - REF Round 5 - Kipnuk Authorized Grant Signers FormGrant Documents Authorized Signers;
Please clearly print or type all sections of this form.
Regular Election is held: u
Date:
8/azco �ii
Authorized Grant Si no s
Printed Name
Title Term
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I authorize the above person(s) to sign Grant Documents;
(Highest ranking organization/community/municipal ofricial)
Printed Name
Title
Term Signature
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Please return the original completed form to;
Alaska Energy Authority
813 W. Northern Lights Blvd.
Anchorage, AK 995o3
Attn: Butch White, Grants Administrator
ALASKA
J ENERGY AUTHORITY
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