HomeMy WebLinkAboutGrant_Authorized_Signers4C:\Users\nhowes\Desktop\NDH Docs to add to library\REF\Applications Received for Round
4\706_Sitka_Renewable Energy Feasibility for Wastewater Treatment
Plant\Grant_Authorized_Signers4.doc
Grant Documents Authorized Signers
Please clearly print or type all sections of this form.
Community/Grantee Name: City and Borough of Sitka
Regular Election is held:
Date:
Authorized Grant Signer(s):
Printed Name Title Term Signature
I authorize the above person(s) to sign Grant Documents:
(Highest ranking organization/community/municipal official)
Printed Name Title Term Signature
Grantee Contact Information:
Mailing Address: 100 Lincoln Street Sitka, AK 99835
Phone Number:
(907) 747-1808
Fax Number:
(907) 747-7403
E-mail Address: sara@cityofsitka.com
Federal Tax ID #:
92-0041163
Please submit an updated form whenever there is a change to the above information.
Please return the original completed form to:
Alaska Energy Authority
813 W. Northern Lights Blvd.
C:\Users\nhowes\Desktop\NDH Docs to add to library\REF\Applications Received for Round
4\706_Sitka_Renewable Energy Feasibility for Wastewater Treatment
Plant\Grant_Authorized_Signers4.doc
Anchorage, AK 99503
Attn: Butch White, Grants Administrator