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Home My WebLink About4 Akiak Grant Signers Form09-15-10;19:32 19077657414 #31 4 Grant Documents Authorized Signers Please clearly print or type all sections of this form, ~;a;:E:;:;-:::_~~=Ak~~-lDate:97137fO-----1 Authorized Grant Signr _"_ PrintedName TitleI._ D.e}ovrv--::fc~(,\\S'oY)f\...,~-<I\..,L\OY (. ._-_••_....,..--__•••__•..M ••_•••_....-..-_ .I T8r~Signature "I ------------------------1 I· ------.,,I I authorize the above person(s)to sign Grant Documents: ·(Highest ranking organization/community/municipal official) ~~e I T6~-1~9:L Grantee Contact Information: Mailing Address: Phone Number:'-- E-mail Address: --------------_...-._...---------------------------------------------_.._...---.-General Delivery,Akiak,AK 99552 ,. 907 -7a5~7061 --907~765-7414 .- Fax Number: Please return the original completed form to: Alaska Energy Authority 813 W.Northern Lights Blvd. Anchorage,AK 99503 /-z,AlASKA _i""'-"':)ENERGY AUTHORITY Maolntooh HD:Uoors:ooabrause:DOCUl'nMUI:Mlcrosoft User Data;Saved Attachments:Akiak Grant_Authorized_Signers4.doc ~nr