HomeMy WebLinkAbout4 - Napakiak Grant Signers Form09/15/2010 09:39 5892412 NAPAKIAK CORPORATION PAGE 05/05
Grant Documents Authorized Signers
Please clearly print or type aU sections of this form.
Regular Election is held:Date:9/13/10
Community/Grantee Name:Napakiak Ircinraq Power Company
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Printed Name Title Term
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Signature
Daniel Nelson General Manager N/A
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I authorize the above person(s)to sign Grant Documents:
(Highest ranking organization/community/municipal official)
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Printed Name Title Tenn r-.Signature
Daniel Nelson General Manager ~\l/,'AJ~..,....,
Grantee Contact Information'
Mailing Address:PO Box 34030,Napakiak,AK 99634
Phone Number:907-589-2227
Fax Number:907-589-2250
E mail Address:~:;~@;;i@eh:~h~~'~on~+
Federal Tax 10 #:7.(0 3~CJI ?'JLtJ
Please submit an updated form whenever there is a change to the above information.
Please return the original completed fgrm to:
Alaska Energy Authority
813 W.Northem Lights Blvd.
Anchorage,AK 99503 I~MASKA
*:)ENERGY AUTHORITY
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