HomeMy WebLinkAboutAuthorizedSignersFormGrant Documents Authorized Signers
Please clearly print or type all sections of this form.
Community/Grantee Name:
Community of Elfin Cove
Regular Election is held: Date. 8/26/10
August of each ye r
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Printed Name
Title
Term
Signature
Steve Stromme
Vice Chairman
Exp 8/ 12
Debbie Hemenway
Treasurer
Exp 8/12
Jane D. Button
Secretary
Exp 8/11
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Steve Alexander
Director
Exp 8/11
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I authorize the above person(s) to sign Grant Documents: fr
(Highest ranking organization/community/municipal official)
Printed Name
Title
Term
Sign �t
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Dennis Meier
Chairman
Exp 8/11
Grantee Contact Information:
Mailing Address:
PO Box 2
Phone Number- 907-239-2226 r �Z 75 -
Fax Number: 907-239-2226
E-mail Address:
Federal Tax ID #-. 192-0089934
IPlease 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.
Anchorage, AK 99503
Attn: Butch White, Grants Administrator
Hard Disk:U sers:den nismeier: Documents: Microsoft User Data:Saved
Attach ments:5—G ra nt—Authorized—Signe rs4.doc
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