HomeMy WebLinkAboutAPT Authorized Signers FormGrant Documents Authorized Signers
Please clearly print or type all sections of this form.
Community/Grantee Name:
Alaska Power Com na
Regular Election is held: Date: 9-13-2010
I authorize the above person(s) to sign Grant Documents:
(Highest ranking organization/community/municipal official) /) /
Printed Name
. Title
Term
s' ature
Robert S. Grimm
President
Continuous
Grantee Contact Information:
Mailing Address:
P.O. Box 3222, Port Townsend, WA 98368
Phone Number:
800-982-0136 x 120
Fax Number:
360-385-2989
E-mail Address:
Bob. talaska.com
Federal Tax ID #:
92-0153693
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.
Anchorage, AK 99503
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ALASKA
ENERGY AUTHORITY