HomeMy WebLinkAboutGrant Documents Authorized Signers_signedGrant Documents Authorized Signers
Please clearly print or type all sections of this form.
Community/Grantee Name: Ormat Nevada, Inc.
Regular Election is held: Not Applicable Date: September 15, 2010
Authorized Grant Si ner s :
Printed Name
Title
Term
Signature
Connie Stechman
Assistant Secretary
I authorize the above person(s) to sign Grant Documents:
(Highest ranking organization/community/municipal official)
Printed Name
Title
Term
Signature
Yoram Bronicki
President and COO,
Ormat Nevada, Inc.
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Grantee Contact Information:
Mailing Address:
6225 Neil Road
Reno, NV
89511
Phone Number:
775-356-9029, ext. 32274
Fax Number:
775-823-5401
E-mail Address:
rorenstein@ormat.com
Federal Tax ID #:
88 0278853
Please submit an updated form whenever there is a change to the above information.
Please return the original completed form to: AIM
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