HomeMy WebLinkAboutAEA_Grant_Documents_Auth._Signers_091410[1]Grant Documents Authorized Signers
Please clearly print or type all sections of this form.
Community/Grantee Name: Naknek Electric Association, Inc.
Southwest Alaska Regional Geothermal Energy Project
Regular Election is held: Annually Date: March or April
Authorized Grant Si ner(s):
Printed Name Title Term Signature
authorize the above person(s) to sign Grant Documents:
(Highest ranking organ izationlcommunitylmunicipal official)
Printed Name
Title
Term
Signature
Donna Vukich
General Manager
Contract
Grantee Contact Information:
Mailing Address: PO Box 118
Naknek, AK
Phone Number:
907 246 4261
Fax Number:
907 246 6242
E-mail Address:
dvukich nea.coo
Federal Tax ID #:
92-a627674
Please submit an updated form whenever there is a change to the above information.
Please return the original completed form to: /dK--) KA
Alaska Energy Authority 40= ALAS
813 W. Northern Lights Blvd. � ENERGY AUTHORITY
Anchorage, AK 99503
Attn: Butch White, Grants Administrator
C:1UserslSuzanneloesktop\AEA Round Iv FY2011 REGF\Grant_Authorized_5igners4.doc