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Get 1-1 Authorized Signature Form - Nyshcr

ONE Signature TWO Signatures (recommended) The signature of a municipal employee is required when a non-municipal employee is authorized to sign Requests for Funds. Persons Authorized to Sign Request for Funds: At least one municipal employee must be authorized to request funds for the above Project Number. Chief Elected Officials cannot be authorized individuals 1. Signature Date Name Title Signature Date Name Title Signature Date Name Title Signature Date Name Title 2. 3. 4.

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