25 E. Mendenhall, P.O. Box 1109
Bozeman, MT 59771-1109
Ph. (406) 587-9366 · Fax (406) 585-2703

Authorized Signatures Company/Business Name: The following persons are authorized to meke purchases and charges to my account with KENYON NOBLE LUMBER & HARDWARE COMPANY. I understand that only the listed parties and myself may make purchases or charges to my account. I further understand it is my responsibility to provide written notification of any deletions or additions to this list or authorized parties.
Printed Name:	Signature Of Name:
The above list constitutes those persons who are authorized to purchase or charge to my account and may act as my agent in that capacity. If you are returning via fax, it is understood to be the original. Dated this day of , . Name of Responsible Party for this account: Signature: Title: Received on: Received by:

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