Application for Reservation of Public Water Authority Name
Act 115 of 2001
To: Charlie Daniels Secretary of State Corporations Division State Capitol Little Rock, Arkansas 72201-1094
The undersigned, pursuant to the provisions of the Arkansas Public Water Authority Act of 2001, hereby requests that the following name be reserved.
Name to be Reserved
Signature of Applicant
INSTRUCTIONS: File this in duplicate. A certified stamped copy will be returned for your files.
Certificate Fee is $5.00