KITTITAS RECLAMATION DISTRICT
P.O. Box 276/315 N. Water
Ellensburg, Wa 98926
Phone:925-6158 Fax:925-7425
E-mail: krdoffice@elltel.net
Website: www.elltel.net/krd

Authorization to Transfer Water

I hereby Authorize the Transfer of Irrigation Water from my account at follows:

To:                                                                            

Amount:                                                                    

This transfer is granted on a one time basis during the 20___ irrigation season.

                                                                       
Landowner Signature

                                               
Date

For office use only:

To: Serial#                         Amount                 Ride              

From: Serial#                             Amount                      Ride                

Date posted:                    by:                                        

Ditchrider notified:                             

Authorization of required: