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HEREBY GIVING AND GRANTING unto the said attorney full powers and
authority to do and perform all and every act requisite or necessary to carry into effect
the foregoing authority to sign and as I could have been present, as my attorney-in-fact
may deem best beneficial, as fully with all intents and purposes as I might or could
lawfully do if personally present, with full power of substitution and delegation to her
assigns, and hereby ratifying and confirming all that my said attorney or his substitute
shall lawfully do or cause to be done by virtue hereof.
________________________________
Principal
Valid ID: _________________________
Issued by:_________________________
_______________________________
Attorney-in-fact
Valid ID No. _____________________
Signed in the presence of:
ACKNOWLEDGMENT