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I grant upon her full powers and authority to do and perform all acts
needed to carry out the foregoing powers, as fully to all intents and
purposes as I might or could lawfully do if personally present, with full
power of substitution and revocation. I also ratify and confirm all that
she or her substitute shall lawfully do or cause to be done by virtue
hereof.
Conforme:
XXX
__________________________ _______________________
ACKNOWLEDGMENT
X----------------------------------------------X
WITNESS MY HAND AND SEAL, on the date and place first above
written.
Notary Public
Doc. No.______;
Book No.______;
Series of 20___.