POWER OF
ATTORNEY
(TYPE 2)
By
affixing my signature below I, _________________, residing at _______________,
__________________________ make, constitute, and appoint, _________________,
residing
at _______________________________________ my true and lawful attorney
in
fact, for me and in my name and stead, and to my use, for the purpose of
__________ __________________________________.
I
hereby give to my attorney full authority and power to do anything and
everything whatsoever required or obligated to be done, at least to the extent
I could or might do, with full power of substitution and revocation. I hereby confirm and sanction all that said
attorney shall lawfully do or cause to be done, acting on my behalf and in my
stead.
Signed
this _________ day of ______________________________.
__________________________________
__________________________________
Witness
