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1 shall he considered disabled or incapacitated for purposes of this power of attorney if a physician, based on that <br />physician's examination, certifies in writing at a date subsequent to the date which this power of attorney is <br />executed, that [ am disabled from or incapable of exercising control over my person, property, personal affairs, or <br />financial affairs, l authorize the physician who so certifies, to disclose my physical or mental condition to another <br />person for purposes of this power of attorney, A third party who accepts this power of attorney, endorsed by proper <br />physician certification of my disability or incapacity, is held harmless and fully protected from any action taken <br />under this power of attorney. <br />Notwithstanding my inclusion of a specific expiration date herein, if on that specified expiration dace 1 should be or <br />have been properly certified, in writing, by a physician to be disabled from or incapable of exercising control over <br />my person, property, personal affairs, or financial affairs, then this Power of Attorney shall remain vali!'and in full <br />effect until sixty (60) days after 1 have recovered from such disability UNLESS OTHERWISE REVOKED OR <br />TERMINATED 13Y ME. Furthermore, if on the above- specified expiration date, or during the sixty (60) day <br />period preceding that specified expiration date, 1 should be or have been determined by the United States <br />Government to be a military status of "missing," "missing in action," or " prisoner of war," then this Power of <br />Attorney shall remain valid and in full effect until sixty (60) days after 1 have returned to the United States military <br />control following termination of such status UNLESS OTHERWISE REVOKED OR TERMINATED BY ME. <br />I HEREBY RATIFY ALL THAT MY ATTORNEY SHALL LAWFULLY DO OR CAUSE TO BE DONE <br />BY THIS DOCUMENT. <br />All business transacted hereunder for me or for my account shall be transacted in my name, and all endorsements <br />and instruments executed by my attorney for the purpose of carrying out the foregoing powers shall contain my <br />name, followed by that of my attorney and the designation "attorney -in- fact." <br />1 1 tWJt E $ „W HEREOF, I sign, seal, declare, publish, make and constitute is as and for mLPower of Attorney <br />*A w tr# levee 6fbhe Notary Public witnessing tt at my request this date, 1,5 (je, 1 <br />f ti• ? Y <br />• 2 <br />A. <br />♦' <br />10 <br />s `ar t "�WITH T ARMCO FORCES OF THE UNITED STATES <br />�, . a' ® \ I1 h rt.t.t.rA4f <br />B t tttaatta <br />(S <br />(PRINT) <br />RANK /COMPONENT <br />Page 2 of 2 Pages <br />Subscribed, sworn to and acknowledged before me by [b ,r , who is known o me to be a <br />member of the Armed Forces of the United States serving on Active Duty, on g Q 0�0 This <br />acknowledgment is executed in my official capacity under the authority granted by Title 10, United States <br />Code, Section 1044a, w h also a no se : i uired on this acknowledgment. <br />OFFICIAL CAPACITY ,k,f ld !'" - -2 AC°) <br />20n075;2 <br />