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<br />200806392 <br /> <br />[J~ ] <br />[J (,. ] <br /> <br />(K) <br />(L) <br /> <br />Records, reports and statements <br /> <br />[ <br />~~ <br /> <br />(M) <br />(N) <br /> <br />Full and unqualified authority to my Attorney-in-FactlAgent to delegate any or all of the <br />foregoing powers to any person or persons whom my Attorney-in-FactlAgent shall select <br /> <br />Aecess to safe deposit ee)((es) <br /> <br />All other matters <br /> <br />Durable Provision: <br /> <br />(0) If the blank space in the block to the left is initialed by the Principal, this power of <br />attorney shall not be affected by the subsequent disability or incompetence of the <br />Principal. <br /> <br />Other Terms: <br /> <br />My Attorney-in-FactlAgent hereby accepts this appointment subject to its terms and agrees to act and perform in said fiduciary <br />capacity consistent with my best interests as he or she in his or her best discretion deems advisable, and I affirm and ratify all <br />acts so undertaken. <br /> <br />TO INDUCE ANY THIRD PARTY TO ACT HEREUNDER, I HEREBY AGREE THAT ANY THIRD PARTY RECEIVING A DULY <br />EXECUTED COPY OR FACSIMILE OF THIS INSTRUMENT MAY ACT HEREUNDER, AND THAT REVOCATION OR TERMINATION <br />HEREOF SHALL BE INEFFECTIVE AS TO SUCH THIRD PARTY UNLESS AND UNTIL ACTUAL NOTICE OR KNOWLEDGE OF <br />SUCH REVOCATION OR TERMINATION SHALL HAVE BEEN RECEIVED BY SUCH THIRD PARTY, AND I FOR MYSELF AND FOR <br />MY HEIRS, EXECUTORS, LEGAL REPRESENTATIVES AND ASSIGNS, HEREBY AGREE TO INDEMNIFY AND HOlD HARMLESS <br />ANY SUCH THIRD PARTY FROM AND AGAINST ANY AND ALL CLAIMS THAT MAY ARISE AGAINST SUCH THIRD PARTY BY <br />REASON OF SUCH THIRD PARTY HAVING RELIED ON THE PROVISIONS OF THIS INSTRUMENT. <br /> <br />day of ( )U ()G <br />- <br /> <br />Signed under seal this <br /> <br />aD <br /> <br />,20~. <br /> <br /> <br />1~ <br />- Q;j~ <br /> <br />Attorney-in-Fact! Agent <br /> <br /> <br />'NWVNi.socrates.com <br /> <br />Page 2 of 3 <br /> <br /><0 2005 Socrates Media, LLC <br />LF205-1 . Rev. 03/05 <br />