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8.0 Power Of Attorney Confirmation
For the witness
\AlITNESS'S CERTIFICATE
Cortplete this fomt by writirtg on the lines and ticking the appropriate boxes.
9. l,
[Print your I nome herel
stote thot-
(o) I om a:
I certify that this is a true
justice of the peoce
,A
of the orioinal
commissioner for decl arotions .E,'.eD^n..
lowyer dated 4X4E18.... tnat r
Shelley Kay priesilev
sighted on ,lIIcB/4"O
notory public, J.P. (Qual) 78s07
(b) I om not'
. on ottorney for the principol
a or o relation of the principol or of the principol's ottorney
(c) ('Iick one fux only)
tr I om not a current poid corer or heolth provider for the principol
n I om o current poid corer or heolth provider for the prindpol, but this enduring
power af attorney appoinb on ottorney/s for financiol motters only.
Note.' 'Paid core( does not rneon sorneone receiving o core/s pension or simtlar beneftt
(d) (Tickone fux only)
m the principol signed this enduring power of ottorney in my presen(e
u in my presence, the principol instructed o person to sign this enduring power of
attorney for the principol, and thot person signed it in my presence ond in the
presence of the principal
and
(e) at the time thot this enduring por rer of ottorney was signed, the principol
oppeored to me to understond the motters stoted in Clause 8.
signs herel
rr / rx
IWitne,ss the herel
J
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