8.0 Power Of Attorney Confirmation

                                                                                   that this is a true copy



     (Third attorney, if any, completer thie section)                       si      on .t.

     12. l,                                                                            , stote thot:
                                         [Print your full name herel
                I om eighteen or over,
                I qm not o current poid corer of the principol,
                I om not o current heolth-core provider for the prindpol,
                I hove reod Part 1, giving me enduring power of attomey,
                I understond that, by signtung this document, I toke on the responsibility of
                exercising the power I hove been given in the document,
                I olso understcrnd thot I must exetcise the power in sccordance with the Powers of
                AttomE Ad 1998 ond the Guardianshtp and Adminktration Act 200A.




         [Sign here]




         [Write the dote here]




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