Original source · versioned page text
8.0 Power Of Attorney Confirmation
this is a true copy
have
sighted on \\/o?/.
AFFOINTING AN ATTOHNfY J.P 78sO7
As principal, you complete this form by writing on the lines and ticking the
appropriate boxes.
1. I, lnltLLl84 t- t'" '/ r:- T-; /; hK/ tiAD f n( 5d
1<'
of to g Btn CK tYo
lPrint
4 N&€ ,4 04b
[Print your herel
,L
Loo a
oppointAuox [7 RE-r H B UTL{ &
tull first ottomey
tPrint the nome of your herel
of 2Aa Btrqc k ty 0 /{ R nru&€ RON DcJ
first
^/fft/IPrint odfuess herel
/.oor<c,t /r- 3 Ph 07 5++76 s#
ond KARE:V L /NbA L €OTVARD
lPrint the full nome of your second ottomey if you wish to oPpoint more thon one
OB rule o line thraugh thls and the next 5 lines if you wlsh to appoint only one.l
of )s EUTvGELLA bRtt/{ attorneyl
[Print here the oddress
R INCK Ho U/V Ph: 0 d t0
ond
IPrint full nome of third ottorney if you wish to oppr:int three
OR rule a llne through line ond the 2 llnes if you wish to oppoint only two ottomeysl
of
:l IPrint the oddress your third ottorneyl
Ph:
os my ottorney/s, under this enduring power of ottorney, for (Tick one box on$);
I finonciol motters
[l personol/heolthmotters
ff no""cial and penonol/heolth motters.
Do you wont to set ony terms for the Ircwer given in clouse I (i.e. give specific
information obout your wishes)?
E'*o + Go to 4.
Yes.
8
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