HomeMy WebLinkAbout0404 • ~
•
legislation deKigned for the praeetion of pironnel in the Armed any agents, employees an tounsrl heretofore or hereafter em-
Forces or their dependents: pbyed by me or in my behalf
fb, to hire. engage. empby and appoint agents, empbye+r and 10. MISCELLAXEOI'S~ lo/ To sign. ual, a,•knuwlydRr and
counsel upon such terms and conditions and at such eompen- deliver any instrument necessary to accomplish an.• of the porter
sation as my said Attorney-in-Fact shall deem proper in the herein granted:
exercise of the powers herein granted: to dismiss and rctnove fb/ To modify- reform. renegaiate or rescind any cuntract or
at pkawrc any sucA agents, employers and counsel u well as obligation heretofore or hereafter made by mr• or in m.• behalf.
GENERAL PROVISIONS: All busiaexs transacted hereunder for me or fa my account shall be transacted in my name, and all
indorsemenu and instruments exeettted by my Attorney=m•Fut for the purpose of cam~ing out any of the foregoing powers, shall con-
tain my name, folbw•ed by that of my Attorney-in-Fact and the designation. "Attorney-in-Fact' ;
(b) I hereby ratify and confirm all lawful acts done and uused to be done by my :aid Attorney-in-Fact pursuant to this Power of At- }
torney, anti 1 direct that it :full continue in e3fext until the termination date herein specified unkss sooner terminated by me or by open-
tion of law. \otwithstanding my inxnioa of a specific expiration date herein, IF on said date 1 should be, or have been, carried in a
tnilitary• status of "Missing;' "Missing in Action," or "Prisoner of War," this Power of Attorney shall automatically continue to remain
valid and in full effect until sixty (60) days after I have returned w UNITED STATES MILITARY CONTROL folbw~ittg termination
of such "Missing;' "Missing in Action," "Prisoner," or "Prisoner of War" status.
(c) If the authority contained herein shall be revoked or terminated by opentton of law without notice, 1 hereby agree for myself. j
executors, administrator, heirs and assigns, in consideration of my attorney i willingneu to act puruant to this Power of Anomey.
to save and hold my attorney harmktst from any loss suffered or any liability incurred by my attorney in so acting after such rcvo-
cation or termination without twice. for fin indefinite duration.
(I/ Unkss sooner revoked by me a terminated by law, this Power of Auorncy shall
In witness whereof, I have he•rettnto set my hand and xal, this 7 1 th day of ~nri 7 , 19~
Witnesses: • (SEAL)
~ ~~~al~/~s~ Hnma,stear? i FSs Fl~ri ;?n
Address (inrGrdr .z1P code), Service No. & SSAN (iJns~ i
u .
Addreu (i,rtlredr .~/P code J, rviee No. & SSAN (ifm!rl
IF Ap(NOWLEDOED •EfORE A NOTARY rtJdlK:
state of rloridA_
County (C.tty) Dad - ss
I~ Y.t?i a.}± A = Ri n~~~ t~gh ,a ~Iauy Public in and for the County (Gifu) and State aforesaid, do hereby eenifj
that on the 11th day ofA,nri 1 19.~-, before me personally appeared Ri'•~~F:.l. C T_R_k ~`SLici Tk-
~ who u known by me to be the identical peron who
4
is described in, whose name u wbscribed to. and who signed and executed the fargoirt6 instrument, and having fast made ktsowa w
him the contents thereof, he personally uknowledged to me that he signed and snled the same as the date it bees as, hiti ttrat:;.ispg
F 4
€ and voluntary act and deed far the uses. purposes and considerations therein set forth.
In Witness Whereof, I have hereunto xt my hand and official seal and y r abo -
My Commiuion Expires: ` ` , _ ~r otary Publsc - , " ~ - •
i -zo -7 ~
IF ACKNOWtEDGE~ BEFORE A MILITARY rERSON AUTHORIZED TO ADMIMISTRR OATHS:
.
(See AFR 110-6 for statutor)r provisions authorizing Armed forces Personnel to perform Notarial Aas and for instructions on com-
pleting certificate of aeknawle+dgment.)
With the United States Armed Forces
At
,T I~ ,the undersigned officer, do hereby eerily that on this day of ,
19 .before me, personally appeared SN & SSAN .whose home
address (iwcludc Z/P rode) is and who is known to me to be
and to be the identical person who is described in, whose name is sub-
scribed to, and who signed and exexuted the foregoing instrumrnt, and having fief made known to him the contents thereof. he pcrottaly ac-
knowledged to me that he signed and xslcd the same, on the date it bear as his true, free and voluntary act and deed, far the
uses, purposes and considerations therein set forth. And I do further certify that I am at the date of this certificate a commiutoned
officer of the grsde, branch of ~xrvice snd organiution stated below in the utive service of the United States Armed Forces, that by ,
"a suture no xal is required on this certificate and that same is executed in my capacity as
~ ~1- j~
X19 ~tJY 13 AN i1= 33
( ignature of Officer) (Service No. & SSAN, grade and branch of service!
FILED AKU 1'i:Cun:+~L -
ST.IUCIg COUNTY.FI:.:
- ROGER POITRNASue
(Command or orgamzaaon) tiZZ^^ ~RCUI
(Permanent home address, include ZIP cot
_ 1 l ~-1