HomeMy WebLinkAbout0186 I
1
legislation designed for the protection of pt!rsonnel in the Armed any agents, employees and counul heretofore or hen•aficr cm-
Fcxccs or their dependents: ployed by me or in my behalf.
!b~ to hire. engage. empby and appoint agents, employees and 10. ~11SCELLA\EOl'S: ~a~ To sign, seal. acknowledge and
counsel upon such terms and conditions and at such eomprn- deliver any instrument necessary to accomplish any of the powers
soften as my said Attorney-in-fact shall deem proper in the herein granted;
exercise of the powers herein granted: to dismiss and remove (b) To modih. reform. n•nrgwiate or rewind any cumract or
at pleasure any such agents, employees and counsel as yell as obligation heretofore or hereaf~cr made by me or in m. brhalf.
GENERAL PROVISIONS: (a) All business transacted hereunder for me or for my account shall be transacted in my name, and all
indorsements and instruments executed by my Attorney-in-Fact for the pur{wse of carrying out any of the foregoing power, shall con-
rain my name, followed by that of my Attorney-in-Fact and the designation, "Attorney-in-Fact";
(bJ 1 hereby ratify and confirm all lawful acts done and caused to be done by my said Attorney-in-Fact pursuant to this Power of At- '
torney, and 1 direct that it shall cominue in eftett until the termination date herein specified unless sooner termiruted by me or by opera-
tion of law. I\otwithstanding my insertion of a specific expiration date herein, IF on said date 1 should be, or hate been, carried in a
military status of "Missing;'''Missing in Action," or "Prisoner of ~ti'ar;' this Power of Attorney shall automatically continue to remain
valid and in full effect until sixty (fi0) days after 1 have rctumed to UNITED STATI•:S A11LI7:4R1' C01'I'ROI. following termination
of such "Missing," "Missing in Anion;' "Prisoner," or "Prisoner of Vb'ar" status.
(c/ If the authority contained herein shall be revoked or terminated by operation of law without notice, ! hereby agree for myxlf.
executors, administrators, hero and assigns, in consideration of my auorney's willingness to act pursuam to thcs Power of Attome~ .
t0 save and hold my attorney harmless from any loss suffered of any liability incurred by my attorney in so acting after such rcvo•
cation or termination without notice.
• (d/ Unless sooner revoked by me tx terminated by law, this Power of Anorney shall be \ U LL AI` D VOI D on and after
In witness whereof, l have hereunto set my hand and seal, this ay of , 19~~
Witnesses: r 1SEAL)
JE W . ON, Copt', USAF
1979 AO'i 2~--A1~? i 1. 911
Address /rnt(ude ,SIP [ur(e/, Service \o. & SSA\ (iJmn ;
ST. LUCIE CCUNIY. F Lr.
ROGER POITRAS
CLERK CiRC'Jti ~^URT
~ : Address l include .~//'tude/, Srnice '10. !i• S.S:\\ (jrtnt ;
4~'~401
IF ACKNOMILJeDGEO BEFORE A NOTARY PUBLIC:
Prepared in the Office of the Staff Judge Advo-
state or_(,,,pr.TR'QRN~ ~ ~ cote, 6594th AB Sgdn, Sunnyvale AFS, CA 84086.
County SAT~i'A (:T.ARA _
I, RTANNt+' $TT.TF.R .a Notary Public in and for the Gwnty (City) and State aforesaid, do hereby certifi
I; that on the~day of 19~-, before me personally appeared .TF:F1~'RY W ATInF.RS(Nd~ ,
(`get ~ IR4AF who is known by me to be the identical person who
is described in, whose name is subscribed to, and who signed and czecuted the foregoing instrument, and having fins made known to
bur? the contents thereof, he personally acknowledged to me that he signed and styled the same on the date it burs as his true, frre
11 sad v for the uses, and considerations therein set forth.
j In W~ l fYIAF~Ap1~CCs~t~~~d nd official seal this day. and year above.
ttoTaar wnx fJW/OgtlIA '
vatNWAL oNtCb IN ftMl ytx_
O/ /ANiA CbARA Notary Public
My _ rrt~i~P4tJ1>~llFtlff. EupJru !t/r 17e 197E rti~g~j]~, BILTER
IF ACKNOWLEDGED BEFORE A MILITARY PERSON AUTHORIZED TO ADMINISTER OATHS:
1
(See AFR 110-6 for sututory provisions authorizing Armed Forces Personnel to perform \otarial Aus and for instructions on com-
pleting certificate of acknowledgment.)
With the United States Armed Forces
At -
a
1, ,the undersigned otfxer, do hereby certify that on this day of
19 ,before me, personally appeared & SSAN , whose home
) address (rncludt S/P codr ~ is ,and who is known to me to be
,and to be the identical person who is described in, whose name is sub-
s scribed to, and who signed and executed the foregoing instrument, and having first made known to him the contents thereof, he personally ac •
knowledged to me that he signed and sealed the same, on the date it bears as his true, free and voluntary act and decd. fix flu
j uses, purposes and considerations therein set fonh. And 1 do further certify that 1 am at the date of this certificate a commisstexsnt
! officer of the grade, branch of service and organization stated below in the active service of the l-niled States Armed Forces, that by
!
statute no seal is required on this certificate and that same is executed in my~ capaciq• as
• •
(Signature of Officers iServta• \o. !4 SSAi\, grade and branch of sPnire,
~~x~?i P~~E i~fi - ~ _
IG~mmand or or anization)
g (Permanent hinne address, include %11' i ~rTi~+