<GENERAL/SPECIAL> POWER OF ATTORNEY
<Name of person granting the power of attorney> ("Principal"), in the County of
<County>, State of <State>, does appoint <attorney> <his/her> true and lawful attorney-
In Principal's name, place and stead, and for Principal's use and benefit, said attorney-in-
fact is hereby authorized to act in any way Principal might or could if personally present
<optional specifics setup>.
<Optional Specific Areas of Authority.>
This Power of Attorney <optional durable provision> shall <termination condition>.
All that said attorney-in-fact shall lawfully do or cause to be done under the authority of
this power of attorney is expressly approved.
Dated: 06 April, 2005
<Name of person granting the power of attorney>
STATE OF <State>, COUNTY OF <County>, ss.:
I, __________________________________, do hereby certify that on this
______ day of ________, __________, personally appeared before me
known to be the person(s) who executed the foregoing instrument.
Notary Public in and for the State of _________________.
My commission expires _______________.