GENERAL POWER OF ATTORNEY[1]

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GENERAL POWER OF ATTORNEY I, _________________, of ___________________, hereby appoint ________ ____________, of _____________________, as my attorney in fact to act in my capacity to do every act that I may legally do through an attorney in fact. This power shall be in full force and effect on the date below written and shall remain in full force and effect until ___________________ or unless specifically extended or rescinded earlier by either party. Dated ________________________, 200(x). ______________________________ STATE OF ________________________ COUNTY OF _______________________ BEFORE ME, the undersigned authority, on this ______ day of _____________, 200(x), personally appeared _________________________ to me well known to be the person described in and who signed the Foregoing, and acknowledged to me that he executed the same freely and voluntarily for the uses and purposes therein expressed. WITNESS my hand and official seal the date aforesaid. _______________________________ NOTARY PUBLIC My Commission Expires:_______________

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