General Power Of Attorney Page 6
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6IN WITNESS WHEREOF, I have hereunto set my hand this
___________ day of ____________________________________.
______________________________
_______________________
Name
Date
_______________________________
________________________
Witness
Date
Acknowledgement
Before me, a Notary Public in and for the State of Ohio, Hamilton County,
personally appeared the principal herein ________________________________,
a person known to me and executed this instrument knowingly, intelligently and
voluntarily this ______day of _________________, in Cincinnati, Hamilton
County, Ohio.
____________________________________
Notary Public
6
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