POWER OF ATTORNEY
KNOW ALL PERSONS BY THESE PRESENTS:
That I, ___________________________, the undersigned, do hereby appoint
__________________________________________, my true and lawful attorney for me and in
my name, place and stead and for my use and benefit to do any and all of the following acts:
_____________________________________________________________________________
1. To obtain and examine all drivers license records from Hawaii or any other State:
GIVING AND GRANTING unto my said attorney-in-fact full power and authority to do and perform
any and all acts and deeds necessary to be done in the exercise of the foregoing right and power
herein granted as fully and effectually to intents and purposes as I might or could do if personally
present, the powers enumerated above being in aid of the general powers herein granted and not
in limitation thereof; and hereby ratifying all the my said attorney-in-fact shall lawfully do or cause
to be done by virtue of these presents.
I, __________________________, pursuant to the terms of this POWER OF ATTORNEY,
hereby agree to indemnify and hold harmless the State of Hawaii and its employees, all other
States and their employees, ________________________________ from and against any and
all costs, claims, demands, damages, losses and liabilities, including actual attorney's fees arising
from or in any way related to the release of the information by me to any third party.
IN WITNESS WHEREOF, I have executed these presents this ______day of
________________20___.
___________________________________
STATE OF
________________
)
) SS
COUNTY OF ________________
)
IN WITNESS WHEREOF, I have set my hand to before me this________ day of
_____________20___.
___________________________________
Notary Public, State of ________________
My Commission Expires: ______________________