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AGENT'S CERTIFICATION AS TO THE VALIDITY OF POWER <br /> OF ATTORNEY AND AGENT'S AUTHORITY <br /> State of Colorado <br /> County off <br /> I, (�' ) (Name of agent), certify under penalty of perjury that <br /> (Name of principal) granted me authority as an agent or <br /> successor in a power of attorney dated -'a 8 6,0 <br /> I further certify that to my knowledge: <br /> (1) The principal is alive and has not revoked the power of attorney or my authority to act under <br /> the power of attorney and the power of attorney and my authority to act under the power of <br /> attorney have not terminated; <br /> (2) If the power of attorney was drafted to become effective upon the happening of an event or <br /> contingency, the event or contingency has occurred; <br /> (3) If I was named as a successor agent, the prior agent is no longer able or willing to serve; and <br /> (4) <br /> (Insert other relevant statements) <br /> SIGNATURE AND ACKNOWLEDGMENT <br /> 1 2 'S. . - zh" :;L-o <br /> A nt's signature Date <br /> eftd (N M IL 00(1)VrA i <br /> Agent's name printed <br /> 1 ob c- Cd k LA r�? AJ�,- 1 <br /> Lj nary t;� 4W ItR n C1 Z69L3 <br /> Agents address <br /> ICJ . ` <br /> Agent's telephone number <br /> State of Colorado <br /> County of .T E� <br /> This document was acknowledged before me on Z Z --6 Z J <br /> (Date) <br /> by Vic L <br /> (Name of agent) <br /> f*N <br /> SigAture of notary NOTARY PUBLIC <br /> STATE OF COLORADO <br /> My commission expires:�� �\ ' Z NOTARY ID 20154014343 <br /> MY COMMISSION EXPIRES APRIL 9,2023 <br /> This document was prepared by: <br />