2006-06-16_REVISION - M1978314

• Permit No: M1978314
• IBM Index Class Name: Revision
• Doc Date: 6/16/2006
• Doc Name: Reconsideration of the 112 application
• From: DMG
• To: Whom it may concern
• Type & Sequence: CN1
• Media Type: D
• Archive: No

AUTHORIZATION TO APPEAR ON BEHALF OF A PARTY
(Please Type Or Priut the Requested Iuformatiou)
SIGNATURES MUST BE IN BLUE INK
(person's name)
of
hereby delegate to
(title, if applicable)
(name of company, association, organization, etc. if applicable)
(person or entity's name)
the right to appeaz on behalf of
(company, association, organization, etc.)
at the Pre-hearing conference.
SIGNED AND DATED THIS DAY OF
If corporate attest (seal)
Authorized Signature (must be signed in blue ink)
State of )
County of )
The forgoing instrument was aclmowledged before me this day of
as of
by
Notary Public
My commission expi~
SIGNATURE MUST BE IN BLUE INK