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AUTHORIZATION TO APPEAR ON BEHALF OF A PARTY <br />(Please Type Or Print the Requested Information) <br />SIGNATURES MUST BE IN BLUE INK <br />(person's name) <br />(title, if applicable) <br />of (name of company, association, organization, etc. if applicable) <br />hereby delegate to <br />(person or entity's name) <br />the right to appeaz on behalf of <br />( company, association, organization, etc.) <br />SIGNED AND DATED THIS DAY OF <br />If corporate attest (seal) <br />Authorized Signature (must be signed in blue ink) <br />Title: <br />State of 1 <br />County of 1 <br />The forgoing instnunent was aclmowledged before me this <br />by <br />day of , <br />of <br />Notary Public <br />My commission expires: <br />SIGNATURE MUST BE IN BLUE INK <br />at the Pre-hearing conference. <br />11 <br />