2009-03-24_REVISION - C1981008

• Permit No: C1981008
• IBM Index Class Name: REVISION
• Doc Date: 3/24/2009
• Doc Name: Authorization form to Appear on Behalf of a Party ‎(Faxed)‎
• From: Sandy Brown
• To: Mike Morgan
• Type & Sequence: TR57
• Email Name: SB1
• Media Type: D
• Archive: No

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