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?yv?- 17-7 - t19 , <br />?,-,, V&4 10 k5 <br />tv., pK?MS <br />01A rvi 0 ? <br />AUTHORIZATION TO APPEAR ON BEHALF OF A PARTY <br />(Please Type Or Print the Requested Information) <br />SIGNATURES MUST BE IN BLUE INK <br />(ti C. if applicable) <br />(person's name) <br />t'- <br />of (name of company, association, organization, etc. if applicable) <br />hereby delegate tor''' 6)stiff <br />(person o entity 's nam s <br />at the Pre-hearing conference. <br />e) the right to appear on behalf of <br />( company, association, organization, etc.) <br />SIGNED AND DATED THIS 9'?t DAY <br />?,?, `c-o o If corporate attest (seal) <br />A orized Sim (mast be signed in blue ink) <br />Title: <br />? J? <br />state of. <br />County of <br />-l}yv da of 270 I\ <br />1 Y 1 <br />The forgoing instrument wfs acknowledged before me Tis -7 <br />C` ash ,a U \<Op u? ra\ <br />? <br />b <br />orb. tidy •C9''•?yy Notary Public 1 O? -7 <br />t4OTAof••?-?yfi i My commission expires: p?`'• pGItLIG: O8 <br />A,- .0 ?.ea SIGNATURE MUST BE IN BLUE INK <br />®•.... <br />COL®4, e`er <br />'?a,nn11110% <br />11 <br />