2011-03-14_REVISION - M1977493 ‎(35)‎

• Permit No: M1977493
• IBM Index Class Name: REVISION
• Doc Date: 3/14/2011
• Doc Name: Exhibit List, Exs. 57 to 62
• From: Climax
• To: MLRB
• Type & Sequence: AM6
• Media Type: D
• Archive: No

CM0001536

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
day of ,
of
Notary Public
My commission expires:
SIGNATURE MUST BE IN BLUE INK

11