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HEISE, ELIZABETH-2010
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HEISE, ELIZABETH-2010
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Last modified
1/19/2017 1:41:15 PM
Creation date
11/29/2010 4:14:44 PM
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Contracts
Company Name
HEISE, ELIZABETH
Contract #
A-2003-276
Agency
PUBLIC WORKS
Destruction Year
0
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SPECIAL INSTRUCTIONS <br />ON THE FOLLOWING LINES YOU MAY GIVE SPECIAL INSTRUCTIONS LIMITING OR <br />EXTENDING THE POWERS GRANTED TO YOUR AGENT. <br />If I have designated more than one agent, the agents are to act (SEPARATELY1J0IAn1q. <br />This power of attorney shall become effective upon the disability or incapacitation of the principal <br />as demonstrated by the written statements of two attending physicians. <br />If the person designated above as my agent is not available or becomes ineligible to act as my agent <br />regarding the powers granted below or loses the mental capacity to make decisions for me as my attorney- <br />in-fact, or if I revoke that person's appointment or authority to act as my agent, then I designate and <br />appoint the following persons to serve as my agent regarding the powers authorized in this document, these <br />persons to serve in the order listed below: <br />A. First Alternate Agent: ELIZABETH MAE HEISE <br />1327 Highland Pass Road <br />Sleepy Hollow, California 91709 <br />(714) 528-0754 <br />B. Second Alternate Agent: JAMES GLEN DAILEY <br />6207 East Shenandoah <br />Orange, California 92667 <br />(714) 637-1246 <br />I agree that any third party who receives a copy of this document may act under it. Revocations <br />of the power of attorney is not effective as to a third party until the third party has actual knowledge of the <br />revocation. I agree to indemnify the third party for any claims that arise against the third party because <br />of reliance on this power of attorney. <br />Signed this day of , of -- 19' 3 <br />GENEVIEVE TERESSA DAILEY <br /> <br />POWER OF ATTORNEY <br />Page 2
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