AZ Acknowledgment-Attorney-in-Fact 1

STATE OF)

)ss.

County of)

The foregoing instrument was acknowledged before me this _____ day of _________, 20_____ by _______________________________________ (Name of attorney-in-fact), as attorney-in-fact on behalf of (Name of principal).

____________________________________

(Signature of person taking acknowledgment)

(Title or rank)

(Serial number, if any)

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