Irrevocable Stock or Bond Power
For Value Received, the undersigned does (do) hereby sell, assign, and transfer unto
________________________________________________________ (transferee)
| STOCK | shares |
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| Represented by Certificate(s) No(s). |
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| BOND |
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| Represented by Bond(s) No(s). |
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standing in the name of the undersigned on the books of said Company and do hereby appoint
____________________________ attorney to transfer the foregoing on the books of said
company, with full power of substitution in the premises.
| Date ___________________ Account No. _____________________ Sign ___________________________________________________ In presence of ____________________________________________ |