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<br />STATEMENT OF WITNESSES <br /> <br />I declare, under penalty of perjury, that the Principal produced h ~. :t::I- <br />as identification and is personally known/not known to me, that the Principal signed or <br />acknowledged this Durable Power of Attorney in my presence, that the Principal appears to be of <br />sound mind and under no duress, fraud, or undue influence, and that I am not the person <br />appointed as Attorney-in-Fact by this document. <br /> <br /> <br />--~ <br /> <br />~. L.i4~ <br />Printed Name of Witness <br />37537 .?- /JI.<. <br />~~h;I(:S1 Fe ~/,L <br />Address of Witness <br /> <br />~ ~j!~d-lPdJ <br /> <br />~~ess Signature <br /> <br />Date: 1/5/t/1 <br /> <br />, , <br /> <br />S~,ef4rp 11A ~VLcP {Cj <br />Pri . ed Name ofWlt)\eSS <br />-:S~537 str'~flUO~ <br />Z-Cpl (Jrt 1 C i.l~ ~ L- ~~s~<fo< <br />Address 0 Witness <br /> <br />STATE OF FLORIDA <br />COUNTY OF PASCO <br /> <br />~fOregOing instrument was acknowledged before me this S day of <br />.' ,2007, by DOROTHY I. PIKE who identified this instrument as her <br />Durable Power of Attorney and signed the instrument willingly, and _ amed <br />witnesses. DOROTHY I. PIKE and the witnesses have produced Drivers License r <br />as identification. <br /> <br /> <br /> <br />NOTARY PUBLIC, <br />AT LARGE <br /> <br />:\f>.RY PUll <br />~o ....... r0 ANTOINETTE l. MATHIS <br />*o/l..~ * MY COMMISSION 1100 2093Bl <br />~~.,. EXPIRES: May 5 2007 <br />.. ~~ Of F~o'i'''' Bondell Thru Budget NOla~ Services <br /> <br />.~L.~ <br />PRINTED NOTARY NAME <br /> <br />MY COMMISSION EXPIRES: *)7 <br />