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POWER OF ATTORNEY
THIS POWER OF ATTORNEY is given by me, __________, presently of __________, __________, in the Province of Prince Edward Island, on the ______ of __________, _______.
IN WITNESS WHEREOF I hereunto set my hand and seal at the City of __________ in the Province of Prince Edward Island, this ______ of __________, _______.
SIGNED, SEALED, AND DELIVERED
in the presence of:
Witness: ______________________ (Sign)
Witness Name: ______________________
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