POWER OF ATTORNEY

_______________, the "principal," of ________, ______, herewith

appoints _____________ of ________, ______, as their attorney in

fact, to act in the place and stead and with the same authority as

Principal would have to do the following acts:

To act for me in the regard to the following:

_________________________________________________________________

This power of attorney shall be in effect from _______________ to

________________ and shall not be revoked due to my incapacty, and

will continue in effect should I ever become incapaitated.

_____________________________________________________

STATE OF _________________

COUNTY OF ________________

_______________ personally appeared before me and acknowledged

the execution of this power of attorney for the purposes set forth

therein.

Dated: _______________________________

__________________________________________

Notary Public