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8449.BLD
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1993-01-06
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#8449
@001 Enter the name of the shareholder:
@002 Enter the name of the proxy:
@844 Enter date of meeting that proxy will be effective:
@845 Enter number of shares owned by shareholder:
@846/@846 Enter class of shares owned by shareholder:
Common
KEY IN VALUE
@847 Enter name of company:
#end control section
#8449
/* Para. 8449: Corporate meeting proxy */
STOCK PROXY
@001, referred to as SHAREHOLDER, hereby appoints @002, PROXY,
to act as their PROXY, in regard to the meeting to be held at
@844, of @847, and to vote in their place and stead at said
meeting as to all issues to come before the meeting. This proxy
shall revoke any and all prior proxies or other powers to vote
these shares. This proxy shall remain effective for other
meetings until revocation.
Number of shares: @845
Class of shares: @846
Dated: _______________________________________
_____________________________________________________
@001
Witnesses:
_____________________________________________________
_____________________________________________________