BE IT KNOWN, that______________________________________has
made and appointed, and by these presents does make and appoint
_______________________________________________ true and lawful
attorney for him/her and in his/her name, place and stead,
giving and granting to said attorney, general, full and
unlimited power and authority to do and perform all and every
act and thing whatsoever requisite necessary to be done in and
about the premises as fully, to all intents and purposes, as
could be done if personally present, with full power of 
substitution and revocation, hereby ratifying and confirming all
that said attorney shall lawfully do or cause to be done by
virtue hereof. 

     IN WITNESS WHEREOF, I have hereunto set my hand and seal
this _______ day of _______________________, 19____. 

     Signed, sealed and delivered in the presence of: 

______________________________     _____________________________


State of _____________ )
                       ) ss.
County of ____________ )

     The foregoing instrument was acknowledged by me this ______ 
day of _____________, 19 ____ by:_______________________________
who is/are personally known by me or who has/have produced:_____
______________________ as identification and who did not take an 

                         ________________________________ (SEAL)
                         Notary Public 
                         State of
My Commission Expires: