Brock MP, State Member for Electorate of Frome i‘CF05E 0 TO cc6-r NNoLue-x) RP-Fuse-a -so Ca jc If it-Do-O611c") tetrIEkpikk., FOtabiNc.i — VWs 1 ive-SZ, pLAN Name 2. Date of StrItt 3. --Address I the above named person authorise Geoff Brock MP, Member for Frome and his staff to make enquiries