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EFTA00314937
NT designates CLAIMANT'S REPRESENATIVE LIMITED Power of Attorney to act on behalf of the CLAIMANT to help with recovery of the money listed above. (This Limited Power of Attorney is limited to this one transaction only). (2) CLAIMANT REPRESENTATIVE'S funds will be paid directly from the state. You do not send us
EFTA00595572
ce BR-710 C4-11 15449/15448 The attorney-in-fact cannot delegate or substitute to others the powers granted under this Limited Power of Attorney. This Limited Power of Attorney will remain in full force and effect from March 1, 2017 to and including February 28, 2018, unless earlier revoked, terminated, or unles