Fill and Sign the Rfp 18 0012 Request for Proposals for Technology Supplies Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only--------------------- Name: Company: Address: City: State: Zip: Phone: Fax: The information above is provided in the event this form is to be recorded. LIMITED POWER OF ATTORNEY STATE OF KANSAS COUNTY OF ____________ KNOW ALL MEN BY THESE PRESENT, THAT I __________________________________, whose address is ___________________________________, _________________ (City), __________________ (State), ________ (Zip), “Principal”, have made, constituted and appointed, and by these presents do make, constitute and appoint, ____________________________ my true and lawful attorney in fact to act with the following limited powers, to wit: Insert powers here. See examples at the end of this form _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ FURTHER, I do authorize my aforesaid attorney-in-fact to execute, acknowledge and deliver any instrument under seal or otherwise, and to do all things necessary to carry out the intent hereof, hereby granting unto my said attorney-in-fact full power and authority to act in and concerning the premises as fully and effectually as I may do if personally present, limited, however, to the purpose for which this limited power of attorney is executed. PROVIDED, however, that all business transacted hereunder for me or for my account shall be transacted in my name, and that all endorsements and instruments executed by my said attorney-in-fact for the purpose of carrying out the foregoing powers shall contain my name,
My personal or corporate address or addresses if known, and if a corporation duly incorporated, the name and address of all the directors thereof, in order that i may have a complete record thereof. A power of attorney may be limited to a particular thing and limited to the transaction of only one, but it is not necessary that it be limited to one item of the instrument, all being authorized. Signed, and seal affixed. The above written is a power of attorney or power of attorney to be in force upon the filing or execution thereof at the office of the clerk of the court of st. Louis county in st. Louis county, missouri, upon the following conditions: in witness whereof, i have hereunto set my hand this thirtieth day of february 2012 in the city of st. Louis, state of Missouri, and under oath. Signature of (sign), clerk of the court. Signature of , (attorney-in-fact) the above written is a limited power of attorney or power of attorney in force upon the filing or execution thereof at the office of the clerk of the court of st. Louis county in st. Louis county, Missouri after being approved and notarized on the attached form to which is attached hereto as exhibit number 1. This power of attorney or power of attorney in force is to be effective for and for the purpose of executing the following: power of attorney in fact [name of couple] (as attorney in fact to perform) [couple's name] [couple's address] [couple's city and state] [couple's zip code] [couple's phone number] [couple's fax number] [couple's foreign jurisdiction] [couple's official signature] [couple's label number] (if applicable) in witness whereof, i have hereunto set my hand and seal this day of