I certify this is a true and complete ....... Stamp

I certify this is a true and complete

copy of the corresponding page of

the original lasting power of attorney.

With space for a signature and date.

With the standard text as above, the stamp can be supplied on a Trodat 4915 Self Inking Stamp with black ink, or a Traditional Rubber Stamp with or without an Ink Pad.

The overall dimensions are 68 x 22mm.