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Cust# <br />POWER OF ATTORNEY <br /> <br />TO WHOM IT MAY CONCERN: <br />THIS SHALL AUTHORIZE THE PERSON AND ENTITY WHOSE NAME AND SIGNATURE APPEARS BELOW TO <br />ACT AS AGENT FOR THE BELOW NAMED COMPANY, AS OWNER, IN MATTERS PERTAINING TO <br />REGISTERING, LICENSING AND TITLING MOTOR VEHICLES ONLY. <br />THE OWNER HEREBY AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE ENTITY WHOSE NAME <br />IS PROVIDED BELOW AND THE INDIVIDUAL SIGNING ON BEHALF OF THE SAME WHOSE SIGNATURE IS <br />ALSO PROVIDED BELOW (THE “INDEMNITEES”) AGAINST ANY AND ALL CLAIMS, COSTS, EXPENSES, <br />PENALTIES, LIABILITIES AND DAMAGES (OF ANY SORT, TYPE OR AMOUNT) ARISING, DIRECTLY OR <br />INDIRECTLY, FROM THE ACTIONS TAKEN BY THE INDEMNITEES BASED UPON THE POWER OF ATTORNEY <br />AND AGENCY APPOINTMENT SET FORTH HEREIN. <br />COMPANY: <br /> <br />LIEN: NONE <br /> <br />BY: ______________________________ <br /> (Company Signature) <br /> <br /> <br /> <br />SUBSCRIBED TO AND SWORN BEFORE ME THIS DATE: ___________________________________ <br /> <br />_______________________________________________________________________________ <br /> <br />NOTARY PUBLIC, STATE OF: _________________________________________________________ <br /> <br />COUNTY OF: _____________________________________________________________________ <br /> <br />MY COMMISSION EXPIRES: ________________________________________________________ <br /> <br /> <br /> <br /> <br />SPECIMEN SIGNATURE:___________________________________________________________ <br /> (Enterprise Fleet Management) <br /> <br />