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Irrevocable Stock/Bond Power Form |
The undersigned hereby assigns and transfers to MDA: |
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Shares of Stock
shares of the common stock of
represented by Certificate No.(s) inclusive,
standing in the name of the undersigned on the books of said Corporation.
OR
Bond
bond of
in the principal amount of $, Certificate No.(s) standing in the name of the undersigned on the books of said Corporation.
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| The undersigned does (do) hereby irrevocably constitute and appoint
Citigroup Smith Barney Attorney to transfer
the said stock, or debenture, as the case may be,
on the books of said Corporation with full power of
substitution in the premises. |
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