ry act and
deed.

In witness whereof I have hereunto set my hand the day and year above
written.

A.B.
Justice of the Peace.

31

Power of Attorney to Transfer Stock

Know all men by these presents, that ________, for value received,
ha____ bargained, sold, and assigned, and by these presents do
bargain, sell, and assign unto ________, the following described
stock, to-wit: ________ unto ________, belonging and held by
certificate No. ________, in ________ name, and hereunto annexed, and
do hereby constitute and appoint ________, true and lawful attorney,
irrevocably, for ________, and in ________ name and stead, to ________
use, to assign and transfer the said stock unto ________ and for that
purpose to make and execute the necessary acts of assignment and
transfer, and an attorney, or attorneys under ________, for that
purpose, to make and substitute, and to do all other lawful acts
requisite for effecting the premises, hereby ratifying and confirming
the same.

In witness whereof ________ have hereunto set ________ hand ____ and
seal ____ in the city of ________, the ____ day of ________, in the
year of our Lord, 19__.

State of Ohio,
City and County of ________ss.:

On the ____ day of ________, 19__, personally appeared before me
________, to me known to be the person ________ described in, and who
executed the within instrument, and acknowledged the execution of the
same for the uses and purposes therein mentioned.

32

Certificate of Stock

No. ________ No. of shares ________
Par value of each, $________

The ________ Company:

This is to certify that ________ is the owner of ________ ________
shares of the capital stock of the ________ Company, transferable only
on the books of the company by the holder thereof, in person or by
attorney, on the surrender of this certificate.

In witness whereof, the said company has caused its corporate seal to
be affixed, hereto, and this certificate to be signed by its president
and treasurer.

________, N.Y. ________, 19__.
________ President.
________ Treasurer.

On back of the certificate a blank transfer, in following form, should
be printed.

For value received, ________ h