Fillable Printable Sample 2016 Power of Attorney - Nevada

Sample 2016 Power of Attorney - Nevada

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G:\NVSupervisors\16 Data\16D2 Guided\Guided Forms\16D2GuidePOA.doc

NEVADA DEPARTMENT OF WILDLIFE

RESTRICTED NONRESIDENT GUIDED HUNT

2016

POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS, that the undersigned,

Last Name First Name Middle Initial

of the County of State of being an applicant for the 2016 Nevada

Restricted Nonresident Guided Hunt drawing does hereby make, constitute and appoint the following licensed

Nevada master guide:

Last Name First Name Middle Initial

Nevada Master Guide License Number of County, State of

, true and lawful attorney in fact to sign in the name, place and stead of the undersigned on an

electronic or paper application for the 2016 Nevada Restricted Nonresident Guided Hunt. Granting and

giving unto said attorney in fact, full authority and power to do and perform any and all other acts

necessary specific to this application as full to all intents and purposes as the grantor might, or could do if

personally present, with full power of substitution. This authority expires at the close of the 2016

Restricted Nonresident Guided Hunt season.

Signature

This instrument was acknowledged before me this day of , 20

by .

Printed Name of Above Person

Signature of Notarial Officer or Department of Wildlife Employee

My Commission Expires

OFFICIAL SEAL:

DEPARTMENT OFFICES

Eastern Nevada - Elko 60 Youth Center Rd, Elko, NV 89801 (775)-777-2300

Ely 1218 N. Alpha St, Ely NV 89301 (775)-289-1655

Southern Nevada - Las Vegas 4747 Vegas Dr., Las Vegas, NV 89108 (702)-486-5127

Henderson 744 S. Racetrack Rd., Henderson, NV 89015 (702)-486-6742

Western Nevada - Fallon 380 W. “B” St., Fallon, NV 89406 (775)-423-3171

Reno 1100 Valley Rd., Reno, NV 89512-2817 (775)-688-1500

Winnemucca 815 E Fourth St., Winnemucca, NV 89445 (775)-623-6565 Call for office hours.

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