Sample 2016 Power of Attorney - Nevada

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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Sample 2016 Power of Attorney - Nevada PDF

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