S:/depts/clerk/licenses/powerofattorneyform
POWER OF ATTORNEY
Pursuant to N.J.S. 48:16-5 ___________________________________, having its
principal place of business at ________________________________, does hereby
constitute and appoint Joseph Monzo, Chief Financial Officer of the Township of South
Brunswick its true and lawful attorney for the purpose of acknowledging service of any
process out of any court of competent jurisdiction pursuant to the requirements of N.J.S.
48:16-5.
day of This Power of Attorney is signed by the owner of said business this
.
Attest: ________________________
ACKNOWLEDGEMENT
State of New Jersey:
S.S.
County of Middlesex:
On this day of , , before me, personally appeared
Who I am satisfied is the person named in and who executed the foregoing instrument;
and he acknowledged that he signed, sealed, and delivered the same as their act and deed
for the uses and purposes therein expressed.
________________________
Notary Public
2017
2017
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