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STATE OF SOUTH CAROLINA )
)
COUNTY OF _____________
)

LIMITED POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS, that I, Jorge Reyes, undersigned, residing in the
County of ________________,State of _________________, Mexico, do hereby make, constitute and
appoint Maria Elena Estrada , of the County of Georgetown, State of South Carolina, my true and
lawful attorney in fact for me andin my name, placed, stead, and on my behalf, and for my use and
benefit:
1.

To endorse and deposit one check drawn from the insurance carrier Progressive Insurance

Company for $ 6,000.00which will settle my claim for my accident dated, June 11, 2010 and to sign any
release necessary on my behalf.
2.

My attorney, David J. Mason, is authorized to distribute my proceeds from thissettlement directly

to Maria Elena Estrada who will receive them on my behalf.
This is a LIMITED power of attorney and should not be interpreted to grant any powers than the
ones listed above.
Datedthis ____ day of _______________, 2012.

_____________________________
Jorge Reyes

SIGNED, sealed, published and declared by the said principal as and for her LIMITED POWER
OF ATTORNEY, in thepresence of us, who at his request, in his presence, and in the presence of each
other have hereto subscribed our names as witnesses this ______ day of _____________, 2012._____________________________ of

_____________________________

_____________________________ of

_____________________________

STATE OF ____________________ )
MEXICO

)

Personally appeared before me thefirst witness who, being duly sworn, deposes and says that (s)he
saw the within named ______________________, seal and as (his/her) act and deed deliver the within
General Durable Power of Attorneyfor the uses and purposes therein mentioned, and that (s)he, with the
second witness and third witness witnessed the execution thereof.
____________________________
FIRST WITNESS
SWORN to before...