IRREVOCABLE STOCK OR BOND POWER

FOR VALUE RECEIVED, the undersigned does hereby sell, assign and transfer to:

_________________________

The undersigned does hereby irrevocably constitute and appoint _________________________ as attorney to transfer the above _______________________, on the books of the above Company(ies), with full power of substitution.

Date: __________

By: __________________________________________

_________________________

(Affix Medallion Signature Guarantee Imprint)