Power of Attorney for certifications of quota for procurement of ephedrine, pseudoephedrine, and phenylpropanolamine
_____________ (Name of registrant)
____________ (Address of registrant)
______ (DEA registration number)
I, ____________ (name of person granting power), the undersigned, who am authorized to sign the current application for registration of the above-named registrant under the Controlled Substances Act or Controlled Substances Import and Export Act, have made, constituted, and appointed, and by these presents, do make, constitute, and appoint ______ (name of attorney-in-fact), my true and lawful attorney for me in my name, place, and stead, to sign certifications of quota for procurement of ephedrine, pseudoephedrine, and phenylpropanolamine in accordance with Part 1315 of Title 21 of the Code of Federal Regulations. I hereby ratify and confirm all that said attorney must lawfully do or cause to be done by virtue hereof.
_______________________________
(Signature of person granting power)
I, ____________ (name of attorney-in-fact), hereby affirm that I am the person named herein as attorney-in-fact and that the signature affixed hereto is my signature.
(Signature of attorney-in-fact)
Witnesses:
1. ___________
2. ___________
Signed and dated on the __ day of _, (year), at ___________.
NOTICE OF REVOCATION
The foregoing power of attorney is hereby revoked by the undersigned, who is authorized to sign the current application for registration of the above-named registrant under the Controlled Substances Act or the Controlled Substances Import and Export Act. Written notice of this revocation has been given to the attorney-in-fact ____________ this same day.
_______________________________
(Signature of person revoking power)
Witnesses:
1. ____________
2. ____________
Signed and dated on the __ day of _, (year), at ____________.
21 C.F.R. §1315.33