Dear friends,
     
If you chose to join the UCCR in this lawsuit against the State of Costa Rica, you will need to sign the following power of attorney, in its Spanish version (as required by Costa Rica law).  Please fill in the information (removing the instructions), print the portion of it between the double lines, and mail it back to the UCCR (we need your original signature), post stamped, if possible, before January 31, 2010.

Please mail to: UCCR, APDO 124-4013, ATENAS, COSTA RICA 20150
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PODER ESPECIAL JUDICIAL

     

Yo, ____________________________________________________________________________________,

(enter your name)

ID _____________________________________________________________________________________,

(enter your passport, Identity card or cedula number)

vecino de _______________________________________________________________________________,

    ________________________________________________________________________________________,

(enter your present mailing address )


En este acto otorgo PODER ESPECIAL JUDICIAL, de conformidad con el artículo mil doscientos cincuenta y seis del Código Civil, al Licenciado DAVID EUGENIO ROMERO MORA, cédula 1-400-1219, carné 17982, mayor, divorciado, vecino de San José, Costa Rica quien acepta el poder, para que me represente en Proceso Contencioso Administrativo contra el Estado costarricense a establecer en busca de que se me resarza el daño que ocasionó la medida, persecución y cierre de las operaciones de EnriqueVillalobos Camacho en Costa Rica. Es todo. Firmamos de conformidad. San José, Costa Rica, diciembre del 2009.

     

_______________________________________________________       Y   LIC. DAVID E. ROMERO MORA

(sign your name here)

     

AUTENTICA:                       AUTENTICA: 
     

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Please leave the "AUTENTICA:"  blank ... your signature will be authenticated by the lawyer's office. 

Again, the above form you are asked to sign is a  power of attorney, (in accordance with Article #1256 of the Civil Code) giving our lawyer, DAVID EUGENE MORA ROMERO, (ID 1-400-1219, 17982),  the power to represent you in the administrative proceedings against the Costa Rican government to seek compensation for damages caused by the  prosecution and closure of the offices of Enrique Villalobos Camacho in Costa Rica.

Regarding sending payment, if you wish to transfer funds, or make direct deposit if in Costa Rica, these are the wire instructions:

Banco Nacional: Swift Code is " BNCRCRSJ".
To: UCCR SYNERGY IV S.A.
Account 100-02-084-600592-9  (for dollars) or                                                     
Account 100-01-084-001206-1  (for colones)
     
Thank you, Grupo UCCR
www.ticostuff.com/uccr
uccr@ticostuff.com