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.� : <br />�oi�as��� <br />hereafter held by me and issued by or on account of said corporation or company and for that <br />purpose to execute any proxies, limited or general, or other instruments. <br />11. To ezecute deeds, bills, notes. and similar instruments. For all or any of the <br />purposes herein stated to enter into and sign, seal, execute, acknowledge, and deliver any <br />contracts, deeds, or other instruments whatsoever, and to draw, accept, make, endorse, discount, <br />or otherwise deal with any bills of exchange, checks, promissory notes, or other commercial or <br />mercantile inshuments. <br />12. Health Care Decisions, Provisions & Limitations. <br />(a) General statement of authority granted. If I no longer have the capacity to <br />make health caxe decisions for myself, I hereby grant to my true lawful attorney <br />(hereinafter agent) full power and authority to make health care decisions for me to the <br />same extent that I could make such decisions for myself if I had the capacity to do so. My <br />incapacity to make health care decisions for myself shall be certified in writing by my <br />treating physician and confirmed by a second physician who has personally examined me. <br />In exercising this authority, I request my agent to make health care decisions that are <br />consistent with my desires as stated in this document or which I have otherwise made <br />known to my agent. My agent may also make health care decisions about which I have <br />not stated my desires. <br />(b) Inspection and disclosure of information relating to my physical or <br />mental health; signing documents, consents and releases. My agent has the power and <br />authority to: (1) obtain medical and health care records and any other information <br />regazding my physical or mental health; (2) execute on my behalf any releases or other <br />documents that may be required in order to obtain such informanon; (3) consent to the <br />dasclosure of such information to others; (4) execute any document necessary to <br />unplement the health care decisions made by my agent; and (5) execute any waiver or <br />release from liability that my agent determines to be appropriate. <br />13. To do all other things necessary in connection herewith. In general to do all <br />other acts, deeds matters, and things whatsoever in or about my estate, properly and a.�fairs, or to <br />concur with persons jointly interested with myself therein in doing all acts, deeds, matters, and <br />things herein, either particularly or generally described, as fully and e�ectually to all intents and <br />purposes as I could do in my own proper person if personally present, it being my intent to grant <br />to my said attorney a general power to act for me and in my behalf, and not a limited or special <br />power, limited to the specific acts herein described. <br />Power of attorney effective notwithstaanding disability of principal; continues in effect after <br />principal's death until notice. Pursuant to the provisions of Nebraska Uniform Durable Power of <br />Attorney Act, I declare that this power of attorney shall not be a.�ected by my disability or <br />-3- <br />