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<br /> � . - �� . g�� Ib�S�a� . -°° .:
<br /> fl,
<br /> . ,s, �_ � �
<br /> � ' 2 • � aeanrity for lcane. Tc , k` " ;
<br /> Y .�.;,�',' ��y� �np of my zeal or personal P=QP�Y � morteJages. s�c�uritY . �� �'�,
<br /> •- ` `�-���'� eaea�ate aad deiives aoteo and othor obligat.iOas• encumbranc�e- . �`< �
<br /> . , agroe�ttta, f3neaaia9 statemeatg. P1e��B+ liesss and other '<': :`.°�•:
<br /> �4 ��+'c file ineome Or anY �"` �`r':
<br /> � ` ,.' � d�al e�itb ta�ing sut8°siti�es' To eiga aad _ ::�
<br /> �. � '�.�:..:—f� 16. e declara�iona os assaasmen�a, �hsther fe8eral. .:��� • . ;,`
<br /> o�� �s rceturne• x��� � behalfi � Pa7i � t�s dno thereoai �, --
<br /> - as map be ��� oa � h� �g�� ia conaec�i.oa `.. _.
<br /> � atate or loaal• a!e and collect enp refngd
<br /> • to receiva. en�org�� n°�� �y �vc�re, ����• electione, clo�9 - ;
<br /> '_" � there�itl►i to make and inats�eII*-� as may be se4�=� � �,a
<br /> . . `�F agsaem�a� or other a9re��s °r � ���orityi � �O detegate `f z,;�;�f�
<br /> ` - =�eraal �sveaxce Sesvice or anY �= ttce before ths Internal Reve�e 4`� ':
<br /> � mnthositY to aa attoraeY qnali�ied to pr8a _
<br /> ,� '£ Se�rice. `s .
<br /> 2o conaent to any surgical operatioa or U+
<br /> .. � , '`<^ i7. 2+� conseat � ta have ate admftted to aap hoapital, mec9iaal .:�-�;''.
<br /> ' • . �� t for ms aad � es uader �"`�._ -
<br /> , � treatatsn � �h �onseat ie rega�e8 B� .•�_;--i
<br /> , . , faoilitY or mu$fng Som�►. ��_,.'�;�
<br /> �.:` : -�.�`� Nebraeka lavr. seaeive fcs �a �```:�"°'
<br /> '.r .� • ",'; va �eaefi � for aact
<br /> :�• t8. To aPP � E#�:�-'''�
<br /> ' �� ' .. 18. �o e�PZy � aad seaei t os other age��PQ
<br /> . . ':'�`' federal or atstr� §� �r`
<br /> , . . � aay beaefcite wha4soever of aaST n�dicase. vetesa� � '�telgata �.�.••-,
<br /> ' _, inolndia9 but aot limite� to soaial secaritY. .� . ;,.
<br /> Hedicaid, or otl�or �nch beaefite. �;
<br /> - `:;�; � � beaogi.ta. `.��'' _
<br /> . _ �o To malce 9itte for ��L_
<br /> .. �°, -
<br /> -- 19. ib aa�e 4if�e aad �� sstats P contiati� �Y P� �g gi£� I ��'' `�"
<br /> ous or sdncatioaal PnsPosesf �
<br /> ' aharitabler religi lemeat anY eatate plaa that I ?eave �_,._
<br />_ ' . have ia3.tiate8. and to follas� aad imP �� wsieten aPPrav� bY � � --__
<br /> � ' ' tormed. AnY a� 9i� s8a11 he ma8e on111 �ve mad3. t3iite map he �de t.a --__--
<br />_ � ' .` :';� D�eire, os the Y�acafia�aries ia aay�17�1 = malf � -�� _
<br /> : a�op � a member of mp f�y vr°uld °t.��r�g ��,:
<br /> � �'��y � mp eaid attoxao8 iE a►Y � .�.?. _
<br /> p ehato•
<br /> � ; '. . ' �� ba depsived og �a eqttal • ����
<br />' �a w2�ole oz i.a Bart• . ��,..'�"`- -
<br />�.': ::f� � ZO. 3+a d�ealaia. To rcnounae and diFSC� 8�vided by lt►w• eaH • _--
<br /> �-.
<br /> ':;�`;, • .. ��tionai sharea or epeaifie asaeta ia � ��a►taoevez. Baesit�g to �g�� --- -
<br /> ,: '�::��'``�" or iaterest ia pzopestY of e�Y ]ciad
<br /> . ' B�Pa�3f � �,svieee, ae eueceasor o� a rcaouaae6 intereet, � ^�
<br /> �� _ , ' iateete►ts'snaaes�ioa. uader a testamaatrerY or aoa-tes�ameatasY ins�e�t' � _—
<br /> � :. doaee• se baaefioie�cY oiatment, as 9rantee. ae �urviviag joi�t awner oz �.__. :
<br /> . �,;� donee of a pacPer of app og aa insurance eontrac�� � as �0 �
<br />. .. . �• f. aurviv�.ng ioint tenaat, as bgaeficiarY oiatmeat eseraieed � $ • --
<br /> ,,� �.'.. ' � ``.. soa desiyanated to tako Bu�suant to a pac�+r of app �a�it
<br /> , , . . � �° iaats�egt. or as reaipieat ofc aay �
<br /> . . teatameatesY or aon-teatam9nt,asy= non teetamsatasY inats�ati• and to eseauto
<br /> .` , �. . • .: ot.hes�ise under a t�astamsntarY iete Coart. or vitb the proPor authority .
<br /> � ;s .�. and dalivor aad lile in the aPB�� , r.�..A,
<br /> _,l,i,i�,..' :. ;�. �• any eneh renuaaiatioa or dieolai�r.
<br /> To purahase IInitod stetes TreasweSl aeca�itiea
<br /> .. ' ,', �,,, 21. To bnY f1,o�er 1��' be comatose or iacoatPateat.
<br /> '� ,�.; as Ylawes bonde ior me eaen thou9h = m�4
<br /> . '. . .., , �.:,rf;.f, kaawa . — .�
<br /> . � �,'��;. � sit b�. riy atWrnep shali havc-e €ull aad free - -
<br /> �,�,,�, ' ' �Z. 1l�c�ss to etifo dopo -
<br /> 's` acaeea to m9 eaYe depoeit bos. .
<br />_ ..,,:` ; • `. ; ia conaeatiea h�s�ith• �s !�"-` -
<br /> � neeosoasQ ��" '���'
<br />- . . � 23. T� do all othor things e �hatsosner ia ot `F`-_'
<br /> . . : ' gerasal to do all other aate, deeds. msi�ere, au� tLia9 �„F,,:=
<br /> ``. ' • abant a� estate• P=�PertY. � a�faiss, or to cancur vith goreons iointlY --.---
<br /> ���� ' ali aote, deeds• mattese. aad 4�ia9s ,➢.�-�•_
<br /> .. .;�'�,:';�,, :' . intereated c�f4,h myselt therein i� 8aia9 and effe�uallp _"--_
<br /> . • ,� or a�zaerollY deaosibad� ae Pu11Y �"'�,_-
<br /> ��� � hereia. oitk..r Bareiauleriq ro er peraoa i� ;,"''-
<br /> . . • ;,�,i'?'` to ali inteats and P�oaes as s could 8o in m]/ °�II 8 eaid attorney a general ' -_-
<br />__ _ �.:`;':#�.:,; Pereonally H reseat. it lbeiaq mY iatent to graat to tay _,_
<br /> � � � � paraer to act for me and in m3f behalf, aad aot a limite d or speciel poxer. `_•
<br />_° limite8 to the epeoifia aate hereia dosaribad. ,�F; . '
<br /> - . ' •:: . atitornsy map dsal aith my eai8 �ttorney sa8 ao --.
<br /> � 24. 5�7.�-8sa7la9 �`s31
<br />_ . • . eraaoaatioa ehali bo voi8 ogeausee��itb me orAhad ia�erestaaesimilareto mi.ao
<br /> -- � � a�torno7t teae a patti ovmar � oP .
<br /> ; � or had aAy iatereet i.a eai8 transaatioa.
<br />-_ ' . ' . ato mY a�� � fnat. �ty eaid a�toraeY m�Y PeY to sn71 .
<br /> � 25. 3�a a� • �
<br /> � � � . . e e i i.d a t�o rn e y r e a fl o n f s b l e c a m pensation for oeiviceo performed in aotiag oa mq .
<br /> _ � � ,. �. bohall.
<br />'°" �1 ' ,. ; ptige 3 oQ 4 pagAS �
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