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. I hereby appoint s as my attorney -in- <br />fact, for the purpose of transferring owne4hip or making application for title and registration to <br />the following described vehicle /motorboat: <br />a000 <br />Year <br />State of 1J.‘eiru&V.— <br />County of ‘-‘Q.■\ <br />C 'al <br />The foregoing signature was acknowledged <br />before me this it day of Zeal. <br />Notary or Designated Countynff1cial <br />II GENERAL NOTARY -State of Nebraska <br />TRAVIS AUGUSTIN <br />_ _ My Comm. Exp, April 11, 2014 1 Seal <br />• <br />NEBRASKA DEPARTMENT <br />OF <br />MOTOR VEHICLES <br />Power of Attorney* <br />(For Vehicle/Motorboat Only) <br />pHI.t4 113 'A -% <br />VIN/HIN <br />With full authority to sign on my behalf all papers and documents and to do all that is necessary <br />to this appointment. <br />State of 1Oc).-1 <br />County of k\ <br />The foregoing signature was acknowledged <br />before me this 1( > day of jc...5ar Do 43 . <br />Notary or Designated Co Official <br />GENERAL NOTARY -State of Nebraska <br />TRAVIS AUGUSTIN <br />My Comm. Exp. April 11, 2014 <br />201310045 <br />*Dealers may only use this form when making application for a duplicate title or when the odometer is <br />exempt from reporting. <br />Revised 1 1/201 1 <br />