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04/29/2015 10:12 3085372731 <br />POWER OF ATTORNEY <br />DAYTON PHOENIX GROUP PAGE 08/08 <br />201503010 <br />So r (1C Q A o .i a domiciliary of HQ I i County, <br />Nebraska, Principal desiring and intending to establish a Power of Attorney operative under the <br />Nebraska Short Form Act, does hereby appoint, constitute, and designate <br />L' ►Y , '�i r�" i , a �lcl'�'t-2r of or with an office in <br />UJSor'N County, Nebraska, Agent, the lawful and true Agent and <br />attorney in fact for Principal; and Principal does hereby further provide and stipulate in <br />connection therewith as follows: <br />1. This Power of Attorney is, as marked, a <br />ED Durable Power of Attorney and a <br />iJ Contingent Durable Power of Attorney, ,upon.the.contingency_ of,_ <br />t3 Incompetence of Principal, or , <br />(E3 Other <br />Contingency: or <br />( ) Present Durable Power of Attorney <br />( ) Nondurable Power of Attomey <br />2. By this Power of Attorney, Principal confers upon and grants to Agent plenary power, plenary <br />power subject to limitations, or all and each of the listed general powers as individually marked: <br />(XQ Plenary Power; or <br />( ) Plenary Power Subject to Limitations, exclusive of General Powers for <br />Domestic and Personal Concerns and for Fiduciary Relationships and <br />( ) No Other Restrictions, or <br />( ) Other Restrictions: ; or <br />( ) General Power for Bank and Financial Transactions. <br />( ) General Power for Business Interests. <br />( ) General Power for Chattels and Goods. <br />( ) General Power for Disputes and Litigation. <br />( ) General Power for Domestic and Personal Concerns. <br />( ) General Power for Fiduciary Relationships. <br />( ) General Power for Governmental and Other Benefits. <br />( ) General Power for Insurance Coverages and Policies_ <br />( ) General Power for Proprietary Interests and Materials. <br />( ) General Power for Real Estate. <br />( ) General Power for Securities. <br />( ) General Power for Records, Reports, and Statements. <br />3. By this Power of Attorney, Principal makes the following additional provision or provisions: <br />pip 0. i C d ✓ N W ht,75 P G1 cl <br />IF, 3 5JS S -r ■-t S ?C& - GP 6411 <br />This infonrnation is copyright free. Readers are encouraged to copy and share it, but please credit Disability <br />Rights Nebraska. Page 3 <br />