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201504275
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Last modified
11/5/2015 9:11:40 PM
Creation date
6/25/2015 2:18:37 PM
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DEEDS
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201504275
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3. By this Power of Attorney, Principal makes the following additional provision <br />or provisions: Agent has full power to make inter -vivos gifts of any kind or nature on behalf <br />of Principal; my Agent as my Personal Representative is authorized to execute any and all <br />releases required by health care providers and health plans under HIPAA. <br />4. This Power of Attorney revokes and supersedes all prior executed <br />instruments of like import and remains operative until revoked. <br />EXECUTED AT rw,d _77-47‘.1 <br />�� <br />STATE OF NEBRASKA ) <br />) ss. <br />COUNTY OF HALL ) <br />GENERAL NOTARY - Stat . Nebraska <br />ANNETTE DAVIS <br />, on the day o of <br />The foregoing instrument was acknowledged before me on <br />2007, by the Principal, Donald L. Graff. <br />Notary Public <br />j, /CLLR <br />2015042"75 <br />, 2007. <br />
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