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200101768
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200101768
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Last modified
10/14/2011 1:04:44 AM
Creation date
10/20/2005 8:05:01 PM
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DEEDS
Inst Number
200101768
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200101768 <br />(ii) Any provider of medical services may rely conclusively <br />upon any and all decisions, consents, withdrawals of consent and <br />directions made by my attorney -in -fact under the authority <br />contained in this document. In consideration of the medical <br />provider's reliance upon the actions of my attorney -in -fact, I <br />hereby contract to defend, indemnify and save harmless any <br />medical provider who does so rely of and from any and all claims, <br />demands, suits and causes of action which arise from that <br />provider's acts or failures to act as a result of that reliance <br />and brought by me or on my behalf or by any person claiming by, <br />through or under me or as a result of my death. This contract is <br />and shall be fully binding upon my heirs, personal <br />representatives and my estate. <br />This is a Present <br />fully operative at the <br />Agent and remains oper <br />Executed at Grand <br />day of May, 1996. <br />STATE OF NEBRASKA <br />DURATION OF POWERS <br />Durable Power of Attorney which becomes <br />time of its execution and delivery to my <br />ative until revoked. <br />Island, Hall C unty, Nebraska, this <br />. Harley T Yorndike <br />(ss: <br />COUNTY OF HALL ) <br />On this day of May, 1996, before me, a notary public <br />in and for Hall County, personally came J. Harley Thorndike, <br />personally to me known to be the identical person whose name is <br />affixed to the above Durable Power Of Attorney with Plenary Power <br />and Health Care Power as principal, and I declare that he appears <br />in sound mind and not under duress or undue influence, that he <br />acknowledges the execution of the same to be his voluntary act <br />and deed, and that I am not the attorney -in -fact designated by <br />this Durable Power Of Attorney with Plenary Power and Health Care <br />Power. <br />Witness my hand and notarial seal at Grand Island, Nebraska, <br />in such county the day and year, as above written. <br />tiEMEMINOT �d �� <br />NOWNW E woz <br />1*CW&4gq 13.t1ff Notary Public <br />2 <br />
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