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Witnessed by: <br />ignature of Witne <br />gnature of Witness <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />) ss: <br />Date <br />e l-1/--/c2 <br />Date <br />r , k <br />Printed Name of Witness <br />Printed Name of Witness <br />201605233 <br />Mildred Dibbern, being the named principal, who is to me known to be the person <br />described in and who executed the above Durable General and Health Care Power of Attorney, <br />acknowledges the same to be her voluntary act and deed. <br />IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official <br />seal the day and year last above written. <br />