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AFFIDAVIT <br />STATE OF,i alet- ) <br />COUNTY OF 4`,( )SS: <br />200004,273 <br />I, JACQUELINE SIECKOWSKI AND ELLEN DOLLEY, of lawful age, being first <br />duly sworn on their oath, depose and state that our mother Dolores F. Freund, of Grand Island, <br />Hall County, Nebraska is unable to act pursuant to Paragraph 13 of the Durable Power of <br />Attorney. nn <br />Date U <br />C� I %-I <br />State of <br />County of uit )ss: <br />Jacqueline Sieckowski <br />Ellen Do ey <br />Before me, a notary public qualified for said county, personally came Jacqueline <br />Sieckowski and Ellen Dolley known to me to be the identical person or persons who signed the <br />foregoing instrument and acknowledged the execution thereof to be his, her, their voluntary act <br />and deed. ( I^^ <br />Witness my hand and notarial seal/6n <br />L- <br />Commission expires: <br />0 <br />k GENERr- 7- : ;Y 5ta,,, Nebraska <br />C " )Y.A f rFK'ANN <br />i p;: C , :, r t, r. ;ai. 1, 2004 <br />