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201700595
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Last modified
7/3/2017 5:40:20 PM
Creation date
1/26/2017 4:27:42 PM
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DEEDS
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201700595
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LAURITSEN, BROWNELL, BROSTROM, <br />STEHLIK, MYERS & DAUGHERTY, PC, LLO <br />P. O. BOX 400 <br />GRAND ISLAND, NE 68801 <br />(308) 382 -8010 <br />1. This Power of Attorney is, as marked, a <br />( ) Durable Power of Attorney and a <br />( ) Contingent Durable Power of Attorney, upon the contingency of, <br />( ) Incompetence of Principal, or <br />( ) Other Contingency: , or <br />Present Durable Power of Attorney <br />Nondurable Power of Attorney. <br />(X) <br />( ) <br />( ) <br />( <br />( <br />EXECUTED AT Grand Island, NE, on <br />STATE OF NEBRASKA ) <br />) ss. <br />COUNTY OF HALL ) <br />POWER OF ATTORNEY <br />Dolores S. Muhs <br />The foregoing instrument was acknowledged before me on <br />by the Principal Dolores S. Muhs. <br />Notary Pub <br />L:1 S , 2004. <br />tiv <br />201700595 <br />I, Dolores S. Muhs, a domiciliary of Grand Island, Hall County, Nebraska, Principal, <br />desiring and intending to establish a Power of Attorney operative under the Nebraska Short <br />Form Act, do hereby appoint, constitute, and designate Donald H. Muhs (and if he cannot or <br />will not serve, I then appoint David J. Muhs and Douglas J. Muhs, jointly, as successor, and if <br />either cannot or will not serve, I then appoint the other as sole successor;) Agent, the lawful and <br />true Agent and attorney in fact for Principal; and Principal does hereby further provide and <br />stipulate in connection therewith as follows: <br />2. By this Power of Attorney, Principal confers upon and grants to Agent plenary <br />power, plenary power subject to limitations, or all and each of the listed general powers as <br />individually marked: <br />(X) <br />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: ; o <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 <br />provisions: 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 instruments <br />of like import and remains operative until revoked. <br />A...,(f c-1 , 2004, <br />GENERAL NOTARY - State of Nebraska <br />CHERYL L KOSMICKI <br />My Comm. Exp. March 5, 2006 <br />
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