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7i <br />•14: <br />',.,••.; <br />. . ':':5 • ' <br />I '. ' • I ''' <br />LAURITSEN, BROWNELL., BROSTROM, 1 . <br />STEHLIK, MYERS & DAL,IGHERIY, PC, LL0. <br />i P. 0. BOX 400 • !.,.' <br />GRAND ISLAND, NE 68801 4: <br />. - • <br />0 <br />(308) 382.801 <br />I, Dolores S. Muhs, a domiciliary of Grand Island, Hall Cot**, Nebraska; Principal, <br />desiring and intending to establish a Power of Attorney operative niftier the Nebraska Short <br />Form Act, do hereby appoint, constitute, and designate Donald H. MIAs (and If he cannot or <br />will not serve. I then appoitt David J. Muhs and Douglas J. Muhs, jointly. as successor. and if <br />either cannot or will not se r , e, I then appoint the other as sole succeseilt) 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: • If;.:: • • <br />I - <br />1. This Power :of Attorney is, as marked,. a • 47 • <br />( ) Durable Power of Attorney and a , . • •10- <br />.- <br />( ) Contingent Power Of Attorney, upon tike co contingency of, <br />( ) • incompetence of Principal, or <br />• ( ) - Other Contingency: , or , ...#. <br />( ) Nondurable Power of Attorney. <br />2. By this PoWer. of Attorney, Principal confers upon <br />,,:..., <br />power, plenary power subject to limitations, or all and each of thelliated general powers as <br />individually marked: •: . <br />A tg: nts to Agent plenary <br />: - 1 <br />. . <br />( X ) Plenary Power, or i - : - • <br />( ) . Plenary Power Subject to Limitations, exclue °P 'of General Powers for <br />Domestic and Personal Cdreems and for Fid !Vary Relationships and <br />( ) ' No•Other Restrictions, or <br />( X ) Present Durable Power of Attorney <br />( ); , Other Restrictions: : • or <br />( )! General Power for Bank and Financi frransactions. <br />( ) General Power for Bushess Intereste:!.. <br />-( - )•• General Power for Chattels and:0 — s!.... ---- — <br />( ) General Power for Disputes and UtigeSni. ' • ' . <br />( ), General Power for Domestic and Peretillal Concerns. <br />( ). General Power for Oduclary RelationsIOS. . <br />( ). General Power for amOther Benefits. <br />( ) General Power for (nsurance Coverage6;and Policies.. <br />) ( ; General Power for Proprietary interestkierxi Materials. <br />( 1 General Power for Real Estate. .-p , <br />( i General Power for pecurities. <br />( 11 General' Politer for Records. Reports;:and Statements. <br />. : . . • .. <br />3. By this perjvi . pr of Attorney, Principal makes the fo 'g additional provision or <br />provisions: My Agent as any Personal Representative Is abtherii to execute any and alt <br />releases requirer by health care providers and health plena under VIPAA. <br />• • <br />: i• ; ' ; ii), . <br />4. Tills Poweriof Attorney revokes and supersedes all kriOr executed instruments <br />of Ike import and rernaln4 operative until revoked. • j .' • ,,z.. 1 : : 1: • . . <br />• EXECUTED AT Grand Island, NE on ....124 ' • . Ar: d4) 2004. <br />. f <br />■ % • . . <br />J. .' <br />• ...:„ . <br />. 1 . • . <br />.. . .. STATE OF NEBRASKA i' • • 7 <br />_ . •) as. <br />• DoloresE . <br />! ; 41, •,.. <br />COUNTY OF 1-1ALU, 1).. I. ,. <br />The fe . 01tiiinstrient was acknowledged before me iiiit.:... y I. al' , 2004, <br />by the Principe Dolores S.I uhs. 1 <br />.. :: <br />• ; :.,,. <br />: <br />POWER OF ATTORNEY <br />• <br />( <br />• Notary:Pub <br />'• <br />• <br />. • <br />14 • • <br />AENEMLNOTAKi.Malealtitaubl <br />.4. - <br />CHOW& t. KOSPACJO <br />*WM B7.11110141COS <br />201701688 ff <br />