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200006953 <br />I hereby declare my intent and my wish to live and enjoy life <br />as long as possible. However, I do also hereby declare my intent <br />that I do not wish to receive extraordinary medical treatment at <br />any time which would only postpone the moment of my death from an <br />incurable or terminal condition (if so diagnosed by my attending <br />physician) or prolong an irreversible coma (if so diagnosed by my <br />attending physician). <br />My Agent may grant releases to hospital staff, physicians, <br />nurses and other medical and hospital administrative personnel, who <br />act in reliance upon instructions given by my Agent, or who render <br />written opinions to my Agent in connection with any matter <br />described in this article, from all liability for damages suffered <br />or to be suffered by me; to sign documents, titled or purported to <br />be a "Refusal of Treatment" and "Leaving Hospital Against Medical <br />Advice ", as well as any necessary waivers of or releases from <br />liability required by a hospital or a physician to implement my <br />wishes regarding medical treatment or non - treatment. <br />3. Interpretation and Governing Law. This instrument is to <br />be construed and interpreted as a General Durable Power of Attorney <br />and Durable Power of Attorney for Health Care. The enumeration of <br />specific powers herein is not intended to, nor does it, limit or <br />restrict the general powers granted herein to my Agent. This <br />instrument is executed and delivered in the State of Nebraska and <br />the Maws of said State shal). (rovern all aLtestions as to the <br />validity of this Power and the construction of its provisions. <br />4. Disability of Principal. This General Durable Power of <br />Attorney and Durable Power of Attorney for Health Care shall not be <br />affected by my disability and shall remain in full force and effect <br />throughout any period of disability. <br />DATED this �� ✓day of , 1992. <br />I (�z 11,1Z12 <br />HEUEN t. GILLHAM, Principal <br />STATE OF NEBRASKA) <br />)ss. <br />COUNTY OF HALL ) <br />HELEN E. GILLHAM, being the named principal, who is to me <br />known to be the person described in and who executed the above <br />Durable Power of Attorney and Durable Power of Attorney for Health <br />Care and acknowledged the same to be her vo34untary act and deed. <br />IN WITNESS WHEREOF, I have e t s scribed my n and <br />affixed my official seal the day h n ye 1 st above wr. en <br />lixERAI ig11AAY,Staie of NeDtaska V <br />S. J. CUNNINGHAM, JR. N tart' Pub <br />My Comm. Exp. Aug. 17, 1993 <br />