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201803378
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Last modified
12/9/2019 6:30:22 PM
Creation date
5/29/2018 3:54:47 PM
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DEEDS
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201803378
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NOMINATION OF [CONSERVATOR AND /OR GUARDIAN] (OPTIONAL) <br />If it becomes necessary for a court to appoint a [conservator and /or guardian] of my estate or <br />[guardian] of my person, I nominate the following person(s) for appointment: <br />Name of Nominee for [conservator and/or guardian] of my estate: <br />Donald W. Wendell <br />Nominee's Address: 4457 Christensen Circle, Littleton, CO 80123 <br />Nominee's Telephone Number: (303) 638 -3789 <br />Name of Nominee for [guardian] of my person: Mary J. Miller <br />Nominee's Address: 12849 N. Salt Cedar Drive, Oro Valley, AZ 85755 <br />Nominee's Telephone Number: (520) 591 -2135 <br />RELIANCE ON THIS POWER OF ATTORNEY <br />Any person, including my agent, may rely upon the validity of this power of attorney or a copy of <br />it unless that person knows it has terminated or is invalid. <br />Name. J. Mi <br />SIGNATURE AND ACKNOWLEDGMENT <br />Address: 417 Linden Avenue, Grand Island, NE 68801 <br />Phone Number: (308) 382 -8325; cell- (308)379 -8242 <br />P L. r. J (. 4 17 <br />Date <br />201803378 <br />STATE OF NEBRASKA ) <br />ss:' <br />COUNTY OF HALL <br />This document was acknowledged before me on this o day of June, 2017 by Marlyn <br />J. Miller. <br />
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