Laserfiche WebLink
201903104 <br />NOMINATION OF (CONSERVATOR OR GUARDIAN) (OPTIONAL) <br />If it becomes necessary for a court to appoint a conservator or guardian of my estate or of <br />my person, I nominate the following person(s) for appointment: <br />Name of Nominee: Douglas J. Otte <br />Nominee's Address: 901 Inman Road, St. Paul, NE 68873 <br />Nominee's Telephone Number: 308-390-6730 <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 <br />copy of it unless that person knows it has terminated or is invalid. <br />SIGNATURE AND ACKNOWLEDGMENT <br />• <br />//5-/Y7 <br />Signature Date <br />Printed Name Ardis E. Otte <br />Address 2310 N. Huston, Grand Island, NE 68803 <br />Telephone Number 308-384-7161 <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />SS: <br />This document was acknowledged before me on 7 by <br />Ardis E. Otte. <br />Nary Public <br />My commission expires: <br />(Seal, if any) <br />IGENERAL NOTARY - State of Nebraska <br />�I RVNALD S. D t UC <br />R My Comm. Exp. September 26, 2019 <br />This document prepared by: <br />Ronald S. Depue #15936 <br />SHAMBERG, WOLF, McDERMOTT & DEPUE <br />308 N. Locust St., Suite 501 <br />PO Box 460 <br />Grand Island, NE 68802 <br />(308) 384-1635 <br />