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202005602 <br />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: Gary Z. Hipke <br />Nominee's Address: 4128 Norwood Drive, Grand Island, NE 68801 <br />Nominee's Telephone Number: (308) 384-6744 <br />Name of Nominee for [guardian] of my person: Gary Z. Hipke <br />Nominee's Address: 4128 Norwood Drive, Grand Island, NE 68801 <br />Nominee's Telephone Number: (308) 384-6744 <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 <br />of it unless that person knows it has terminated or is invalid. <br />SIGNATURE AND ACKNOWLEDGMENT <br />e A. Hipke <br />c A. Hipke <br />STATE OF NEBRASKA ) <br />) ss. <br />COUNTY OF HALL ) <br />This document was acknowledged before me on this <br />A. Hipke. <br />GENERAL NOTARY • State of Nebraska <br />GALEN E. STEHLIK <br />My Comm. Exp. May 1, 2022 <br />Date <br />(O(z;/( 7 <br />2s day of October 2019 by Zane <br />