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20200560G <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: <br />Nominee's Address: <br />Nominee's Telephone Number: <br />Erma Jute Rasher <br />4-5-1-9-NTItyttr, Grand Island, NE 68801 <br />308-382-2143 k: Thrki fitic <br />2 <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 />Printed Name <br />Address <br />'relephone Number <br />STATE OF NEBRASKA <br />COUNTY OF 1iAL1, <br />Date <br />Robert E. Rasher <br />Grand Island, NE 68801 <br />308-382-2143 <br />s ,'u pa rk 'e <br />SS: <br />This document was acknowledged before me on <br />Robert E. Rasher. <br />Notary Public <br />My ckinunission expires: /TX' <br />This document prepared by: <br />Ronald S. Depuc #15936 <br />SI1AMBERG, WOLF, McDFRMO El <br />DEPUE <br />308 N. Locust St., Suite 501 <br />Grand island, NE 68801 <br />(308) 384-1635 <br />&WC, <br />9 it /9 <br />(Seal, if any) <br />by <br />BIL NOVO - SMT !raa <br />Z.:11.2'4113P42? <br />