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202008326 <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: Tamra Campbell <br />Nominee's Address: 3008 Colonial Lane, Grand Island, NE 68803 <br />Nominee's Telephone Number: 308-379-5835 <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 />Date <br />Printed Name Katherine A. Sass <br />Address 1415 N. Hancock, Grand Island, NE 68803 <br />Telephone Number 308-382-8053 <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />This document <br />Katherine A. Sass. <br />SS: <br />knowledged before me on \Thc-c c -t. 2` 1 1 by <br />Notary Public <br />GENERAL NOTARY • y) <br />RONALD 8. DEPUE <br />My Comm. Exp. September 26, 2023 <br />J^� <br />My commission expires: <br />This document prepared by: <br />Ronald S. Depue #15936 <br />SHAMBERG, WOLF, McDERMOTT <br />& DEPUE <br />308 N. Locust St., Suite 501 <br />Grand Island, NE 68801 <br />(308) 384-1635 <br />