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202010199 <br />2020056DG <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, 1 nominate the following person(s) for appointment: <br />Name of Nominee: <br />Nominee's Address: <br />Nominee's Telephone Number: <br />Erma Jene Rasher <br />4--5-1-9-tt-'-ftytor, Grand Island, NE 68801 <br />308-382-2143 <br />&) ittrki /911C <br />^ <br />te <br />RELIANCE ON TIIIS 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 />SIGNATI IRE: AND ACKNOWLEDGMENT <br />nature <br />Printed Name <br />Address <br />Telephone Number <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />Date <br />Robert E. Rasher <br />451-9 N. Taylor, Grand Island, NE 68801 <br />308-382-2143 <br />SS: <br />This document was acknowledged before me on <br />Robert E. Rasher. <br />:ode <br />Notary Public <br />My et(imnission expires: <br />/Thtf 13, dailD? <br />This document prepared by: <br />Ronald S, Depuc g15936 <br />SIIAMBERG, WOLF, McDERMOTT <br />8z, I)EPUE <br />308 N. I.ocust St., Suite 501 <br />Grand Island, NE 68801 <br />(308) 384-1635 <br />zrY,63 <br />9-1/ /9 <br />(Seal, if any) <br />by <br />GENER111. NOTARY - Stet of No braka <br />TRACY BABC0CK <br />14 Cm= Exp. Thy , r22 <br />