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WITNESS 1 <br />AO <br />X LupmI 1,. ,.rdild Z // t <br />Witness Name 1 Witnesrignature <br />Address: 4650 South National, Bldg C4 <br />Street address <br />WITNESS 2 <br />e <br />itness Name 2 W' : ignature Date <br />Springfield <br />City <br />202103518 <br />Vsdh <br />Date <br />MO 65810 <br />State Zip <br />Address: 4650 South National, Bldg C4 <br />Street address <br />STATE OF MISSOURI <br />) ss. <br />COUNTY OF GREENE <br />Springfield <br />City <br />MO 65810 <br />State Zip <br />On this 2"d day of May, 2017, before me personally appeared HAZEL MARGENE STUEVEN, <br />known to be the person who executed the foregoing Durable Power of Attorney as principal and <br />acknowledged to me that she executed the foregoing instrument as her free act and deed for the <br />purposes therein stated; and at the time of this acknowledgment she appeared mentally alert and <br />of full mental capacity. <br />IN TESTIMONY WHEREOF, I have subscribed my name and affixed my official seal in the <br />County and State aforesaid, on the day and year above written. <br />to <br />Notary Public <br />Durable Power of Attorney <br />HAZEL. MARGENE STUEVEN <br />Prepared by: Sativa Boatman -Sloan <br />Law Office of Sativa Boatman -Sloan, LLC <br />& 417 Elder Law <br />4650 South National, Bldg C4 <br />Springfield, MO 65810 <br />Phone: (417) 887-4170 <br />Page 14 of 14 <br />