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2021051$0 <br />POWER OF ATTORNEY <br />DESIGNATION OF AGENT <br />1, Carlos J. Martinez, name the following person as my agent (individual with power of <br />attorney): <br />Agent: Delilah Catalina Lazo <br />Address: 1011 North Walut Street, Grand Island, NE 68801 <br />Telephone Number: 308-258-1841 <br />RELEASE OF INFORMATION <br />I agree to, authorize, and allow full release of information, by any governmental agency, <br />business, creditor, or third party who may have information pertaining to my assets or income, to my <br />agent named on this form. <br />GRANT OF GENERAL AUTHORITY <br />1 grant my agent and any successor agent general authority to act for me with respect to the <br />following subjects (as defined in the Nebraska Uniform Power of Attorney Act): <br />(CHECK ❑ Yes or Q No AND initial for each ot'the subjects that follow. These subjects <br />represent those you may want to include in the agent's general authority. If you with to grant general <br />authority over all the subjects you may check ❑ Yes for "All Preceding Subjects" AND initial that <br />line instead of checking each subject.) <br />Check ons. Inrritials: <br />Yes LI No �P\ Real Property <br />,�.--s 0 No ON- Tangible Personal Property <br />LlYes,. U No Y1/'" Stocks and Bonds <br />Y f t No J\ Commodities and Options <br />CAAYys 1 i No CA Banks and Other Financial Institutions <br />1.4 --"Yes ; i No C10 Operation of Entity or Business <br />f•;%*"<s f No CAA Insurance and Annuities <br />Yes ..0 No 1 J ,� Estates, Trusts, and Other Beneficial Interests <br />1 No CAA, Claims and Litigation <br />No Personal and Family Maintenance <br />sLI No Q -✓A", Benefits from Governmental Programs or Civil or Military Service <br />I of 3 <br />