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202110743
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12/20/2021 4:08:44 PM
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12/20/2021 4:08:43 PM
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202110743
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202110743 <br />medical treatment including life sustaining procedures. <br />5. INTERPRETATION AND GOVERNING LAW. This instrument is to be <br />construed and interpreted as a General Durable Power of Attorney and Durable Power of Attorney <br />for Health Care. This instrument is executed and delivered in the State of Nebraska, and the laws <br />of said State shall govern all questions as to the validity of this Power of Attorney and the <br />construction of its terms and provisions. <br />6. DISABILITY OF PRINCIPAL. This Durable General and Health Care Power of <br />Attorney shall not be affected by my disability and shall remain in full force and effect throughout <br />any period of disability. <br />I hereby revoke any and all former Powers of Attorney and Amendments thereto, if any, <br />heretofore executed by me. <br />IN WITNESS WHEREOF, I have executed this document this 2 L— day of July 2013, <br />at Grand Island, Hall County, Nebraska. <br />I HAVE READ THIS POWER OF ATTORNEY FOR HEALTH CARE. I <br />UNDERSTAND THAT IT ALLOWS ANOTHER PERSON TO MAKE LIFE AND DEATH <br />DECISIONS FOR ME IF I AM INCAPABLE OF MAKING SUCH DECISIONS. I ALSO <br />UNDERSTAND THAT I CAN REVOKE THIS POWER OF ATTORNEY FOR HEALTH <br />CARE AT ANY TIME BY NOTIFYING MY ATTORNEY IN FACT, MY PHYSICIAN, OR <br />THE FACILITY IN WHICH I AM A PATIENT OR RESIDENT. I ALSO UNDERSTAND <br />THAT I CAN REQUIRE IN THIS POWER OF ATTORNEY FOR HEALTH CARE THAT <br />THE FACT OF MY INCAPACITY IN THE FUTURE BE CONFIRMED BY A SECOND <br />PHYSICIAN. <br />BENNE J. ARROUTTE, Principal <br />pa <br />DECLARATION OF WITNESSES <br />l <br />We declare that the principal is personally known to us, that the principal signed or <br />acknowledged her signature on this Durable General and Health Care Power of Attorney in our <br />presence, that the principal appears to be of sound mind and not under duress or undue influence, <br />and that neither of us nor the principal's attending physician is the person appointed as Attorney in <br />Fact by this document. <br />-4- <br />
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