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Witnessed by: <br />v,Av J472micior., <br />Signature of Witness <br />Date <br />ignature of Witness <br />STATE OF NEBRASKA ) <br />) ss: <br />COUNTY OF HALL ) <br />/7 <br />Date <br />202110743 <br />Printed Name of Witness <br />Printed Name of Witness <br />Jerenne J. Garroutte, being the named principal, who is to me known to be the person <br />described in and who executed the above Durable General and Health Care Power of Attorney, <br />acknowledges the same to be his voluntary act and deed. <br />IN WITNESS WHEREOF, I have hereunto subs <br />seal the day and year last above written. <br />ed my name <br />official <br />Notary Pub <br />-5- <br />GENERAL NOTARY - State of Nebraska <br />JOHN M. CUNNINGHAM <br />My Comm. Exp. Jan. 3, 2016 <br />