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200404350 <br />11. To execute deeds, bills notes, and similar instruments. For all or any of the <br />purposes herein stated to enter into and sign, seal, execute, acknowledge, and deliver any contracts, <br />deeds, or other instruments whatsoever, and to draw, accept, make, endorse, discount, or otherwise <br />deal with any bills of exchange, checks, promissory notes, or other commercial or mercantile <br />instruments. <br />12. Health Care Decisions, Provisions & Limitations. <br />(a) General statement of authority granted. If I no longer have the capacity to <br />make health care decisions for myself, I hereby grant to my true lawful attorney (hereinafter agent) <br />full power and authority to make health care decisions for me to the same extent that I could make <br />such decisions for myself if I had the capacity to do so. My incapacity to make health care decisions <br />for myself shall be certified in writing by my treating physician and confirmed by a second physician <br />who has personally examined me. In exercising this authority, I request my agent to make health <br />care decisions that are consistent with my desires as stated in this document or which I have <br />otherwise made known to my agent. My agent may also make health care decisions about which I <br />have not stated my desires. <br />(b) State of my desires, special provisions, and limitations. I request that my <br />agent refuse or require discontinuance of any medical treatment which will only prolong the process <br />of my dying or my irreversible coma except that my agent shall not refuse or require discontinuance <br />of nutrition or hydration. I request that my agent consent to, and arrange for the administration of <br />drugs or medical procedures to alleviate my pain even though such drugs or procedures may lead <br />to permanent physical damage or addiction or may hasten the moment of my death. <br />(c) Inspection and disclosure of information relating to my physical or mental <br />health; signing documents, consents and releases. My agent has the power and authority to: (1) <br />obtain medical and health care records and any other information regarding my physical or mental <br />health; (2) execute on my behalf any releases or other documents that may be required in order to <br />obtain such information; (3) consent to the disclosure of such information to others; (4) execute <br />any document necessary to implement the health care decisions made by my agent; and (5) execute <br />any waiver or release from liability that my agent determines to be appropriate. <br />13. To do all other things necessary in connection herewith. In general to do all <br />other acts, deeds matters, and things whatsoever in or about my estate, property and affairs, or to <br />concur with persons jointly interested with myself therein in doing all acts, deeds, matters, and things <br />herein, either particularly or generally described, as fully and effectually to all intents and purposes <br />as I could do in my own proper person if personally present, it being my intent to grant to my said <br />attorney a general power to act for me and in my behalf, and not a limited or special power, limited <br />to the specific acts herein described. <br />Power of attorney effective notwithstanding disability of principal; continues in effect <br />after principal's death until notice. Pursuant to the provisions of Nebraska Probate Code Sections <br />-3- <br />