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' "_—.__ ____'___,..._ _ <br /> ;:�.�;,;n.�,� ,_ ':,- ' . ° � � .. � A��, ��i�e��� -- --- --__ - <br /> �':,'� <br /> .-:;*�?�,�•r,•�.;t�' 7 <br /> 14�5•itc��vr.a_�'.__ <br /> �y•,�j . <br /> -e. . . .•.5 . <br /> . h '�5 ^ ��r ..__— <br /> ` DURA�LE AAVI�R OF AT7Ct�kt�� <br /> -_.`� , • .. ��.,::= -- <br /> .,,:� ���`�,;� <br /> . , � ... �s r--- <br /> , ;r"T.�;r�.a_ <br /> a, T�od� M. ���iac�x, a �eBident of ��1�. Coura�Y• Y�bbraska, �r�,:�;�:�s:u=_�_ <br /> � � : desirtng and intenclinQ �o establish a Pre�ea�t i�a�arble Power of .��_�-__- <br /> At�axn� e� exr�k�v� t�nAea� �he � A "�`"� <br /> - Y � �arovf.sions o� �he Ne�braeka Rev�sed r�,�n�,c�,� <br /> �,' statu�ea, do hex4by appoin�, constitute, a�nd design��e my �"--- <br /> . -. _ ,° daugh�er, Bonnio Arnol�, oP Kall Coua:ty, �Te�arask�, h�rafnafte�c ,�1•/��,•�Y•_•F;;`oy;�;Y,,,�__ <br /> � reterr�d to as Agent, the lawPul and true d►gent and attorney-in- `��� �� ="����'��,'�-__ <br /> �',,;_o:�;,';•M�•:.:�.v;,�a <br /> . � � � faat Par taot arifl Y do hereby Purther prov�de as follow�: �, � �. ,r°=»�•�, .� <br /> ,� , � �::"��. .-- <br /> PI+ENARY POWER , . `t' :.'ak�'`:"' � <br /> i ..���,Y%<t;:.' ��^':. <br /> ,y,�„��-� ,�. <br /> �`" = herob aanPer u on and sant to A en� lasaaxy powes, � � -��i;�„.,.., .�.�.,,:- <br /> Y P 9 9 P '�- ; <br /> ; ��: without limit�tion. A�ent shall have auttao�ity ta exeraise in my o� .x���-= <br /> ;4�'�'::�'`� name and on my behaif (i) all qeneral pow�rs set for'th in � '�";�,,�:;,;�; <br /> � Artiale 15 of Chapt�r 49 oP tha Nebraska Re��.�ed Statutes, (i i) �� �� ��= ��� <br /> .������ <br /> ' , qenerally and universally the authority and pew�er to aot as and _— <br /> to be m altor o o aa to an hin and av� thin not ��1]. w3thin - � '-��'�����.���.-��= � <br /> Y 9 Yt 9 x'Y � Y ...,ds"r��- <br /> the scope oP thoee enumera�sd general p�w�rs, aa�d {iii) to the <br /> full extent praatiaable tho power and autho�ity, wit3�c��u� • ,.'. '.+� ;,',lY,�;- <br /> " reservatiion or restriation, to do or omit tc� do any act for or on °"��t��v °• � �s•..�_ <br /> '' my behalf whioh a competent person could do ox om3t to do on nis � "�'s ���?s{'�;;if,:,'�'�-+�`� <br /> or her own behal f, inaludin the makin of i�ts mf an °-'��������`� ��`= <br /> 9 9 9 Y Prc�perty , .. .,�;;__ <br /> to himself/her�self and to any one or moxe of my other 11n�a1 °- rn:- <br /> descendants whether thoae giPts are cf equal val�� or xnot. _--��'` <br /> � <br /> • � HEALTH CARE POWER ` <br /> ..�,.•. <br /> ���• 'I _ I �ppoint my above named Agent as my attorney i r-�A�t for ` `� _ <br /> - ��``�'����:,��:�;`.r; health care. I authorize my attorney-in-Paat to Yaake 3�ealth care <br /> ��`�'`'���� '"�t''' decisions for me wh�n I am determiried to be inca abl� of maD�in <br /> ';1?;,i;,�_;:'.::�'.`,:'"; A g <br /> ;,;.'.`:� '-:�;{,:_..; my own health care decisions. <br /> �,. .;:::. , �: •��+. <br /> �;)`ti'•'��:ir.�_.:''�'�._�5 <br /> :��� �`. ;��•�,;;;,,;:��� I have been fully informed of aIl facts relatin� �ta powers t . <br /> `;; ' � of attorney for health care and I understand the conse�uences of � <br /> makin this a ointment of m A ent as m attorne in-�act fAr "� `� <br /> :�;'i , „� �:; g PA Y 9 Y Y- <br /> ,:,��,.>'3t'���.r. health care. Having considered thost� corfsequences I do hereby ' ` °} <br /> � specifacaily dealare that: � � �';J� <br /> .�'+•�r''�?ytr , ri <br /> � ,,<:� <br /> " (1) I do not desire to have my life artificially f ��r , <br /> probonged if I am not able to effectively cammunicate with my f <br /> family and my doatar and ff there is no reaeonable expectation ( <br /> . �.>�,+��•�~. that I wfll recover from any condition and thereafter be able �ta � <br /> � i`�� � `!`� live without the contfnuinq artificial support. Therefore, I <br /> � , ;�` �, �``' direct that to the full extent allowed b law m attorrne <br /> �� y y y-in-fact <br /> ,��.,;�',�1�;��::� �.��•',! shall have authority to consent to the withholding or witD�drawing � • <br /> ;r';�,,�;� �� of a life-sustaining procedure ar artificially administerec3 � <br /> '���.���;f:,:..:�� �:�'�' nutrition or hydration or any other medical treatmen� from me, � �� � <br /> ,; „ '� '' and , �' . <br /> , <br />_, . , <br /> �:< � � (2) Any �orovider of inedical services may rely � <br /> '' ' � conclusively upon any and all decisions, consents , withdrawals of <br /> � ... �`" consent and di�ectfons made by my attorney-in-fact under th� ' •�� � <br /> � � �;;�'>;,�; authority contained in this document. In considexation of the � �';� <br /> • medical provider's reliance upon the actions of my attorney-in- � � <br /> '`�; <br /> ' "� 1 `' <br /> � •,,�.,.. ..,:.,, , . <br /> . ; ' , <br /> ,. , ' <br /> . <br /> J. <br /> � <br /> ...J � <br /> .. �� � <br /> �:�. �. <br /> ,�f' . . . � � - - .____ _.. _. <br />