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<br /> ` DURA�LE AAVI�R OF AT7Ct�kt��
<br /> -_.`� , • .. ��.,::= --
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<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- � �
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