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200306602
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Last modified
10/15/2011 11:30:15 PM
Creation date
10/21/2005 5:51:30 PM
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DEEDS
Inst Number
200306602
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2.00306602 <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 <br />to make health care decisions for myself, I hereby grant to my true lawful attorney <br />(hereinafter agent) full power and authority to make health care decisions for me to the same <br />extent that I could make such decisions for myself if I had the capacity to do so. My <br />incapacity to make health care decisions for myself shall be certified in writing by my treating <br />physician and confirmed by a second physician who has personally examined me. In <br />exercising this authority, I request my agent to make health care decisions that are consistent <br />with my desires as stated in this document or which I have otherwise made known to my <br />agent. My agent may also make health care decisions about which I have not stated my <br />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 <br />process of my dying or my irreversible coma except that my agent shall not refuse or require <br />discontinuance of nutrition or hydration. I request that my agent consent to, and arrange for <br />the administration of drugs or medical procedures to alleviate my pain even though such <br />drugs or procedures may lead to permanent physical damage or addiction or may hasten the <br />moment of my death. <br />(c) Inspection and disclosure of information relating to my physical or <br />mental health; signing documents, consents and releases. My agent has the power and <br />authority to: (1) obtain medical and healthcare records and any other information regarding <br />my physical or mental health; (2) execute on my behalf any releases or other documents that <br />may be required in order to obtain such information; (3) consent to the disclosure of such <br />information to others; (4) execute any document necessary to implement the health care <br />decisions made by my agent; and (5) execute any waiver or release from liability that my <br />agent determines to be appropriate. <br />13. To do all other things necessary in connection herewith In general to do all other <br />acts, deeds matters, and things whatsoever in or about my estate, property and affairs, or to concur <br />with persons j ointly interested with myself therein in doing all acts, deeds, matters, and things herein, <br />either particularly or generally described, as fully and effectually to all intents and purposes as I could <br />do in my own proper person if personally present, it being my intent to grant to my said attorney a <br />general power to act for me and in my behalf, and not a limited or special power, limited to the <br />specific acts herein described. <br />3 <br />rl <br />
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