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200701672
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Last modified
3/5/2007 4:25:41 PM
Creation date
3/5/2007 4:23:50 PM
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200701672
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<br />'IIf' ". ' ., <br />.'. <br /> <br />, < <br /> <br />200701672 <br /> <br />in my behalf, and not a llrnited or special power, limited to the specific acts herein <br />described. <br /> <br />POWER OF ATTORNEY FOR I-lEAL TH CARE <br /> <br />13. I appoint Beverly Redler as my attorney-in-fact for health care. I authorize my <br />attorney-in-fact appointed by this document to make health care decisions for me when I <br />am determined to be incapable of making my own health eare decisions. I have read the <br />warning which accompanies this document and understand the consequences of <br />executing a Power of Attorney for Health Care. <br /> <br />I HA VE READ THIS POWER OF ATTORNEY FOR HEALTH CARE. I <br />UNDERSTAND THAT IT ALLOWS ANOTHER PERSON TO MAKE LIFE AND <br />DEATH DECISIONS FOR ME IF I AM INCAPABLE OF MAKING SUCH <br />DECISIONS. I ALSO UNDERSTAND THAT 1 CAN REVOKE THIS POWER OF <br />ATTORNEY FOR HEALTH CARE AT ANY 11ME BY NOTIFYING MY <br />ATTORNEY-IN-FACT, MY PHYSICIAN, OR THE FACILITY IN WHICH I AM A <br />PATIENT OR RESIDENT. I ALSO UNDERSTAND THAT I CAN REQUIRE IN <br />THIS POWER OF ATTORNEY FOR HEALTH CARE THAT THE FACT OF MY <br />INCAPACITY IN THE FUTURE BE CONFIRMED BY A SECOND PHYSICIAN. <br /> <br />14. This Power of Attorney shall become effective upon the disability or incapacity of <br />the principal. <br /> <br />IN WITNESS WHEREOF I have signed my name this 25th day of November, 2003. <br /> <br />~ ~)1K <br />1 Y./V <br />,,11 !1/),(...a,n r:x" ... . <br />MARIAN L. REDLER <br />
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