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DURABI, E POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS that RAYMA M. WOLFLEY of the Town
Etna, County of Lincoln, State of Wyoming, make constitute and appoint KlM L.
WOLFLEY of Jr<. e_.~q- , LtD fl
which 1 could do if personally present.
,to be my lawthl agent for me and to do all acts
This includes the power to make health care
decision for me if and when I am unable to make health care decisions and tile power to
conseut to giving, withholding or stopping any health care, treatment, service ordiagnostic
personuel, obtain information, sign forms necessary to carry out these decisions. My agent
also has authority to admit me to, or discharge the from, (even against medical advice) any
health care institution, assisted living facility or other facility or program.
It' the person named as ~ny agent is unwilling, or unable to act as my agent or cannot be
reached after reasonable efforts have beeu made, then I appoiut CINDY ARMSTRONG to
serve as ~ny agent.
This power of attorney shall not become ineffective by disability. 1 intend to give my
agent tile tidiest powers possible aud do not intend, by thc enumeration of his powers to
limit or reduce thegn in any fashion.
IN WITNESS WHEREOF, I have hereunto set my band and seal this_v~ day of August,
2005.
STATE OF WYOMING )
) sS
COUNTY OF LINCOLN )
The. tbregoing instrument was acknowledged before me by Rayma M. Wolfley tiffs ~./-~
day of Angust, 2005
Page 1 of 2 RECEIVED 8/4/2005 at 10:47 AM
RECEIVING # 910586
BOOK: 593 PAGE: 28"1
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
00282
Witness my hand and official seal
My Commission Expires:
NOTARY PUBLIC
B'f,,~C,~__O~MJ$210' ..... [XPtR[S MAY 25, 2006
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