HomeMy WebLinkAbout934769
GENERAL POWER OF ATTORNEY WITH DURABLE PROVISION AND
INCLUDING MEDICAL OR OTHER HEALTH CARE DECISIONS.
"--~-~
000408
THIS DURABLE POWER OF ATTORNEY FOR FINANCIAL MANAGEMENT AND MEDICAL AND HEALTH CARE
DECISIONS IS GIVEN BY ME, SHARON LEE MORI, PRESENTLY OF 1623 ANTELOPE CT., KEMMERER, IN THE
STATE OF WYOMING, ON THE 12th DAY OF NOVEMBER 2007.
THIS IS A DURABLE POWER OF ATTORNEY AND MEDICAL OR OTHER HEALTH CARE DECISIONS
DOCUMENT AUTHORIZING THE FOLLOWING ATTORNEYS-IN-FACT TO HAVE ALL POWER TO MAKE ALL
FINANCIAL AND MEDICAL DECISIONS FOR ME IF I BECOME DISABLED OR INCAPACITATED.
I APPOINT THE FOLLOWING TO ACT EITHER INDIVIDUALLY OR TOGETHER FOR MY BENEFIT:
1. Garry L. Mori, my husband.
1623 Antelope Ct.
Kemmerer, Wyoming 83101
RECEIVED 11/13/2007 at 10:50 AM
RECEIVING # 934769
BOOK: 678 PAGE: 408
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
2. Tisha L. Colvin, my daughter.
8870 Trayis Ridge
Pocatello, Idaho 83201
3. Bryan C. Nicholson, my son.
14198 Friendship Drive
Herrman, Utah 84096
THIS POWER OF ATTORNEY SHALL BECOME EFFECTIVE IMMEDIATELY.
Signed by me: ~ ~ ~' Date~
Sharon Lee Morl November a, 2007
1:3
/3; ~f!) () 7
State of WYÞ)'n,,,,,'1
County of L;Y"'ICD1y¡
I, ::ifr;c.y tr· vJ¿r"e.r- . Notary Public in and for the State of WyO,,",ì1\C:;
do heretiy certify that on th is 1..3 -t:h day of tJ D-ý¿~.bG.r , .:;).001 , personally appeared before me
",<h1ro.n Lee þt þ,... / to be known to be the individual described in and who executed the within
instrument and acknowledged that she signed the same as her free and vOluntary act and deed for the uses
and purposes herein mentioned.
Signed anq sworn to before me this ¡#day of
P~bIiC in and for the State of WJD)1'\("'5
pOintment expires: ) 0- ¡q -.;)0 1 \
Stacy A Werner - Notary Public
County of ,,¿It\ Slat. of
Lincoln .. VIfyoming
My Commlulon Expl....
11/12/2007