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. <br /> • , - - <br /> 4 <br /> or provider; (b) an owner, operator, or relative of an owner or operator of a health care facility in <br /> which the principal is a patient or resident; (c) a parent, sibling, descendant, or any spouse of <br /> such parent, sibling, or descendant of either the principal or any agent or successor agent under <br /> the foregoing power of attorney, whether such relationship is by blood, marriage, or adoption; or <br /> (d) an agent or successor agent under the foregoing power of attorney. <br /> Dated:.i���'�, 2013 ����?��,f�.ct----• <br /> Witness <br /> STATE OF ILLINOIS ) <br /> )SS <br /> COUNTY OF MACON ) <br /> The undersigned, a notary public in and for the above county and state, certifies that <br /> NICK G. STRIGLOS, known to me to be the same person whose name is subscribed as principal <br /> to the foregoing pow�r of attorney, appeared before me and the witness I• G. ��� e vl <br /> in person and acknowledged signing and delivering the instrument as the free and voluntary act . <br /> of the principal, for the uses and purposes therein set forth. <br /> Dated:� S� , 2013 � , <br /> Notary Public <br /> 4 "OFFICIAL SEAL" + <br /> ` riyOTHY J TIl3HE JR <br /> ¢ NOTARY Pl8L1G STA7E OF IWNa1S � -- <br /> Prepared by T.G. Bolen � ��1"�ON�R+�+�m+a 4 . <br /> �♦A-4�-�-�- . • ��-�+�A� <br /> 202 S. Franklin St., 2"d Floor <br /> Decatur, IL 62523 <br /> Telephone: 217-429-4296 <br />