Bionic Will (declaration) made this ____
day of ______________, 2005. I, John J Doolittle, being of sound mind, willfully and voluntarily make known
my desires that my dying shall not be artificially prolonged under the circumstances set forth below, do hereby declare:
If at any time I should have a terminal
condition, become in a coma with no reasonable expectation of regaining consciousness, or become in a persistent vegetative
state with no reasonable expectation of regaining significant cognitive function, as defined in and established in accordance
with the procedures set forth in paragraphs (2), (9), and (13) of Code Section 31-32-2 of the Official Code of Georgia Annotated,
I direct that life prolonging procedures to my body be withheld or withdrawn when the application of such procedures would
serve only to prolong artificially the process of dying, and that I be permitted to die naturally with only the administration
of medication or the performance of any medical procedure deemed necessary to provide me with comfort care or to alleviate
pain.
Medical procedures in this instance
shall include but not be limited to
-
The invocation of the Dark Lord Satan
or any of his minions to super- or preternaturally recall my soul from Hades, Hell, or any and all spiritual limbo(s) for
the purpose of extending my own or anyone else’s power to control other people, forces of nature, time or destiny,
-
The use of experimental drugs, unknown
substances found in meteors, radioactivity, magic or other dark forces, or the installation of man-made technology to increase
my strength, speed, or other heretofore unknown inhuman abilities, including personal flight, bursting into flames, or or
invulnerability to harm, in the instance that the use of these procedures shall obligate me to the service of the U.S or any
other government, secret society, international cabal, or any other organization capable of supporting me shall be null and
void, with the following exceptions:
-
Any agreement that guarantees me quid
pro quo, personal liberties and freedoms as guaranteed by the U.S Constitution, or
-
Alien or future technology that would
allow me absolute power over every living being in the entire universe
-
The use or application of any technology,
magic spell, or scientific device that would most likely result in my having to wander from town to town while the world believes
I’m dead, traveling through different historical periods trying to preserve the known timeline, or finish out my natural
life in a parallel dimension or alternate reality, with the exception being that in said alternate reality I will be regarded
as a pagan god.
In the absence of my ability to give directions
regarding the use of such life-sustaining procedures, it is my intention that this declaration shall be honored by my family
and physician(s) as the final expression of my legal right to refuse medical or surgical treatment and accept the consequences
from such refusal.
I understand that I may revoke this living
will at any time.
Signed on this ______ day of _______________,
2005, in the City of Rock City, County of Harlan, State of Georgia.
______________________________________
John J Doolittle
I hereby witness this living will and attest
that: John J Doolittle is personally known to me and voluntarily signed this writing in my presence. I believe the declarant
to be at least 18 years of age. I am at least 18 years of age. I did not sign the declarant's signature above for or at the
direction of the declarant. I am not related to the declarant by blood or marriage, and to the best of my knowledge am not
entitled to any portion of the estate of the declarant according to the laws of intestate succession or under any will of
declarant or codicil thereto, or directly financially responsible for declarant's medical care, and I have no present or inchoate
claim against any portion of the estate of declarant. I am not the attending physician, and I am not an employee of a hospital,
skilled nursing facility, or other health care facility in which the declarant is a patient.
First Witness:
______________________________, residing
at ______________________________ (Signature Above) _______________________________
Second Witness:
______________________________, residing
at _____________________________ (Signature Above) _______________________________
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