HomeMy WebLinkAbout08-06-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PErdNSYLVANIA
Estate of Anna L. Dum File Number 21-08- Cl 1' j
also known as
ecease Social Security 1T7-24-7300
Petitioner(s) who is/are 1$ years of aoe or older, apply(ies) for:
[Xj A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor named in the
last wll of the Decedent dated August $, 2006 and codicil(s) dated
N/A
(state re evenat circumstances, e.g. renunctatton, eat o executor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
] B. Grant of letters of Administration
(If applicable enter: c.t.c~.; .n.c.t.a.; en ente ate; urartte a sentia: urante minoritate)
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
Administration, c.t.a. or d.h.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Decedent then
79 years of age died on 7(2(08 Carlisle Regional Medical Center
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.)
(If not domiciled in Pa.)
(If not domiciled in Pa.)
Value of real estate in Pennsylvania
situated as follows:
_ 150,000.00
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters
in the a ro riate form to the undersigned:
_ ignature Ype or nrmte name an rest ence
p , 1 facie Miller
~e.N~ L ~ . ~~ I ~ ~ 6 :~ 3437 Pleasant Valley Road, Elliotsbur;:, PA 17024
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Page 1 of 2
COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with hisJher last principal residence at
212 Todd Circle Carlisle, PA 17013 Carlisle Borough
( ist street a Tess, town/city, towns aip, county, state, zip co e)
OATH OF PERSONAL REPRESENTATIVE
COMMONWEATLH OF PENNSYLVANIA
coUrrTY of CUMBERLAND
The petitioners} above-named swear(s) or affirm(s) that the statement in the foregoing peition are true and corn
to the best of the knowledge and belief of petitioner(s) and that as personal representative(s) of the Decedent,
Petitioner(s) will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed ~ -,
~~ --~r-~ cie Miller
before nie t.~~s ~ fl ~ti~ cam.
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For the Register ~~ t~
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Estate Of Anna L. Dum
Social Security Number:
177-24-7300
Deceased
Date of Death July 25, 2008
AND NOW~~-~h.~,c~~ L4`Fr' , 20~ min consideration of the Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to
Jacie Miller
in the above estate
and that the instrument(s) dated August 8, 2006
described in thte Petition to be admitted to probate and filed of record as the las Will (and C,odieil(s) of Decedent)
Register of Wills
FEES
Signature
Attorney Name
Letters L,~Q.'C1 • ~ '
Short Certificates ~ . ~'~ Sup. Ct. I.D. No
Renunciation
~~ t i ~~', ~~p Address:
.~ GP - 1 ~. l~ - - -
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Telephone:
TOTAL... ~U . ~
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Robert G. Frey
46397
5 South Hanover Street
Carlisle, Pennsylvania 17013
17) 243-5838
~~
Page 2 of 2
OCAL REGISTRAR'S CERTIFICATIONI OF DEATH
WARNING: ft is il{egaf to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.(~0
P 14649492
'his is to certify that the intormahon here gtven u
orrcedy copied from an original Certificate of Dean
my tiled with me as Local Registrar. The origina
ertiCicate will be forwarded to the State Vital
records Office for permanent filing.
~e•~•_cx~'~a,c~.e,,.,c~,,•,1~~ 2 9~ 2008
~ocal Registrar ~~ Date Issued
Certifieatiou N~i ber
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M10S113 REV 112006
TYPE /PRIM IN
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH /'~ ` /•~ (,
(See instructions and examples on reverse) STATE FILE NUM6ER L 1 •` ' j~ • n R
.NamadDe~,t(>aa`m~atlla,la=,,aamx) 2.Female 3 ~ 7'~N_m 24
7300 4 Julynt25,~~r~08
._
Anna L. Dum
6. Age tlast Birthday) Under 1 year Under 1 tla 6. Dale of Binh (Month, day, year) 7. Binhplecw (C' ant dale a loreign country) Ba. Place of Daem (Ctrede oMy one
7 9 """°W rime '"'". '"""" 6/ 1 8/ 1 9 2 9 Hoapimc char.
vre LOysville, PA ^ Ingarent LyJEFl /Outpatient ^ DOA ^ Nutskg Home ^ Resitlence ^Omer ~ Speciy
Sb. County oI Deam &. CM. Baru, Tw . of Death ed. Fadmy Name III rbt mslaulbn, give street afq nrmiwr) 9. Was Decretlant d HiNlanic Origin? g] No ~ Yes merian Indan. Black, WMe, ek.
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Cumberland S. Mi dleton
'~ ~ 4 S 1 E'. F~~"y` i 01~1Ct_ l 1 y ~ IC~
(n rea, speciN coven,
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11. DttwtlenYS Uwat ion N'mtl d work a ria Turin rtasl a wotki Ale. Do not stela reared 72. Was Decetlanl aver in the 13. etlent's Education (Specay only highest grade comp leted) 74. Model $atlus'. Monied, Nave! Marrlad, 16. Surviving Spo use Qt wife, give maiden name)
KiM d Wode
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Cl Kintl of Business / rxiuslry
Penn Doi U.S. Amtetl Faces?
~ Elementary t Seconds ( 2)
"1~ College (1-4 or S.) Witloweq Divorced (Speary/
Divorced
er ^ya,
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16. DerwOenYS MailkgAtltlreba ISlleel, d1Y /town, stale, zip cotle) Decwdent's pA Did Decedent
Uve N a 17
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21 2 Todd Circle p.
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PA 1 7 01 3
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C „d.~ Np.oa~aoa,,,i;,~ownh;n Carlisle
,?b. County Cumberland
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e , Adaal Limas d city /Bad
16. FMner'S Name (First, mitlde, lest, sullix) 19. Mother's Name IRrst middle, maiden sumamel
Arthur F. Gra Mabel Sheilds
20a. IdamanYS Name (Type! Print) 200. Informem's Mailing Address (Street, city! town, state, zip code)
Jacie Miller 3437 Pleasant Valley $d. Elliotsburg, PA 17024
21 s. MetfaO d D'eposkion ! ~ Cremates ~ Dmatinn 2f b. Date of Disp«Itlon (Mmm, tley, year) 21c. Pkro of Disposition (Name of cemetery, crematory «omar pace) 210. location (City / t«m. slate, xp code)
® acne, ^ Renrovalfranalete i waacremtlas«ooredonAmnpdzed
• Jul 30 2008 Cumberland Valley Memorial Carlisle, PA 1 701 5
^ om« - spedry: i br Madkel Ex•miner roeroner. ^ vea ~ No Y r
22a. Saplature of Furrerei Servke Lkareee for person ~u1kg as sanj 22b. License Number 22c. Name afM Atlaess of Fadllly
• ~ ~ 011589E Hollinger FH&CrematorT~ Mt. Holly Springs, PA 17065
Canpkte Items 23ac ady when cartiryag 23a. is the East d my knOwletlge, aem atoned at the lime, dale antl place staled. (Signawre and tillaj 230. license Number 23c. Dale Sgrad IMomh, tley, year)
physician a rid avaaable az time d tleem Io ~/~
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kerns 24-26 must 6e cmipeletl M parse 24. Tmw of Death 25. Dale Prfzauftcetl Deatl (M ,day, year) 26. Was Case Relenetl to Metlical Examiner / Coroner Iw a Reason Other Than Cremation or Donation?
wtn pna'~arncas death. `'~jZ.lca l~r M. O ?.~ Yas ^No
CAUSE OF DEATH (See Instruetlona end ezem less) n approximate Imerval: Pan II: Ent« drier ~7j{~aii($mtlitions cmlribuelxt to deem, 28. Did Tahaao Use CcdtibWe to Deem?
Item 27. Pan 1: Enter the diai° d evenla - diseases, gryunas, a mnpicatias -mat directly twined Ure deem. DO N0T azAm terminal evens such as remix anest, Onset b Death
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i buf ref resubmg in the mdedying cause given n Pan I. ~ Yes ~ Probedy
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st oNy one cause on eac
ne.
respfalpy arrest. a vemna,lar fibnpalion wahofd s
wwmg are elbbgy. L o ^ lMluawn
INMEdATF CAUSE (Fidel disease w i
caNOkm fawningmdaemj ; a C,O (L 01~1A(:Y ~~.~~~' PIS~AS+G f•
`ti A'ONI~ k~i~1p(kjY .~ISv`AS
29. I~t-,Frr~r~ele:
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Due to (or es a conseVUe~e oR: , ^
~$'~ o~ n past year
J Nd Negunt wim
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^ Pregnant al lima d deem
SelHerlneay Asl arltlliats, a any, b. L'i ~
~p ro me cause NstBd an tla a, Due to oC es a oanOatlUBnCe d):
r $
UNDEIILYING CAUSE I
Ent ^ NOI Pregnant, bd pregnant wimin 42 days
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(dreeasea kljury mat initiated Vte
c~ S~Ja'C6 ~17'Tx'A~i. ~Lirw!(Ai-rATi. ddeam
events resulPrg m Oeelh) LAST
qm Ie (or as a wne%afetka d)'.
N'{Pd~'RT®NS,kenl
^ Not Ixegrwnt, buf pregrunl/3 days to 1 year
ceroretleam
d. Unknown a Pregnant Wlmin ma >aaz y0M
30a. Wes an Autopsy 305. Ware 0.ubgy Fn&gs 31. Manner of Death 32a. Date of Inlury (Month, day, year) 32b. Describe How Injury Occunetl 32c. Plata d Injury: Homo, Ferro, Beet, Factory,
Ofice Buntllrg
ma. rSpeuryl
Petlartretl? Aveilebb Pda 5o Camptatbr
d Cause d Deem? ~,/
L'J Nelwal ^ Homirrde ,
Yes ~o ^Yas dNc
Accident ~ Penang kwesligation
32d. Time d Irryury
32e. Injury at WodR
321, fl Tmnsponelan Inlury (Specfty)
323. Location d Injury IStreel, dry /sown, stale)
^ Suicide ^ Could Nat bs Determined ^ Yes ^ Nc ~ Driver! Operator Q Passenger ^Petlaslnan
M Omaf ~ Specyly:
33a. CeniNer (check ody one)
tonaunced death ant rompeletl hem 23)
f deem
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• Prortounchp and centlyklS pnyalClan (Physician both pnotmuunan9 deem and certifying b cause d tleaM)
^ 3?c. Liceme Number 33d. Date Sgnetl IMpnm, day, yaerl
To tlf0 best of my WaMadge, death occurred n me Lana, ante, and place, end due to Ne 0ause(a) entl manner as sbted _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
dial Examiner yCOrawr
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On the basis of examinellon ant I a tnvestigallon, in my opinion, death fxcurretl at the time, date, and place, and tlue to IM cauae(sj arM nanner es sWed_ ^ 34. Name and address of Person WM Can red Copse al Deam (Item 27) T 1 Print
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35. Signature and Dill ber 36. ate Tied IMam, tlaY, Yaarj ,
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t-- LAST WILL AND TESTAMENT
~_ ~._
`" ~" OF
= - ~ - ANNA L. DUM
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~.~_ ~~? I; ANNA L. DUM, widow, of the Borough of Carlisle, Cumberland County,
` ~!~ Per~-~Ivania, (mailing address; 212 Todd Circle, Carlisle, PA 17013), being of sound
__ ,~ an~~posing mind, memory and understanding, do hereby make, publish and declare
this aQ~l for my Last Will and Testament hereby revoking and making void any and all
Wills by me at any time heretofore made.
1. I direct my hereinafter named Executor or Executrices to pay all of my
just debts and funeral expenses as soon after my death as may be found convenient to do
so. I further direct that all inheritance, transfer, succession, estate and death taxes,
including interest and penalties thereon, which may be payable on account of my death
shall be payable from the residue of my estate regardless of whether the assets upon
which such taxes are based are included in my probate estate.
2. I declare that I am an unremarried widow and that I have four children,
GERALD DUM, JOHN DUKE, KENNETH DUM, and JACIE MILLER.
3. All of the rest, residue and remainder of my estate, real, personal and
mixed, and wheresoever the same may be situate, I give, devise and bequeath as follows:
1. Sixty percent (60%) of my estate shall be divided evenly among such of
my four children as shall survive me by a period of ninety (90) days, the share any
deceased child would have received to pass to his or her issue, per stirpes, and if there be
no such issue said share shall lapse and be added to the remaining share or shares. Each
said child shall have the right to choose to take as a part of his or her share any of my
jewelry, furniture, mementos, and other tangible personal property as that child shall
desire, the value of such property to be as determined by an appraisal performed at the
direction of my Executor. Should there be any disputes as to who shall receive any such
property, the determination of my Executor shall be conclusive on said dispute. Provided
however, that my daughter, JACIE MILLER, shall have the first right to select my
sewing machine.
2. Twenty percent (20%) to the BETHEL ASSEMBLY OF GOD, 1412
Holly Pike, Carlisle, Pennsylvania, of which, 15% shall be used for the missions of the
church and the remaining 5% may be used as determined by the leadership of the Church.
3. Twenty percent (20%) to SAFE HARBOR, INC., 102 West High Street,
Carlisle, Pennsylvania.
4. I hereby nominate, constitute and appoint my daughter, JACIE MILLER,
as Executrix of this my Last Will and Testament, but should she predecease me or fail to
qualify then in such event I nominate, constitute and appoint my son, GERALD DUM as
Executor, and I further direct that neither of them shall be required to post any bond to
secure the faithful performance of his or her duties in the Commonwealth of
Pennsylvania or in any other jurisdiction.
5. Should any person less than 21 years of age be entitled to distribution
from my estate, in such event the share that person would otherwise have received shall
be paid to my hereinafter named Executrix in trust. Should my said Executrix at any time
be unable to serve as such, then in such event I nominate, constitute and appoint my son-
in-law, KENNETH MILLER, as Trustee. I authorize the herein named Executrix or
Trustee to receive and invest the same and to pay the income arising therefrom together
with so much of the principal thereof as in her or his opinion is necessary or desirable to
be expended for the proper maintenance, support and education of such person to or for
the benefit of such person and upon such person attaining 21 years of age to pay to him or
her the then remaining principal together with any undistributed income.
~ ~.
Page 1 of 3
7. In addition to the powers conferred by law, my hereinbefore named
Trustees and Executors and their respective successors, are empowered:
a. To invest any part of the trust corpus in such securities,
investments, or other property as may be deemed advisable and proper, irrespective of
whether the same are authorized for the investment of trust funds under the laws of any
governing jurisdiction.
b. With respect to any corporation, the stocks, bonds, or other
securities of which may be held, to vote in person or by proxy on any shares of stock; to
consent to the merger, consolidation or reorganization of such corporations; to consent to
the leasing, mortgaging or sale of the property of any such corporations; to make any
surrender, exchange or substitution of such stocks, bonds or other securities as an
incident to the merger, consolidation or reorganization of such corporations; to pay all
assessments, subscriptions and other sums of money which may be deemed wise and
expedient for the protection and maintenance of the proportionate interest of the
investment in such corporations; to exercise any option or privilege which may be
conferred upon the holders of such stocks, bonds, or other securities of such corporations
either for the conversion of the same into other securities or for the purchase of additional
securities, and to make any and all necessary payments which may be required in
connection therewith; and generally to have and exercise as to all such stocks, bonds and
other securities, the powers of an individual owner who is not under trust obligation.
c. To hold the trust corpus in one or more consolidated funds in
which separate shares shall have undivided interests.
d. To sell at public or private sale for cash or upon credit, or partly
for cash and partly on credit, and upon such terms and conditions as shall be deemed
proper, any part or parts of the estate, and no purchaser at any such sale shall be bound to
inquire into the expediency or propriety of any such sale or to see to the application of the
purchase moneys arising therefrom.
e. To keep on hand and uninvested such money as may be deemed
proper and for such period as may be found expedient.
f. To compromise, settle or arbitrate any claim or demand in favor of
or against the trust estate.
g. And authorized in the discharge of fiduciary duties, to employ
counsel and to determine and to pay such counsel reasonable compensation which shall
be charged against the principal or income of the trust fund, and shall further be entitled
to charge against the principal or income such other reasonable expenses and charges as
may be necessary and proper to incur for the proper discharge of fiduciary duties and for
the proper management and administration of the trust estate.
h. In making any division of property into shares for the purpose of
any distribution thereof directed by the provisions of the trust, to make such division or
distribution, either in cash or in kind, or partly in cash and partly in kind, as shall be
deemed most expedient, and in making any division or distribution in kind may allot any
specific security or property or any undivided interest therein to any one or more of such
shares, and to that end may appraise any or all of the property so to be allotted and the
judgment as to the propriety of such allotment and as to the relative value for purposes of
distribution of the securities or property so allotted shall be final and conclusive upon all
persons interested in the trust or in the division or distribution thereof.
i. And authorized to register any shares of stock or other assets of
any trust in their awn names or in the name of a nominee.
j. To retain and invest in shares of stock of my Trustee.
k. To retain any investments including mutual funds which I may
own at the time of my death and in addition to invest any part of the Trust corpus in such
mutual fund or mutual funds as may be deemed advisable or proper, irrespective of
~. ~ ~.
Page 2 of 3
whether the same are authorized for the investment of trust funds under the laws of any
governing jurisdiction.
1. To determine from time to time whether all or some portion of
realized capital gains shall be treated as ordinary income for distribution to a beneficiary
or treated as principal to be retained as part of the corpus, and such designation need not
be consistent from one year to another.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last
Will and Testament written on three (3) pages, this ~ ~~'day of ~ ~ ~` J 5 ~` , 2006.
J
Yom/ ~'~
~~,1~.C~- ~ (SEAL)
ANNA L. DUM
Signed, sealed, published, and declared by ANNA L. DUM, the Testatrix above
named, as and for her Last Will and Testament, in our presence, who, in her presence, at
her request, and in the presence of each other, have hereunto subscribed our names as
attesting witnesses.
,-,
Page 3 of 3
OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Anna L. Dum
Robert G. Frey & Trisha A. Liess , (each) a subsribing witness to
~~ •~ ~~- C> ~~ I`7
Deceased
the [X] Will [] Codicil presented herewith, (each) being duly qualified according to law, depose(s) ;
say(s) that she / he /they was /were present and saw the above Testator / Tesatrix sign the salne
and that she / he /they signed as a witness at the request of
the estator /Testatrix in her /his presence and in the presence of each other.
~~
(Signature
5 South Hanover Street
ss)
Carlisle, PA 17013
(Gifu, State, Zip)
Executed in Register's Office
(Signature)
5 South Hanover Street
(Street Address)
Carlisle, PA 17013
(City, State, Zip)
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this_~~'~ da
of ~~~~._-, 20 ~
-may
Sworn to or affirmed and subscribed
before me this day
of , 20
~~(
eputy for Regist r_of Wiles Notary Public
My Commission Expirees:
(Signature and Seal of Notary or other offical qualified to
administer oaths. Show date of expiration of Notary's
Commission.)
NOTE: To betaken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. ~=;
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OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
---------------------------------
Estate of Anna L. Dum ,Deceased
Robert G. Frey & Trisha A. Liess , (each) a subsribing witness to
the [X] Will [] Codicil presented herewith, (each) being duly qualified according to law, depose(s) ;
say(s) that she / he /they was /were present and saw the above Testator / Tesatrix sign the same
and that she / he /they signed as a witness at the request of
the Testator /Testatrix in her /his presence and in the presence of e~eh other. ~
(Signature) (Signature
5 South Hanover Street
(Street Address)
5 South Hanover Street
(Street Address)
Carlisle, PA 17013
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of , 20
Deputy for Register of Wills
Carlisle, PA 17013
(City, State, Zip)
Executed out of Register's Office
Sworn to or affirme an subscribed
befor me this da
of , 20 0
i--)
~~ -~
No ry Public (
My ommission Expirees:
Y
(Signa re and Seal of Notary or other offica] qualified to
a 'ester oaths. Show date of expiration of Notary's
Commission.)
NOTE: To betaken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
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'" ~i 4.. NOTARIAL SEAL
J ~, _ <_ - ~ SUSAN R. HENRY NOTARY PUBLIC
~-s --~ ~-- ,,:_ Carlisle Borough, Cumberland County
~~ ~ ~ ~ _ ; M r~Commission Expires December 15, 2009
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