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01-28-11
- _ _ _ _ _ _ _ _ - _ - __ T_~ i - - i~.ECISTcr". LF ~~i:mot ,°i G ~VI~ yP/~Ci/~ CC)L~:~iT't', Pi:_'~~;S~~L~~'..~~?.i 1\~•an~e of Decedeat:__ ~/~G ~ (X1l/~Y ____ Da,e o: !~_~t~l: ~ o'~b0 Fiie ~~ur::b:-. o2~aC(^ ~ 6 (Q'~ it i.: ~ii~i'ii ~.. D-. r: l'' C..l~ ~: 17 T •~-. ~.t ti~~ Q~~11.~~in r.J 1S'it11 ~•=C:]+::. t., rrTT ••ta`IQ.I Qf [?~~ c~.L il':::1 tine above-captioned estate: 1. date whether adrinis ;atioa of t,~e estate is complete: ................... • ~~'es ~- If the an's~~er1S ;VSO, Statz Wll~n the peISC•nal IepreS~ntatlVe Teasonacdy believes ta~,Jat the zdministlatio?i «11 be comple~~: • /"'~ of :~~~ 3. If the zswel to Ito.. l is YES, state t;i~ fo'ao«•in,: . a. Dd tl~e pelsenal ,ep;-esentative file a f nal~accet:nt with tl~e Court? ....... [Yes _ ~o b. TI?e separate Orphans' CourtNe. (if any) .oI tl:e per,onl re;;Iesentative's account is: ~'~ C. L?~ the peISOP_al 1'epltSentat:~'C siat~ an ~CCOllllt 1nrO1T'.;alty t4 the ~aICIC3 In l;et.'.i?Si? ............................... ~ i~e$ L! ~?Q Ci. I.OF:25 Uf receirs, TZi2~ SeS, ]GIl1~erS Fri?.'. ?.rii*GJ1s Of fOtTTlul Gr iP.fonlla? acco:lniS TDc2~ GC ?zd with the Cierlc of th~ Olphal:s' Court z!zd 1T:3•' c118C1 to tl?+S repot?~. $:~nr:c:r aj'Per:an F:{u:; (i:il /'arm o ~, cQ •. ~ c~~-.~ L i ' ` F CI -_ 1 1 t ~ (~ ~ ••y.. ~' Y to --~. ~ .. ~' ~C~ ~ 1 , t.~: c~ ac H-^ ,- ~_.~ ~ c.3 • I C'e}"i1.; ~PB'S0^i3? FtC~TCSCi!i311Ye ~COtI1:SiC?I ._ ~ r: r..•:r c.'Fertcn Filirtrha Fo:•n: o'Z ~3 ~ ~Gc ( ~^ / S/1 ~,.y/` 1 n"rel. _ ,~ /•I ~` _.J ~(~~ ~~ 7 S.S ~7 ~ 3~ Telex::o~:t