HomeMy WebLinkAbout09-10-13 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Petitioner(s)named below,who is/are 18 years of age or older,apply(ies)for Letters as specified below,and in support thereof aver(s)the
foliowing and respectfully requests the grant of Letters in the appropriate form:
Doris C.McCans
Decedent's Information /}
Name: Carol A.Huffman File No: 21 —��— �`7�C�
a/k/a: Carol A.Gehrett (Assigned by Register)
a/k/a:
a/k/a: Social Security No: 172-52-2829
Date of Death: 08/20/2013 Age at Death: 55
Decedent was domiciled at death in Cumberland County, pq (State)with his/her last
principal residence at 141 Cottage Rd.,Shippensburg 17257 Shippensburg Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 210 Big Spring Rd. Newville Cumberland PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedenYs property at death:
If domiciled in Pennsylvania...................... All personal property $ 5,000.00
Ifnot domiciled in Pennsylvania................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania................ Personal property in County $
Value of real estate in Pennsylvania................................................................... $
TOTAL ESTIMATED VALUE $ 5,000.00
Real estate in Pennsylvania situated at
(Attach addkional sheets,if necessary.)
Street address,Post Office and Zip Code City,Township or Borough County
�A. Petition for Probate and Grant of Letters Testamentarv
Petitioner(s)aver(s)that he/she/they is/are the Executor(s)named in the Last Will of the Decedent,dated O6/28/2011 and Codicil(s)
thereto dated
State relevant circumstances(e.g.,renunciafion,death of executor,etc.)
Except as follows:after the execution of the instrument(s)offered for probate,Decedent did not mar was not divorced,was not a party to a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§�3323(g),and did not have a child born or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
�NO EXCEPTIONS � EXCEPTIONS
❑ B. Petition for Grant�f Letters of Administratjon (If applicable)
c.t.a.,d.b.n.,d.b.n.c.t.a.,pedente lite,durante absentia.durante minoritate
If Administration,c.t.a or d.b.n.c.t.a.,enter date of Will in Section A above and comolete list of heirs.
Except as follows:Decedent was not a party to pending divorce proceedin wherein the grounds for divorce had been established as de�ned
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever a�udicated an incapacitated persoa� �.ti; � ,,s
r o
�NO EXCEPTIONS � EXCEPTIONS "
�.�,. � ...�i � . .
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the�+o�Ning�spouse'{if any)and heirs(attach
additionalsheets,ifnecessary): 3 ,: � -�•
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Form RW-�2 rev.10-11-2011 Copyright(c)2011 form software only The Lackner Group,Inc. Page 1 of 2
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Oath of Personal Representative o���e�useo��Y
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
Petitioner(s)Printed Name Petitioner(s)Printed Address
Doris C.McCans 304 Franklin Way
Shippensburg,PA 17257
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true and correct to the best of the knowledge and
belief of Petitioner(s)and that,as Personal Representative(s)of thne Decedent,Petitioner(s)will well and truly administer the estate according to law.
Sworn to or affirmed a s�bscribed before *�'"+•� e • ��`�°� Date 9-/o -/3
me ' �day o� ,� oete
By: �
Date
For the Register Date
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BOND Required? � YES � NO To the RegisterofWills: � �, , ,�
FEES: Please enter my appearance by � s"`�ature befow: '
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Letters.......................................... $ �(,�, V� AttorneySjgna " ..� � . �- ' ._�
( )Short Certificate(s)......... ` � � �� `��
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y,^._........._. ..,� ,_._.,....' � . : l.':' .� ,; .
( )Renunciation(s).............. . - , _,. :. , -;,
( )Codicil(s)........................ .,�. : , �.:�:i .. .
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( )A�davit(s)...................... Printed Name: L.Rebecca Able�f � �.,: � ":
Bond............................................. SupremeCourt -�3 r� ,_.� '�`�' '=`A:
„ �:
Commission.................................. ID Number: 94507 ry�, �,,,
Other
`� ��� Firm Name: Salzmann Hughes,P.C.
� ' '� Address: 79 St.Paul Dr.
"�nve-ni�r�� I �.�1
Chambersburg,PA 17201
Phone: 717-263-2121
Automation Fee............................ �- �� Fax:
JCS Fee....................................... �.�i•SC�
TOTAL......................................... g %� �5U E-mail: lables�salzmannhughes.com
DECREE OF THE REGISTER
Date of Death: 08/20/2013
Social Security No: 172-52-2829
Estate of Carol A.Huffman File No: 21
a/k/a: Carol A.Gehrett
AND NOW, ���' �'"F ��n�rn��� , 2��3 ,in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentarv
are hereby granted to Doris C.McCans
in the above estate and(if applicable)that the instrument(s)dated 06/28/2011
described in the Petition be admitted to probate and filed of record as the last Will and Codicil(s))of Decede t.
�. Gl � � , � � ����.� ;
RegisterofWills � �" (,1 �a� � �,��/
Copyright(c)2011 form sokware only The La ner Group c. /1� Page 2 of 2
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H105.805 REV(9/11) �
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: it is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00 ,f � ,,������"" This is to certify that the information here given is
i�� `. • ���,n��p�,'(H Of pE';- correctly copied from an original Certificate of Death
;t�, .'., �, ��+ . . � �r�'�� - y'J'r-, duly filed with me as Local Registrar. The original
: �o_ .,. - .za certificate will be forwarded to the State Vital
'� ,J ` `j`,� a� Records Office for anent filing.
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P 19781773 = '� �
C����-ti`� :,� o��q9lMENT OE��`P~? l z
Certification Number ' �t'��'`� "�������"""��
���E�A�J� �:�:�,,�t� Registrar Date Issued
G�3t�BEftL�r�L� Gs�`., ��
Type/P�Int In COMMONWEALTH OF PENNSVLVANIA�DEPARTMENT OF HEALTH�VITAL RECORDS
P°�'°,"°"` CERTIFICATE OF UEATH
Black Ink State Flle Number:
1.DecedenYS Legal Name(Flrst,MMd1e,Las[,Suffix) . � � 2�.5'ex . 3.Soclal Security Number .. . O�.Date Of 00i[h(MofOay/Yr) Spell Mo)
�-f��mQ� Fam.le 172 52-2829 20 aD13
Sa.Age-48st Birthday(Yrs) 5b.1Jrtde�1 Year Sc.Undcr 1 Da 6.Da[e of BHth(MO/Day/Y�ear)(Spell�MOn�h) 7a�.Birthp laca Cify 0nd SYate oi Forefgn Countryj �
� �.Mori[hs Oays Hours Minutes � . � . � � 117�IlDEY'8 PA � �
" � � A S 19� � 7b.BlKhplaca(COUnty) �
Sa.Rcsidence(State or For¢Ign Country) Sb.Hesidence(Stre¢t antl Number-Inclu �Apt No. Sc.Did Decedent Live in a Township7 � � '� � � �
PeruiS lvardF+ 141 Cot Rped O�e�,ae�eae�c u...a�� cwn.
s�NesldeT,c�(c yo+ntv) �Se
IXIIIOE 1HiY1 8e.Residantt(2ip Coda) No,decedent 1{vad within Ilmits of �i���8 city/boro.
' 9.Ev�r In US Armed Forces? 10.Ma�i2al Status a[Time of DeaSh �Marrletl 0 Wltlowetl 13.Survlving Spouse's Name(If wHa,piva name prlor to flrst ma�rlage)
�Yes �No �Unknown �Divorcatl �Naver Marrlad 0 Unknow �
12.Fathe�'s Name(Flrs[,Mltldle,Las[,Suffix) . 13.Mother's Name P�ior to Firs[Marriaga(Firs[,M14tlla,I.ast) .
I2�na E. �
14a.InfoMlanf's Name�� . 14b.Relailonzhip to Decedant 14 Informant'S Miilins Address(Street and Num� f,City,Stat�e,Zip Gode) .. �. � �
g J�� c�-,re�c s� za x�a sr� n��.�g, pn i�2s�
G �.. . . . ._...i_a.v aca o oeat..� ..Y..��._ � ..._.................. ......... ..-...�. .......�.... �.
""""""" ' ' � ................ ......................................... .. ......................... . ��.. .."'....
�e'� If Death Occur�ad In H .pital: `�lnpaHent �1f Daath Otcurred SomeWhera Oiher Than a�HOSpiCal: �Hozplce Faciltty� �Decede.n['s Home��. �
� Eme en Room/OUSpatient O Dead on A��IVaI Nursing Home/LOng-Te�m Ure Fac111Yy OtAer(Speclfy)
�� 35 Factlity Nama(If not InsHtuHO�,give streec and number; 15c.City or ToWn,Stata, nd Zip Coda i5d.County o�Ueath•
o� I � �r� R;.ase vi�se x�.�e pn i�z�a amt���
.�-, 16a.Method of bizpOSltlon 0 Burlal Cremation 16b.Date of Disposltlo� 16c.Vbce of Dlsposliion(Mame Of Cemetery,Crematory,or other place)
� O Rem val From Stata O Donallon A.....��- ' . .� .�
Other(Spoeci ^ •'+��b�'"��- � ��.3 �L7�1 F'.x. BTId �i[�EfI1at0� .
� 16d.Loceti of Disp.'itio (City or Town,Sxate,antl 2Ip) � 17a.51 tu�a of ral Service Llcensee o�Per on in Charge of�Inta�ment 17b.tJtense�NUmber
$hippensburg PA 17257 FIN138746
17c.Name a d Compl Ce Address of Funeral Facilliy
� FLnIPr`a� H(]� BTI� �"H7Ht0
� 18.Decedeni's EduoLOn-Check the box that best Aes<ribez the 19.Decodeni of Hispanic Origin-Chack the 20.DecedenYS Ra<e-Check ONE OR MORE races to indicace what
highast daQrao or level of school complated at the tima of death. box that best dascribes whe[her the decedent the decatlent consldared himself or haraelf to ba.
�Hth arads or lass �s Spanish/Hlspanic/LaSino. Chack the"NO" �Whita � Koraan
0 No diploma,9th-12th grade box If decedent Is not Spanish/Hispanic/Lailno. 0 Black or African American �Vlainamesa
�Hlah school graduaie o�GEU complefed No,noi Spanlsh/Hlspani4Laiina �American Indlan o�Alaska Nativa � Other�ASlan
SOme collaQa credit,but no tlagree �V�s,Maxican,Mexican American,Chicano 0 Asbn Indian � Native Hawailan
0 Assoclate tlegree(e.�.AA,AS) O Yes,Puerto Riun 0 Ghinesa Q Guamanlan or Chamo��o
Q Bachebr's Aegr�e(e.g.BA,AB,BS) 0 Ves,Cuban �Filipino 0 Samoan
� 0 Mastar's tlegr¢e(¢.g.MA,M5,MEng,MEtl,MSW,MBA) 0 Yes,otha�Spafiish/Hispanic/Laiino �lapanase O ahar Paclflc Islande�
O Doctorace(e.y.PhO,EdD)or Professlonal dearee (Spedfy) �Oiher(Specify)
.MD DDS DVM LLB 1D
21.Decetlent's Single Race Self-Oeslgnation-Check oNLY ONE io Intlicata what the docad¢nt considered himself or herself[o ba. 22a.Decatlant's Usuai Oc[upation-Intlicaia type ot work
w White �lapanese Q Samoan done Ou�InQ mosC of working Ilfe. DO NOT USE RETIRED.
�Black or African Ame�lcan �Korean 0 Oihar Paclflc Islantler �.fii�p 11..,_.�..,�.t�=.
� 0 Amsrican Indian or Alaska NatWa 0 Viainamese 0 Oon't Know/NOt Sure "i�°
. �Asian Intlian 0 Other Asian 0 Refused 22b.Kind of.BUSiness/Industsy
� ��.p cn�nese� � . O Nain.e Hawan.n O orne�<sPenN) Pet Food � .. . � �. �� � .
{]Fillpino �Guamanian or Chamorro �
ITEMS 29a-29d MUST BE COMPLETED 23a.Date Pronounced Dead(MO Oay 2 I nafuYe o Person ronouncing D¢ath Only whgn app ita�IeJ� Z3c.Licenze Mumber.�
CEAI'I�F fi5 DSATH PRONOUNCES OR OS � iLOI� � . /.��� �.
23d:Dace Sl¢n. (Mo/Oay/Vr) � 24.Tme o Oeath � �/�IY � �
Qg �S� 25.Was Medical Examiner or Coroner Gontacted? Yes � No
CAUSE OF UEATH � qpproximaia
26.Part 1. Enfer[he chaln of events-diseases,inj�ries,or complicatlons-thai diracHy caused She tleath. DO NOT e�ter tarminal avents such as cardiac arrasi. � � Interval:
r�spiratory arrest,or vencricular Flb�illailon without showinQ il�a atioloQy. UO NOT AB(BREVIATE. Enter o�ly ona cause on a Ilne. AAtl aAAlNOna1 Ilnes If nacassary � Onset[o Death
IMMEDIATECAUSE --'------> G��� r! ��S L.J O � �'��/ �
(Flnai tl{zease o�conditl�on � Due to(or a5 _t sequenc9 0�: � � � � � � �
resulqn6 in ileath) b. ��'j� \ 1 \ S C-- � � . { .
�
SaquenHillV�1st mntlitlans, . ua to(or as i co�sequen �• � . � � � . . .
it a.,v.� a�ns io m.ca..:o . ../'Q"�G�l. �� . � . . � ..
usc.a an iina a. en�ar ibc . �✓�•�C.Z i�.
utioEn�htic uus¢ oue so lo�as a mnsaq..�nce o�: � �
¢,� (dis•as�or in}ury ihat . ..
�: ioiwxd m.e..enn��e:ws�ne a. . E
�. )n d¢aM)lAST: Dua to(of�s.a conuquence o�: . . F
� � 26..PaR 11.Enter other i i c it tH t n t h buC noC�esulSinQ in[he untle�lying cause given In Part F�� . � . � 27.Y✓ai Hn autopsy peAormad7
Yas No
� � � . . � 28.wera�autopsy flndings avallable
� �- � � � . to complete tha wuss of deach?
� 0 Ves IVo
29.If F ale: 30.Old Tebacco Use Contrlbute to DeathT 31.Manner of Dea[h
�Not pragnant wiihin past year 0 Vas 0 Probably atural 0 Homlcida
eg o�praQnani at tlma of death � 0 Unknown 0 Accident 0 PendinQ InvesNgaHOn
°m' � Noc preQnant,but preQnant wlthin 42 days of death 0 Sulcide 0 Could not be determinetl
� Not preQnani,but pregnant 43 days to 1 year before tleatf 32.Daia of Injury(MO/�ay/Yr)(Spell Month)
� Unknown if pragnant within che pasi yea� 33.Time of Injury
34.Placa of Injury(e.g.home;const�uction slte;farm;school) 35.bcation of InJury(SLreet antl Numbar,Clty,Staie,21p Code)
36.InJury ac Work 37.If Tronsportation Injury,Specliy: 36.Describe How Injury Occurred:
Q Yes 0 Driver/Operator O Petlastrian
� No 0 Passenger 0 Other(Specify)
39a. er(Chsck only ona): -
CxrtlTying physician-To�he best of my knowladQe,deaih occurred dw to tha cause(s)and m r stated
0 Pro�ouncing 8.CeRI/ying physlclan-To the best of my knowladga,daa[h occurred at th�tlma,tlata,and placo,rnd duo to the cause(s)and mannar ctaied
Q Medlcal Examin¢r/COroner- e basis of examinatlon,and/or invesiigation,In my opinlon,Oeath oc�/cu\rretl at the ilme,tlata,antl place,anA tlue to the cause(s)anA manner staietl
Slgnatu�e0ltlltifl0�: TltlaOfclrtlflp�: L�J - � LIMt180NYTb0�:�� +��ICS�« � �
39 Name,Adtlress and Zip Lodt erson Completing Cause of Death jltem 26) . . . .. 39c Date 5lgned(MO/Day/Yt) �
Dr_ 1 Ckiis-tw.t 56 A_shton St. Car13s1E PA 17015" g( Z 3 L�3'
� 40.R�gist ar's Dis[rict Nu=6er � � 41.Reglstrar . .42.R istrar R e Date Mo Day f.?
. .� � � � ���� �/�-.�
.$ 43.Amendments
�
� H105-143
Disposition Parmit No. REV OJ/2011
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LAST WILL AND TEST�!111���1VT ': � �
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I, CAROL A. HUFFMAN, currently of 313 Raystown Circle, $�i�ipensbum�, Franklin
County, Pennsylvania, being of sound mind, disposing memory and fu1�=legal age:;�riio hereby
make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and
Codicils heretofore made by me.
ONE. I direct my Executor or Executrix, as the case may be, to pay all of my
debts, funeral and administrative expenses as soon as convenient after my decease. Furthermore,
I direct that all state, inheritance, succession and other death taxes imposed or payable by reason
of my death and interest and penalties thereon with respect to all property composing of my
gross estate for death tax purposes, whether or not such property passes under this Will, shall be
paid by the Executor or Executrix of my estate. Further, to the extent that sufficient assets exist
in my estate, any and all inheritance or other estate taxes, whether to non-charitable or charitable
beneficiaries, shall be paid by my Executor or Executrix from the residuary of my estate.
TWO. My Executor or Executrix may, at his or her discretion, compromise
claims, borrow money, retain property for such length of time as he or she may deem proper;
lease and sell property for such prices, on such terms, at public or private sales, as he or she may
deem proper; and invest estate property and income without restriction to legal investments
unless otherwise provided hereunder. I authorize and empower my Executor or Executrix to sell
any realty and/or personalty owned by me at my death and not specifically devised or
bequeathed herein, at public or private sale or sales and to give good and sufficient deeds and/or
bills of sale therefor, in fee simple, as I could do if living. My Executor or Executrix is
C' R'�'
authorized and empowered to engage in any business in which I may be engaged at my death, for
such period of time after my death as seems expedient to said Executor or Executrix.
THREE. I give, devise and bequeath all of my estate to my son, JEREMY M.
GEHRETT, per stirpes. If my son, JEREMY M. GEHRETT, has predeceased me without issue,
then I give, devise and bequeath my estate to my sisters, DORIS C. McCANS and KAREN S.
KELLEY, per stirpes.
FOUR. I hereby nominate and appoint my sister, DORIS C. McCANS, to be the
Executrix of this my Last Will and Testament. In the event for whatever reason she is unable to
serve as the Executrix of my estate, then in that event I hereby appoint my sister, KAREN S.
KELLEY to be the Substitute Executrix of this my Last Will and Testament, whereby the said
substitute personal representatives shall have the same powers as are given to the original
Executrix hereunder.
FIVE. If, under any of the provisions of this Will, any principal becomes vested
in a minor, my Executor or Executrix, as the case may be, including any administrator c.t.a.,
shall have the discretion either to pay over such principal or any part thereof to any parent of
such minor, any guardian of the person or estate of such minor, or any person with whom such
minor resides, or to retain the same as trustee of a power in trust far the benefit of such minor
during his or her minority. Any �f the principal t.lus retained, and any o�the income therefrom,
including the whole thereof, may be paid to or applied for the benefit of such minor from time to
time in the discretion of the trustee of such power. When such minor reaches majority, the funds
so held shall be paid over to such person, or, if he or she shall sooner die, to his or her legal
representatives. In so holding any principal or income for any minor, the trustee of such power
shall have all the rights, powers, duties and discretions conferred or imposed upon my fiduciaries
acting under this Will. I further direct that no bond shall be required from any person receiving a
2
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payment hereunder and receipt from such person shall be a full discharge to the trustee of such
power who shall not be bound to see to the application or use of such payment. The trustee of
such power shall be entitled to commissions at the rates and in the manner payable to a
testamentary trustee
SIX. No person(s) shall benefit hereunder unless such beneficiary shall survive
me by sixty(60) days.
SEVEN. No Executrix or Executor acting hereunder shall be required to post bond
or enter security in this or any other jurisdiction.
EIGHT. No beneficiary may assign, anticipate or pledge its interest in any income
or principal held or distributable hereunder, and no beneficiary's creditors may levy, attach or
otherwise reach any such interest.
NINE. If any person or institution entitled to share in any distribution under the
terms of this my Last Will and Testament becomes an adverse party in any proceeding to contest
the probate of this Last Will and Testament, such person or institution shall forfeit his, her or its
entire interest inherited hereunder and all provisions in favor of such person or institution shall
be declared void and of no effect. The share of such person or institution so forfeited shall be
distributed as part of the residue hereof except that if such person or institution is entitled to
share in the said residue, that interest shall be distributed proportionately to the other residuary
distributees.
3
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IN WITNESS WHEREOF, I have hereunto set my hand and seal this ��'��day of
��3 n� , 2011.
�
(SEAL)
C OL A. HUFF A
Signed, sealed, published and declared by the above-named person as and for a Last Will
and Testament, in our presence, who at said person's request, in said person's presence and in the
presence of each other have hereunto set our names as subscribing witnesses.
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ACKNOWLEDGMENT AND AFFIDAVIT
WE, CAROL A. HUFFMAN, 1-.. . KP:�-e!C�� .a�4�'� and
�r �{-�c�� L . Lc�v-r , the testatrix and witnesses respectively, whose
names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the
undersigned authority that the testatrix signed and executed the instrument as her Last Will, and
that she had signed willingly, and that she executed it as her free and voluntary act for the
purpose herein expressed, and that each of the witnesses, in the presence and hearing of the
testatrix, signed the Will as a witness and that to the best of their knowledge the testatrix was, at
that time, eighteen years of age or older, of sound mind and under no constraint or undue
influence.
�'�� � ,��,.� .._�_._
CAROL A. HUFFMAN
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COMMONWEALTH OF PENNSYLVANIA .
. SS:
COUNTY OF FRANKLIN .
Subscribed, sworn to and acknowledged before me by CAROL A. HUFFMAN, the
testatrix herein, and subscribed and sworn to before me by (._.,��u PU1�..� and
��c ,��.�fi��.. �_ .Cu�� ,witnesses, this �1`1�day of '�1� 2011.
r� r.
/ ��i ���, �} 1
NOTARIAL SEAL Notary Public
�tNOA FLEMIN�-BEEBE
Notary Pub11c
WASHINGTON TWP.,FRANKIIN COUNTY
My Commission Expires Jul 31,2014
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