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Petitione~ nquesta that. aR~r ati~factory pc~oof lsas be~a pceeentad that dirtributian !w .
been made in acoordance with tht schedul* of d~tributioa and that dairro of cceditaa have been.paid
or otherwiae d~posed of, an order b~ ent~red diacharqinq Peddoner as p~sonil ~otative of this
eatate aad reka~irq the sucety on any bond which Petitioner may hav~s posted in thi: ProveedirW irom any _
fi~rthec liability on it. . ~ _
_ Under penaities of .p~jury I declare that I have read ths foreyoing and the fa~ats alisyed are
true. to the best~of my knowledg~ aad belief. -
_ _ F.xecuted this _;3e ~ d~,y of ~ /~/dv~3t`"~ ~ lg?~_ . ~
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g - a ' oa- ~iarris -
i l No. Flagler Drs -
Weet Paim ~each, Florida 33401 ' _
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Telephone: _ (305) 832 5661 ~
. ~ CERTIFY that a copy hereof has been funushed to: a
^ - Ricl~ard L. Tokarz - ~ ~ _
124 East 25th Street . - '
Riviera Beach, Florida 33404 ~
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~ by U. S. mail ~-•30 T~ ~y og _~D ~/,E'it/$ F/Q ,19 T 6
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