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PROBATE PROCEEDINC. WILL nF ~
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..............MA.RION. BURK E.............. ~
Fite No. 4
Decessed. ~ •
~O 2~~ l3qCC0~8tt~D ~QOq~t. ~tauntg af ~tiogara;
It is respectfully alleged: - +
(1) Tl~c n~me (s). ~lomicilc (s) (or, in the case of a hank or tn~st company, its prinripal oEfice) and-
ir~terest (s) in this proceeding of the petitioner (s) ue as follows; .
Name: r.~1Y..],....~.l~x~~ Citizen uf USA..........................:........
Domicile or Principal Office: ..........4.rJ....Puniop. Strect
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~sn~e.i u.d N,~e«) ~
~'~nawanda Ncw. York
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cGCdi1~1?tDi+i~X~K ro.o~ ts:.a,
Namec Citizen of
Domicile or Principal Office :
~ ~s~~~ .~a ~ x~e~.~ .
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(Gts. VJla~e or Torrn) lSate)
lnterest (lQ of Petitioner ~ Executor ~E) named in decedent's I..1st ~Vill pmsentcd here~vith
(Check one)
? Ottie~ (Specify) -
(2) Tl~e name, domicile, date and plaee of'dcath. and ~~tional citi-r.c«shin of the above-namcd dccea~ed
are as f.ollo..•.:
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(a) Nainc: ......~~X~QT1.~.llX C. . . .
~(b) 1)ute of death: ...:Apr~l .~~..~~~6.._... (c) Place of death ..~~..~)unlop $t. 7onawanda.i, N. Y. $
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(d) Uomicilc Strect ~ql.~4x:th..,A,d.am..5t.~'~~i............_ .
. Cau~tv ~Si.:.1T~tra.... Statc `c.'W Yot'i:
Ci , Sila~tK,7~.... .A..~~S}?OX X _ .
(e) Citizen: ._.....~SA (Sub~ecc) oE . :
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(3) Thc Last ~Vill, herewith presented, nlates to both real and penonal praperty and consists of an
instn~ment cx instruments dated u showa below and sig~ed at the end thercof by the decedent and the
follo~~~uig sul~scribing witnesses: i
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~ .....Rc~cemtx:r.l6,_,1960,,,,,,,,,,,,,,,,,,,,,,,,,, May,va,j... Valenrine ancl.Dani~ 1 P....ralsioni . ~
; (Date of ~1'i!I) (Witnesses to Will).
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~ (D:~te of Codicil) ~ («'itnesses to Codicil)
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; (4) There is no other will or codicil oE the decedent on file in the oFfice of the court, and upon in-
` forrnation :u~d belicf, there exists no will, oodicil or other testamentary instrument of the drecdcs~t latrr
~ in clate to ~~y of tLe ia+truments menHoned in pata~;raph (3) hereof, except
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: (5) The decedent left surviving:
~ (a) Q~) Spouse (husband~0I1~~9~.
i
ry (b) (2 ) Child or children; or deseendaats of predeceased child or children.
~ (c) ( X) Fathcr: ~tother.
~ (d) ( X) Brothers or sisters. either of the whole or halfblood; or descendants of such predeceaseci
brothers or sisters.
~ ( X) Crandf~ther/grandmother. -
(f) ( X) Uncles or aunts. :
~ (g) ( x) Descendants of pndeaased uncles or aunts. . '
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~ (/nJurmu~ion is rrqWiricl only at !o fhose eJassts o/ tuivwfng ~eto~ives ~rho would rakt rhr pro~~rry
~ ~IrcrJ.•nl iJ dr~~r were no will. Tbt fti»~ "chl/d o? childrtn" rndur/es adoprcd os w~/J os nn~aral childre?r. Stau
~ ?iumb~r oJ sNrvivort !n taeh faeh tlass. lnstrt "X" lR all tabs~qven~ ciusses. /nstrr "NO" rn al! prior class~s.)
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