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- Pelitioner rcquests that, after satistactory proof has becn presented tl~at distribution as
been'~n~de in accordance with the schedule of disiribution and th~t clauns of creditors have been paid
or other~vise disposed of~ an order be entered discharging Petitioner as personal represcnt3tive of this
estate and releasing the surety on any bond which Petitioner m~y have posted in this proceeding from
any further liability on it.
Under penalties of perjury 1 dec]are that I l~ave read the foregoin~ and the facts alleged are
true, to the best of my knowledge and belief.
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. . ted this ?~1~.-~- - - aaY of ---Febru~r~_ _ ~ , l9 .~2_•_ _ •
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. _ Petitioner
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Fort Pierce, Florida 33450 .
Telephone: (305Z465-7572___----- ;
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1 CER"rIFY that a copy hereof has Ueen furnished ~to:
Dorothy ~Zizabeth Valine Cleo Ivan Thompkins
c/o Easter Manor Nursing Home 1919 Rio Vista Drive
i ~ 611 ~South 13th Street Fort Pierce, Florida 33450
; _ Fort Pierce, Florida 33450•• - -
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