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~4~5431
!N THE CIRCUIT COURT FOR
• ~ PAIM BEACH_ __COt1N'TY, FLORIDA
• PROBATE D(V1S[ON
fN RE: ESTATE OF
VADA KEITH, File Number ~ t~ l~~ ~~C~'
' Division
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Deceased ~ :
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(Florida Resident With Will Single Petitioner)
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The Petitioner, Dr. Pau~~_Nordsiek alleges:
l. Petitioner 1?as an interest in the above estate as Executor appointed by
Last Will and Testament.
P~~ti,~c~ne~r'~: ?zam~ ,inc! i~~li~::;, .ire. DY'. Paul K. NOrdsiek,___6289 Lear Drive,
Apt. 401, Lantana, Florida 33462,
and the name and addre~s of petitioner's attorney are as set f~rth at the ~nd of this petition.
2. Decedent, Vada_ Keith _ _ _ _ _ ^ _ _ _ , ~yhose last known
Was 2400 Lake Osborn Dr, Lake Worth,_Fla. died on _August
_29th_ ~q 77 JFK Hospital,__ Atlantis, _Fla. , and at the time of death
decedent was domicited in Palm Beaeh _ Co~uity, Florida_
3_ So far a~ IS {CI~Oi1111, the names of the besieficiaries c~[ this estate, their addresses and re-
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lationships to decedent, and the ages of any who are minors, are:
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I N!\l`~tE nDDRESS RELATIONSH[P /1GE
t (BIRTH DI1'CE
~ [F MINOR)
~ Laura Covert Star Route 134 Cousin Unknown
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Houstontown, Pa. 17229 ~
Grace Ketterin~c 751 Saqamore _ Drive Cousin Un n wn
Greensburg, Pa. 15601
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5 4. V~~nue c,f thi: ~,ro~.eerjing is in t:~is count~~ b~CdUSf' decedent_was
; domiciled_and__ owned pro~er~ in this Coun~. _ _ _ _ _
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~ Dr. Paul K.__~Iordsiek ,,.,f,~~~ ,,;~,i,,~-;; is 6289 Lear Drive,
~ Gantana, Florida 33462
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