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Following is a list of decedent's~known debts. [Use extra sheets if necessary]
Name of Creditor Nature of Debt Amount
Cincinnati Bell Telephone Co Service $ 12. 26
Cincinnati C;aR gc Fip,.F,.;,. Service 23...06
Hodapp Funeral Home ~ Service 786.7-5
Jewish Hospital ,Service 62.00
Fish Brothers Monument Co. - Service 331.25
Drs. Gottesman, Pescovitz & Amongero Service 200.00 _
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Total debts ~ $ 1416. 32 _
CERTIFICATION
The undersigned appraiser agreed to act as appraiser of decedent's estate, and to appraise the property
exhibited to him honestly, impartially. and to the best of his knowledge and ability. The appraiser further says tha
he appraised those assets whose values were not readily ascertainable. indicated above by a check in the colum:
"Appraiser" opposite each such item,_and that such values are correct.
The undersigned applicant says that he determined the value of those assets whose values were readily
ascertainable and were nat appraised by the appraiser. and that such values are correct. Applicant further says tha
to his knowledge the above list of decedent's debts is correct.
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