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Petitioner rrquests that, after satisfactory proof has been presented that distribution has
been made in accordance with the schedule of distribution and that claims of creditors have been paid
or otherwise disposed of, an order be entered discharging Petitioner as personal representative of this
estate and releasing the surety on any bond which Petitioner may have posted in this proceeding from
any further liability on it.
Under penalties of perjury I declare that i have read the foregoing and the facts alleged are
trot, to the best of my knowledge and belief.
Executed this 20th day of December ~ I 79
Petitioner
Attorney for Petitioner:
Jacqueline L. Russakis
515 South Indian River Drive
Fort Pierce, Florida 33450
~ (address)
Telephone: 305-461-0740
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ICERTIFY that a copy hereof has been furnished to:
Montacute Lodge,.A.F. and A.M., Ionic Avenue. Worcester, Mass. 01601
c/o George Haffty
Attorney at Law
311 Main Street
Worcester, Mass.~01608
III
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by mail 20th day of December l9 79 s
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Attorney
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