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. STATE OF NORTH CARaLIt~A ~
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~ - In the General Court of Justice j
FORSYTH COUnty . Superior ~ourt ~ivision
Before the Clerk I
tne Matter ot t??e ~state ~ ~ L ~(,1584 g 5 ry~~
Name • ,
CLINTON A. VAI~ICE, SR. C~k pa;oc Y INVENTORY
Fee ~
G.S. 26A-20-t~
I. the undersigned representative, being first duly swor~, say that to the best of my knowledge the following
is a just, true and perfect invento~y of aH assets of the estate named above which have come into my hands or inio
the hands of any person ior me as personal representative of the estate. None of the a~sets have been disbursed.
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1 check Alue Cross-Blue Shield a able to A V s ~ -
1 check Prtzdential Insurance Com n ;
Clinton Vance ~
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Estate of Clinton A. Vance
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20 k~are~ Aee~ s C~~.poration common stock (fQrmerl
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~ TOTAL VAIUE OF PER30~IA1 PROPERTY ~ 1$~$ 22
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