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32C-228 (4) Estate of Florian A. Rogalski Name Residence Relationship Dolores Daigle* 4 Birchwood Drive, Easthampton, MA 01027 niece Gertrude Kucharski* 6509 NW 234th Terrace, Alachua, FL 32615 niece Joseph Dawicki** 1751 Joyce Street, Sarasota, FL 34231 nephew David Olkowski*** 26 Ashbury Grove, Hillside, VIC 3037, Australia grandnephew Mark Olkowski*** 22850 Meadow Court, Sonora, CA 95370 grandnephew Karen Olkowski*** 4146 Hawkins Street, Fremont, CA 94538 grandniece Paul Olkowski*** 22850 - Meadow Court, Sonora, CA 95370 grandnephew Linda Miller*** 549 E. 16th Avenue #5, Eugene , OR 97401 grandniece Diane Steinle*''* 706 None Such Street, Helena, MT 59601 grandniece Tammy Browning*** 120 N. McDaniel Drive, Auburn, CA 95603 grandniece Joseph Olkowski*** 205 Kaylor Frogtown Road, East Brady, PA 16028 grandnephew Thomas Olkowski*** 4146 Hawkins Street, Fremont, CA 94538 grandniece Walter Babineau**** 453 Beechwood Cove, Marion, AK 72364 grandnephew Gary P. Babineau**** P.O. Box 792, Summerdale, AL 36580 grandnephew Sandra L. Thompson° 137 Miller Street, Ludlow, MA 01056 great- grandniece Walter A. Rogalski °° 87 Main Street, Monson, MA 01057 nephew Roger Rogalski °° 935 Wintergreen Avenue, Gardnerville, NV 89410 nephew Richard Rogalski ° °° 35 Jackson Street, Northampton, MA 01060 nephew Robert W. Rogalski ° °° 520 Jean Circle, West Melbourne, FL 32904 nephew * Children of decedents deceased sister, Josephine Lajzer. ** Child of decedents deceased sister, Isabel Dawicki. ***Children of decedents deceased niece, Dorothy Olkowski, who is the daughter of Isabel Dawicki.. *** *Children of decedents deceased niece, Josephine Babineau, who is the daughter of Isabel Dawicki. °Child of decedents deceased sister, Lottie Nietupski. ° °Child of decdent's deceased brother, Walter Rogalski. °° °Child of decedents deceased brother, Zygmont Rogalski. .-a T -' --i ..ommonwealth of Massachusetts L U (� The Trial Court Hampshire Division Probate and Family Court Department Docket No.HS09P0248EA Probate of Will NVithout Sureties Name of Decedent Florian A. Rogalski ?nil? ,qp� Z .; / t Domicile at Death 78 Hawley Street Northampton Hampshire 01060 (Street and No.) (City or Town) (Co (zip) Date of Death March 3, 2009 , 4 Q t +j; F Name and address of Petitioner) Sandra L. Thompson 137 Miller Street, Ludlow, MA 01056 �T £ * YES l'/t y Status Named Executrix Heirs at law or next of kin of deceased Including surviving spouse: Name Residence Relationship (minors and incompetents must be so designated) Please see attached list. That said deceased left a will - efrt#ii# - herewith presented, wherein your petitioner(*) ism named execut ris and wherein the testat or had requested that your petitioner(s) be exempt from giving surety on Ii /herftiveir bondde). ® The petitioner(s) hereby certif that a copy of this document, along with a copy of the decedent's death certificate has been sent by certified mail to the Division of Medical Assistance, P.O. Box 16206, Worcester, Massachusetts 01616. Wherefore your petitioner( *) pray(s) that said will -a ci#{s*- may be proved and allowed, and that lIelshettffsey be appointed execut rix thereof, wit/without surety orrkis /her/their bonds) and certifiesunder the penalties of perjury that the statements herein contained are true to the best of l;is/herithei *knowledge and belief. dl Date ,?o — C Signature(s) Sandra L. Thompson The undersigned hereby assent to the foregoing petition and to the allowance of the will without testimony. Sandra L. Thompson DECREE All persons interested having been notified in accordance with the law or having assented and no objections being made thereto, it is decreed that said instrument(s) be approved and allowed as the last will and testament of said deceased, and that said petitioner(s): Sandra L. Thompson of Ludlow in the County of ument(s) b Mix be appointed execut rix thereof, first giving bond with out sureties f the due performance of said trust. Date 7 /v Y6'f JUSTICE OF THE PROBATE AND FAMILY COURT c.g.t. 3 rik 1 JUL 3 0 2009 Ham : ss Pt o ,, Nor .tolrMass., At' `;r "s) d. A , t. *Nis;