Full Names	Surname	Date of Birth	ID Number
SAMUEL HERMANUS	BISSCHOFF

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Date of Death	Place of Death	Estate Number	Will	Value	Nominee
2005-07-28	KLERKSDORP	20910/05	YES	13837.38

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Marital Status	Customary Law	Spouse Name	Spouse Surname	Spouse Maiden Name
Married in Community	NO	CATHARINA SUSANNA	BISSCHOFF

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Magistrates Office	Addressee	Address	Town	Postal Code	Province	Country
PTA	20 PONGOLA AVENUE	KWAGGASRAND	POTGIETERSRUS	600	Mpumalanga	South Africa

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Executor Names	Executor Surname	Agent	Home Phone	Work Phone	Cellphone

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Executor Addressee	Address	Town	Postal Code	Province	Country

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Executor Comment

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Comments
REG COPIES 19\05