Full Names	Surname	Date of Birth	ID Number
JURGENS JACOBUS	DOMAN	1921-03-17

---

Date of Death	Place of Death	Estate Number	Will	Value	Nominee
2003-10-29	ERMELO	17467/04	YES	0

---

Marital Status	Customary Law	Spouse Name	Spouse Surname	Spouse Maiden Name
Married in Community	NO	CICELIA JACOB	DOMAN	MONTSHIOA

---

Magistrates Office	Addressee	Address	Town	Postal Code	Province	Country
MASTER PTA	LAWSONLAAN 1191	VOORTREKKER WEG 39	ERMELO	2350	Mpumalanga	South Africa

---

Executor Names	Executor Surname	Agent	Home Phone	Work Phone	Cellphone
JURGENS JACOBUS	DOMAN		011-979 2620

---

Executor Addressee	Address	Town	Postal Code	Province	Country
	MULDERWET 35

---

Executor Comment

---

Comments
J84 0n 05/11/02 to FH WOLMARANS