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I� I I " I 'N" ��' ,_:' _-�, �_� ,_:�' . , , �:_ _:�'�"''_;.-�..'�"� ����:��:�:�,,��..�..,,�,i�,��,,�i.�, "�"i.�,��i''-�,�,��,:,.�,-,..�.",.�-,�,.'"', - , ,�� '�
� .. �'_. r- � ry
�0
Town of Barnstable *Permit#
Qn Expires 6 months from issue date
Regulatory Services.
. .� g r'y Fee LS
MAQQ
• snaxsz�ai.E, •
,� Thomas F.Geiler,Director.
Building Division �I
Tom Perry,CBO. Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790=6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X,Press Imprint.
Map/parcel Number oul -�
t
Property Address CM7z"
esidential Value of Work 6 Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address
G✓
Contractor's Name Telephone Number
�2 C/
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable) ?�0 .0
If, PQ
❑Workman's Compensation Insurance ,
Chec am a sole proprietor MAY 25 201
❑ I am the Homeowner.
❑ I have Worker's Compensation Insurance
Insurance Company Name TOWN OF BARNSTABLE
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany.each permit.
Permit Request(check box)
Re-roof(hurricane.nailed).(stri in old shingles) All construction debris willb PP g. g ) e taken to
❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side
#of doors
❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc..
***Note: Pro, Owner.must sign Property Owner Letter of Permission. '
co of the Home Improvement Contractors License&Construction Supervisors License is
re fired.
SIGNATURE:
Q:\WPFILES\FORMS\buil mg permit formsTMESS.doc
Revised 051811
The Cons monmealttli of Massachusetts
1)e Accidenft
_ Office of Imwfigations
600 Washington Street
Boston,M4 02111
n.immasmggo►Idia
Workers'Compensation Insurance Affidavit:Builders/Co ctors/E tricians/Ptumbers
Applicant Informat10II Please Mut 1#%dba'
Name(Busi �tlndividmq.
Address: 1,41
_ O
Are you an employer7.Check the appropriate boa: Type of project(required):
❑ I am a employer with 4: ❑ 1 am a general contractor and i
employees(full atbd/arpoct-time).
* have hired the sub-contractors 6- ❑New construction
2. .a proprietw or parlisted on the attached sheet. 7- ❑Remodeling
ship and have no employees These sub-contractors have 8- ❑Demolition
wcddng far mein any capacity. employees and have worms'
[No workers'camp_insurance comp_insurance.? 9. ❑Bur7t€ing addition
required-]
5_ ❑ We are a corporation and its: 1{�_❑Electrical repairs or additions 3_El officers have exercised their I am a homeowner doing all'woik 11.El -Pl g repairs or additions
mysell o wormers' right of exemption per MGL
12 repairs
insurance r P equired]t c.152, §1(4X and.we have no _ f
employees-[No workers'
13. ther
p
comp.ms umee required_] 0 in
*Any apphcaat that checks boa#I vas'also fill out the section belcm showing their wodere com4misatim policy infbimoatim
I Homeawnm Who subunit this a€fidasrst mdicating they ne doing all wm k and dien hag outside cantractan first submit a new affidavit indicating such-
LContractus that check this box must attached as additional sheet showing the move of the sab-oakum and.state whether or=those entities have
employees. If the sub-cwtactms have employees,they moist provide their winker'comp.policy number.
I am an emploi.wr that is prodding vvrkers.'.cotgensalian insurance for my emptnyess. Below is the policy raid job site
information.
Instna ice Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: Gity/StatetZip:
Attach.a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c- 152 can lead to the imposition of criminal penalties of a
fine tip to$1,500-00 and/or one-year rmpsxsonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of'up to$250.00 a day against the violator_ Be advised that a copy of this statement may be forwarded to the Office of
Investigations of for insurance coverage v+erifiication..
I do hemby rani ender rt 'n _ ndp�rr ofpeduty 1hatthe informathm proWiW a is hue d correct
Si Date7
Phone M. '�F= 226
f,►1kial use only. Do not wfite in this Aiwa,to be completed by.c*or totun affic at
City or Town: PermitlLicense# "
Issuing Authority(circle one):
1.Board of Health 2.Boding Department I City1rown Clerk ]..Electrical Inspector 55.Plumbing Inspector
6.Other
Contact Person: Phone#:
6
,' Town of Barnstable
���►+a Regulatory Services
Thomas F.Geiler,Director
Building:Division
Thomas Perry,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.nia.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section .
If Using A Builder
as Owner of the subject property
hereby authorize el to act on my behalf,
in all matters relative to work authorized by this building permit application for:
r 4 �t 5-1
(Address of Job)
12,
Signature of Owner Date
r ..
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
Q:\WPHLESTORMSUilding permit forms\EXPRESS.doc
Revised 051811
�tME Town of Barnstable
][regulatory Services
_"WKAM Thomas F. Geiler,Director
1639.
oia Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow
homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two-
family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section
109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
procedures and requirements and that he/she will comply with said procedures and requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building-Code
Section 127.0 Construction Control
HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner
engages a person(s)for hire to do such work,that such Homeowner shall act as'supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor
(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often
results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot
proceed against the unlicensed personas it would with a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in
your community.
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doC
Revised 051811
Massachusetts - Department of Public Safety
Office of Consumer Affairs&BdsinessRegulation Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Construction SuperN isor
e;Registration: 132691 Typ
License: CS-078000 r'(e Expiration 3/23/2013 Individual `�\�t:
SC QUILTERjIIf— _
SCOTT H QUI>J�I'ER
81. 1 1 PO BOX 727 k1 49
W HYANNIWORT MAC 02672
SCOTT QUIETER\ $�r7� ; 1 i
247STRAWBERRY`H�,iE- b
1 CENTERVILLE, MA0262 Undersecretary -
Expiration
. _ Commissioner 02/03/2014
1
License
or registration _T
r before the for valid for indwidul use only
a Of17ce of Comer date. If found returny - .
,. Bo I o rk plazasusu'te 5170airs and Business Regulation. hf
1' n,MA 02116 '
F
Not valid without
!;� Signature
f
sbe CommonbJEalfb of Jffl"garbtLgetiq
(INSTRUCTIONS ON REVERSE SIDE) 99")
FOR USE BY STANDARD CERTIFICATE OF DEATHPHYBICIANS ANDREGISTRY OF VITAL RECORDS AND STATISTICS REGISTERED NUMBER STATE USE ONLY
MEDICAL EXAMINERS DECEDENT-NAME FIRST MIDDLE . LAST SEX DATE OF DEATH(Mo.,Day,Yr.)
STATE USE ; John Raymond Bryant 2 M 3March 31, 2010
ONLY PLACE OF DEATH(City?—): COUNTY OF DEATH HOSPITAL OR OTHER INSTITUTION-Name(If not in either,give street and number)
4a
Barnstable qb Barnstable 987� West Main St.
4b i
PLACE OF DEATH(Check only one): - -
7WW II
5
WAS DECEDENT OF HISPANIC ORIGIN? RACE(e.g.White,Black,American Indian,etc.) DECEDENTS EDUCATION(Highest Grade Completer?
(If yes,Specify Puerto Rican,Dominican,Cuban,etc) (Specify) - - Elementary Sec(0-12)1 College(14 5+) '
5 Type 0 0 ENO ❑YES White 7 1
Be SDeciW: Bb 9
AGE-Last Birthday UNDER 1 YEAR UNDER 1 DAY
11
MARRIED,NEVER MARRIED LAST SPOUSE(If wife,give maiden name) USUAL OCCUPATION T1,,ND,11BUS'NESSRaR'NDU'T�iY
WIDOWED OR DIV RCED - (Prior-If Retired) rnsLable
Marre� Annie B. Wahlowick Foremanway Dept.
10 Age 12 - 13 - - 14a
RESIDENCE-NO.&ST..CITYrrOWN,COUNTY,STATE)COUNTRY - ZIP CODE
,5a 987 West Main St. ,. Barns table, Barnstable, MA 15b 02632 -
FATHER-FULL NAME STATE OF BIRTH(If not in US, I MOTHER-NAME (GIVEN) (MAIDEN) STATE OF BIRTH(If not in the US,
15 Resid John R. Bryant name country) SC A1Via Newton name country) FL
16 17 . 18 119
INFORMANTS NAME MAILING ADDRESS-NO.&ST.,CITY/TOWN,STATE,ZIP CODE 02 6 3 2 RELATIONSHIP
15 Out-State 20' Susan M. Sweet - 21977 W. Main St. , Centerville, MA 12paughter
23 METHOD OF IMMEDIATE DISPOSITION FUNERAL SERVICE LICENSEE OR OTHER DESIGNEE LICENSE 9
BURIAL [ICREMATION -
23 Disp ENTOMBMENT ❑REMOVAL FROM STATE Mark W. Tomkins 50316
_ DONATION ❑OTH.SPEC. 1 24 25
e e PLACE OF DISPOSITION(Name of Cemetery,Crematory or other) LOCATION(City/Town,Slate)
26a Beechwood Cemetery 26e Barnstable, MA
31-32 Autap DATE OF DISPOSITION NAME AND ADDRESS OF FACILITY OR OTHER DESIGNEE _
(Mo.,Day,Yr.)Ap r. 6, 2010 28�Doane- Beal & Ames,. 160 W. Main St. , Hyannis, MA 02601
29 PART I-Enter"the diseases,Injuries,or complications that caused the death.Do not use only the mode of dying,such as cardiac or respiratory arrest,shock or heart failure Appmbmate Interval
Usl only one cause on each line(a through d)PRINT OR TYPE LEGIBLY. Between Onset and Death
34 Manner IMMEDIATE CAUSE(Final
disease or conditfon resulting a. -
ill death). DUE
TO(Ofl AS A 00NSEOU OF)
35c Work Inj - Sequentially list conditions,II b.
any,leading to immediate DUE TO(OR AS A CONSEOUENCE OF) -
muse.Ester UNDERLYING
CAUSE(disease or injury that c
initiated events resulting in - DUE TO(OR AS A CONSEOUENCE OF)
351 Place death)LAST - -
d.
PART II-Other significant conditions contributing to death but not resulting in underlying cause given in Part I. - WAS AUTOPSY WERE AUTOPSY FINDINGS
' PERFORMED? AVAILABLE PRIOR TO
36-37 Cart - - (Yes or No) COMPLETION OF CAUSE,
OF DEATH?(Yes or No,'
30 31 fV V 32
MED.EXAM. 34 NER OF?EATH - - -DATE OF INJURY - TIME OF INJURY INJURY AT WORK
40a Pmn NOTIFIED? ATURAL ❑HOMICIDE ❑COULD NOT BE DETERMINED (Mo.,Day,Yr.) (Yes or No)
(Yes or No)
33 � ❑ACCIDENT.❑SUICIDE ❑.PENDING INVESTIGATION 35a 35b M Cc
DESCRIBE HOW INJURY OCCURRED PLACE OF INJURY(At home, LOCATION(No.&SL,City/rown,State)
Pronouncement of Death farm,street,factory,office bldg.,
Form(R-302)on File: era,)Specify
35d - - - �35e 35f
a 36a To the best of in kno ledge,deaf occurr t the Ii ate, nd lace and due to the r2 37a On the basis of examination andlor investigation in my opinion death occuned at the dine,
a Fn causes)slated. r� a w date,and place and due to the causes)sated.
• �� (Signature A/t 1/- v� '° (Signature -
m= and Title) u¢.} and Title
E c9 z DATE SIGNED(M ,Day,Yr.) HOUR OF DEATH E w z DATE SIGNED(Mo.,Day,Yr.) HOUR OF DEATH"
,j Jr C J
0>O 36b Gi 1'-G 3( z� l 36c (d `S M 0 O 37b. - 37c M
,a a NAME OF ATTENDING PHYSICIAN IF NOT CERTIFIER c w PRONOUNCED DEAD(Mo.,Day,Yr.) PRONOUNCED DEAD(Hr)
F .
Fw 1-f
O 36d 37d 37e M
NAME AND ADDRESS OF CERTIFYING PHYSICIAN OR MEDICAL EXAMINER(type or Print) LICENSE NO.OF CERTIFIER
( //� 1_ p t o O s-�ev�v;l�e �e.s`t 7"„r y.s+, 1�
{rw C .LJJ. �t•\T I.n1� 'f V t lsz.. oZb 55 — L) :7 0 39 I S o 3 1 S
WAS THERE A IF YES,DATE IF YES,TIME- 40d NAME OF PRONOUNCER - TITLE
PERMANENT - PRONOUNCEMENT.FORM?PRONOUNCED PRONOUNCED ,�,`
BLACK INK ONLY ('Yes or No) n„ MAr-et, .3((2�01 0 /S � LA�'�—� N�N�S L7F`.N.❑P.A.❑N.F.
40a U 40b 40c l�%-'S M
R-301-08 DATE BURIAL PERMIT ISSUEDApr it 3, 2010 RECEIVED IN OW S DATE OF RECORD
SIGNATURE-BD.OF pI�CS Apr,
® HEALTH AGENT
I;the undersigned,Hereby certify that I am the Town Clerk.for the To�vi7 of ,-.—sta ble th(it,as such,I have custody of the records of births,marriages
and deaths,required by la"w to be kept in my office;and I do hereby certify that the above is a true copy from said records.
WITNESS:My hand and the SEAL OF THE TOWN OF BARNSTABL>
A TRUE COPY ATTEST:at Barnstable,Massachusetts
Linda Hutcllcnrider,Town Clerk,'Barnstable
(if the.Seal is not raised,this document has been illegally copied=do not accept it.)
� �fje�ommonEneaiti�of gari�u�ei�
(INSTRUCTIONS ON REVERSE SIDE)
FOR USE BY, i STANDARD CERTIFICATE OF DEATH
REGISTRY OF VITAL RECORDS AND STATISTICS
PHYSICIANS ANDlug REGISTERED NUMBER STATE USE ONLY
MEDICAL EXAMINERS DECEDENT-NAME FIRST MIDDLE LAST SEX DATE OF DEATH(Mo.,Day,yr.)
STATE USE , Annie Boyne Bryant 2 F 3 May 24, 2010
ONLY PLACE OF DEATH(CiVF0wn): - COuNw;,
F DEATH HOSPITAL OROTHER INSTITUTION-Name(if not in either,give street and number)
4a Barnstable - 4 rnstable ,° 987 West Main Street
PLACE OF DEATH(Check only one): -
7 — — —
WAS DECEDENT OF HISPANIC ORIGIN? RACE(e.g.White,Black American.Indian,eta) DECEDENTS EDUCATION(Highest Grade Completed)
(If es,Specify Puerto Rican,Dominican,Cuban,eta) (Specify) - Elements Sec D-12 CoBe a 1-4,5+
5 Type e a iNO ❑YES White 3 8a S e' - 6b - - g
AGE-Last Birthday I UNDER 1 YEAR I UNDER 1 DAY
11 Barnstable, Massachusetts
MARRIED,NEVER MARRIED LAST SPOUSE(if wife,give maiden name) USUAL OCCUPATION KIND OF BUSINESS OR INDUSTRY
WIDOWED OR DIVORCED - - - (Prior-It Refired)
10 Age j2 . Widowed 13 .John R. Bryant 14a.Registered Nurse 1,4b Hospital
RESIDENCE-NO.&ST.,CITY/rOWN,COUNTY,STATEJCOUNTRY - ZIP CODE
15a 987 West Main Street,_ Barnstable, Barnstable, Massachusetts 15602632
.FATHER-FULL NAME STATE OF BIRTH(If not in US, MOTHER-NAME (GIVEN) (MAIDEN) STATE OF BIRTH(If not in the US,
15 Resid 16 John Wahlowick 17meCMria ,6 .Hilda Boyne 79Scotiand
INFORMANTS NAME MAILING ADDRESS-NO.&ST.,CrfYrrOWN,STATE,ZIP CODE RELATIONSHIP
15 Out-State e' 20 Susan M. Sweet -977 West Main 'St. , Centerville, MA. 0263E 1,2 Daughter
21
23 METHOD OF IMMEDIATE DISPOSITION FUNERAL SERVICE LICENSEE OR OTHER DESIGNEE LICENSE tl
BURIAL ❑CREMATION SS86
23 Disp ENTOMBMENT I ❑REMOVAL FROM STATE Lawrence J. Bennett .
❑DONATION ❑OTH.SPEC. 24 - 25
o a 0 PLACE OF DISPOSITION(Name of Cemetery,Crematory or other) LOCATION(City/rown,State)
26a Beechwood Cemetery 26b Barnstable, Massachusetts
31-32 Autop DATE OF DISPOSITION NAME AND ADDRESS OF FACILITY OR OTHER DESIGNEE .
(M°M yY`)28, 2010 2.1ohn-Lawrence F.H. 3778'Falmouth Rd. Marstons Mills MA.
29 PART I•Enter the diseases,injuries,or complications that caused the death.Do not use only the mode of dying,such as cardiac or respiratory arrest,shock or heart failure Approximate Interval
34 Manner List only one cause on each Ilne(a through d)PRINT OR TYPE LEGIBLY. - - - - Between Onset and Death
IMMEDIATE CAUSE(Final
disease or condition resulting-a. L
in death) DUET R AS sr-OUENCE OF) - -
35c Work Inl Sequentially fist conditions,If b.
any,leafing to immediate DUE TZ AS CONSEQUENCE OFJ - -
cause.Enter UNDERLYING - -
CAUSE(disease or injury that C.
Initialed events resuNrig in - DUE TO(OR AS A CONSEQUENCE OF7
35f Place death)LAST
d..
PART II-Other significant conditions contrlbupng to death but not resulting in underlying muse given in Part I. WAS AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
36-37 Gen (Yes or Q No) COMPLETION OF CAUSE
OF DEATH?(Yes w No)
.. 30. 31 32 No
MED.EXAM. - 4 MANNER OF DEATH DATE OF INJURY - TIME OF INJURY INJURY AT WORK
40a Pron NOTIFIED? NATURAL I--]HOMICIDE❑COULD NOT BE DETERMINED
(Yes or No) N (Mo.,Day,Yr.) (Yes or AT
33 ` - ❑-ACCIDENT[:1SUICIDE ElPENDING INVESTIGATION 35a - -35b Ni 35c
Pronouncement of Death DESCRIBE HOW INJURY OCCURRED PLACE OF INJURY(At home, LOCATION(No.&St.,City?own,State)
farm,street,factory,office bldg.,
Form(R-302)on File: eta,)Specify
35d 35e 351 .
a 36a To the best of my knowledge,death occurred t e time,date,and place and due to the _ 37a On the basis of examination and/or Investigallon in my opinion death occurred at the lime,
a g cause(s)stated a w date,and place and due to the.cause(s)stated.-
. 9m (Signature a? (Signature
'1=Y end'rileEke,
�1• m Q and Title
E o= DATE SIGNED(MD.;"ay,Yi.J77 .. HOUR OF DEATH E w z DATE SIGNED(Mo.,Day,Yr.) HOUR OF DEATH
o�p
>. 36b - 36c O J M O< 37b 37c M
c2 NAME OF ATTENDING PHYSICIAN IF NOT CERTIFIER _ c w PRONOUNCED DEAD(Mo.,Day,Yr.) PRONOUNCED DEAD(Hr)
~U 36d _ - - ~2. 37d 37e M
NAME yAAND ADDRESS OF CERTIFYING
PHYSICIAN ORR�/MEDICAL
("EXAMINER(type or PdntJ LICENSE NO.OF CERTIFIER
��A 1 l V V J �.(V�( J"1, QNJOIS ��(iQ 39 -3o�/ (
WAS THERE A - IF YES,DATE IF YES,TIME 40d NAME OF PRONOUNCER - TITLE
PERMANENT PRONOUNCEMENT FORM? P'NOUNCF�D PRONOUNCED J
BLACK INK ONLY �aaDrNa)I Yl$ aDay G4, '2010 aoD 8 c"�� M I'�ARGp(2CS 6r�Ufl�`/ R.N. ❑PA.
DATE BURI L U D' a RECEIVED IN /TOWN OF �� DATE OF RECORD
-301-01
SIGNIYEAL , CLERICS ' // V W 7(tao/
HEAL I SIGNATU
41 42. 43
1,the undersigned,hereby certifi'that I am the Town Clerk for the Town of Barnstable that,as such,'I have custody of the records of births,marriages
and deaths:required by law to be kept in my office;and I do hereby certify that the above is a[rue copy firom said records.
WITNESS:My hand and the SEAL OF THE TOWN OF BARNSTABLE
A TRUE COPY ATTEST:at Barnstable,Massachusetts ���K' •
L�s'nlitly ' -
Linda I-lutchenider,Toxvn Clerk,Barnstable
(If the Seal is not raised,this document has been illegally copied—do not accept it.)
l
_ — ---
+ 1 DOCket No. F
t.0171rnoih,eaIth.of Mia555Gi USc'iS
- �1^f-r��i' �{E 'i he Trial Court �
APPOINTMENT_ f @ BAi1P1861EA i Probate and Family Court
Vvith. the Will a*n xed
� I
In the Estate of: Annie B Bryant
IL ,
ate of: Cen'tervllle, MA 02632
At the Barnstable Probate and Family Court
on: December 14,2011
(date) Barnstable Probate and Family Court
the Honorable Robert A. Scandurra presided.
3195 Main Street
All persons interested PO Box 346
having assented Barnstable, MA 02630
having been notified in accordance with the law and (508)375-67 10
a17
bjections were made;
ctions were made which were later withdrawn or stricken;
tions were made and a hearing was held;
1T IS DECREED that
Susan M Sweet _
iof 987 West Main Street
Centerville,.MA 02632
lbe appointed administrator/trix with,the will annexed of the above named estate,first giving bond Without Surety for the due
performance of said trust.
IIT IS FURTHER ORDERED that:
not applicable
�--
Date: December 14, 2011
Judge .
C,iP 3d(3/10)