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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
C u '" 1>-1...", t\ COUNTY, PENNSYLVANIA
EDNA
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Name of Decedent:
Date of Death: /4/0 1/ :J.'. ,
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File Number:
2.00'>- ()O2.2.1'
Date Letters Granted:
To the Register:
I certify that Notice of Estate Administration required by Pa. D.C. Rule 5.6(a) of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
/"1 tIvy I S"' ~:o 1S7. :
Name:
/V"'c4 A. ru fe r
S r~"c.. J # fl 0 vtl-t,
TIJJ..., f<.. ,30 "eler
Address:
~3S'o )..7-14Prs L"tl'l.c. fh".rr:s1.'4<#C't. (Jet 17)/1
7'1?J .I+~/'(l... Ro"l",," yrn..P/e.~s6.,,'\Yh.ib Pi\"'8fj3
~fi!.' ~f? ctl' )..,;e.rp#) f'tJI( I "'6~r
(Ifmore space is needed, ~ttach separate sheet.)
Notice has now been given to all persons entitled thereto under Pa. D.C. Rule 5.6(a) except:
Date
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Capacity: l:!rPersonal Representative 0 Counsel
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Name of Person Filing this Form
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Address
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Telephone
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Form Rff:08 rev. iO.i3.06