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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
(!;UjVI t:3~((J,..AN.f) COUNTY, PENNSYLVANIA
Name of Decedent: ~ hn t? r:,e/ds SR.
Date of Death: 5 Sep6 ;;K::O (p File Number~ 1- ()O 3.51
Date Letters Granted: J a Ay?fl..; I 0).007
To the Re~ister:
I certify that Notice of Estate Administration required by Pa. O.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 0 ;July ,aCO'f :
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Address:
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5~~Jf Tree,he/L Rd. FA,,~ttevjl/f'. t:J- j7~":4.~
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(Ifmore space is needed, attach separate sheet.)
Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except:
Date ?oJu I.. J JOO 7
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Signatu~ Filing this Form
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Capacity: 0 Personal Representative 0 Counsel
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Form RW-08 rev. 10.13.06