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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(2)
REGISTj:R OF WILLS
r fA ~ b p ( 10l ~'uNTY, PENNSYL VANIA
Name ofDecedent.--:J; sep.,h ) ~ p
Date of Death: 9 - d---- ~- () 1
Date Letters Granted: q - J.- 7 - 0 7
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File Number: ;;"007- CJO ~ $(- ~
To the Register:
I certify that Notice of Estate Administration required by Pa. a.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
/:;<-3/ 07
Name:
Krrr<-E.N s:H LA r G
~hl~ R e'c'VV\
Address: . ( ~
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(Ifmore space is needed, attach separate sheet.)
Notice has now been given to all persons entitled thereto under Pa. a.c. Rule 5.6(a) except:
Date
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Capacity: . Mersonal Representative 0 Counsel
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Form R W-08 rev. 10.13. 06