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REGISTER OF WILLS
OUNTY, PENNSYLVANIA
Name of Decedent: ~ ~~ ~~ ~ A ~ • n ~L- ~
G 473
Date of Death: ~'A/ lln~{~ Y S ~ 2 0 0 ~ File Number://~~ car ~ ~ ` A ! /~ `~
Datc ic~~crs vranted:~~'T /e ~L ~ ~ ~ 6 d ~ ~f'[ T' ~ L { /V ~/ r 1 "Q ~ '"~ ~~~
To the Register:
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
Name: Address:
(If more 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:
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Signature ojPerson Filing this Form
Capacity: ~ ersonal Representative ^ Counsel
Name ojPerson fling this Form '
Address
Telephone
worm R iv-G8 rev. i 0.13.06