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07-02-08
~~RT~~IC.A.~'~®l~ ~~ 1!T®T~C~ ~~~~Z ~'~o ~.Co ~~Ile ~.~~a) /') ~ ~,EGI ER OF WILLS u- ~'"~ ~,~/ ~ COUNTY, PENNSYLVANIA Name of Decedent: ~~ C Date of Death: / ZO File Number: s~-'C}'D c~ --- ©d T ~~ Date Letters vranted: l 20C9~ 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 beneficiazies of the above-captioned estate on Name: /~ ,~ /~ Address: /~ l~ 1r v ~ .. - ~ ~ ~C~ ~-1' ~.P~rt S ~ ~ ~~Z 17 (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: Date ~ ~ d" °~: N 4~ • ~S ~ Q ~- ~ ~~ L.+,.1 3 ~ `~- - - ass M ~~~ Signature ojPerson Filing this Form Capacity: ^ Personal Representative ounsel Name of Person Filing his Form z rc q ~ (~ Address ', // -737-3~oS Telephone ~ormRTv'-08 rev. i0.i3.06 '~