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07-11-08
REGISTER OF WILLS COUNTY, PENTISYLVANIA Name of Decedent: ~ C~ f ~ Ci-~'~.- ~ ~ ~ ~ ~ ' Date of Deati'~: '~ " ~ 3 ~~ ~~ ~ File Number: ~ ©~ ` ~Q~ Date iei~ers Grcrited: ~- ~ ~ ~~ 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 Nam : Address: ~ C~ i%~ n J vv ~ ~'-~ z ~ 7 J2; ~ , ;/~- . Cc~-f i t S le, . t'~. ~~ l'~l'1 C~tt_.. -1Tt~-rr~~ I C o 1' ~~c:~~ ~..~c-.V ~ i ~(~ - -~ I~Q-~1,Q,-~-~ ~.~,c.1c~.. /+ ~ c r'~e I~... ~2..~~-c:Y t'Yl.t c. ha ~ 1 ~ C ~ ~j ~ ,- c~ ~ ~~~.. . (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: ~ ~ K ~ ~ t~ D -._~ SLh~L~ ~~~' . ~`~--e.2_.y~k~~ . .. ate ~ Signature of Person Fz zng this Form ll Capacity: IJ~Personal Representative ^ Counsel ~ - N ~ ~ Name of Person Filing this Form ~ CL ~ .- ~ ~ ~ ~.Q, ~ =- ~;~ ~ r~ ~ ~ ~~e~.rt:2s P t ...1 ~ ~ ~ ~ =- ' i ~ ':~~ y3 - y ~,G ~ , U Telephone r*s FormRW=08 rev. ~0.13.Oti ~ ~~