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07-29-08
CERTIFICATION OF NOVICE UNDER Pa. O.C. Rule ~.;6(a) n REGISTER OF tiVILLS L/ E' ~. COUNTY, PEN~vTSYLVANIA Name of Decedent: Date of Deatlt:__[p -'a~^ D8 p File Number:_~©©d --Q~ ~v~~ Date Letters Granted: ~ ,~~_ ®15 To the Register: I certify that Notice of Estate Administration required by Pa. O.C. Rule ~.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on Name: Address: G~fC" ~9X7'oN ~/ ~/SERS .CANE' ~i9~~C/~,CE, J~~4 ~ d T ~ T , lOR e e /~ 2 / v///~ ~i4 (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: Dare_ ~ p~% ~~ N c. N ~ __ - ~-- i' ~ ~ ~: 1 . ~r,`,~ ~... i - ~ ~ \.! - --- ~ o _ ~ J cv Signature ojPerson Filing this Form Capacity: personal Representative 0 Counsel ~1~/enc /~i4~9f'~/' Name ojPerson Filing this Form I~~ ~ Gy,9.c iy~r ~o~-r®~y ~~ Address Telephone Form RW-08 rev. 10.13.06