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11__ REGISTER OF WILLS
1 C)D~ D~ COUNTY, PENNSYLVAI~,ZA
Name of Decedent:,/ ,, ~.-Yl L ~C- - _
Date of Death: /`7i)~-I ~ o~~ ~ G~~~ File Number: o~UO~t' -' G ~~ ~ ~~ _
Date i.etters vi^arited: 1~'1 ~ Zb0 ~ _
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
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Name: Address:
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(If more space is needed, attach separate sheet.)
Notice h~aSs nogw been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except:
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,7 Date
ignature oJPerso Filing this Form
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_ _ Capacity: Personal Representative ^ Counsel
-•-~ Name of Person Filing this Form
_°' Address
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Telephone
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