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10-23-08
r 1 ~ICA'~I®Fd ~~ A1~T>r6`~ sTa1D~R ""' ; 6lal Name of Decedent: ~ L ~ ~ ~.-~ l.. ~ ~.~.~ C K ~ L ~ ~ C Date of Death: 5 - `2, ~ - Z, ©0 ~ Will No. '~. ~~ O ~ .~- O I ©3 L~ Admin. No. ~ l- 4~ - 1 0 3 To the Register: I certify that notice of (beneficial interest) estate adminictira~e;n~, served on or mailed to the following beneficiaries of the above-capti n dbestateeon6(a2v~p~~hans' Court Rules was 6 2v a B' N~m~ ~ " ~~x V ~o~`' a G,~~ ~e ~ x,e1~ ~ S'~ c-~s c~.~ ~R loll 17d'tRTY~no ~~ 5~, CA ~(~ -~ ~ w PR \'t ~ol~ Notice has now been given to alI persons entitled thereto under Rule 5.6(a) except Date: - 2 o O c ~-o lo~e ~ 2 D 8$ Signature _ _ ~ Name R ~v ~ri ~, S To c ~S l.P~, ~ ~ ~ Address ` c~ l ~ ~ pC R.S"M avT~-t 5Y rn fV C C\i ~ r+- cL ;. `, `~ 1, ~ ~= ' ; ~ ~ ~. J ~ r f1 ~ ~ :~ ~ <',,.~ c~ C R vn'P ~~ ~~. 7~ 1.7 o t l Telephone ( ) -~ ~ -~ _ -~ ,~ 7 - 3,7,1 3 Capacity: -~ personal Representative Counsel. for personal representative