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REGISTEP. OF ~t%ILLS
r„m erg any COLTITY, PEi~I~tSYLVANI.~
Name of Decedent:.l~Ianev r.PP Ac-kPr
Date ofDeath:~~ ~ ~n(18 File Number:~pQB_p~~~
Date Letters Granted:~~ ~ a /, ~ q ~ ~
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
. ,~ ~ ~ ~ ~ --~ (1(1.8
Name: Address:
TEaitlin Marie Walmer _517 Savbrnnko r anP nab
Kim .7a ~R ill er ~°_
iii kka T as _B; Yi er X32 C=ratCrfnrri n.. a .. A
n~.~c,I~wen' r~~--rA
p?TQ~Tn7i TA7almor ~-~~ ~~~~
(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:
N/A
Dales-N9 V2lFla@x-~- r ~ -y"~-8.~---
of Person
l~no~ s,cs~d~o
~C~ ~~~~~
SZ ~0~ w~ Z ~ ~~~ ~~~~
~i :.I. ..
~.-- ,rte aj A t'r" t ~~41
.:.; ~J~~~u ~.i~t1~C~J~~~
Capacity: ~ ~ Personal Representative ~~Counsel
~d~2~'3 R L~i-~ ~ +-
Name of P-erson F'~ rng ~~ru arm `
28 So ~ h pi ti- StreP}
Address
~a r l i c l a ~,_pA 1 7 0-a ~
7~a-245-96RR
Telephone
~/~ Form Rl~I =08 rev. 10.13.06