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REGISTER OF WILLS
Ct; M b2 f I ~tMG~.. COUNTY, PEN:~ISYLVANZA
Name of Decedent: N ~ C~ L~ ~-` D ~d ~ A
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Date of L>eath:_ ApR ~ ~- ~ , ZTi7 0gR]-- F1ile NumbRer._ -
t~u,c Lcii,c~ Vrdllied:
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
Name: Address: Fl' 3.3 ~ 0 ("
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(If mof•e 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:
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Date ~ l ! ~'~ / vC./
Signature ojPerson Filing this Form
ap Capacity: Personal Representative ^ Counsel
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Form Rw"-G8 rev. lO.i3.G6