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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule ~.~(a)
REGISTER. OF 1VILLS
Cumhprlor,d COUNTY, PEtii~'SYLVA~+'IA
Name of Decedent: f~ue~olph J . TG'~.1<.,
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Date of Deatl:: ~~'~~'"'~"' 30 t ~-~ File Number: :x.009 ~ ~~~ _
Date Letters Granted: J~~ ~3 ~ 2.0O'q
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Orphans' ~rt
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Rules was served on or mailed to the following beneficiaries of the above-caption ate on ~ ~
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ame: Address: ;,-~c~_r, ~ . ; .'.~
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(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:
Date Jonuary ZCo ~ ~.OOq /"~~.a~
_? Signature of Person Filing Phis Fonn
Capacity: ~ Personal Representative L7. Counsel
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Namc oJPerson Filing This Form
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Address ~_
~joll ~'rz~ Sprt r-~S ~ C~/~ t~c~o~
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