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05-14-09
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) REGISTER OF WILLS ~iuH1 r~a.N~ COUNTY, PEN~,'SYLVANIA Name of Decedent: Date of Death: /~p V . a ( ~ 00 ~ File Number: / -aZ D~J y ,. ~ p O p t~ Date Letters Granted: l - ,~ - ~ pQg 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 ~avt u ar y 7 0(J Name: ~ti ~rl~,~ /~r~JJt'te.s~/ ~m~ h ~!/! a~u.~ ~7~Ztc~I ~i D YlY- / ~a'"t U/LC S L~J i/~i a.~.n l~1-e~J~~j o er ~6 ~t ~ s~ ~ P ~. Address: (~,ZO Su~~oyt ~~ ~v~is/~ f7oi3 ~~~ oZ /.ya /it c/~ .~ 11r~1 ~~ ~f, s/n ~(7/~ _~~~ o~~a~-~Q~( f~/~~~v~/lam t~f~./ lay/ /SD ~' jru~Cti ~ ~o~ r?~L lVewv~~lP ~l4 ~~~ ~i~ ~ ~ ~ 14 /~,- /~d ~'~1 s p ~ r Bois (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: D~ ~1'ITy a ®© ~ © Signature of Person Filing this Form r N t~-- °= ~ ~, ~, -, Capacity: ~~ersonal Representative ~ Counsel c ~, ~.:_ { , , t.~1,// ,C . ~ ~ '~- ~ --~ - Nnme of Person Filing this Form _ Q-, Cam''; Address ~-' f/ I/ Pry ~ r~l ~/ r /'~~ / 7a2 y/ 7/7- 77G -,3SG ~ Telephone Forns RW-08 rev. 10.13.06