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07-31-09
C~RTI~'ICATIO~v ®~ ~ 0 ~ ICE UN~IJ'R Pa. O.C. I~.ule ~.~(a) __ R;=.GISTER OF b~'ILLS I~G, COiJNTY, PEV:~'SYLVAMA Na:r,e of Decedent:~~~.~~~(~1 ~~_ Date of Deatlt:~~ ~1 {~g~~'~,~Q File Number: of ~-U~ "' C7 ~ ~ ~ _ Date Letters Granted: [ 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 benef ciaries of the above-captioned estate on Name: ~~~~~~~~ R~1~ ~~-- Address: ~~9 J (If more space is needed, attach separate sheet.) Notice has w been given to all ersons e ed thereto under Pa. O.C. Rule 5.6(a) except: ~ ,;~ ~~ M __ .~ D ~J ~ ~ -- ~ ate_ ~~7_ ,d ~~ C~ ~ `~' ~~~ ~`... _ ~ roc; ~ ~ ~'l © ~ v cv ~ ~. son Ft ~n~ this.Fann Capacity: Personal Representative '~ Counsel .Nome of Per/on Filing This Forrh s~~ ~Go~l.. ~~ Address ~C1~ a ti tCS I~URG . ~Q 1''zd ~d '7'/'~ - 7L3 - /~~ 7 _ Te le phase .~ i)°%~' ~/ !~ Form RW-08 rev. 10.13.06