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09-11-09
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) REGISTER OF WILLS C u ~ ~`~ it ~A L"L d COUNTY, PENNSYLVANIA Name of Decedent: ~~ ~~ ~p i~~ ~ ~ ~ ~~~ ~ ~' i{ 1 c~ti;- ~-- Z Date of Death: ~,Ol~ oZQf~ y FileNumber:__r"Z, C%~~~y-[~C'J~-J~~ Date Letters Granted: j/l/~ C( td v~ -7 , ~.~~ To the Register: I certify that Notice of F;state 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 +/Vl av~ ~~ ~.©o~f: Name: Address: ~~ c; ~ i `Q L ~.~ ~~ `~~.- C ~~ ~~c ~ n~ ~r~: ti~ I~L~E~.~l ~w in~°~`~~`~ rtd Pf~ t 7U 70 2i ~--~~a~~d J 1~'~v-~ ~ ~ C ~--es ~ ~`~ f(~~~~~~ I~~~ ,~ ~~~w-)~~~-laved P~' ~ TO 70 (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 ~ az :~ ~d ~ ~ a3s ~o~z ,,,_ r ~ ,, ' ~~'- \ Form RW-03 rev. 10.13.06" " Sig lure offers zling this Form Capacity: Personal Representative Q Counsel ~~ ~ i ~ ~ ~ ~'~~~~~ Nmne jPersan Filing t1:is Form Address r~.~P ~,~,~ ~ ~'1 vt~ 1~~Y la ~r/ ~ ~ 7C'lL~ Telephone