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08-03-09
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) REGISTER OF WILLS ~~ b-Q /~g,~~ COUNTY, PENNSYLVANIA Name of Decedent-:- T L~ Ct dl < < Date of Death: t1 V~y ~~~ 9 File Number: ~ ~ ®`~ ©D X71 ~ Date Letters Granted: / ~"~ f 3~ (~ 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: ~r 33 Sid ~ 1~sf~ /i , ,~ 8'.S d o S 3$~ g~ ~,~ c e~ ~- --. ~r ~d , (If more space is needed, attach separate sheet.) Notice has nowt b/'ee/'n/given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except: ~ ~-- Dnte ~ ~ ~ ~ Signature of Per on fling this Form Q~ t'~ ~__~ Capacity: Personal Represe tive ^ Counsel N CC ~;. ~L ~ ~cc~g~~ dR val i _. ~ Q ~~ Q Nnme of Persai Filing this Form Yc~:Z /] Address -; - . n, C 5 cJ l QS-S~ ~l7 ~ ? Telephone ` Form RW-08 rev. 10-13.06 L/~