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10-02-09
CERTIFICATION OF NOTICE UNDER RULE 5 6(a) Name of Decedent: GERALDINE M. HAZEN Date of Death: September 20, 2009 Will No. 21-09-0888 To the Register: I certify that the Notice of Estate Administration required by Rule 5.6(a) of the Orphans' Court Rules was served or mailed to the following beneficiaries of the above-captioned estate on October 1, 2009. NAME DAVID B. HAZEN GARY HAZEN Date: ©~ ~ 1.~ ~ j j = a ci Gov ~r. ii%i N ~ ~ cn ~° u ~'- -~ t ' Q+ p c} ~ai ~, ~ O o N ~ ADDRESS 1622 Quaker Lane Salem, OH 44460 4022 Efland-Cedaz Grove Hillsborough, NC 27278 RADCLIFF LAW OFFICE, P.C. ~~z~..-~~~~~~~~ DAVID H. RADCLIFF, ES~r 1011 Mumma Road, Suite7101 Lemoyne, PA 17043 (717)236-9318 Capacity: Personal Representative X Counsel for Personal Representative ~s{