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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
Name of Decedent: L-1 Il iC~~ S3, RO\Z
Date of Death: Jl~~~l ~ , aOW File Number: ~~- 01
Date Letters Granted: J~l~l l3, a ~~
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
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Name: Address:
N\e~1~e.. ~A. Ro~Z l Lv ~h, (~e~ve
R:~~.~ G . Ro-~Z
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(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:
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Signature ojPerson Filing this Form
Capacity: .Personal Representative ~ Counsel
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,Name ojPerson Filing this Form
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Telephone
Forns RW-08 rev. 10.13.06