HomeMy WebLinkAbout01-06-10C~RTI~ICATIO~vT ®~' NOT'ICIJ UNDr~ P.a. O.C. Rule ~.~ a
t)
REGISTER. OF tiVILLS
La ~~ COUNTY; PEN~vTSYLVA~,'IA
Name of Decedent:
Date of Death: ~ h-2fZ S'~
File Number: Gi'(~~2`~ ~--• aQ' g ,j~
Date Letters Granted: ~j~~
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule ~.6(a) of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
.~~ .
Name: Address:
~'e ~ ~~ ~ ~ ~ ~ Sfi~c~cc~ h -
~~ ~~~~
(Ifmore 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:
~~~
Cr'~ Dale ~ ~ d
.,
_" M
~
, ,
._.
~ ~
.
is ,!
.
C"'? ~
«
C1'
.
-
r
,...,
~ ~ r
-~
~_,... ~,~ c_ ::
~t ~~,
J~1 w.:
~
_ ~ ~i
,.
-_
~, .~_
~~
_ ~ CJ
,
N
~:~
Signature ofPerso~n F~i i thi onn
Capacity: t~l Personal Representative l7. Counsel
~--~
Namc ojPerson F' in, lhis Form
Addl•ess
~(~i ~ ~/+ 1 "7~/
l ~ ~~ ` ~[ 7
Tzlephone _
Form RW-08 rev. 10.13.06