HomeMy WebLinkAbout12-10-09
~;;:.
C~R~IFICATIO~v OP iv0 ~ MCP UI~I~~'R P~. 0.
C' R~1~ ~.~(a)
REGISTF,R. OF tiVILLS
(~ t'1~~~'_~1.(C7 C O IJ~,TTY. PEN~rS ~L VA~,'I A
Narr~e of Decedent: c=
• f
Date of Deatl:: Z ~ ~ ~ ~ d ~ File Number: 2Dt~ _ Q Q
~~~~
Date Letters Granted: ~ `l ~, ~~, c~
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a} of the O hans'
rp Court
Rules was served on or mailed to the following beneficiaries of the above-ca boned estate on
~ ~~~/v~ P
Name; `` Ad- d _~
~ ~ ~ ~
- ~-'~'~ ~ _ ~ ~ tae ~ ~
~~ ~~~ T~ ~2 ~ ~ ~
v '~- r~15, ~. e~Esi ~E~ c~
~: 7O
~~~
(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 exce t:
() p
i~ ~ ,.~_"
n ~. .
N Date ~ ~ ~ d ____-..
c
~.,~..
'
c..s, µ
~
~
.. h--
N
Sio~nature oJPers Filin; this .Fon
r
~= ~.r _ --
n~, ~~ C:~ ~..,
Capacity: Q'pzrsonal Re resentative ^ Counsel
~ ~ ~~:13 ~ ~.
_...
= ~ -
N
Q ! , ame of Person Filin, this Form
~'~ ~ ' _ ~ ,C5 ~ ~- l~ L
{-~-` c~
N ~ Addy ess
i c t
t~- L~ ~~,
__._ _ __-----_^._____~__.____-- _.. ~_~._____~ __.__-.Ta
1~ho~ae--._ _ _ _ - _ _ _ -
Form RW-08 rev I () 1 ~ nF ~1~~
5