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12-10-09 (2)
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) REGISTER OF WILLS ~ rn ~ ~ 2~ ~ ~-~'~ COUNTY, PENNSYLVANIA Name of Decedent: ~ P ~ L ~ u ~ ~ ~C t'~ ~- Date of Death.: ~ ~ ~ ~-`-~- ~ ~ File Number: `2-~ ~ ~ _ ~ (0`~ Date Letters Granted.: ~ ~ ' ~- 3 - O ~1 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: ~r~ E`t C 1~ , SC. ~~~ z ~- R ~ 6Z.. ~ , ~E t ~ 'Z ~~~f~-~ ~~~a~ NIC.~NaN~~~ ~~~~P'~~a~ Address: _.~ ~ r ~ C C"`~?w/LS . ~... E.~ ~ s Q E..2 ~~t ,~`r~ I ~7 3 I ! ~ ~ . M ~ ~ ~ s~ ~. o. ~~~ ~f ~ Gas ~E ~, ~h~ ~~sz~ (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: ~~~~ _ ~/ ~ , Date I ~ ~ ° _ © ~ ; ~ ~ ~ -4-4. `- Signature of Person F' g this Form Capacity: Personal Representative Counsel ii ,~ {~ Namev~gf Person Filing this Form ,r7 ~d 11v' `~.~ , ~.'r l..; ~;u~'t,~nnl 1~ ~ 1-~ ~\.t~ ~ rl~ \r^'~"" ~V~.. Address Telephone _• r-' j _ _ ~' ~~ 1.,~,.i`~~ 4 wig tt~ t it + a'~` ~i.ar ~ 1.i ..~ .1t.., 1~. ..i'4~ Form R W-OS rev. / ~~. l~~ i