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01-27-10
C~R~I~'ICATION ®~' NO~'IC~ UN~DI~J'R P.a. O.C.Rule ~.~(a) REGI TER. OF WILLS ~-~'~"`~~~ COUNTY, PEiv~vTSYLVANIA Name of Decedent: ,~9. Date of Death:__ ~ ~ ©~ ~ ~ ~ File Number: c~-d ~ 0 '^' CEO (7 ~ ~j Date Letters Granted: ~~ . ©~~ ~ ~~ ` a 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: ~ ~L~ ~ ~~ E'~.e. C. ~ ~~" P. (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: ~--~ Dale ~ ~ ~_ ~ t O LL.: • • `~ f.. _ ~ C'~ F- C3._ -- ~--- ~ ~~_: r , `. ~ ~ L..~,_ c ~ . =' ~..~ F ^ f ~ ti.: :i ,:_ ~. „ .. J ^~~1 ~ a ~ ~ - __ ~ .. (~ a.,. ~ ~ ~f ~ r / Signature of Person Filing this Fonn Capacity^ ^ Personal Representative ^ Counsel :Name of Person Film, )this Form ~ l Address ~,~yolra, ~~ ~~~~.r Telephone I ~ Form RW-08 rev. 10.13.06