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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
~`''M'd~A'~ COUNTY, PENNSYLVANIA
Name of Decedent: ~ t-~'Z-A~"~ M'~ i Z
Date of Death: COlZ~'~ ~0~4 File Number: Z~~' o~48S
Date Letters Granted:
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 beneficiazies of the above-captioned estate on
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Name:
Au~1sJ thA~~,9, MoT2
Address:
?loot 8LA ~ R M t k '0.a AD +l-1PT: +3',
~J~~w.J ~r~., PA ~404~
(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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Signnture ofPersan Filing this Form
Capacity: Personal Representative Q Counsel
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Adrlress
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Form RW-08 rev. 10.13.06
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