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02-23-10
Via. ~.~. ~'~azt~,6.1 ~ ~~~' ~: ~ ~ ~ ~..~ ~~ R.ECISTER OF ~ViLLS OF ~- ~(i`'l~~ ~-lf~ COU-1vTY, PENNSYLVANIA Name of Decedent: Cc Date o Death: ~2. ~~-teC~ !f- ~J File Nu:nber~~G ~ 6~ ~ ~~~` D. r r., D., n r D 1 ~ 7 7 T - nrh the f~110~zrino~ ~z,•ith j•_cnP; .t to (111mn~P.ii(ltl Qf tl;e administration Of 1 uiJUaiu w 1 u. v.~.~. i~uie v. a., . i°vpv~~ ..~ r'-- t""""' the above-captioned estate: 1. State whether administration of the estate is complete :.................... Yes Q No 2. If the aiisweris No, state when the personal representative reasonably believes that the administration w~']ltae complete: 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final~account with the Coui ~? ....... 0 No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative s'~ate an account informally to the parties in interest? .:................... ~ es Q No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts maybe filed with the Cleric of the Orphans' Court and maybe attached to this report. l~ ~~.~Gr~ f'-a- Signature of Person Filing 'Form u,.:J~~~ -~~ =~=' ~ ~+-©~ Capaci ersonal R resentative QCounsel . ~.,...Y ~._ .et C~ c.~ U ~} ~- L_t' ~ ! ~ ,.,~ ~ G~ _ N GL1 J ~' U~ui ~ Nnm of Person Ii this orn: ve P ~~ ~ v ~ c, ~ ~`~~ i' L ~'~ W O G ~ ~ ~ ~ , l w ~c _ Addre ~•; p~ ~ ~ U N V "l 1 ~d~l~ h one Telep Form R H'-10 rein. 10.13.06