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REGISTER OF WILLS
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Name of Decedent: ~ ~ r ~ _!~ '^_^ g "' _. ~ `~ ~' - ---~ -
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Date of Death: ~ c. ~ ~ t ~" ~ a ~ 20 ~ ~ File Number: 1 7
Date Letters Granted: Nc ~~^"~ b r'' Z ~ ~ Z O ~ ~
To the Register:
I certify that Notice of Estate Administration required by ~'a. t~7.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
LERTLFICATION OF NOTICE LTI~TDER Pa. O.C. Rule 5.b(a)
Name:
Address:
(If snore space is nc.~erfed, attach separate sheet.)
Notice has now been given to all persons entitled thereto under Pa. U.C. Rule 5.6{a) except:
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Signature of Persvn Filing this Form
Capacity: ^ Personal Representative ^ Counsel
Na+ne of Person Filing this "orm
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Address / ~7
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Telcphvne
Forlit KW-0~4 rev. 10.13.06
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George Rae
PO Box 2505
Hagerstown, MD 21741
Thomas Rae
114 N Prince St
Shippensburg, PA 17257
David Rae
161 Martin St
Oceanside, CA 92054
Marissa Joy Runshaw
363 Plunkert Rd
Littlestown, PA 17340
George Rae
347 C Street
Carlisle, PA 17013
Corinne Rae
347 C Street
Carlisle, PA 17013
Andrew Lenahan
PO Box 2091
Harrisonburg, VA 22801
St. Andrews Episcopal Church of Shippensburg, PA
208 E Burd St
Shippensburg, PA 17257