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03-18-10
C~RTIPICATION OP NO~'IC~ UND~'~ P.a. O.C. Rule ~.~ a {) ~ / REGISTER. OF tiVILLS C-~~~y tiI COt1NTY, PEN;~TSYLVANIA Name of Decedent: ~i ~f i f~ ~y( ~__'~ /P ,~ , Date of Death:~~ (~~/ /~'~/~' File Number: ~ ©~G Date Letters Granted: 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 benef ciaries of the above-captioned estate on ~h~~z ~~ ~mJD : . Name: D ~Y~ /p • ~ ~ Address: Z~~ y6 P / CT PJJ~ V~• ~Q~~~~ To ~ ~.~ ~7..5~~. -~ ~ (If more space is needed, attach separat e sheet.) Notice has now been given to all person s entitled thereto under Pa. O.C. Rule 5.6(a) except: . /v i~-. `' ~- ~... ~ Dale r ~~-- S' azure oJPerson Filing [his nn <~ ~ 4 ~ ~. ~ ~_~ ' ~- Ll. . ~-° r-3< - ~.7 C....? i Capacity: personal Representative l7. Counsel ~ j . \ ~ r Y/~I '• ~ •' L~ 1 ~`-. t~'+: U~t.~.~ Name oJPerson Filht, this Form ' ~~ • ~= ~ ~ v ~ Pub t-- - .; ~' ~ `'.' ~ Addy ess y p ~PJtJ ~~ / ~.~ a0 .~~- 779 ~ ~~~ Tzlephone V^N Form RW-08 rev. 10.1.3.06