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05-13-10
CERTIFICATION OP NOVICE UNI~I;R P.a. O.C. R~l~ ~.~(a) REGISTER. OF tiVILLS C~t~~R LAND COtNTY, PE~~v7SYLVA~,'IA Name of Decedent: M~~Y /~ry ~~~ ~ Date of Death: A~ L (~ 'LCD ~ p File Number: ~~ (~ •' ~ G'~ ;S' ~j _ Date Letters Granted: _ /-~t~~.-r ~ ~(~, ~.Q ~, ~ 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 follo~~ing benef ciaries of the above-captioned estate on ~~`ti' ~ 2~ ~n . Name: Pac t~tGtq C. ~~~. ~Ta~~~ ~~~a~ M~1i~~( >~3~ 1~lti ~. ~~~~'y t~~t~ ~. Address: 1`3~~1 r~vh 'R-b., S~v~, Mme. ~tt~4 _ ~~~ L~ ~vp ~~ . 5~.~~P_.N . I'li1 ~. z~ ~ q.~, t 321 ~yR .. ~~~~ , r~~, - ~ c4~i- ,Z~._____.' ~-~ Ate. Sit E t +2~r4,n~ rr~ T_ li'1~ t (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: c.;.. ~ r~ y .y ~ ~ , . ,_r .~ "~. 1 ~~~ _' D ~~{ f 2J~t~ J ,. }.... ~..t ~r ~7_ ~~.i_. Q ~.J ~ ~,, ` ~ V Signa[u of Person Filin, [his Form Capacity: ~ Personal Representative t~.. Counsel M rc~-t~-~t.. -~. r~,~ ~ Marne of Person F-lin, [his Form ~. ©`~ S .~ STS tv ~L. a.~i ~~ t...t,.~ IAN Address S~i~~~~~~w~~ ~r t"1'a ~~ Tzlephone -"