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06-01-10
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) /~fJ ,-~ R11EGISTER OF WILLS l.U/?I~ ~Qi'~Ct~ COUNTY, PENNSYLVANIA Name of Decedent: rC: ~ { X, ~,OZ~O W S ~Ct~ Date of Death: 7 ~t0 ~'Pr ~~~ File Number: ~~ ~ 6 " ~ ~ Date Letters Granted:_ 3 ~ March oZ4 ~ ~ 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 beneficiaries of the above-captioned estate on iY1 ~ u 2.5 > ~.o a Name: IQ~~ ~'COZ16U)SIC~ ~~~ ~i KDZ,lotusk~ ~„~,~om ,~ . Co--an~ n Address: N~Q-,., h ~ ~ ra N~vu Yo r !~ ! ~i~d 7 5 I e,e wa a Ne r .~ ~~ um r d --s ~~` /~~ a,.,,~cs b ~_r~ a . l7~5a -1~~9 (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: 6 ~~~ Dote Signature of Person Filin this Form Capacity: ~ersonal Representative ©Counsel `~ ~ _ KQZta~vs k;~ ---~'- ~ant~ra A Dt)in ~iuee { ~_ , .- ---• ~ Nome of Person Filing this Form _ ..~.- ~" ~ ' ~~ .`~~ ESTA' ~ S ~ ~ d~. ~•~ ~`"~ ~` Address ~ . _..- ~-,.,_., Q (7pst3 ~:%r;- ~~ ~ ~ ~ U .~ -~ o ~ 7J7 - 791P - llo '~3 <~ ~=-, Telep6~one {...~ \ •1 Form RW-OS re». 10.13.06