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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OP tiVILLS
~,w.laer law COWTY, PENIv'SYLVANIA
Name of Decedent: _]~o ~ 2~ d. ~ • ~~~ a~~ ~ ~ ~
Date of Deatlt: ~ 3 k l,oD•ew,~o_a( apf~9 File Number: ~a10 - o~3'~.Z _
Date Letters Granted: ~~/~/0
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Orphans' Court
Rules warms servetd on or mailed to the following beneficiaries of the above-captioned estate on
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Name: L LA~d~dress: 1 I /~
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- `\• ~~~ ~ • ~-)1,{,1 }.ate 1-C e( /1 ~ t/~n rt ,..n S ~o,@Lt1 ri2~'' :~ s h.~(`c' ~v 1" f7b S5
H~~ ~ rt~~£~1~~ q /~,~(-,~t ~~, QR~iCS~t!(~- ~fg 170
(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) eYCept:
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tur Filin is Form
Capacity: ,~-Personal Representative l7 Counsel
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,Nome afPerson Filing this Form
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Address
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Tzlephone
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Form RW-08 rev. 10.13.06