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08-17-10
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) REGISTER OF WILLS ern I~er lav, d COUNTY, PENNSYLVANIA Name of Decedent: 'R GZ 1 D~ _~_ L~ o m ~ e Ir'' Date of Death: Date Letters Granted: To the Register: oZl --- 1©-0~{ ~ ~ ~ ~ File Number: 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 ~~~~~ Name: Address: ~Ds~e.. ~ i h~- ~~m b~e ~er r04 ~e~ ~ r~o~ (~.rr ~ ~A- oil (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: /4- Hate ~.~ / ~~lQ ,~-~' Sig ature of Person Filing this Form ~ Capacity: ^ Personal Representative ~C~',ounsel `_ z ~ ~: ~~_. -~- ~ _ Name o Person F' ing this Form ~~ ~~ ~ ~ oX ~ `l i d D ,~_ ~~ __ ,; ;_ _. i"`-- (~_ Address ~ _r . ~ ~ .,~. ~. L~~: .~- c~a ~-~ Telephone r-.a Form RW-08 rev. IOJ3.06