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08-18-10
21. ~ i~ ::tom ~.s. v ~..~r ~ ~ lox 3~~" ~. icECISTEP. OF ~~i?' LS G ~ :4U_vTY, PF.'•~,SYL~G'~.\;~, Name of Decedent:~~~iys ~~~'`~ ""'~' Date o; D~::th: ,~"`~~ ~'.~4dfo Fil~ i`iur:ber: /s ~ ~ T D ••. • iv D%:. ('~ t^ D` 1 T f.,t; ~ ' ' •7P±" ' ~l~ avil?;;]l.~tl'3t101? 0"1 a i.r$uliu v..,.• +.~r.'v ~.ii, . report ti:~ ,. .•.~.:Jrr.? t:: rin t'?C ~~~ t~~ rflm7 ..~(?11 C?i t the above-captioned estate: 1. State whether administration of the estate is complete :.................... ©Yes'I ~No 2. If the answeris ;v'o, state when the personal representative reasonably believes th at the adrrinistrationvill be complete: 3. If the ai~st~+er to IvTo..l is YES, state the followinj: a. Did the perser_al representative L le a I:nal•acceunt with the Court? ....... (Yes I O No b. The separate Orphans' Court loo. (if any) for the person: l representative's account is: c. Did the personal representative state an account inforn,al'.y to the parties in iraerest? .:.................:.. ....... ~ (Yes I, ~,~to d. Copies of receipts, releases, joind;,rs and approvals of formal or infonna] aaounts m$y be filed with the Clerlc of the Orphans' Court and may be at.ached to this report. Dnre /""f' ! '~ h e_. ~ r, ~ ~ LY7 Q; _" ~ ~ `~ ~.ca~_ C~ L`3 QJ ~ .n .~ "~ W ~ _ t _ ~ V L-_ - L~i u ~ C ~ LlJ - . - "l = i. fir. lam: G d ~ N ~nrr:,-t of Pcr;ors F:iirg ti~ir Fbmi ~ 'i Ca}~acity: ~Persu::al Representative '~Coems~'1 P~'nu:e o~Ptr;ar Fifir.; the rurm s r~~r,:;,o~tt r V X' L ~.