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HomeMy WebLinkAbout08-20-10 (2)CERTIFICATION Off' NOVICE UNI)EI~ Pa. O.C. Mule ~.~(a) ~GISTF,R OP WILLS ~4p~lR~`~`,_,`J COUNTY, PEN:~'SYLVANIA Name of Decedent: M fr~7'~~ ~ _ Date of Death: ~~.sr In ~Ui d File Number: ~~ ~' f ~ - ~~~ _ Date Letters Granted: f}~-~S i Zo `~ Io To the Register: I certify that Notice of Estate Administration required by Pa. O.C. Ruie 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on Name: kt ~~ ~v1 e ~ a5 (f/l` [~}} w / ~'i e~ t~ M e YU .J K~-C uw~ i `(C~`~GV~ ~. ~ i ctS lG~~ Address: _ yea Ca-/-~a ~Q.Q s4r~e, ~P~ !r ~~ ~ MGM W,4- ~~~ L/(.c~ l'ri- ~r1LsZ Z$0'1 ~n{~ C~i.~yDN /~.,Q ~ S4N ~I~bSO r ~'~ 42f Z~ rs`/ ~ik~~; ~~ ems; l ~ ~ ~ ~ 3 '~(~`~ ~cQocc2a ~QN ~f ~ ~~~.~ ~ ~Y~ ~`~ YYY (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~~ y ~:: - .: _ ~> i __ ~ ~ ~, -. i a t ., ~ _ C~*.I t~.-t ~ 7 ~. ' - ~ ~ ~~i n-. r_: ;- _ .~ cr..__.. _ ~' c:~ Si;naarre of Person Filir~ this Capacity: 0 Personal Representative '~ Counsel ~~- ~ ~ I~~~i trS..~cL :Name afPerson Fi/in, this Form ~-(~-Sv C'7-e~ ca.~ ~v.~~ f ~ ( ~ lddress Telephone