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12-06-10
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule S.~~a) REGISTER OF w'ILLS ~N~ B~Rt,~'ND COUNTY, PE`v~iSYLVANIA Name of Decedent: Tt ~~"~ ~--~IV ~ ~~-~1- ~l~ Date of l~Path: _ _,.~~~~~~' 13, ~~.~ 1 ~ File dumber: c~ ~ ~ Q ~--- ~ ~ ~ ~ Date Lett_ :.d: 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 foiiowing beneficiaries of the above-captioned es~rate on J~To~~R 1, ~ o~n . Name: Address: r ~'~~1~7~ GQc`~1~~ %~"©c~ G~~ R~ Nrj~~1~~~' ~ -~, l~/'.Z'Nir,~ R Icy ~3 ~.;7"~j~ (If more space is needed, attach separate sheet.) I\TOtice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except: Date ~ ~C _ ! `"' - :; I--- ~' ; C1.. '~ _ ~ C _ ~ . ~ ~ .. ...~ ._ ~ (~ ~ r~jr L ~} ~ } ~.,~ --.t U~~ _ ~: ~ ~~t t ~: ":~`: W d , C~ Ctv~ ~-k:~ ..... ~ `~ U Form RW-08 ren. !0.13.06 ~y Signa of Person Filing this Form Capacity: Personal Representative ~,~ Counsel N''mjne~+y f PP/erson Filing this Form ~j ~` ~' Arl~fress Telepha~e