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01-14-11
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) REGISTER OF wZLLS ~'~~/gN~ COUNTY, PE~,'NSYLVA~iIA Name of Decedent:- ,~,¢,~~,¢,~o,<,r ~ ~~~~~~ J! Date of Pea±h:_ __~~ 7 KO`d File Number:- oZ0 ~p ~--Q j UGR Date Lett~rsC~e~tnrt;~; /© a,~ a ~ ~ ~ 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 following beneficiaries of the above-captioned estate on O T/ / ~O/U Name: Address: =~ .~//J,y~t/~ /~"~75 DGG/~~ /~~}~' ~la°NLC7 ld~~L11~~~~! ~ ~-~ ~`~ (I,f 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: /I~~i4 Date !/!~/ ~dl/ .''7 LL _,.; ,~ e. i . - - ~i ~~_ c_;~ ~!~n ~ ~ w ~. _. ~ f _ ! ~ .;,,,_ CMG ~-> G~ - C..U Fn.... o rii n n ... . _ _ . Signnture of Person Filing this For Capacity: ~'ersonal Representative ^ Counsel Name ojPerson FtGng thu Form /575' ~OLG1i11G~j'~ar.ys C~~s°~ Address l~J~=zL-~~~ r-v~ ,~~ 33~1r~ 'S~.l 7S3 o~U 7~ Telephone