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HomeMy WebLinkAbout02-03-11C'ERTI~'IC ~TIO~,T OE ~iOTICE U~iDER Pa. O.C. Rule 5.6(a) REGISTER OF `~iLLS 1, `~ (~_ i_~..vv..._.. ~,,:,.-~~ o--~. COUNTY, 1?ENNS~'L~'ANIA am c f Decedent: 1~ _._~. ,-~ ,, ~ ~ ,, ~ _^ _ ~~ ~;~ ~~ Date of ~°ath:..-- _. ~ ..l- r ~ ~ t r? File Number: ~~ <_ ~ ( ~ w_ ~ ~-_ _ Date Lott ::d: To the Register: I ce.tify that rvutico of Estate Ndministration required by Pa. O..C. Rule S.6(a) of the t)rhhans~' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on ~~' _!~f2 ~ ~ ~ ,.~ j Name: Address: -.. _ _ .. 1. ~ ~ ,... \w t ~ i tom- r~ r -- l~ l 1, ~ ~ C .; !r -, __ ..: ~ 7 ~ r.. ;' ~~ ~Z. ___.._~ (If more space is needed, attach separate sheet.) Notice has now been given to all persons entitled thereto under :Pa. O.C. Rule S.6(a) Except: I ~ ~ ` \. .~ . ... ~ ~ .a, Dnte_ ~ _,? ,_., _ 1 ~/ ` ~-~-- ~ > t) ~".; Siyri~ture of Persan Filing this Form -' C7 V-_; ta_. ~---- ; -.~ ~ L~ ~ t__ ; Capacity: ~F'ersonal Representative ~ Counsel ,- ~ ., - x 1 =-~-{ = Nnme oJPerson Filirrgthis Form - ... ~ t t --- :~~ u~_ ~_.. O ~j Arf~lress G~ ._ C._.~ _ _. ~) - ~-~' ~'y j q ~f --- rte' ~~ _ J Telephaie ( 1 ///f i` Form RW-Q8 reel. /0./3.06