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02-08-11 (2)
C~R~I~'ICATIO~i ®~ NO ~ ICS U~,TI~~'I~ Pa. O.C. P~ul~ ~.~(a) __ __ _. REGISTER OF ti`'ILLS C~,,,r,.. 6~,~ 1~~~~4 CO?:.~rTY, PEtiNSYLVANIA Na:re of Decedent: V~'I. ~t a p •~ ~ ~-r ~~`~ ~'` ~'~- ~ ~''~-~ Date of Dead:: r~ `?/ ~ ~Z~Z ~ i y File Number: Z y l ~ ' Q° ~ ~' ~ _ Date Letters Granted: J t'- r'y't' ~' ~~ 1 ~/ Z ©l 1 -_ To the Register: I certify that Notice of Estate Administration required by Pa. O.C. Rule ~.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate c>n Name: Address: `..Qt,e1Ft~ C~R-`9~~r,t ~Q I ry~~ ~~a~e~v..`. l,r~1Y~r ~/~pde~~tG•IZS~f /w~1Z~O' (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: Date~~~ I ~, (~l ,~ T ~~ ~..:__ _: v ~: _...~ _ 'f . - ~'' - ~} ~~ r~_J ~..-~., i~.. .J ~ J ~._-~ ,. ~ l k. ,.,-V ... ,. ~a,: ~: U Form RW-08 rev. 10.1.3.06 ~, ~ ~. ~ ~ Si tare of Person Filing This .Form Capacity: ,Personal Representative ~ Counsel arm • ~. ~- 1~ ~ '~' -~. j ~~ 1 ~. ~, :Name of Person Filing this Form ~~~ 1~;~4 S+. _ Address ~ ?I'7 -~3~° Z~L ~ - T~~lephaie ~ .. ~ !''V'