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03-01-11
CERTIFICATION ®F NOTICE UNDER Pa. O.C. Rule 5.~5(a} REGISTER OF WILLS w ~ aE6Zti ~~ ~ COUNTY, PENNSYLVANIA Name of Decedent: 7}-E-~ r''ti ~ ~ '~ . (~ ~ ~~ ©~ ~ ~ L.t- Date of Death: ~~E~. i 3, ~~ I O File Number: ~. 01 l7 -- D 1 a?~?'~ Date Letters Granted: DEC. 30 ~ Q ~ '0 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 ~F 3 . l `~i ~.o t ~ Name: Address: -D~QO~a W ~- ~?N ~ ~R 0 1-~ ~LLH,4y~,ti ouzr r~ ~s~- r~~~.~~ ?'~ 37a.~ o /~ t t t~.ErsC:E. ~. ~um3E2.~~2., ~.~. S_ 'L.Ev~,sC3~2riy {~jRi~ /~'~Ec+~~.9r~s~u~-~, ~q ~7oSS `~ r''~-o7u~~ !`7'1. ~'t~ o~1NE~~.- Zg~o~7 /~I . SA 1~}l-A 1CC T ~AC..E_ D2,~~c~ ~ ~.f~ q 2 ~~5- -.._.,. (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: ~d~~ Date ~ l l ~ I o2.O j 1 ~--- _ ~~ U7`-t`-~ (~ ti~~,~,.(,~ `~ Signature of Person Filing this Form =~- Capa;,ity: ®Personal Representative ^ Counsel . .. r`", ~ 4 ~ _ ~ +: `: ~. : ~ Name of Person Filing this Form .... .. ~_ _ _ j... f ,~ f . ~-~ f:_~~ - 18 s S l~ ~ o ~ l-~-o nE ~r:~ r. _ ----. .. _ .~ `,'- <: i :> ~ Address .. r:, ~ Telephone c ~ Form RW-08 rev, 10.13.06