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04-25-11
CER~I~'ICATION ®~' NOVICE UN?DER P.a. O.C. Rile ~.~{a) REGISTER. OF WILLS u/~'1 ~ ~~" ~QII d COUNTY, PEti~vTSYLVA~,'IA Name oi' Decedent: ~ ~ ~~ ~~ ~ I ~ a , Date of Deatl::~~ ~ Q ,~,~ ' ~ File Number: e~ ©~ '' ,-__ Date Letters Granted: _ fU o2 ~ b ~/ l ~ p ~ 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 on ao1 ~ . Name: Address: ~DU i5 ~ ~,~ /~~'t~ 3 ' S ~~~ h erS ~~h 2 ~~ ~ ~ 70'70 ~c~ wa r- ~~ ,~ a~ CO 1~' ~ '~ _ _ T ~ 1 D ~~.5 r d ~ tto cS C ~ ~ ~ ,~ t 0~ ~ r y ~<< ~ ouse~a ~/ ~s er ya Ile- ~ee.ra /~ .~ooro~og _~_____ , ~J ~,~'l n, r ~,~ ~1 ~r ._._ ads ~ - ~es~a r,~u n r ~ ~ur~. ~~ C~ 55! _~t~f e 1, ss ~. ,~ ~ ~1rn a r~ S N1 ~. (.s r, r (If more space is needed, attach separate sheet.) ~ J~~~.. ~~~~ f',r ~ ,~~. `--'~ Notice has now been given to all persons er±itled the.eto under Pa. O.C. 1~,ule 5.6(a} except: ~ a.~ ~ Date ~ a l (7 ~ I V~ ~~ Signature ojPerso Filing this Fonn ._.! .. ._ --.-. ~~ ~_~ ~ Capacity: Personal Representative ~ Counsel ;_.., ~ ~ - U -`' ~ _ -_ ~ c~ ~~ ~ ~ t0 .. W .c ~ ~ ^' -.a'' Vamc ojPerson Film, this Form ~ ~...,: ~ l..Ls k ~_ i.. i... ~.Z~ C.7 --, Address .~ _ <:_~ ~ ~ecGlc~ ncC~S~ ~~r D~5 ----- ~ `7 (~ -- ~~ ~ _ Tzlephone V Form RW-08 rev. 10.1 x.06 ~~ ~ L ~; ~~~ ~ ~~ ~,, ~~. f~ C f ~~ ~~ , /~~ i 7 to ~. ~t~3 ~J C n ~ t~ ~ f ~ v ~, ~ ~' c~ ~` n ~f` (~o s ~ , Ltd 700 7