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05-16-11
~GI~ TER OF WILLS Y M ~. ~ ~' OtJNTY, PEN~TSYLVA~TI A ~ ~.. ~ s Name of Decedent: ~ i ~ ~- ~ r ._~- Date of Deatl'~: _ ~ ~ Number: i ~ /'' U ~ ~~~ lute is icTS vrdnted: 2 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 Nor- ~• Address: ,.,~ Lc.-~~--~ ~ ~ ~ ~ ¢7 ~ ~ , . ~C~t`S` ~5~~ off. ~~cr', (ff 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: ~ S' ~. ~ .~ Dote ~ ~~ lJ,~, ~ 1 I C~ `1/ Si ' c e ojPerson filing this Form ~"~ __. Capacity: ~Pe.sonal Representative Counsel ~ © c1~ ~ ~-~' c aJ ~ ~: n ~~ _` ~ ~ -- 1Jcme ojPerson Filing this Form ' ~.~ ~-~ ; t .4ddre J - ' \ ", , I ~_ ~ .,,~ t ~. ~ 1 U -~ i , ~. Q C l fi ~ ~ 3 ~ g ~ rr (~ . J t_~ .~; , ~` . t U J Telephone V V __, U Form rw=GB rey. iO.IS.G6