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REGISTER OF WILLS
COU?~iTY, PEN~'SYLVA~II?-
Name of Decedent: ~-~AR/l y ~ ~1 ~ ~ C ~ ~ .ti
Date of Deat`t: ~/°~ iL l ~- 2G~~ File Number: U// ~ ~ GUy - .
Date Let<ars Gr-anted: y ~ ~ ~
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
am ~: ddress: ~
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(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:
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rt ojPtrso» Filing this Form
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Capacity: ®Pe;sonal Representative Counsel
s;-~,t ~ ,~ ~`' Name ojPerson Filing this Form
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