HomeMy WebLinkAbout09-09-11
C~RTI~IC~'~I~~ ~~' ~~~~~~ Ul~'~~,R ~~. ~.~. Rs'e ~.~
()
REGISTER OF ~VILLS
``""`~°r~a"~~ COU?vTY, PEl`,:~'SYLVAVI:~
Name of Decedent: ~ 1...`o z.~, be ~ ~ ~e,,,~, ,~ ~ -~~~q. ,~
Date of DeaL`t: 5 /I L7 /fir' ~ I File Number: ~4 L l _ ~~ 5Q5
Date Lt~ ers Grauited:_ 5 f 23 %20 I 1 '
..
To the Register: .
I certify that Notice of Estate Administration required by Pa. O.C. Rule S.6(a) of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
- ~G k ~ ~ I O , Z_,__ U_.1 I
ar~`~ ddress:
• ~ 1 1~/l '~r~ f~QLC"'~'~+"l~. rO ~ ~ • rr ~t! Q(, C Q
rT ~
(ff more space is needed, attach separate sheet.l
Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except:
t.;__ - .~ ~.~
x-2._1 -' f.t " '~
. ~ ,.t~ra. . < ~ ~ 7, 20 ri 1 ~--
- --- r.2- .- U
_ -: ', < ~ Sig»ctare ojPcrson FiGn~ this Form
~_~.. C:~~~-..
- `' ~- f ' ~- Ca aci C~Pe;sonal Representative ~ Counsel
- ~ ~---,
C,._. !_- ~:;.~ ~ r_.z.., fir-;
L.~ ~.=t~ C~ K:-;. Name ojPtrson Filing this Form
`; U 034 I,y - ~ ^ ,` ,V ~ l,0 1 ~
.address
~79'~ - ~2 s - ~{ 3~5~
Telephone