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09-09-11
C~R 1 ~~~Cr~.~'~~id ~~ r ~~~~C~ L~~~P ~~. ~.C. Ra'e ,.~ ~) RFGTSTER OF WILLS Y, PE~,:~SYLVAVIA (If more space is needed, attach separate sheet.) am ~" ddress ~ ~~ ~ ~~~N ~. ~aW~~ Name of Decedent: ~~ ~„ ~ Ti ~ !~-~ Date of DeaL'~: t~~q~I' , y ~ ~..~ ~ r File Number:_ oZot 1 ' ©r,~-ti~ ~ Dote Le Hers Granted: To the Register: ' I certify that Notice of Estate Administration required b Pa. y O.C. Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-ca t' ~~. ~~~ p coned estate on --_ Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6 (a) except: ,, ~~ ,~ . _ _ . ~ , . ~;, _ __ ; _. ~- ~_ ~,; , ~: _ c,r ; _ 4 f ~ ~ t.!_J ~~ k ~..___ ~ .t ~~"v _ .__ . ^, - U c Sigrtctyre c f Persan Fitir~ rhrt Capacity: •~e;sonal Representative ~ Counsel Name ojPersan Filing this Forst ~~t ~V/El~l EuLI~' .~tddrtss telephone ,_,~t'