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09-23-11
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) CUMBERLAND Name of Decedent: Irvin R. Y REGISTER OF WILLS COUNTY, PENNSYLVANIA Date of Death: September 7, 2011 Date Letters Granted: September 20, 2011 To the Register: File Number: ~-~~-~~j 1 certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the O hans' Rules was served on or mailed to the following beneficiaries of the above-captioned esta e on Court September 20 2011 -_ . Name: Add: Jill Ann Y. Klotz 4 Nicholson Court, Mechanicsburg, PA 17050 O c. -, ii ; ,_L CC (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) exce t: none p oa,e September 20, 2011 ~ ~ ~ ~~ -t-~~ i G ~ C~_ Signahrre o'~''Person Filing this Form Ca aci ~ P Ty~ ©Personal Representative ®Counsel c, --_ ~, ti ~~~~. ,'? ~ c; -- _ ., ,~ = - L ? JR` _. ~J _. U Fa•m R17~-0g rev. 10.13.06 /Name of Person Filing this Form John M. Eakin Address Market Square Bld., Mechanicsburg, PA 17 766-3172 Telephone ~_ _~'GC~'