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/I REGISTER OF WILLS
(.ll~ljer~4'h~ COUNTY, PEiv:~`SYLVAVIA
Name of Decedent:
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Date of Death:_ ~AN_ 02 p/ •
' File Number:__ a ~ -a0/ / - yS
Date Letters Granted: ~'llN~ -7 , ~~~ ~
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule S.ti(a) of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
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ddress:
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Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except:
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Si rt ojPcrson Filing r is Form
Capacity: ^ Pe;sonal Representative ~ Counsel
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Name ojPerson~+Fifing r/~is Form
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