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HomeMy WebLinkAbout11-14-11C~RTIFICA~I~`~' Q~ h~7C~CE L~y~,P. ~'~. Q.C. R~!'e 5.~(?) RF,GISTER OF ~VILLS ~~~~`'~~ COUNTY, PEiv~'SYLVAVIA Name of Decedent:_ ~~-~ r Date of Death: ~ ~13~t1 File Number: `~ ~ ti -bbd ` 1 Date Leers Granted: 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 ~~K~ ~ k~ ~ 2..10 ~ R-~ ~a~ ~FaR~ ~ 1 S~~Z (If more space is needed, anach separate sheet.) Notice has now been given to all persons entitled thereto under Pa. O.C. Rule S.ti(a) except: ©G, ~- r _. - ~ .: ~~' ~=~ ~:r ~~ =,- C__. ~-;, C.~!.i i ~e~ ~_.,W D 1 I~ 1 f? .~ ~a ~ ~ Signcturt of Pcrton Fdin~ this forni 10 ~,\ ~ ~ ; ~~<3, ; `~ v~ ~= w ~ ~. U t=Lr, ~ ~= O C v Capacity: ~Pe;sonal Representative i] Counsel `~I'~~~ iNl K~N~Ftcu~ ~ Namr oJPcrson Fitn; this Form ' .4ddrtts ~'~~ ~- 1~5z ~ v~l`~l'lr Te/epFont