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12-5-11
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) REGISTER OF WILLS C ~~ ~4i"~aH a COUNTY, PENNSYLVANIA Name of Decedent: 5Q r A ~ G . 1`1 Q SS Date of Death: ~ l 3 1 ~2 U /1 File Number: 02 ~ I I " 0o q 6 Date Letters Granted: ~ ~ 1 l ~ l~ 0 /~ 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 oc~o hP,~ ~ ~ , _ 2d // ~~ f~l e+~, ass 7a ve l-I ass ' I~Ca ro- 1Vl r // e r ~~~ ~ bas s Address: 38'10 X90 ~ f~~°~" St _. .Il~~d~%. .~ ~~9~0%9600 121 ~r~,,~~/p lQo~ ~tclo~icslourR 1~A /74SS•~7~0 VR~ ~Un~i- i -t NIc.Lr S9 o G1 L_GE S/HE, Sat! ~U~tiV /~ 00920 -8333 (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) except: D .-~ V~ No V P ht F/-P r 2 5 ~ t1_ ate ~,~ f"'~ . ~ Q Signa ure of Pei^on Filing this Form ~ ~ ~_ = ' ~ ~ ~ Capacity: Personal Representative ^ Counsel i~ _~ ~ ,~ ,• ~~ ©~~ ~U/ CC ~e h ~-=y ~ ~ ;, t , I,t'1 ! . ~ ~ _ Name ojPerson Filing thrs Form- _ _. . Cl ~ r~„~ ~ ~ Address r ~~ SAN fy~ti ~~ 0 d SZo..~~t333 Telephone .~ $ ~_ 3©6 _ 9 3 6 ~ Form RW-08 rev. !0.13.06 n~