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C~RTIFiCaT~~~ Q~ h~T~CE U1i~~R Pa. O.C. R~ ~~(~) - `
REGISTER OF WILLS
~f~1ixU.~ COUNTY, PE~1'SYLVAvIa
Name of Decedent: 1 L!-~ ~• ~'tJi~nJn/~"/L
Date of Death: d o?c11/ ~ File Number: C~y 1,~J U tlP~7
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_Date Letters Granted: .~ ~1° %~d"1F1 ~.- ~s ~' l/
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Address: ., .
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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 nailed to the following beneficiaries of du above-capdoaed estate oa
(If more space is needed attach separate sheet.)
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Notice has now been given to alI persons entitled thereto wader PL O.C. Rule S.b(a) except:
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Capacity: ~e:sonal Reprcsenutive ^ Counsel
• None of Pnion FiJoq this Fam
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