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01-03-12
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) REGISTER OF WILLS vr~L~ COUNTY, PENNSYLVANIA Name of Decedent: Date of Death: ~ ~-1,~ ZO ~ ( File Number: ~, '~ ~ ~ " ~ 3 ~ Date Letters Granted:-f o~M -~ SLR ~~ ~~ ~ 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 a e: Address: -- ~~ Y~ ~ ~ L~aw~.a~.~.. ILA ~-(- ~9 ~ 1 ,_ _ 3~ ~ N~~~h. VZ.~ ,-~ t 1J ev~~ ~ ~-rz~F ~ ~ 1(Y~.p fP $b2 ,~ (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: Date ` ~~ Signature of pe-.^nn Fil g this Form w Capacity: ~Rersonal Representative ^ Counsel ~/ ~ ` ~i~ ~'' ~ ~.- : . ~- ~ ©~. Name of Perso Filing this Form -- . _ . 3 ~b ~. _. ` ~ _ . _. ~~-~ - ... . ~ ~, _ _.._....__ ____ ..,._ _ _ _, ~~~s- ,.._ ........ ., _. _ .. ._. .. ~ '.=i *+~ ~~ ~ ~ "' Telephone Form RW-08 rev. 10./3.06