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04-24-12
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) REGISTER OF Vl'ILLS Cti-~nbQ l ~ ~~_- COL~TY, PENNSYLV,~tiL-~ Name of Decedent: ~ s irQe ~ ~ • w~ ~~ Z Date of Death:~~, t ~ ~ a. Q /~ File TN~~n,he,-; 2-U ~Z ' O ~ OJ Date Letters 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 oe..G ~ a. o ~ 1 ~-~A J ~n ~ a , a o - ~ S~nc~ ~c c~e~} t ~ ( c.a-`F" G ~ ~ l~~ , a vs I '1, ~z o 1 Z Name: Address: ma~~oi ~ o ~~tZ 3a~ 7-h~~~sf GUe~c~,~~~r/~~ ~,~ l-~~/~ ~a S e b 4 s`~ ~ 4~ ~ a~ l~yes"firn oa- ~ a h~.~ ~4~ ~nalQ P~q ~~~ Z~ (If more space is needed, attach separate sheet.) Notice ha^^s __now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except: I /T Date Signature ojPerson Filing Form Capacity: ©Personal Representative ©Counsel f~ O ~ ~L1 ~ L° ~ !~' S ~` t cc l'1 Atame ojPerson Filin this Form n r~e~Q µd~ ~-(JC ~ a3 c~e5~ rn ~~_ ~-~ ~, -, ~ :~ _ . ~- .. _. ~ i ~-~ , o Address ~n of ~ ~ r 7 aZ ~" ~ _ ~_ 1< ~~~~ ~`~`~~~- . : , ~ t~ ~9s - ai ~s -:? ! ta ; v t..lP~- C~° ~ °-~, . ~- t11 telephone ~ , Q 3 - ~,._ 1 e~~ CL CL. Frr+m RW'-08 7Yv~.13.06 L"T_. /nn,J