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07-31-12
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule ~.5(a) Name of Decedent: Date of Death: ~ REGISTER Or b~~iLLS Cv~~~~~3 =d~cr~.J~ CO~~;T`r'. PE~~S~~L~".-~~L-~ lJ:a . l ~ - 1ZC--/.Z ,- / C?EI~V~ _/ ~i'L~/A~~ i ~ Date Letters Granted: ~-~~~~~; /`( :~L%f Fillt~iimhar• „ZG~O~ ~' C'i[:'~~,C.) To the Register: I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Orphans' Court Rules wa,~ served on or mailed to the following beneficiaries of the above-captioned estate on Name: __ __. Address: ~ `.-~-,--- - - '/~Ll'i r ~'Crf/ Jrv~~C'S, ''~i.t ~' r9 t (Ilmore 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: /V /' Dare GC' ..1~ ( - ~~ , ~ ~ ~ F~ ti.~ :, ojPerson ~iGng ihis'For Cap~a`c'~ity` ®Pers/oJnal Re~p(resentative ^ Counsel Ls- ©~/ r~- M Q ~ ~ t~r ~ ~ ~._ -. ta.. ~ n _ :~~ ., - _ ~ ~= c [ : u ~ ~ , _ L_: _., - ~ far tV ~~a Form RW'-08 rev. 10.13.06 A'ame ojPerson Fling this Form U ,r9 Address %~ ~J 9~` ; Telephone a~,~ h~