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HomeMy WebLinkAbout08-24-12CERTIFICATION; OF ~ OT~CE ~'~~ER pa. O.C'. Rule ~.6 a ~) ~.CTER 0~ '~Y~~~iLL~ ~v " t~ CG~.~~T~r'. Pc~~~~~~Lti".~~i.-~ dame of Decedent: ~~ n v ~i ~ ~ _ Date of Death:_ ~ l ,~~3 t / ~ ~. , Filz ly'iimhPr• :~/ I ~` - ~~} v2 v2 5 Date Letters Granted; 4~ z ~, ' ~ ~ ~ Z 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 o or mailed to the following beneficiaries of the above-captioned estate on "~ ' Name: ~~ .S. - ~ t-Z ,, r r l i r t~ r+~ S~", ~z1 ,~ ~- h--~~,~, S.u~ , tzf ~ r, -- ~~~~ ~ I ~ ~tri~ ~, Address: / ~-- E 1 ~~.~e1~~ - _ %=~ ~~~ ~ ~ ~ ~s s~t ~r~a~-~Y ~ y 1 ~zb~, 3~ ~~~1~y ,~-~~ ~ ~~~,«. fi'ILrrn ~4~ ozi3v r (If more space is needed, attach separate sheet.; Notice has now heen Qiven to all persons entitled the-,tn i~nr~er Pa. (~,('„ Rt.le S.C(~l exrPnt; Date ~fl ~ ~~ / i1~- 1. i~ G .. --. ..~ -^ w~ `, .: ~r ) C~ t.~; - -~ _ ~_.l l.,.I_J ~4~ ~~_ ,~ r~ u.-, ~~ ~~ ~~ s .., c.7 Signature ojPerson Filrng this Fo Capacity: Personal Representative E]Counsel ~. ~ L Fame ojPerson Filrrrg thrs F I ~ c W~ ~1c~5 .dr. Address r _ Telc;~ha~te Fa~m RW'-08 ter 10 /3.06 C~~--~