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09-10-12
CERT~FICATIO~; OF ~ OT~CE ~~1iDER Pa. O.C. Rule 5,6{a) r ~GISTER C~ ~j.':LLS ~Hlb~~'~ CC~~~~T~", PL~~S~-Lti'.-~~I.~ dame of Decedent: 1~ 'i~,~ O'er ~L•~ Signature aj'Person Fihn~this Date of Death: ~--2 ~© -' ~..-- Fitz tit, imhPr; ~ ~ ~O~Ca~ ,-- Date Letters Granted: ~-~' ~- Co ~ ~ l ~ . 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 ~-~'~ 2. Co . ~~L Name: Address: o ~--, ~c.r ~' 7 o s c~ (IJ'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: c~~ _~ ,._t _t ~. ~ tip, - _ •- r .~ ~. _ ,,,L''~ r__ ;~~ ... L. i._ .. L ~~.... - ~. - ~;;~„ . : - ~ - .a ~L ~.J~ L:i. ~ , ~ _ 1.Li L:J :;~ t~ r,. .i Capacity: ~ersonal Representative ^ Counsel ~V l A'ame ojPerson F~Gng thts form ~ ~~~~~ ~~ Addles 0 ~~ Telcphate h~ Form R W'-Q8 rer. l0 l 3.06