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10-31-12
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) 1 RE ISTER OF WILLS C U m~ ~r `~~ ~ COUNTY, PENNSYLVANIA Name of Decedent: C 1'~ G`Y'~~--`~ ~i~ ~~l 1'1 ~-- Date of Death: `i5 J ~" ~ "~ ~ 1 ~ File Number: Date Letters Granted: `~ ~ (~ ~ ~ ~ 1 To the Register: r~ ' lam' ~' `~ 1.,~ cc~' 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 Name: G ~r ~ ~~ ~- ne ~~ Address: ~~~~ ~ ~~~~ ~~~~~~~ .~'vG~~ J ~~~ t~l~ ~ Y15~~ ~ ~'~ ~ ~ oZ~ '~ (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: ~1~_ / ~/~/ t~ Date ~/ C~r.T~D~' ~~~~ ~ ~' Signature of Person Filing this Form S f~~ ~ ~ Capacity: ~ Personal Representative 0 Counsel --~--. _, . , - t`~ © Narrte of Person Filing this Form - - ~ ~ Adds- ss ~- + f Telephone Form RW-08 rev. 10.13.06 ~~