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02-22-13
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) REGISTER OF WILLS COUNTY, PENNSYLVANIA Name of Decedent: " , X" - Date of Death: /1 o~© 1, File Number: f - Date Letters Granted: o~ t~ 02 ~d / 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 Se: Address: Z (f Q\_ )111111_el~ (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: Dote Signature of Per-nn Filing this Fo m Capacity: Personal Representative ❑ Counsel CL. F - Name of Person Filing this Form AAAd _.i Q q , C~ FYI 1 G~ U p Address U_ U_ C' O CL' to Q CA.' cV W Q J Uj pG u 1 u= phone O C.9 U_ C C.> LL! UJ c Form RW-08 rev. 10. 13.06