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03-11-13
CERTIFICATION OF ~-pTICE U~;DER Pa. O.C. Rule ~.b(a) REGISTER Oi ~~'ILLS _ ~t~Ntb.er'~.an~ CG~~.,~T~C'. Pc~~S~~Lti'.-~~I.-~ Name of Decedent: ~` a. ~ ~ 1., ~'~1 ~t,~ ~i~ l 1 cL..~ f•~ Date of Death:_ ` ~ ~ ~ ©~ Z- File N!1r??har•_~. ©j Z, ®~ Z fj Date Letters Granted: To the Register: 1 certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Orphans' Court Rules was se ed on or mailed to the following beneficiaries of the above-captioned estate on Name: ~~f ~D r,5 cn ~. ~.... ~,_ ~ ~' ~u~t ~ ~-- ~ ~ U ~ ~ '~ Address: ~. % ~ (IJmore space is needed, attach separate sheet.) N~e has now ben given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except: ,.. _. t I e QL. /' R s... ,~'~, C ~ _~ ~ ~ f3C ~ .---. ~~ ~~a V L Signaru~ojP~sp~i Filing r1~is Form Capacity: ®rPersonal Representative ^ Counsel G e r4, G~ ~.. ~'N a n X10 ~~e.rt 3'~ A'ame ojPerson F~Irng rhir Forrn /~/s' ~ ~d sr~ Addrers L~ao~a .~~ ~~ ~ ~i Telc;~hone h~ Fornr RW'•08 re-•. 10.13.06