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03-11-13
CERTIFICATION; OF ~; OTICE ti~;DER Pa. O.C. Rale ~.6(a) r~ ~GIS~JER 01~ ~ti'ILL~ CO~.,~TY. rLtitiS~C Lti.-~~I.-~ dame of Decedent: --~ ~ Date of Death Date Letters Granted: ~/ ao Filz NiimhPr; O"Z.©~~ " ©~ ~ o~ T'-- 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 ~' 9 ,_: N-~ Address; ~~~~ ~ ~T~ ~ ~~~~~ ~1C£ ~ ~ ~ ~~ ~ !.t_ ~ ~ t.d.l ...:,.:1 ~:! ;:~: ~ °~~:,. (IJmore 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: ate N ~ `~~ :~ C~ ~' ~.'i- c,~ U t,1... ~ a ;~ t/) ~~~ ~ ~ W tC m C? ~~- _~ ~ ~ ~ U W , ~ c~ ~ ~ u,~-ffi~ ~,~® u~f~- Sigr+ature ojPersan Filing this Form Capacity: Personal Representative ^ Counsel girt R u ~f~. Fame ojPerson F+li+ this Forrn ,, •• QQ c~.~ Address / ! ~~ f ~v ~~ Telc;~hale Fern, Au,'_Ap s.. In I ~ n,c