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Home My WebLink About04-08-13 6 � . CERTI�'I�A�'IC1N +C�F Nt)TICE �ER Pa. C1.C. Rule �.�(a) REGIS�R OF WILL� . ��'��/V� CC}tTl�i'T�,PE��TS��`A1VIA Name ofDecedent:�� 1�� . �s/��,� �-� � __.____� __�._ Date of Death: ,��1�11�{�t�"`� �c�� File I�Tumber:��I� �" ��"`/ 9'� l�ate Letter�Grant�d:_1.�`7'r�{ �.�4�'' �1� ��"��'�� f,,� r..-_-. ._.�,. To the Regi,ste�r: I cert�fy that Notice of Estat�Administratic�n requir�d by Pa.C►.C.�;�e 5.6�a}c�fthe Qrp�ans'Court Rules was served on+�r mailed to�ie follQwing bene�ciari�s af tt�above-cagtianed estate on .�� l�� 0�"�1�� t 3 I�ame: Ad ess. � ��l l��...t?�1�jJ�' �"��k��`�� ,/o�' ��.,��` s 1,s'�I!/�,��,�tr�'.�"rd��;�'/��'�1/ � ��'��""�+��f ,��`,�� !!'��. 1�r9',�,�tr,f��7 .�1f�. �*�l,E�=�t�9�v��.�,�GJ�'��f'/�,��It�� L�f��i't��d�tl ,�'�f�'�R�' �A,t�,�',t 1� /�,�: �i//1.�,;�'Ld��ft' L.�"`, �CC►li�,('"�'fv�sd�7r��. ..��'�� --.-�.�. 7 � �..W.�. ��,�r� �,�.��t� cvf�c�;� G�b�� sPR��G��.�. � ��'�I�,,�P�� 'r�� _ !�t�'� ��-� l'' � .3�'-3 �9�.��'�� -�E��.��s,��,�,,�''t1 I�"��rf � l�t�-��1�'=�j �?' �itl�'�3/'�,�l�` �� t!�1 Tff �t�,�t1�`'�`��, �'� l'�1f�/'� !'�.f�ore space is r�eeder�attach se�ar�rate sheet.} I�Totice has now been given to all p�ersvns en'#Ied thereto under Pa.O.C.Ru1e S.b�a)except: � � U!t!E GJ '�� ' •. . Signnture�'Per^n�n FrTin is Farm �C�'�""i� t� � Capacity: �Personal Representative ❑Counsel � ' ,_,i �cC � � � r.�� - /��,.�,��b ,� ��'�i4G 1�+'' t� '� � �„' � � Ncr,�ofPerson F'cling t�is F'vim ! � � � �' ,� � :��r ��.�, �� , � � t�p � � „� Addr�ess � � � � � .�� ,.�'�' �'f 1,�-� ,P� 1�?� �l . � — ,� � � � ,�-� ? ca � �i / �? �'7�/' I'�`��""� � ; � � � 7'elephone c�,�,: � Fvrnt RW-08 rev 1!7 I3.U6