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05-17-13
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) REGISTER OF WILLS �e.s �c'4 inc COUNTY, PENNSYLVANIA Name of Decedent: ���(' : �i �j U (' Date of Death: � ��O Co �,�(� [ '� File Number: �P�� � ��� 3 �l � _ Date Letters Granted: `� q aC� ( � 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 ��� � � , .3 • Name: Address: N� C���h c w 1� Sc��c S`vc�c _ � \�� e c� � �� � �t�� l�3(l� � ��s �. �.�� �� 9�-�� A�v ��� ��-e,,� � .� Q ���� � ��- I����3 �(Y1aso n k � ► b� �1� ��. � � Rd , Q - I I , (If more space is needed, attach separate sheet.) Notice has now been given to all persons entitled thereto under Fa.O.C.Rule 5.6(a)except: � Dnte ��f� ��� , � '. Signature o iling this Form . Capacity: [�Personal Representative ❑Counsel � � �,, i�� n c�, c^ �-.J ��' �� C�c (�1 11 `� w_... ; �,.`. ���"�-g �-�� '� Nnme ojPerson Filing this Form �`L�+�- ,�.: • < a��.P-.� : � �u� � � �� �: �� � c c� �w d ��+ P C�� �"' s"' '�- �� t-�" � Address � � �sc w �� � �.,,,. � � � -��. i 5 � � � � � ��.� �-� ,.,_..� � � _..a !- J "'� � , �. � � � " � � � �� �� �� �5� �� - � � �— Q � Telephone 1 � � C'�' .� � Form RW-08 rev.10.13.06