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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
GISTER OF WILLS
�� �_COUNTY, PENNSYLVANIA
Name of Decedent: � ��� '� J �
Date of Death:�,� �C7�'�'V �Cl l� File Num r. �d f�� V'� � � y
Date Letters Granted: f� �� ����
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 erved on or mailed to the following beneficiaries of the above-captioned estate on
a. ` a„�,� �C� � :
Name: Address: �
� A ' r r�r' �i
��-�.,G.s/� .�9 ��r� �
(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:
Darr �� V ��� �O " �
� � SrgratureojPer Fifingrhrs orm
O C� U7 'Q
� � � � � Capaciry: �Personal Representative Q Counsel +
ia.. ' E o o Q � d d ��� L,��'
�'�" �" a-- � p Name o erson Fi ling is Form
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Form RW-08 rev.10.13.06 �