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� CERTIFICATION OF Nt3TICE UNDER Pa. O.C. Rule 5.6(a}
1�.�.C��.i� GISTER(?F WILLS
� � C{}UNTY,PBNNSYLVANIA
NameofDecedent: �1�bYY\QJ �-- �1.C:�-C�� - —
Date of Death: � ` �-Z � � File Number:
Data Letters Granted:
Ta the$egister:
I certify that Notice of Estate Administration required by Pa. O.C.Rule S.b(a)of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
r
Name: Address:
Q���.� 5,���-e� �q���:��.5�`- �A�,�u,lt�e ��.���3
��A�n��� 1���nY_r� c�t� Sr �.�- `�z+� . �_ron �P���o�C�
(If mare space is needed, atiach separate sheet.)
Notice has now been given to all persons entitled therem under Pa. O.C. Rule S.6(a} except:
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Signature of Persan Filing this Form
Capacity: �Pexsonal Representative Q Counsel
_'�(�� �'Y t��4 t
Nnme of Persors Filing fhis Farm
1�55 .st'. �.,�- �Z� .
.t�t�t.�
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Telephone
Form RW-08 rev. l0.13.06