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�'ERTIFICATION tJF NCITICE ITNI}ER Pa. +a.C. R.ule 5.6(a)
REGISTER UF�V'ILLS
�:� ��^b e c-'��u�� COUNTY�,PEl�1NSYLVAl`�IIA
_ Name of Decedent: �(n a 1� � �.� `-e(� W - . _:_,. .�. --
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Date of Death: �v�� �4 ���3 File Number: �� " ��—` �� ��
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Date Letters Granted: ,��c, Lo 2-��,�
To the Register:
I certify that 1`�Iatice of Estate Administration required by Pa. C}.C.Rule S.b(a}of the Orphans' Court
Rules was served vn ar mailed ta the following beneficiaries of the above-captioned estate on
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�� Address:
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(�f more space is needed, attach separate sheet.}
Notice has now been given to all persons entitled thereto under Pa.tJ.C.Rule 5.6(a)except:
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� � Capacity: �Personal Representative ❑Counsel
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Farm RW-0$ rev.l0.13.06