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Home My WebLink About08-07-13 �. CERTIFICATIC�N OF N+�TICE UNT�►ER Pa. C).C. Rule 5.�{a) RE�ISTER OF WILLS C4UNTY,PEI`r1NSYLVANIA . � Name af Decedent: ��- : Date of Death: v'�� 1,� File Number: a��l�� `Qdc��f+� Date Letters Granted: a2- ..?ip „3 : To the Register: I certify that Nvtice of Estate Administration required by Pa,fJ.C.Rule�.6�a}af the Qrphans'Court R.�1es�v�s�er�ed an c��i�ed to the fa�:c�:ving b�:��ficia��s t��he a�c�ve-�d�t�t�ned�siat�or� -. � _ � , ,�t�,3: . Name: Address: { %�1• SI o2d . ` /G� � . /�� a��•,o,„�i� ��'9�D (If mare space is needed, attaeh separate sheet.) Notice has now been given to ail persons entitled thereta under Pa.O.C.Ru1e 5.6(a}except: _ . .__ _ . _ _ _ Dare �t0 J � Signature ojPerson Filin�this orm Capacity: �Personal Representative ❑Counsel . �., �vs,4,�✓ � ,��c�"'",r�Q,�3i� �- �.� �° � Name af Persnn Fitin�this Form �'� ..p �" � � �� ,�-t �' ��-t' i��f/ � `� � . C��l C � ��» �... �a_,. � � Atldress � .� � �.�._ �.�... c:�. '`� � � /�r�� %�%'/ J � I�� ..:.a a"� "�°" ~ .�: �... �::r: �� /� e�) ,,�r� ��."� ",.r'' �`"'"` �.d..� � ..� � /�"f �� „l�� , �„4.; k,r,,,, „_,J "'� (� I� E`� I�i ��:�a �..�., �� `� � �� 'c�'� �-� �� Telephoae �'."� b;�°, ,,-.- � � � � � � � � � ;:;-� Form R3�Y t18 rev,IO.J3.D6