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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
C,' u w16 c.r 1 e�.r,,c� COUNTY,PENNSYLVANIA �
Name of Decedent:�1a.�c�..,� �. � �u ss c.r� S t2,
Date of Death: 3u ne.. l 4 ,- a o� � File Number:_�O/3 - DO 8!�'�/
Date Letters Granted: �v I�i �rl'�' �O!3
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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
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N._� Address:
�G�,`�'h c�.r� �L-�:� �1 v SS�/ �r. /3 3 O td S�to r�e ti o uSe. /Z d �. Cc..�l�'a 1 e,P.�4 !7 O!b
� _Q0.,�i� A - Mus sc.r /�3 ord �'+o,x.ho vs� Rd �. Cc�.r t�Slc. 1�A- !�O�cs
Co..��r�n� /�t• C�lc�,� l33 � Old �+o,,ehou.s�e:- Rd 5, ��,.rl�s�� ���4 t�o�S
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(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:
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'. Signature of Pe�^�n Filing this Form
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. Form RW-08 rev.!0.13.06