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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
�rl��rf/�c�!� COUNTY,PENNSYLVANIA
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Name of Decedent: "l��c�'� , � �'
Date of Death: � 2 D/ File Number: a"��� � � �f��
Date Letters Granted:
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:
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(If more space is needed, attach separate sheet.) � � � � ,,,� -�rr
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Notice has now been given to all persons entitled thereto under Pa.O.C.Rule�.6�)exce� ,C,r, �
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Signature of Per^on Filing this Form
Ca aci �Personal Representative ❑Counsel � �`
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Name ojPerson Filing lhis Form
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Address
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Forin RW-08 rex/0.13.06