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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
� G t�n�be�lQ�vd COUNTY,PENNSYLVANIA
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Name of Decedent: C �• u.Ss/e. ' ��. e e.v [:�e�i-t�l LG /,e
Date of Death: l d���/3 File Number: aD/3—'�l D 7� _
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Date Letters Granted: 1�/9'�/� _ -
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
C��ol�e r- a a^-d l v .��:
Name: Address:
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(If more space is needed, attach separate sheet.) m � c-� M'{ �" �
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Notice has now been given to all persons entitled thereto under Pa.O.C.Rul�?5�(��excep: � �
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• � ignature •.^on Filing this Form .
� Capacity: `�ersonal Representative ❑Counsel � �'
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1.���I� /h. Gl�iurv
Nnme ojPerson Filing this Form
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Adrlress
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Telephone �
Form RW-08 rev.l0.13.06