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12-31-13
CERTIFICATION QF NOTICE UNDER Pa. O.C. Rule 5.6(a) REGISTER OF WILLS __ __ �Z �� ..COUNTY PEN�ISYLVANIA - _ _. a_ , _ _ _ _ _ ��� , V � T�T � Name of.Decedent: � � . �(� �(L°,� d Date of Death: � 1 I� ��-.��� File Number: �� ��� '`�d Date Letters Granted: Y��� �t.('�, R� �� �� �3 To the Register: �w I eertify 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 `�-P4 t t , a.o�3: Name: Address: 3��,r 1�S�e � rn/a- � ��c�a5 �c�c�,cl�. t����er � � � � (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: � N� A _ _r..�m____ __ oare ��J �� � ao� 3 f e�� Signature ojPerson Filing lhis Form Ca ci : �Personal resentative Counsel � �"� � F.,. ��� �' � '� � t�. Name f Person Filin tl�is Form � � `� w � � !"""� � � � � li�, �; C.� Addresa � �. � �, � ��... � `10�5 � c� a." ,� � :� � ( +� � �u,, w � � ,�` � 1 •- � - Q ,c� �. ;t� � � � c� � !� � t� C.� � � l�I 7elephone � � � � � t�l«I � �a � �:. ,f;A� �; . +�i'` Forn�RW-03`°�rev.10:13.06