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02-11-14
_ _ ___ _ __ _ ,- � CERTIFICATIO� OF NOTICE UNDER Pa. O.C. Rule 5.6(a) REGISTER OF WILLS ������ COUNTY,PEN�ISYLVANIA , Name of Decedent: / � �'_ �-a�.11° Date of Death:_ � i��' File Number: �� �'ad� 8 Date Letters Granted: �p To the Register: . , i certiiy 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 ..___.__ � � , ��r� : Name: Address: r • �M � • 0 ✓�5�� �?�/7 �`QC� � 4 �"� 3-3�Z�o R ' • �u,c�e�e , �d 73 f/�' /` �'r��la, �� /70�.�' � - f- ��a .eyc�c °�. C,o�i.o�`/ /76/1 (If more space is needed, attach. eparate sheet.) Notice has now been given to all persons entitled thereto under Pa.O.C.Rule 5.6(a)except: Dote `� 7 �� i�0`3 e - Signature ojPerson Filing this Fo��/ � 6� � � �-- � Capacity: �Personal Representative �]Counsel � f� � � �,. P��� VV r � � "� �� � C� Name ojPerson Filing this Form ��.. � � � � � r � � � � � � � t� C� � � :"� Address � !�J � e—�i „wj "'� � � tf/ � / ��/ � � � � � � '�/� � � � � �"�" G� � Telephone � i'� � C:Z '.;,l; � Forn:R W-08 rev.10.13.06 h W ' 6 �