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HomeMy WebLinkAbout02-11-14 CERTI�IC.A,TIOiy" +p�' 1'�p�'IC� Ul�DER �'a. O.C. Rule 5.6(a) REGISTFR�F WILLS �4 Clrl�� t�l i COI�TITY,PENNSYLVANIA Name of Decedent: �.D� AI IV �E���� �-�� �����..{T- Date of Death:_2.� n CT6�E����� File Number:_ �-� ! 3 — p � (�� Date Letters Granted: r�h I c�d�������'� � 4 C `� � 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 ser:��d on or mailed to the follawing beneficiaries of the a�ove�ca�;;on��cstate on �.3 l`1�oV� hrti��Q , 2O f3_: I�'ame: Address: V 1��RrG ltv tf� i(�b�✓�l?N,��j��/�i f-�FT2�o o � �� l�►!l�"�L,� �a v�c�1 �H I 74 �� '7 (If more space is needed, attach separate sl�eet.} Notice has now been given to all persons er,titled tr,ereto under Pa.O.C.Rule 5.6(a)except: � Date-1 L� r"G ����1L� ��r �,J1- ��°i�[� — ' a�ure of Person F�lrng this Form Capaciry: �"Personal Representative Q Counse! �. �HC�'I E � �I�D�(� Name ojPerson Filing this Farm "� � t� � 1 � 1--t 1 8 f� S b�L�'S� �l2. � � }r- + Address � � �" � � �► _N O F'Z�'H `���(�fC'.�f� IMD �ef33��, � � � � � c� �, ` �ar - �t�� • �7a6 , �. �. �.. � � � � - :� � � C� � +d Telephone 1�! � rl � � �"'3 — � F,.., "'.1 '� � _ C3 � � — - ;, � � t�., � _ � J�'d�m R YK.�L18 rev.!0.�6'"�'; _ ,.� � ,'-=; � — _, c�,,,, _