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03-03-14
CE12TI�'ICA�['ION OF 1`�O�'iC� �T1�1�ER Pa. O.C. Rule 5.6(a) IZEGISTER OF WILLS ���-,�`��c=� CO[.miTY, PENNSYLVANIA Name of Decedent:_ ����, �, �,' Date of Death: � I- ��— :�fi i � File Number: :�C�?i�- �f��� Date Letters Granted:_j�— �1-,,�-C� � __ To the Register: 1 certify that Notice of Estate Administration required by Pa. O.C.Rule 5.6(a)of the Orphans' Court �L'.��S`�:'2S S�.^,'e:�0^0','Rlrl:lc'.Cl tG t�:f'.fO:iC:'::::b E`E',.^.C-.f;Ci3�lt'.� L`F:t].°,ill?^V.°.-Ci.jJ::o^ed eSt�te on ��1� .�.�� h�r y , :�_ : Name: Address: _�c�.� I�c�rs Iw �� I-� () i y�I C I��r �r�;c:�s ��. S�s�.�� i 1'�f j�1� —T � �7:�"77 � r K��S�►� � . �,,� 13� SL.�.2ar� r�� �,�, r��S� ('A � ��z�� (If more space is needed, attach separate sheet.) Notice has now been given to all persons ertitled thereto under Pa.O.C.Rule 5.6(a)except: c Date "��� J � �Gr� `l C � Si nature ojPerson F�ling rhis Form Capacity: �Personal Representative Q Counsel arD C 1��1 h+� �11"�-a-f Q� C°? e�[ Name of Persan Filing fnis Form � �.7.. . t.e� N � , �5�'—� 5� �—e _ � t=�' i i.t1� ��,t . � -�V A ress ' �` -_ °` � �,�� � R 1�1�U�1 �._.=�i i.7-, (v� ' c.r?7..� -__ 1'��� �J�1 1... 4...�.3 � � z�i.Z� ��� �( J /�-�/ r ..._. � :�i~Z�' �,u ���` :Y-�LJ`/�`( / � "�.1 �� � O� Telephone i � � 'V L�. � C'•� Form RW-08 rev. 10.13.06 1,n �t