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� CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
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REGISTER UF WILLS
--�--��`'� �''n�N� �'C��TNTY, PENNSYLVANIA
:Vame of Decedent:_�j u lv,� � ������,y
Date of Death:__ �'u.wr` 8 ot�i i1 File Number:_ a.v i H — op ° cj
Date Letters Granted: ,3'� �3 ^ �
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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
_ S�rv�' �' � ��i`� :
Name: Address:
N�+�w�.� � C�t�u��n�y T2 8�) �acr,; S rn�zc ��yc>�,4 �,� 17va5—
!Y1�r�+,�-ct � �:risau °�?o t?rica'rY F�t.- s M� Ln-s 1! N�P �?4'i 7�' '
!�'1'►�r i,n.cti. 5 4H.a�s o.� �7 f� L Eft'a�t� !-�v� �'�4e,w►Crt.,�o�► V�A t�G�7 l
(If more space is needed, attach separate sheet.)
Notice has now been giv�n to all persons entitled thereto under Pa. O.C.Rule 5.6(a) except:
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CV Jignnlure of Per.^nn Filing this Form
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d� � �"• Name of Person Frling[his Form
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Form RW-08 rev. l0.l3.06