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Home My WebLink About07-08-14 CERTiFI�ATION OF NOTICE UNDER Pa. O.C. l�ule 5.6(a) REGISTER OF �VILLS CT UGh(��er�lGu-r d COU�ITY, PE�1I�7SYLVANIA Name of Decedent:_ �101�!C� � ��Q�'o V/G� Date of Death: ��"�9 '" l� File Number:_ ZD�`�—� 003%3 Date Letters Granted: �' 7'�� 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 follo�ving beneficiaries of the above-captioned estate on �� -- ,� : Name: Address: ,��R ri�/ .� . �uMr� � P,�Tz�oN �� I��-Nres,�v�G �,�, /7n5 5 (Ijmore 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: ��/► � Dnte �- � i� � � --� � ' igJintur-e oJPersai Filirig lOiis Fa�m ��~ � � Capacity: ersonal Representative �Counsel �, _..� � �_. � = � �� %R7�//(� /a l7lJ/`�/� � . � , , ' ' ' ` � Nmne oJPerson Fi(ing this Form � .� LY"_ � 'i/�� , ! 1 � .' { ';�---' ��N 1�'-- � C.'.:i � -��W �Iddress � i �-� zJ � � ;�N�cs��.G �� . f��s� �.�� T o� `�c .� c.� � , `W �7_1� 7-- "�� - T ephane � Form 2W-OS rev. 10.13.0G Vv