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HomeMy WebLinkAbout08-25-14 C'�ER�IFIC�1I��i C)�' iv OT�CE �,T�i�ER �'a. O.C. �ul� 5.5(a) REGISTER OF �VILLS ��_COU�iT�',PE�`�"SYLVANIA Name of Decedent:____M(�,}''j(�.t')� . �1 f � �I C,.V'(�, Date of Death:�= I �o � �'�.O�� File Number:__� I I � - O� � � Date Letters Granted: � �U I - �O ] � To the Kegister: 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 aliove-captioned estate on _____�����,_..�o___�_�: Name: Address: _� �zna� �o ��� ���� ��, C��-�S � . P� � �6�� Tos�- �l, �t•. l,c�� i��a.�rd C� ! 3 2 ��tri►l,r� e.r-a� � �t ��ms.sbkr� f � - t 7�sa (If»iore space is r..eedecl, altaclz separate slzeet.) Noticc has now been given to all�,��sons entitled theretu underPa. O.C.Rule 5.6(a)except: — ��. �Dnle _� o�/ �" � r—i � t;�. � ` Signnuu•e ojPersa� in iis Fa�ui G� � cz: �,�„� � � � � C; Capacity: �Personal Rcl�resentative C�Cotuisel �– E � c� c..� � � � --Q�� . C7 `-°'' x" �.r� '+`_ — � �- � � ;� � Nnuie oJPersoii!'ilii �tltis Forni � �,�..t N ._.1 "� t� �,�, � t` GJ � � ����L�.�±�L[) � � � �y � ilrlrlress � � �, ° � i s� a �- ��-�_�-- 0 __�,� 7 �s�-��53-- -- ,� r�r�,,������ �