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Home My WebLink About09-02-14 C�R�IFICr�TI�`ai C)� ir0�':�CE d�T�i�EF� �a. O,C. �ul� 5.5(a) F:EGISTI�R �JF �t�'IL.L� ��_ �C�L�;T�",PE�'tiSYLVA�;'IA Name of Decedent:�F��,� .�� p�+ n��r5 Date of Death:�11 f��G� File Number:_�6/ -��'y� Date Letters Granted: ��-��I=� 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 al�ove-captioned estate on : � � ,�� : Name: Address: � �G'l ^r / � �`/'� s��v(? .L��r(' i � 1✓ � i, � f��H �c. �c� � ` ' ��r) (If»iore space is r..eeded, attaclz separate sheet.) - Ploticc has Yiow �ecii �i�ei.tu all peisui;s entiiied tnereco underPa u.C.Rule�.��a)except: � � T '� -.,J �I � „1 C\� i�1..b � „" '`..1 � u.. � , 7 �; r , � � � ¢.�. � r.,> f;, � c� r� n-• A'�' � � r ✓ �� W 1�.i L�kd � Q �� " .,_„1 Signalu o ersai ili�tg 1Lis rm � � � � � � � t�,;� � t� '� Capacity: �Personal Rcl�resentative [�Co�uisel � � � � � , �, � �' ��S - Nnme ojPerson Filing diis l�orni —� � Adrbess (� -��-�� -�`� - -----,��-�� ?� �-`� __ r�i�-,��,�,��