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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
Cvm b�n�wn� COUNTY, PENNSYLVANIA
Name of Decedent: � .
Date of Death: �� 2.E.7 File Number: ���T"'a��
Date Letters Granted: !�Iq� 2-�t� Z�s t`T
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
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Narne: Address:
'�maS �c�n.o�2. on� Narov� I��e. �3ea.� TJc 19-10�
�,�ro� A . M.q�ket.�Scl�elz���o°t �-�'i�1r�1.anc� c�Q. /�.tEc,�#-_$� I'7o55
T��QI�, R. �lZ 20 l � �4�02
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(If more 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:
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Date V--3� —20� l l�.
Signatur Person Filing this Form
Capacity: �Personal Representative ❑Counsel
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Form RW-OS rev.10.13.06 /
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