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HomeMy WebLinkAbout09-08-14 C'���IFIC�1 I0`ti C)� iv O�'�CE d�T�iI��F� �a. O,C. Rul� S.S(a) REGISTER OP `�'ILL� �t�t�l�lGt-+'� _COU�iT�',PE�`�SYLVA�iIA Name of Decedent:�_�_[Q � ������� Date of Death: �f±y /� �! �/ File N�imber:_ O!'-I— D�5C� �a Date Letters Granted:__ �o����� � 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 ai�ove-captioned estate on _ / � ,� , a4/ 5/ : Name: Address: ��O�d � T� ,�u�r�e..R. S��.��le�-- �3 l 1 �—o l�i so��r�. �.���-n�cts�Lct' .�D��/;�l L� ��cl�c-��'e-,r 37 o a ��- �`s�e �� , ( �ot3 (If more space is r..eeded, attach separate sheet.) Notice has now Ueen giveri to all persons entitled theretu under Pa. O.C. Rule 5.6(a) except: Dn1e /�- �l � � ��T� � Signnrure oj •son Fi! l/iis Foru� O fry 0 w ,�,� ,�� Capacity: �sonal Rcl�resentative ��Couusel c� � .–.� �. ``' �_ � '(� ".�'" � � r y✓,. !.�-�� � � L�� �" �.�• `� t~`y �; :, Nru„c ojPer on Fili��g�his I'orm Ca �; Q.. p � �� ��-' �/� / �3 l�--,; � :w.l :L:. "'�,} —�--`-`�`���—���L� a� � Ar(dress / +..1 I- _ - t,°s c� �.,°`.., ``' � �r --,�s.°��//�l J���. �70� tu � �' c� � V � � � ,,-�� W�ee�a 5 `�—�?I?� '1!ZQ—��Sci'r � b ' C"�+ �' Tcle�hone ^ 1�� ��,�� �4� -Qoos �