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10-20-14
. �i. � CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) REGISTER OF WILLS C`' ^`M��IC�� COUNTY, PENNSYLVANIA Name of Decedent: P�,P ne�-�r� �/l r-���� �LA r�'Z Date of Death:_ ��.�,�V i� �p�� File Number: o2QL.�I — ��Z[5 Date Letters Granted:_ TLc.�u �� �D l� 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 �.�G�L1� r�} ,�p� : Name: Address: T�rn �- l��z- �3S� `�ht�.r�n QLI. �-� �'� �L, 30??��� �1����- ' � � ,�.. d Cl ; � �� � �— t2�� a. � �� � _ � ���� ��S . �i�(�� �% Ccx:�,�� - _ , �, �c�_ � ;, S_" ��� � (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: � � r� ....r W .�.a � e� •� �...� � ` � ,�� ` , � �� -�y �� �1 t �Date— ��0E-� • r ` ` � Sign���ure ojPeY^nn Fi(i thi orm � i.r,! _?: � ' � s�:� C . nl � �_ . a : ►— t � �'� "' Capacity: ersonal Representative ❑Counsel � ' LA_ �'-� � r F� c_� �, � � C� � � � � �� �I.1 C '� �!� �=�� C.� Nnme of Person Filmg lhis Form c•._, 1 �c � - C:ac�e� � � Address 1�Vlt''Ct�lGtvl�C S(ID l,iY"�t �� 2' 0 � __. �� L r �`�'^ 1 1 �� . Telephone V FormRW-08 rev./0.13.06 j � , V``