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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
G�'�►�e r I�n�G� COUNTY, PENNSYLVANIA
Name of Decedent: IJC�^�t�`/ " • (��E:�^s� /F✓
Date of Death:�C d 1 - ,�� . "2 C 1 r-�' File Number: Z �� ������� �
Date Letters Granted: �U, � � 1 4/ y' _
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T.. 41.,.�P •
i v �„�Y.eg;ster:
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
N�c v� 8 , z�r :
Name: Address:
SGt+'t� �1'NN l.�'OOG��lV �"l�- ��io �l�l� L!v (:IiL����Ct✓N . ��t , �� �2..2
17 . �R 1 G�!a r J1 F h 4'►'.S i�x' ,�5 1 0 N� ^C . 4 f'��!.� Gy{9/ f G'+� f 7 ��i 2—
� �Ll� � �'�e►"S ��� �0� C�vv��� �fi'� L�N��i�v� �jt? , � �, / 7,�g
(If more space is needed, attach separate sheet.)
Notice has now been�iven to all persons entitled thereto under Pa.O.C.Rule 5.6(a) except:
Dnte!" � �� "� , �o ' 1 ` "" `�✓ _� �
. h'. Signnture of Per-nn Fili � :s Form ,
l,�. r--1
� �'�; � Capacity: �Personal Representative ❑Counsel �
0�_! C\1 ,�.
r . ,r"_I �
' � �+ p y 1,;�?r�'C I�
��' � Nnme of Person Filing this Form
� �!;I61 r�S�- �-N-
� Address
r---t 1 �1
r � c.' '� �.., � ,i,��/✓i G�� (J P � ��`. l ! ����
c� ;��. �-_-, c�.- r.�
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c�_; � Telephone ���'�
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Form RW-08 rev.10.13.06 �