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Home My WebLink About12-01-14 C�RTIFICr�TIt��; OF `r�T:�CE �'�;�E�t �'a. �.�'. F�ul� 5.5(a; REGI�Tr'R OF ��.'ILLS �U �" �''�� .._COL`�T'r,Y��"SYLVA��IA Name of Decedent:____ ��„��? �, �,,,�t, Date of Death: � --- `�, �— �� File N�imber:_�� `C " �(�7��0 Datz Letters Granted: '�`' � � `� � `1' 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: _�nv�r�G 1 ��01�' r�s�3-� �� r';ad W�,r��U ��l� S��r-U D��U �-�� -�G''" t ° s , � P I�l��5� c�hr�T�� _ � ►�' n S I r � r3 `� ,�—�-� �i' �o�.�,�t�'��" ,h'��!i �C�,�9`7/� (If more space is r..eedecf, attacl�sepa��e sheel.) Noticc has now been given to all persons entitled theretu under Pa. O.C.Rule 5.6(a)except: Dnle I I� L� � I� .-1i�''!�i.el�.�e=� �-/N�' Ql� Signnrure ojPersmi Filiify tliis Form' Lti.. � c� � =r' � � Capacity: ❑�ersonal Representativc []Cotutsel w —a N C'a �� ,, �,� r .c.� -^.„`,. "� .. ��L_^� ��yC��d'i'� � �- L.� _-•, r,.,', � }� � C„'t �} �,.i Nnuie ojPerson frliny�his fmi�� t � � �:� s? �.m- __�[�u7._��G'Yl l.<<'✓J�✓PCG � f�' � tt3 � _,J L�„� Ls-1 � ,� �� ilclrlress C� F-- �\ � � � " � � ri _�,r� ��L��_ � � a � __�/.�� ._ � � c�., 7ck,,ho�ic Y\ \