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Home My WebLink About11-21-14 CERTIFIC�TI()�i O�' itiOT�CE �T�i�ER �'a, �.C. �ul� 5.b(a; REGI�TER OF b`'ILLS � � rn�e�-�a.��, _COU�;T'Y,I'��SYLVANIA Name of Decedent:_ �J�'�'�"h� �, r � ��v�t' Date of Death: b �7� Z.�- I �/ File Number:_ � � Y - Vv' ��'7 Date Letters Granted: (�g' 1.3 - � �y To the Register: I certify ihat 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 avove-captioned estate on :;� 1 �'- , �� Y Name: Address: K�r��. I�e �1��..er ..L r�S �It_ �,'1l n�. �,:�t6n'�� J c��o9S (If 11101•e space is r..eeded, attaclT sepnrate slleet.) Noticc has now been given to all persons entitled thereto under Ya.O.C.Rule 5.6(a)except: Dnle /� /�-�� ._..L._-,"`_� /_,G ""_^"' �-- ` SiSnrtlure ojPersmi Filiny d�is Form �.�,_ a� Capacity: .ersonal Rcpresentativc �]Counsel c�� u� .---i . ,� . f...� __.� � �.,.. _ �e.li c4 �e t,kav�,— _ r � - _ r--t Nnmc ojPerson Filing Ihis l�orm . . �..� ( l� O c...�i�_ hfs_�`�� i1 drlress r �a � , ____� P f�_�7.�O�— r , [ C�J 1 � � : �---= — ��'"' � � �--�' -' :...1 �` -7 �'] ....... C.=.i �� L..'.::� � s �a / �' y / � � `�'' —_ �' _-- -�—.�. _ ��_ -- Lu t_t.3 T_ U � 7c�ephoiic � �„ ._ ,,:..� CJ c--_� s...�