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HomeMy WebLinkAbout01-12-15 �'�R�IFIC����� C)F 'ti��ICE �,'��E� i'a. �.C', �ul� 5.b(a; \ R�IGI�T�=R Oi ��,'ILL� C`�;mb��1ard _ COL'�;T`Y',I'���SYLV�`;IA Name of Decedent:_ � �1�n�c- � l�1c���sJ Date of Death: �C-� , �O� � File �u,�ther:_ 0�01 y-��q F�� Datz Letters Granted: C��I��'� �1 o1Ul y To the Register: I certify that Notice of Estate Administration requii-ed 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 a�ove-captioned estate on ���,be�- s , ao�y Name: Address: �e� m. �e�:� 'tl l �1�.�: L0.n_�;��sb�� p� l'lc�l 9 ��v� S. S�cnec- tc� �;� S�- �"1z����c 1��. � .QA- i�o�v r i� ��n ta. m�s�,� _ ���� c��-�n� �; �.��� P�- �� 3�� W��r�av�n �r- �i'ct.�% t`�Glo ��v��.��ic�_�c;������ , �� ������ .��hcc> �. 3vh��s c�c3 3�nni�e� �hns 3�t� ��_:�ae� �� �:��a S ���,�.s _ ������3 (C.f moi�e space is r.eeded, attach separate sheel.) Notice has now been given to all persons entitled thereto under Pa. O.C.Rule 5.6(a) except: Dnle��$�_O�C�1 �� �!C�_.�` �1�(J�.��ecJ r� 5ignanzre oJPersan FiAny Iliis Form L� [Q w � N Capaci(y: �?'ersonal Rcp;csentative ❑Counsei �� "�� � � . � �ti �ci, � �Y10v�'� - . ��—__ !.� La... � �;_? �..3 NnuiP oJPerson�iiin�I;iis'I'on�i � c:�:, c..� � � rw;�: � : . a`�a-i ��o�Q r��� �s� �..� -- �'' _ - — G� l—�- r^i `�"� • • _..i iidrt.�rss / CL' C� �*-,,,. C.� � C''� \ v ca c.�a cr cL c�.� �1 e chav�ic sb�. �� i��� ca W —� � c:� -- — — � `� ;� � � `It1 -�;IJ - �I �„ c� ----- ---�--- �— ` � 7��(r��/�a�c �