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01-31-15
�'��TIFIC:�1���; ��' iti�T�C� �,��DER Pa. �.C, �ul� 5.b{a; REGI�T�R OT ��,'ILLS � '�'��`��`'"� _ COL�T'Y",YL���SYLV�,��I_� �ame of Decedent:�(� ��� �t �C� ,� Date of Death: 1 `-' ��Z �'`� File N���eer:_ �.rl � y — Lj�� Cj �� Date Letters Granted: l U ZG� i�-{ To the Reoister: 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 aliove-captioned estate on I ►Z ►� , � Name: Address: L,��n�c� Mo,r � � �-I � , P�.,. ,,--�, � _ l� ��r �:l ���l �1r. ����t����-- 4 _ _ � ►����� K ,rc��; 5 :��� 3r�-��I 1��� �� �. ii� ����,w, t�� ��v,-z (If more space is r.eeded, attaclz sepc�rnte slieet.) � Noticc has now Ueen given to all perso�is enlitled tliereto under Pa. p,C,Rule 5.6(a) except: nnl+� . / ��/�� . , - ,l-. sf���. �y � ��'---�%s:.'.,.:�' — � '- �� _` . � C'..._ ' Sig� n'�of,erson F u y d�is For _.i 6-- tL! ,,...E 'r"'.� C': , C 7 - r"'� � _ �� , � �� � ,, , Capacily: : nersonal Rep�esentalive C�Counsel {L, t (.� C } �-' C. �" r . � ti ; ,^ _ ���(Y� j ��,C�`� � �' M Lt_7 �-- _j ,vm,�c of Pe�son Ti ,I/ny'Forni �.� � � �...a 4'� �:.�.. �- � � � �.� <�i 7 _������ �� cz� '� ,i�r�r;���s Q �" � Gl" ,.� / c� � � � p � -� ;G 1C1r�J,c��v'��- .��l��.)'-V _� __����_-�S- -- - -5_� � 7cdc7�honc — �� �1