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HomeMy WebLinkAbout02-17-15 (2) �'���IFIC�TIt�°� O� :'+i��:�C� �,'�;��� �a. �,C. F�u�e 5.b(a; � REGI�TER OI= 1��;'ILLS `�__ COL�;T`r",I'E���SYLV���IA Name of Decedent: Date of Death:�1_ � �y � File Nu,�teer;����'� —Q`(J �� Date Letters Granted: To the Register: I certif�that Netice of Estale Ad;,iinistration required by Pa. U.C.xule 5.6(a) of the Urphails' Court Rules was served on or mailed to the follo�ving beneficiaries of the avove-captioned estate on �� , • Name: Addi-ess: ��;� �he��_ � c`�i�� � ��16t.� --� _ � ---.-- (If more space is needed, atlacli sepc�rate slzeet.) ` � �—� Notice has now been given to all perso�ls entitl?'� ��7?Ye�'p L1]'ide:uu. O.�,Rule 5.6(a) except: � c� C�`a �'' � �� � _ _ i 1.!,.J .� .--1 �'.> .: l . ' ' I�_ . G�,.Dn��' � � � � - S;s� r n j L'1'5011 '01771 -� � i � i ._ r--� � ,, , � �. � - �, Capacity: .ersonal Representative C]Colu�sef c:� c_, � c�-� c ; _ ' �=� c�.�: �> ``� � �kc � C.... Lt'�� � L,�- �-_� C�i nmc�of Person Fi�ii�g lhis Fonr� � t�_, �ti\0 L�1 0 � ii drlress - -�� .�.��C� �.� l'l,oZ-`�, l �.1�_�.��� ' � ��•i��,i��,�� ----- �— VJ