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Home My WebLink About03-03-15 # �'E��IFTCAT�C�� C�F `ti��'�CE �,��i�ER Pa, �.+C. F�ul� �.b(a; �FGISTr� or- 5��.�ILLs (d�,l/�L�'J�P�V'I (/l Yl G�OU�T`Y", 1'��"SYL`'�`�IA Name of Decedent:� (� I✓�V�1'� �. �i,.S �� Date of Death��./1.�Vj�� .� ��`1" Q o �� -c —�,a �� File �:i,nbe;:_ — Date Letters Granted:�)��Q p�� U� d �� To the Reoister; I certify that Notice of Estate Administration required by Pa. O.G.Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the follo�ving beneficiaries of the above-captioned estate on a��,� Name: � Address: �� ► ll ��5�� I� � . ��►��, St C��. PA ► d 3 C� p. � — (Ijnzoi�e space is r.eeded, allacl�separate sheet.) Noticc has now been given to all persons entitled thereto under Pa. O.C.Rule 5.6(a) except: . �-1r-- _ ✓ �� n�� ----- � _ C�:.� e.� �— Signnnrre ojPersai filuiy this�orm s ^ _ �j ` Capacity: �?'ersonal Representative oiu�sel � .. s-- . ' �� C��i1 �� " ti.•� Nrn c oJPerson F�i��ig i/�is Pon�i -- , �.:__ �� ;� � , __� �=��.��, S�-�_�___ ✓ �--, �,:- <.h � c:., ,�d;r,e5s c� r,.i � : � ,.� �..r-, � � ��?�-��G�� vi Z �--� c„� 1 C'�"7 t^,,.� �t�-� c�l� r9-L- ----- �.'1� ��=�"�'-S ._ r��i�;,;,�� + �