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HomeMy WebLinkAbout03-02-15 C����F�C:�T��� �F `ti��'�C� �;�;��E� Pa. �.C'. �u?� �.�{a; n�cls�:� or- `�:�ILL� L u' ��� �� e 1- � �'i I� � COL�iT'Y",P����SYL�'���IA �a.r.e o�Deceden�:____ � C ►� v► e -l�� �3 /-�a v✓c�r Date of Death: �o�e w, ��r � ,�(�/� File N��i,:�oer: ���`f – O //o� , – — Date Letters Granted: :cr��,��� �, �� ,;1�-j� '' ,,�a�� To the Reaister: I ceriify that Notice of Estate Administration required by Pa. O.C.Rule 5.6(a) of the Orphans' Court Rules was served on or mail�d to tne follo�ving beneficiaries of ihe avove-captioned estate on � G C:.C'. 19� I� C:1� ,� ;}—��/ r ���—y� : Name: Addi-ess: .���� rrOrie �. Grd��'r � � sfo�_� l oo lll, Sta�e S_r', l9pf y.�� �I���cx��LI /7"5��. Qi� �� � S-�o�e r �� g � /-�of� ��; �Jkro� �� i7.S'ol- /3i3 (If mo��c�space is r.eeded, atlacl2 separate sheel.) Notice has now beeil given to all persons entitled t]�ereto under Pa. O.C.Rule 5.6(a) except: �..... t..r'' �.:.. ��' _� , ' �/.� %`? v� �- . sC...3 ��r�.�"`u°"_?e� _J�` kx�'�,""' -�—�._ i._ .. __.._ [.�._. . � . . � ' Signn�urc of Person Filuiy d�islfonn i _ i� C�._ _°. Capaci(y: �?ersonal Rcpresentative ❑Counsel c�.� . _ . 4 �. ' :. , �. ;. CRt1�/� �, ���over - . . � .. . — ---- - : � ' c�:' �, .. . Nmuc ojPerso�i��ii���1liir Porm <�, r�„ � [ ...: �:a ��., � � �, �p�_�,`� �a Cro�� ,_._ ,r--, � - _ C'�- c, ildrLess s�.. I ___�� fiG/"7Ct�.?(G S �Gf V�� �7D.SS " -- --�� - �l�� � � �5 V/� - -- -----2— �- � Tclej�i�aic