HomeMy WebLinkAbout03-09-15 �'����FTCAT��� C�� `ti��'�CE �,'���ER �'a. �.C'. �ule �.6(a;
, h�'l�e� ��c�sT�� or- �`:�IL��
� _COL� I,Y �ri.`��SYL V��\ri.�
Name of Deced�nt: ��''t�� � < �'��
--r
Date of Death:_� 7, File N��mozr:_ �� ` Z v�� '� %U��
Date Letters Granted: 1/1l Z /�/
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C.Rule 5.6(a)of the Orphans' Court
Rules was served o�l or mail�d to the follo�ving beneficiaries of che avove-captioned estate on
.
Name: Address:
� � ����
S c� � ���,y (C'�(�_�t�� �..e. � 1 � 17�'�o
(If more space is r.eeded, allaclT separate sheel.)
Notice has now been given to all persons entitlzd thereto under Pa. O.C.Rule 5.6(a) except:
Dn/e� I ...-> _
Gt l��_ _......
' Signniin c o Persou filu�y tliis foim ---
Capacily: �?'ersonal Rcp�csen!ative ��Counsel
�;. ,�, � � �« '� }�e l_� -
i_�% C`` h"runc af Person fiiiii�Ilii�l�orni �
� ` �
. ,
� , ��� �1�_ , ',t�
r
C1r ----�=�=-v�.!',`��� fi� , /
. �i;!;b es s ��
�` �' .,.'i, , 1,,..` ` ��L����YJ� �r ' � 7� ��
``� � b� r, �
�� <� -��� � �� � S� -�.�
c , `�", __ ------- �— �
� �,., ��-'� Tc1ei�Gonc
L? <<:% G'.
�� �_� -7 r 7 �i7 7� y 7Gl