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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
C.�.Y►'���`f' I�4t c, COUNTY, PEi�iNSYLVANIA
Name of Decedent: C—0.Y Y'� �� t�c1 �,1�,r�l �Y 1 C��e r
Date of Death: 4��wr. j`f, '�O��' File 1�'umber: ,�O 1 S" Q'�,�� � _
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Date Letters Granted: e N� � d
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 on or mailed to the following beneficiaries of the above-captioned estate on
,
Name: Address:
/`��-�_���i�_/C.Qr^ Jf� � � �'f9-i l!s/.� �� 7�G t s—
� �� /1 ,r3.�,�/l,� 3 8 .�s � /� �l L' .¢ �s-
/F�'Jo ' r- ' �• �S /f►-n/�Q G{e ll�� �P/V�* r/' /,,�.
(If more space is needed, attach separate sheet.)
Notice has now been given to all persons entitled thereto under Pa.O.C. Rule 5.6(a) except:
DRre�'/1,�,-C/����. ,��a° IS� �_ ` �
- grint e c`Per-nn Filing this orm
rJ Capacity: ersonal Represen tive ❑Counsel �
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hJi'/C"�r Pr � �')'
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` �'� Nmne erson Filing this Form
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i ��J�.a0� �� �/��SL.! li�l. ���.'.S
� . �,, Arldress
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Form RW-08 rev. 10.13.0G �