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04-13-15
�E��iF���1��_'� �F i'v ��'�CE �,��D�I� �'�>, �.�'. �U�� �.�(aj RrGI�T�=�Z Oi 1,4'ii.r` �L`.'rv---�+tw•�— COL�T'r',�`�.`��"�'r'LV:�ti..� _ � 4..., � /�.�;��a�..;, �� Name of Decedent: �l � Date of Death: � Q,�,r. ��/�(��y File ti�..,::'oe;✓����J" '�Q� �`� I Date Letters Granted: To tne Reoister: 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 follo�ving beneficiaries of the avove-captioned estate on --��-�.�.._____,�: Name• Address: � / SS ..`3....r�lCY"r��d �� �/�b ,!� � ?0 y3 y377 ����'���- ::���d,-�- �. .,�. �rJ�,2ore space is reeded, allacll separnte sheel.) Notice has now been given to all p sons entitled thereto under Pa. O.C.Rule 5.6(a) except: � � q � O �,y /� /�/�� I��,/ ._..! nre _ v � V .J � _�':_�.�.___ w --a � ��/1� -- 5isnnnu e oJ rsa:F:hnv�his Form --- C7 , ri � • �-` :: �� �0. � �=� c� ,.-.� Capaci �: [�]?ersonal Rcp;csentativc �]Counse( t.�., r..s.. c�.3 �;, , _._,. G'a c.s'= � �! trl ,�y .~� ' �� ��r � � „` � ---- �-----`- «� C9 h• � � f:.' Nmnc ojPers n ng Ih i l�ouii CL' � l��^ G� Lt1 � � Q- � :',� — �!�'`�'� .�._�" !', � — � � � d � �'c!r(�c�s � c,�m��_____�� ! �a y3 � �...� ..,_ _ � 1 ----- -- ?�-°---��/�3 /�O -- ,..- �- Tc(e��honc V — —