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04-13-15 (2)
�'���IF�C:�T���; C��' �i��'�CE �,'��;I� �'.. �,C'. �ul� 5.b(a; 'rZ��:I J�;� �I' ��,i L L..`., Gv�,H�'3 - �It>� n �_ COL�T'Y', ;�ti��S�'LV:���?.� Name of Decedent:_ �y�� <� C,;;�'� ^ Date of Death: � �—�k— �G i� Fil� ti.;,ncer:_ ':y�b ��'� ����� Date Letters Granted; d � � �.S" ,�,�� / To [he Kegister: 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 mail�d to the follo�ving beneficiaries of the avove-captioned estate on �.��i'n � 1.� � i S ; Name: Address: ���� � �� 1� o,cr��:�� �,)�;-�—Y��.�t � 17�J�; (If nzo��e space is needed, allach separate sheet.) Noticc has now Ueen given to all persons entitled thereto unner Pa. p.C.Rule 5.6(a)except: � � c3 c� p � ...'.`t.r N t-- . . —_. � — � "' +r--�f C",.� ' Lt.. '�` ::'J ( i.t.. i_ u � �� ..' � r c�� nnc� `�-.`�"� �-c�� � -zi�.,_ �' .2 � �. `� — �1 t„� (�-y L Z�'-- 5is tu'e ojPuscn f!Img Jli;s Forui ik� EA.1 %Y:� ` G t--� r"'1 � ,� w � � � v � � Capacity: ���;sonalRcpresentative ��Cotuisel c� W � � p � � �• ..-..,, � ����_-���V_L.�l�- c"��.f U� Nm,;c ojPe,�sa�;l�i�iir� ll�it l'Orm _J.�1__�Y I�9�:_Ql.3�L�L� G d�lress' �t�,�.,,��'� �� � �� �J��� _.__-9' — — ----- � �—'� ` C��='—�t�=S��?----�-_.— i/ r��i<<,����,� � �