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HomeMy WebLinkAbout04-28-15 �'���IFT�:�T���; C�F �ti��'�CE �'�DEI� �'62, +0.�'. F�ule �.6(a; n�GIS 1�rR Oi `�'�,'?L�c �,�1 ,(�i�i"/l _COL`�T'Y',:��.�"�Yi.�':���?.-1 �ame of Decedent:_ V/ vi�,/ �, ���r�� Date of Death: �aavary /�� ���,s�' Fi!e N�.;;��'oer:_ �� ��z� Datz Letters Granted: �—/,s� To the Reoister; I certify that Notice of Estate Administration requii-ed by Pa. O.C.Rule 5.6(a) of the Orph�ns' Court Rules was served on or mailed to the follo�ving beneficiaries of the avove-captioned estate on /�',�,Z i�Y , zoi �: Name: Address: �T�/�'�y (O��:.��-� �J/S (�� �i'7� ea��. �4�_���'\'��. Gi J ��3 �,IasP�h �'.�iE- 9� s �i����sH �ai�ir-� Y,��,��s, �=� 3 zi t� �- (If mo��e space is r.eeded, allacl2 separnte shee(.) Noticc has now Ueen given to ali persons entitled thereto unner Pa, O.C.Rule 5.6(a)except: �� � � C"� C!� I...J ] � ," ("�.l } '�j <`' r"� nnie. �' �� /� !/!!C�' V���die�:... IL. '`" � [.„ -- , 5ignnnu e ojPerse ilmy �is Form Lh,. L_ u_ C.i C..> .. C;:� c... . , j� ��.,.' � ��_ r �� • Capacity: [�nersonal Rcp;csentativc [�Counsel c..'.1 .�.= ' i �"� p,.�. C:.! �a ., � �. � ..,c r-' /��,���i�'i �' �Qr[iyriv � ��.i `� E,f1 � � Lx3 NrnnP of Perso� � ���;; li,ts Po��m � W � � � � � � �'�!(� �'=/�! � �_ � V -- - - e�.., � i'r!r(ress' (// ��G�Cr7�I/�� /�✓�t-L� �j ��. (/�y � ----- �� �-- ��,� ���P—�-- `��� 7��i�;,i��,�� ---- -- �`