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Home My WebLink About05-18-15 �'�E��FIC�T�f)°+i O�' 'ti�T�CE L'�;��I� �`�. 4�.C. �u�e 5.5{a; R�GI�TER OI' ��'ILLS _ COU�iT'Y',I'�``�S�'LV�`�IA Name of Decedent:___��.� � ��T([./j��/ �_ ___� I �n�. Date of Death:�'� '� � � File ��.,m�er:,��.�� = �� Datz Letters Granted:_�1��(� To the Register: I certify that Notice of Estate Administration required by Pa. O.C.Rule S.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the at�ove-captioned estate an ,.i�1�— : Name: Address: �� Q� �rivl�� C�t! ��/l � �T�/ V �r.c.��✓ 3�Q�" �'nvr�- ,��A,��:�cl /1,��',�l(�, �� 17z�f/ �!`51=� f��,+e�/LI _ -� ,_�,�,�c�- /1��:��y7�c,.��>,;;� t�� i-Z�� 'l' `` (If mo��e space is r.eeded, attach separate sheet.) ?�?oticc?:as now. bee.: given to ali persci:s e�:tit!ed thereto uncer 1'a, t).;'.Rule S.u(aj exce�i: !L M �j C-1� .—�--..,._ --�— � — — i.t..d s.l � ! C..:> ._ +---1 Ia. " ' � � � t 1 /��/� � r � �nle � S ��-7i-�"__.- ��.1�,,,,, < .� , 1��--- -— c:':'i : -�� ` Sigrmnu e ojPerson Fi/uiy(his Fonn L:.! I. ; � ,,', , .. �::Na r...., r--► . . �. �.•; � �'-; � . Capacily: ?'ersonal Representative C�Counsel Ca E J c� c)._ �„; (J� ; � � L�J �"' � _ �� —��- � �`' r�-�..� � � Nnme of Person Filin�(l�i;l�e��i c�~"�' � �/x Q �',.�L'7C�. �dQ� � °�._ �"" u'`� i _ ifrlr6 Ss � �"V•��r�f- __�'!II'IP"'� /�Z! l— — ��7�_ ��_�.:��3��---_ .- �-�� r��,�,,r,�,�� `�,-�� .� n,