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06-04-15
�'E���F�C�T�t�� ��' '����'�C� �."�;UE� Fa. �,�'. �u3� �.6(a; �r.�IJT`�Z CJF ��.1L1 c �'uw�C'������1 COL`�T'r", I'�`:�y"�Y'L�'�`�L=� (' J �-�,� �a:�,e of Decedent: �11}'J�� � • �,�� '�`-*�'`'q--,?�,�"/ ---_ �% 71 �_ Datz of Death:���,;�t'%'/� ', r_ ��C��..�,��l��,,Z �lp � Fil� ��:i„�,.�, Date Letters Granted: �Z°1� �' i ,�"/�..__ � , To the Register: I certify tLat;�otice of Estate Administration requii-ed by Pa. O.C.I�ule 5.6(a) of the Or�hails' Court Rules w�as served on or mailed to the follo�vin� beneficiaries cf tl:e aucve-captioned estate on ��t�ey ,���/� Name: Address: _��;"`f��� ����/U��� �: /,� , L�- ��'�1,�/���,�,,, l��-l�'l� 7%� � � � � ` G-�G�G �.T�C,� / � �/T�s ��-�,`�� �-�l�l �'��-����zr� �c�� ���� /1.25, �� (If nzore space is r.eeded, altcrcll separate sheet.) Noticc has now ueen given to ail persoris entitled thereto unaer P�;. l).{;.Rule 5.6(a) except: ����� ----- ------ �._ _ , . (' 1 i/� j' « � --�r ��� �������`/�'� � . Dr;e ��_ _ _ � �/� isnnl „oJPcrsa!Fil�y+,g f`��rl' im ���G� - ��. Capaci(y: P�rson��', Rep�esen!alivc ❑Cot;nsel t.�_ � . , _, �, .---, . c ��/�f�',!;�-;,� �����r.�'�-- U.; ? .—i Nnme cr Per o, �ra� ��„� �rn� c�, T y ,_ E-� . ��.� ��i'�,�' �✓� , . t.. �_. _ - -- -- � � � �i:�-i,���� � , . : - � . ; �-- . � �,_� .�� �;�,,��C�' ���/� I:t' ic�_� �-� �-y �..� , ,�- c_. � > �-. c �. G� c.> ��; � c `�' �,fi/'� ,,,���,�'��- ��_�/ _ _ � 1.�,.J � � li�ic��i�unc � �-= ..-�-i C..J � c�+ e�.�