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06-12-15
�nn uun � ��R�IFTC�T��� �F :`ti��'�CE �.`���F� x'a. �,C'. �u?� �.b(a; ��GI�T:R C�r �'�.�ILr � _ COli�T'r", I'��\�\�Y'L`'��;?.=1 �at:�e oi Deceder.t: ���-����/2��5?,�' __.__ Date of Death:����/��'� File \�� ' � T,,.��,� . .i,�"i 0 c'T:,'� Date Letters Granted:���j�,Q/� _� To the Reoister; I certify ti7at Notice of Estate Administra;ion r�quii-ed by Pa. O.C.I.0 i�5.6(a) oi the Orphails' Court Rules w�as served on or mailed to the follo�ving ber.eficiaries of�}.e a;:�ave-captioned estate on JU� 9 , �/�' . Name: Address: ��il//'�/����i�� ���� qSG� �.;�����,�.�°' ;���� �� ��0���3 .�_��. � ����.�J�' , ,�, , /7�/3 �i� �� .� �������Eo � �� (If more space is r.eeded, atlach separate sheet.) „ �v`�tiee has r�Yv uezn giv�i� to a,i persons entided tl7ereto under 1'a. O,C;:. Rulc 5.6(a) except: � cn `'.� �__ t:a._ __f N t:_': lJ.J .�..@ � { �",�C_:• ---- — C.:+ � E� t C:' —_�..____ -- — L�- .. �_�- L�__ � �" ,/ c,:> C.': .. �� } a , �� �:, l,a_i ' u _, +�,1.� — --�— _.,G.._..f— C� ��r"J .� 0- C�� �nntureo ers r.Fii;,�;�-'��iirFerm C.: -.:. C::'_ -�!= � G✓ "'� p � v � 4.n e� Capaciiy: �Per�o��:��,i Rep;c;entative o�utsel � �f � --�/���-�'� �_"��,m./��(/(.����. '� `i�iC� A''nmc ri,r Pei;on�r , ,�;i c,,n ��``l���"� ��.L'��'�''�,��;��'�_ ��� �i"�� ,�.,.�,�, � -�����������' ������`�__ — — �...� ? Is F CZ���.����`_�;'s.�,��._3_9�-- 1c'lcj�i�a,ir ----— \ � �