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Home My WebLink About07-01-15 (4) � � ° � CERTIFICATIO�T O�' 1�'OTICE �'�;��d�DER Pa. Q.C. Rule 5.6(a) REGISTER OF' ti��'�T.,LS C '�►n h �_v �.�y -� COL'.�i.��-., PE�1�iSYLVA.�iI.� �ame of Decedent: �p.!/i� `��`�� > .s-.- � �� 1.��_ Date oi Death: ��o� ifi' ,�0 1� :rile�:4'umber:_a�v! c�o � � yi 7L� Date Letters Granted:_1-1-Pi2i � � ;,�U j� To the Register: I certify that Notice of Estate Administration required b�;-P'a. �:).C.Rule 5.6(a)of the Orphans' Court Rules was served on or maiied to the following benefici�:.ri��s ��f the above-captioned estate on �=11 a o i 5 Name: Address: c� �a 1 � ��c rz�i i�.� �,�y�:� a�;�_ G�e�►�Sh��2� c�R i�� (If more space is needed, attach separate sheet.) � Notice has now been given to all persons entitled thereto un�3r.� Pa.O.C.Rule 5.6(a)except: � � Dtt1e�'�/ �Q�� C• �'°y�'�' � � Q CJ� ��, C�,;t,y ' !11 � p }� `L- Srgnarure o�rpe� ��f:�;: „o ih�s Forbf' � �. �'--i t:� l,�' 1,;,_ =�'" , ::;,; r-; � ' . � i,__ E �v'- r�;, <_� Capaciry: �:�ersonal Representarive ❑Counsel ' oc- �= � �-' c; . _ K .�� . . ca r.��' cn �:""r��,�� . t.�, c�a �--+ � _ -: Bt;'E�Z�.-/ p y_.,,, � � ..,s Name of Persron F'i!',i r,�thu Form CL C:� � c� 2 � �►' I q � �� C�. cYJ a � --,�—,�i Z'� !t'�1�—. � ta.1 �: Adtlress � � � � � " � � c:� ��- ';'.��'..s�� t�./�T7�v.� �L �;°��,�'- ` ✓ -1 - - .��_._ ��7 Tefephone Form RW_na �.... rn �a n� �