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CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name ofDecedent: C,IQV'e.. 0.' VV\~ Vl'j) \ l,
Date of Death: y /1 {" /d 00::;'
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Will No. ;) 0 ()S~ 003'7 I
Admin. No. _fA tVt). ~ 1-05-0':3,7)
To the Register:
I certify that notice of (beneficial interest) estate admini.tration required by Rule 5.6(a2 o{ f/l':.. O.~hans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on f2i{t.:J7 n5 _.. ..: .
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Address
1>4'7 D ke.>1si CCMrl)-.Jv,mmMoWYl) -P,ll, 1'703!:,
~ '-/70 Kmsi c,,\.I.rt) t-l\A,:,,~}<;-loUIrIJ P!:l 17030
100 D-Q\,)I'i<).Dr1ve)~J.uph,,, PA 1'70\3
? o? 5 ,,;,(''l ~ S'h'edJ tJo,r~i~hl..\~ ) fA I '7 III
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. ilD~. P.DC:<jVltY'Av~, 4C1~~~~ 1746
L{~S"v(;V'Oo.K D\wt.; . ~O 454::1.'-/
(p I J ('_hQ('\~<; st,) J'I\~('~;ab~J PA 1'7(')';<)
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except N A - All M~\M J. ; 11\
wi! I a<; be",...p"J,Q;',os l>I\1.v-" Y10+1f,~A.
Date:
L/ /30 }OS
, I
Signature K~ f11.~~
Name K~"Yhe 10. Gl~Yl
Address J 3 () q k La..vtG
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J1(!('hOhIGshl.lrj+-E4 17050
Telephoner7l?J ~17- '-151,3
Capacity: V Personal Representative
_Counsel for personal representative
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