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09-25-15
�'����FIC�.1�C�� C�F �ti��'�CE �,��DEI� �'�. fl.C. �u?� �.6(a; n�GIST�R or ��,�ILL� _ � COL�T'z",�'L���SYLV��;I_-� Name of Decedent:��(1(�, '��j����l.P --��(V�(� 1(� I���T�.`n���� Date of Death: • `_i �� File N��mcer:_�LL �... ) Date Let[ers Granted:_��� To the Reoister: I certify that Notice of Estate Administration requii-ed by Pa. O.C.Rule 5.6(a)of the Orphans' Court Rules w�as served on or mail�d to the fol]o�ving beneficiaries of the aliove-captioned estate on C�� .�.�C' ,.�L�i: Name: Address: ��r�� i�..�-������Z,�--�---� '- Y.'.��''�:�, �f� l����" �- (If nzore space is r.eeded, altach separate sheet.) Notice has now been given to all persons enlitled thereto under Pa, p.C.Rule 5.6(a) except: �.�_ �n ,-----� �> t : �.� �D >�- lri.1 _...i �`-�nle <�a ...., r; -- ��—,-�—_ ____ —. _ - '"' ' Sisnnnu c ojPerson Fihn Lis Form � ,. � k ._ :,: �_ _ � � Capacily: . rsonal Rcp;esentative ��Couusel tJ� , , cv - �p � r , � = ���?�.�._ - - - �— � ,^lrn,�c ojPerson Ill;n;il�is 1'a,�i � �.,_.� � , , � � L' �r � � � � � C� ._ , C� ilc(r� - — — c--a c-._: �. �. ��� ��� _�����-��5 ��- ._ � 7cdc��liwie � �