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CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Nome ofDocedent Cti r dJ1hG-c-o rje.,
Date of Death: 05- () ~ - () 5'
Will No.
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Admin. No.
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1.6 0'5- 60 4 3(,
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To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a).of the Orgqans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on (};Ia.y (II ZOO tt;- :
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Address
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Name
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
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Signature
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Name --D'\~l\S~ _ 01('~ GY'tA-th~('
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Telephone ('\\1) ~q ~- 3gJ 7
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Capacity: ~ Personal Representative
_Counsel for personal representative
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