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CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: M IH6f ~ A-/J6' S U PFfi?C-
Date of Death: 7 - & - ~{)~
Will No. ,/00 1f-t11Jt t1- ~ Admin. No.
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the 0 ans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on
Name
Address
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Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
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Date:
1 J-1- ~"r::-
Signature
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Name ~,~~ /;Jft '
Address ::LhR? fA). HI"? S7 Sp69
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Telephone ( tlt) t:1-~ 8'1-"8~ t.?
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Capacity: _ Personal Representative V/' .~
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_Counsel for personal representative
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