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CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent:
h mi:ft t. c;I
JA- jll::-(l.,t,.
Date of Death:
Lf - 3l)'- "U'o~
Will No.
Admin. No.
2oos-- 00 Y77
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on '1- ~-O S- :
Name
Address
GM-i lvA~'
51 L E - fLt-llb<- $-: ( )J<- 6(- fA
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
~N2
Date:
Signature
N'~;:k~
Address ,~(~ f.._ )Lh( bA )r
':'.J
~J
It,.. L. 6 fu P to
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17"s~
Telephone (
Capacity: _ Personal Representative
_Counsel for personal representative
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