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CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: A k ,,) I" -<....../ ~. V 1'.. h.V <. r
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Date of Death: A iA.- .\ i... .!.. -r (..; ~ 1.... DC) .-C-
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Will No.
Admin. No. :2..00 ~ -OOef...,.~
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court ~Ies was
served on or mailed to the following beneficiaries of the above-captioned estate on 01 - <-)...4 - J.- uO ~ :
Name
Address
~1+)' L. ""Jct~v -<...r
$1~' O;c-J" J If d.),1"1 ~ L AI<- -:<-~SL,rJ PI) )rtH.;;:\.-
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Notice has now been given to all persons entitled thereto under Rule 5.6(a) except AJ 0 '- '-<.
J " :3 ""o'\n..) ,-
Date: J-. - -.A- L'__~
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Signature
Name O() o/ll"l,,:' L i/I . I
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Address C~ () 0: ~ II , Y2 J "
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Telephone (A 7 G Ci 7 -ILG ,
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Capacity: ~ Personal Representative
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_Counsel for personal representative
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