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Name of Decedent:
CERTIFICATliON OF :NOnCE UNDER :RULE 5.6(a)
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Date or Dealn:
Will No.
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Admin. No.
PAt-Jo. d-\-Of,- ()DO~
To the Register:
I certify that notice of (bellleJl'killl>> interest) estate admimstration 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 \ I II / 0 '" :
Name
Address
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t"J'\.a.r \t( A-'^-d r -t' vJ So ,:).p R.o \ \\ ""'1 \.\\ \ \:) 6. <' (7 ~ ~ t==cv- ~'S I 'f-J D /~ )S;}...O \ . '1 Cl ~ 7
&\e~~e\A.. /,-ee ThOiN\Ct 41\- 'I"'" A-J r-J-\-.Clcv\ti MrJ 5650
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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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Date:
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Name :fC\.V\e E ~ S--\-\C+(ec-
Address ~b::l c.:ro \" J C) -€- S.+ .
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Telephone (7\1) (to - b-' f ,
Capacity: ~ Personal Representative
_Counsel for personal representative
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