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CERTWICATWN OF NOnCE UNDER RULE 5.6(2)
Name of Decedent:
reA Y A. I-/~LLE~
JAN'u.4I2Y 1/ Z. ood,
Date of Death:
Will No.
'2- 0 0 Ct. - () 6 0 C> 1
Admin. No.
To the Register:
I certify that notice of (beneficial! mterest) estate administlt'soon required by Rule 5.6(a) of the Orphans' Court Rilles was
served on or mailed to the following beneficiaries of the above-captioned estate on
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0-.... '1_ ..J .> "b I ?J~~~ ~
Address
II~ Wi4L-fof'{ AVe, (4IeLlsJG, /l /7013
~
Sea \a.",. Jr-.~J..~OCl"" c..'t \ ~ Cu_\o",l..-..L 1>000 \ ~, (>
)
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WI 'ri ~
5162-J.. tq~\e.'>--tCA ~0Q.... D42LP>D~O ,~L 3~G
Xbo 'hf(' RJ. Lo~q7 OOJ<Z{ (?~. l7315
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
All JJrst~I/E.d
vate: I 7 ;:r.;J k' fA. 4t2. Y , ~ 0 0 "
Signature
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Name !
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Address I :G W;fL -hK 4 f( f.
0+/2[;5/&, f), (70r.3
Telephone (711) 24-3 - q ~ s 4-
Capacity: >'- Personal Representative (ffy... t=C~€ ~
_Coui1sel for personal representative