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CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: C~ 1/4~ iF f"
F
fl4 L/3 [' ,.(7
Date of Death:
9 - d. 7 -cJS
Will No.
Admin. No.
cR.ooS -nrJ Y/ '/
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
~
Address
rllcllf. A It. c . PO 1/ l JJI..S oA.. /Je..v i".Mc/4 i( I.U' 7fo} 15[:' hb 7h~/l' J)
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
KEvIN' S. J./.4IJC~7 aI/I" Jv4-5' shc';:JC~~Y F'.rCLu~D 1/1/ -;-IIC' WILL
Date:
I-,i</-n b
~//t",,),/i..J.
Signature
Name _PATRJC/4 _ ~L bfc#
Address J frr2 L1A/CbLA/ At/I'
J4~R)5'/JdR ~
;(--1- 1'7/ /J
Telephone ('717) S t 1- P-P h' !)
Capacity: ~ Personal Representative
60 : I IJd fJZ N'iff 90aZ
_Counsel for personal representative
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