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Name of Decedent:
(}1 flR:~~AT:::;;CE~~ RiE 5.~al
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Date of Death:
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Will No.
d.C~<o- 09'19
Admin. No.
To the Register:
I certify that notice of (beneficial interest) estate Rdmini~trs!lnon required by e 5.6(a) of the Orphans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned est te on N () vEm~a x . ;:)a~(;, :
,
~ A P-lENE
(to L:>EWEJ)€~ D c)E rnE~A~~ f14 f7oss-
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Address
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Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
Date: IlJO 0t(he,ER. 9 ~()~~
I
Signature
Name
~
Address
Telephone (7 t)
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ltJnOJ S,N'v'HdHO
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Capacity: -t.- Personal Repres ntative
_Counselfor pers nal representative
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