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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
COUNTY, PENNSYL VANIA
Name of Decedent: --r;-, [6 JascJ)~
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Date of Death: 30 tna. O:t, File Number:~OOb' -6 O~.J'
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Date Letters Granted:
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule S.6(a) of the Orphans' Court
Ru~es was served on or mailed to the following beneficiaries of the above-captioned estate on
Name: Address:
EJrv~ ::r~~ {r.1iJ
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(If more space is needed, attach separate sheet.)
Notice has now been given to all persons entitled thereto under Pa. O.C. Rule S.6(a) except:
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Si~ture of Person Filing this Form
Dale _5.b~ Oh
Capacity: 0 Personal Representative 0 Counsel
Name of Person Filing this Form
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Address
Telephone
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