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IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
IN RE: CHARLES N. STRAWSER,
DECEASED
ORPHANS' COURT DIVISION
NO. 89 of 2007
AFFIDAVIT OF SERVICE
I, William Keslar, being duly sworn according to law, depose and say that
I served Respondent Jean Strawser with a true and correct copy of the annexed
Petition for Citation to Grant Letters of Administration and the Citation issued in the
above-captioned matter, via First-Class, Certified, Return Receipt Requested,
United States Mail, at her residence at Avila Road, Apt. 937, Harrisburg,
Pennsylvania 17109 on the 15th day of February, 2007. A copy of the postal
return card is attache.d hereto as Exhibit /I A./I
Dated: _"-Me 1-
Vv-
William Keslar, Paralegal
Sworn to(t#d Subscribed before me
\
~o\ , day of
'. ?ViA IVvl,O ' 2007.
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
CHRISTY A. LONG, Notary Public
City of Harrisburg, Dauphin County
Commission Ex ires December 22. 2009
82 :;~ I" 1- :_.';iL[
ORIGINAL J
CITATION
Orphans' Court Division
Court of Common Pleas
Cumberland County, Pennsylvania
IN RE: Charles N. Strawser, Deceased
No. 21-07-0089
COMMONWEAL TH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
TO: Jean Strawser, Avila Road, Apt. 937, Harrisburg, PA 17109
Robert Strawser, 314 Mainsail Road, Ocenside, CA 92054
GREETINGS:
YOU ARE HEREBY CITED to show cause why Letters of Administration for the
Estate of Charles N. Strawser should not be issued to Shaun E. O'Toole, Esq.
Citation shall be returnable within twenty (20) days from the date of service hereof
D//,:}-qp007
/t;uu1~ ~AJ'tz;;;jjXhJ2
tlenda Farner Strasbaugh "'0 -
Register of Wills
MIsty D. Bartel, Esq.
Kirk S. Sohonage, Esq.
William Keslar
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IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
IN RE: CHARLES N. STRAWSER,
DECEASED
ORPHANS' COURT DIVISION
NO. 89 of 2007
PETITION FOR CITATION
TO GRANT LETTERS OF ADMINISTRATION
PURSUANT TO 20 Pa. C. S. Ei 3155
TO THE REGISTER OF WILLS OF CUMBERLAND COUNTY:
The Petitioner, Beverly Enterprises Pennsylvarua, Inc. d/b/a Beverly Health
Care - Camp Hill ("Petitioner"t a principal creditor of Charles N. Strawser, respectfully
represents that:
1. Charles N. Strawser ("Decedent") died intestate on September 28,2006.
An original Death Certificate is attached hereto as Exhibit" A."
2. Upon information and belie( Decedent has two surviving neirs. Their
names and addresses are:
Name
Jean Strawser
Relationship
Wife
Address
Avila Road
Apt. 937
Harrisburg, Pi\ 17109
Robert Strawser
Son
314 Mainsail Rd.
Oceanside, CA 92054
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3. At the time of his death, Decedent was a resident of Petitioner's nursing
facibty located at 46 Erford Road, Camp Hi11, Pennsylvarua 17011, and Petitioner was a
principal creditor of Decedent.
4. Petitioner desires to have Shaun E. O'Toole, Esa. avpointed bv the Court
" 1 ~
to administer the Estate of Charles N. Strawser for the purpose of paying all debts owed
by Decedent, qualifying the Decedent for Medicaid benefits, and distributing the
balance of the estate pursuant to the intestate laws of the Commonwealth of
Pennsylvania.
WHEREFORE, Petitioner, Beverly Enterprises Pennsylvania, Ine. d/b/a Beverly
Health Care - Camp Hill, respectfully requests that a Citation be issued pursuant to 20
Pa. CS. 33155 to Jean Strawser and Robert Strawser to show cause why Letters of
Administration for the Estate of Charles N. Strawser should not be issued to Shaun E.
rVT ~l 1:: ~
'-' OUle, LSLf.
Respectfully submitted,
SCHU1JER BOGAR LLC
Date:
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By JliV\ mt-9? ~4tldf~
Misty D. Bar el
Attorney 1.0. No. 204190
Kirk 5. Sohonage
Attorney 1.0. No. 77851
305 N. Front Street, Suite 401
Harrisburg, P A ] 7] OJ
(7] 7) 909-8160
Counsel for Petitioner
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with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
~
Calvin B. Johnson, M.D., M.P.H.
Secretary of Health
(J~'rc iYXf10fGl
Frank Yeropoli
State Registrar
,.-, ~ 1 4 -, 0
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No.
-JAN 1 6 2007
Date
C01-{r.;Ecrm !fU/IS /
H'O;';~'~';;;:N~'::'''' PE: R: ;::-d). Dn E IOjt3/UbIl:i-COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH
PERMANENT CERTIFICATE OF DEATH
B\...ACK INl':
. VITAL RECORDS
105062
STATE FILE NUMBER
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207 _ 07 _ 8600
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937 Avila Rd., Apt. ':131 """'R""~ u, "'.
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Elizabeth Turns
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314 Mainsail Rd., Oceanside, CA 92054
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East Harrisburg Crematory
Harrisburg, PA 17109
. 17104
Sts., Harrlsburg. PA
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FACKLER-\JIEDlliAN FUNERAL HOME, 23rd & Derry
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EXHIBIT II A" TO
AFFIDAVIT OF SERVICE
SENDER: COMPLETE THIS SECTION
. Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
. Print your name and address on the reverse
so that we can return the card to you.
. Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
~.'....
COMPLETE THIS SECTION ON DELIVERY
-P(A9ent
I::::J 'Addressee
C. Date of Delivery
2//S
D. Is delivery address different from item 1? 0 Yes
If YES, enter delivery address below: 0 No
8. Received by ( Printed Name)
.""' J
3. Service Type
. Certified Mall
D Registered
D Insured Mail
D Express Mall
D Return Receipt for Merchandise 'f
DC.a.D.
4. Restricted Delivery? (Extra Fee) D Ves
2. Article Number
(Transfer from service labeQ
PS Form 3811. February 2004
7003 1010 0001 6393 9742
102595-02-M-1540
Domestic Return Receipt