HomeMy WebLinkAbout05-11-07
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May 3,2007
Register of Wills
1 Court House Square
Carlisle, P A 17013
To whom it May Concern
~e find an itemized statement and a claim form to be used to file an
_ against the estate of Mary Zeigler. Mrs. Zeigler incurred these charges
while a resident in our facility, West Shore Health & Rehab Center. Please find enclosed
a SASE and a $10.00 check for the filing fee.
If you should need additional information or have questions regarding this please feel
Free to contact me at 877-823-8375 ext 2270 Monday tbru Friday from 8:00 to 5:00 PM
Central Time.
Sincerely,
Rita Donnelly
Healthcare Collector
Golden Ventures
P.O. Box 180970
Ft. Smith, AR 72918
ROC
Encl:
CC: Client's File #78899
Golden Ventures
p.o, Box 180970
Fort Smith, AR 72918
www.goldenven.com
NAME
MARY ZEIGLER
STATEMENT DATE
05/03/07
Golden Ventures-West Shore
TOTAL AMOUNT DUE
$1,835.37
1500 Ardmore Blvd Ste 101
Pittsburgh. PA 15221
412-871-1000
Fax 412-871-1040
NAME ACCOUNT # STATEMENT DATE
MARY ZEIGLER 05/03/07
DA fE/PERIOD COVERED DESCRIPTION QTY/DAYS AMOUNT
02/01/07 02/09/07 room charge at $203.93 per day 9 1,835.37
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PAYMENT DUE UPON RECEIPT TOTAL AMT 1,835.37
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