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IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYVLVANIA
ORPHANS' COURT DIVISION
In Re: Estate of Anna Huncharik, Deceased
File No: 21070430
CLAIM
To the Clerk ofthe Orphans' Court Division:
Index and make proper entry in your official records of the claim of GGNSC CAMP
HILL WEST SHORE LP d/b/a GOLDEN LIVINGCENTER-WEST SHORE, CLAIMANT in
the amount of $6,506.18 against the estate of the above-named decedent
This claim is filed under Section 3532(b)(2) ofthe Probate, Estates and Fiduciaries Code.
The said decedent, who resided at 97 Queen Avenue, Enola, Pennsylvania, died on
October 20, 2006.
Written notice of this claim was given to SHERIAL ANN HUNCHARIK, EXECUTRIX
at 557 Woodland Avenue, Johnston, Pennsylvania 15902, on June 14,2007.
Golden LivingCenter
770 Poplar Church Road
Camp Hill, P A 17011
Claimant
Chelsea A. Dodson, Esquire
Attorney for Claimant
PAID #200545
DODSON, MCCAFFREY & ASSOCIATES
Suite 332 Building A
9800 McKnight Road
Pittsburgh, PA 15237
412-635-9314
chelsea _ dodson@dodsonmccaffrey.com
DODSON, MCCAFFREY & ASSOCIATES
BY: Chelsea A. Dodson, Esquire
P A ID# 200545
Suite 332 Building A
9800 McKnight Road
Pittsburgh, PA 15237
412-635-9314
Attorneys for Plaintiff
ESTATE OF ANNA HUNCHARIK, DECEASED
CUMBERLAND COUNTY
ORPHAN'S COURT DIVISION
Case No.: 21070430
CERTIFICATE OF MAILING OF NOTICE LETTER
I, CHELSEA A. DODSON, ESQUIRE, hereby certify that on June 14,2007, I sent notice
of the presentation of the foregoing Notice of Claim to SHERIAL ANN HUNCHARIK,
EXECUTRIX at 557 Woodland Avenue, Johnstown, Pennsylvania 15902, by first-class and
certified mail, together with copy of the Notice of Claim.
Date: June 14, 2007
DODSON, MCCAFFREY & ASSOCIATES, LLC
F. BRIAN DODSON, ESQ.
SUITE 332 BUILDING A
9800 McKNIGHT ROAD
PITTSBURGH, PA 15237
CHELSEAA. DODSON, ESQ.
THOMASA. MCCAFFREY, ESQ.
NATHAN T. CHASE, ESQ.
TELEPHONE 412-635-9314-
FAX 412-635-9358
www.DODSONMCCAFFREY.com
June 14, 2007
Glenda Farner Strasbaugh
Register of Wills
1 st Floor Courthouse
1 Courthouse Square
Carlisle, PA 17013
In Re: Estate of Anna Huncharik, Deceased
No. 21070430
Claim of Golden LivingCenter- West Shore
Dear Sir or Madam:
Enclosed herewith you please find the Claim of Golden LivingCenter-West Shore against the
above-referenced estate in the amount of $6,506.18. Also enclosed is a copy of the claim and a
self addressed envelope. Please time stamp and return this copy.
~:;
--1
Enclosure
L~
. 1
, .
c.
RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Receipt Date:
Rece~pt Time:
Recelpt No. :
6/18/2007
12:01:12
1048844
HUNCHARIK ANNA
Estate File No. :
Paid By Remarks:
2007-00430
DODSON MCCAFFREY & ASSOC
AJW
________________________ Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
CLAIM AGAINST EST 10.00
----------------
Check# 0721 $10.00
Total Received......... $10.00
CUMBERLAND COUNTY GENERAL FUN