HomeMy WebLinkAbout08-07-07
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYL VANIA
ORPHANS' COURT DIVISION
IN RE: EST A TE OF LEE C. MORRISON,
DECEASED
No. 21-2007-30
NOTICE OF CLAIM FILED PURSUANT TO 20 Pa. C.S. ~3532 OF THE PROBATE.
EST A TES AND FIDUCIARIES CODE
To the Clerk of the Orphans' Court Division:
Enter the claim of HCR ManorCare - Carlisle ("Claimant") in the amount of $3,971.91,
against the above entitled Estate.
The Decedent, who resided at 1 Clifton Terrace, Carlisle, Pennsylvania 17013, died on
December 11,2006. Written notice of said claim was given to Roger Irwin, Esquire, at 60 West
Pomfret Street, Carlisle, Pennsylvania 17013 on August 3, 2007.
Respectfully submitted,
SCHUTJER BOGAR LLC
Dated:B / ~/ 0 ~
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By:/r;tWf)~
Bradley A. Schutjer,
Attorney I.D. No. 75954
(717) 909-5924
Maria G. Macus- Bryan
Attorney I.D. No. 90947
(717) 909-8640
305 N. Front Street, Suite 401
Harrisburg, P A 17101
Claimant's Information
HCR ManorCare - Carlisle
940 Walnut Bottom Road
Carlisle, P A 17015
(71 ~249-0085 .'
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Attorneys for Claimant
ORIGINA~
Xx lJate/Time ,IUL-jU-LUU7IMIJN) 14:54
Jul 30 2007 2:4SPM HP LASERJET FAX
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MAY 03
HCR*ManorCare
MANORCARE CARLISLE 372
940 WALNUT BOTTOM ROAD
CARLISLE, PA 17013
(717)-249-0085
PRIVATE MORRISON, LI
STATEMENT
ROOM 214 A
3/1/2006 PRIVATE PORTION $1,141.50 -$88.50
4/1/2006 PRIVATE PORTION $1,14150 -$88.50
5/1/2006 PRIVATE PORTION $1,141.50 -$88.50
6/1/2006 PRIVATE PORTION $1,141.50 -$88.50
7/1/2006 PRIVATE PORTION $1,141.50 -$88.50
7/1/2006 PAYMENT SOCIAL SECURITY -$1,053.00
8/1/2006 PRIVATE PORTION $1,141.50 -$88.50
8/1/2006 PAYMENT SOCIAL SECURITY -$1,053.00
9/1/2006 PRIVATE PORT/ON $1,141.50 -S88.50
9/1/2006 PAYMENT SOCIAL SECURITY -$1,053.00
10/1/2006 PRIVATE PORTION $1,141.50 -$88.50
10/1/2006 PAYMENT SOCIAL SECURITY -$1,053.00
11/1/2006 PRIVATE PORTION $1,141.50 -$88.50
11/1/2006 PAYMENT SOCIAL SECURITY -$1,053.00
12/1/2006 PRIVATE PORTION $1,141.50 -$88.50
12/1/2006 PAYMENT SOCIAL SECURITY -$1,053.00
2/26/2007 PAYMENT -$240.09
Payment Due Upon Receipt
Amount Due
$3,971.91
Page 1
CERTIFICATE OF SERVICE
I hereby certify that a true and correct copy of the foregoing Notice of Claim was served
first-class, United States mail, postage prepaid, upon the following:
Roger Irwin, Esquire
Irwin & McKnight
60 West Pomfret Street
Carlisle, PA 17013
Dated:~:r
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By:
William Keslar, Paralegal