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IN RE: ESTATE OF GUY W. YOUNG
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
21-06-0938
ORPHANS' COURT DIVISION
NOTICE OF CLAIM AGAINST ESTATE BY A CREDITOR
TO THE CLERK OF THE ORPHANS COURT DIVISION: Notice of claim by
creditor pursuant to 20 Pa. C.S.A. ~3384 of the Probate, Estates
and Fiduciaries Code.
1.
Claimant's Name:
Marie F. Young
2. Claimant's Address: 1090 Creek Road, Carlisle, PA 17015
3. Claimant is the owner and holder of a claim in the amount of
$7,425.20 against the Estate of the deceased Guy W. Young.
4. The facts upon which this claim is based: The claimant paid
Cumberland Valley Memorial Gardens the sum of $1,150 for grave
opening and closing and paid Hoffman-Roth Funeral Home the sum
of $6,275.20 for funeral expenses. Under Item I of the
Decedent's Will, his funeral expenses are to be paid by his
estate. Claimant requests reimbursement of the sum of
$7,425.20. Copies of the bills from Hoffman-Roth Funeral Home
and Cumberland Valley Memorial Garden are attached.
5. Decedent's Address: 1090 Creek Road, Carlisle, PA 17015
6. Date of Death: October 3, 2006
7. The claim is a Priority (3) claim under ~3392 of the PEF Code.
On behalf of the claimant, I do solemnly declare and affirm subject
to penalties of perjury and unsworn falsification to authorities
s
Date:
that the information and representations made he
correct to the best of my knowledge, informatio
BY'cD~ /'
Dale F. Shug
Attorney for
October&, 2007
and
Young
written notice of claim was provided by postage prepaid, first
class United States Mail, certified mail, return receipt requested
upon the Counsel for the Estate as set forth below:
Marcus A. McKnight, III, Esquire
60 West Pomfret Street
Carlisle, PA 17013
Dale F. Shug a
Attorney I.D. 193
10 West High Street
Carlisle, PA 17013
Telephone: 717-241-4311
Attorney for Marie F. Young
Date:
October ~, 2007
~F
By:
. '.
,
Cumberland Valley Memorial Gardens
A DIVISION OF STONEMORPARTNERS, L.P.
1921 Ritner Highway
Carlisle, PA 17013
Phone (717) 243-3541 Fax (717) 243-4495
Invoice No. 26-3-0274.7
INVOICE !!!!!!!!
Customer
Name Marie Young
Address 1090 Creek Road
City Carlisle
Phone
State P A
ZIP 17015
Date
Order No.
Ref#
FOB
10/6/2006
Qty Description
Unit Price
TOTAL
1 Grave Opening/Closing for Guy W. Young
$1,150.00
$1,150.00
SubTotal
$1,150.00
Payment Details
o Cash
~ Check
o Money Order
Name
Taxes
State
TOTAL
$1,150.00
Thank You
Osiris Holding of Pennsylvania, Inc.
.,.
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