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HomeMy WebLinkAbout08-26-09NOTICE OF CLAIM (Filed Pursuant to 20 Pa.C.S. § 3532) COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF GLORIA STITES ,DECEASED No. 21-2009697 To the Clerk of the Orphans' Court Division: Enter the claim of CLAREMONT NURSING AND REHAB CENTER in the (Claimant) amount of $ 2,667.00 ,against the above entitled Estate. The Decedent, who resided at 1000 CLAREMONT ROAD CARLISLE PA 17013 (Street Address) died on JUNE 22, 2009 .Written notice of (Date of Death) said claim was given to AMY MACADAM, DAUGHTER; ATTORNEY JEFF BOSWELL (Personal Representative or his/her counsel) at 207 2ND ST SUMMERDALE PA 17093; 315 N. FRONT ST PO BOX 741. HARRISBURG PA 17108 (Address) on JULY 23, 2009 (Date) ~ ~ laimant) 1000 CL REMONT ROAD (Street Address) CARLISLE, PA 17013 (City, State, Zip) r~a CJ o ~ .c~ (Claimant's Counsel) (Supreme Court LD. No.) - _~ C ~ l^:i-l ~ i_ ~i (Address) ~ ~ ~ ~'~ „. ~ ~ ~t' ~ -, ~ _.,. - _W .T7 ~, J (Telephone) ~~ ~'''~ 1V' Form OC-07 rev. 10.13.06 ~~~