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NOTICE OF CLAIM
(Filed Pursuant to 20 Pa.C.S. § 3532)
COURT OF COMMON PLEAS OF
Cumberland CO~Ty~ pENNSYLVANIA
ORPHANS' COURT DMSION
ESTATE OF
Miller
DECEASED
No. 21 2009-00560
To the Clerk of the Orphans' Court Division:
Enter the claim of AscensionPoint Recovery Services, LLC on behalf of Alliance Data
in the
amount of $ 722.30 (claimant)
against the above entitled Estate.
The Decedent, who resided at 444 Fairground Ave.
Carlisle, PA 17013-1922 (Street Address)
died on 06/08/2009 .Written notice of
said claim was given to Teresa Sebastion (Dare ofDearh)
at 1340 S 500 E Salt Lake Citv. UT 84105 (Persona! Representative or his/her counsel)
on 11/30/2009
n/a
(Claimant's Counsel)
(Address)
(Telephone)
(Address)
(Date)
~' Member
(Claimant)
200 Coon Rapids B vd. Suite 200
(Street Address) ^i
Coon Rapids, MN 55433- ~
(City, Stare, Zip) "~'^-~
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C.+~ T
(Supreme CourtLD. No.) - ~ ~ {"',
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Form OC-07 rev. !0.13.06