HomeMy WebLinkAbout01-05-10 (3)' J
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RECOVERY SERVICES, LLC
CLERK CR
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WITHDRAWAL OR SATISFACTION OF CLAIM ANd'R~ ~ ~`f ~~ ''~'~ ~
STATE OF Pennsylvania
COUNTY OF: Cumberland
IN RE: ESTATE OF Mary Miller
IN THE PROBATE COURT
STATEMENT OF CREDITOR'S CLAIM
CASE NUMBER: 212009-00560
Decedent's Date of Death: 6/8/2009
Creditor: AscensionPoint Recovery Services LLC on_ behalf of Alliance Data
Address: 200 Coon Rapids Blvd. Suite 200
Coon Rapids, MN 55433
Telephone: 763-235-4050
Amount of claim $526.29
I, AscensionPoint Recovery Services LLC (name of claimant), hereby grant a full and final release to the
estate and to the fiduciary and any successor for any liability in connection to the claim(s) described
below and
X Withdraw the claim.
Acknowledge that the claim has been satisfied.
Signature:
Title: Member
Date: 15 2009
Notary Signature: ~.
Date: / ~ /. a~~ ~.
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(Notary Seal)
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