HomeMy WebLinkAbout06-24-10BEFORE THE ORPHANS' COURT OF CUMBERLAND COUNTY,
PENNSYLVANIA
IN RE: ESTATE OF GRACE W. ESTATE NO.: 21-2010-00234
PETERS, ~~ _
DECEASED Date of Death: 8/28/09 o
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NOTICE OF CLAIM - --:a:
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To: Teresa A. Wadel `"' °
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156 Stoney Point Avenue ~
Shippensburg, PA 17257
RE: ESTATE OF GRACE W. PETERS
I hereby notify you of the claim of Presbyterian Senior Living d/b/a Green Ridge
Village in the amount of Five Thousand Five Hundred Five Dollars and 35/100
($5,505.35) against the above-referenced Estate for healthcare services provided to
Decedent, Grace W. Peters, at Green Ridge Village, 210 Big Spring Road, Newville, PA
17241-9486.
Je ette L. Roberts
Credit & Collections Coordinator
Presbyterian Senior Living
One Trinity Drive East
Suite 201
Dillsburg, PA 17019-8522
Phone: 717-502-8635
Date: June 15, 2010
CERTIFICATE OF SERVICE
I, Jeanette L. Roberts, hereby state that I have this day caused to be served a true
and correct copy of the foregoing Notice of Claim upon the persons and at the addresses
below named, by U.S. Mail, First-Class, Certified, Return Receipt Requested, postage
prepaid:
Teresa A. Wadel
156 Stoney Point Avenue
Shippensburg, PA 17257
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Je tte L. Roberts
Date: June 15, 2010
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-' PRESBYTERIAN
SF~NIOR LIVING
June 14, 2010
Cumberland County Register of Wii1s
Cumberland County Courthouse
1 Courthouse Squre, Room 102
Carlisle, PA 17013
Re: Estate of Grace Tl: Peters
Estate No.: 21-2010-00234
Dear Sir/Madam:
Please find enclosed for filing one original and four copies of the Notice of Claim
with regard to the above-captioned matter. Further enclosed please find a check in the
amount of $10.00 to cover the filing costs. Please file the original and return the time-
stamped copies to me in the enclosed, self-addressed stamped envelope I have provided
for your convenience.
If you have any questions, please do not hesitate to contact me.
Sincerely,
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eanette L. Roberts
Credit & Collection Coordinator
Presbyterian Senior Living -Corporate
Office for Sycamore Manor Health Center
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Enclosures
cc: Teresa A. Wadel (via Certified Mail, Return Receipt Requested
717.502.8840 • ,ax 717.502.8841 • m~~ rree 800.382.1385 • One Trinity Drive East • Suite 201 • Dillsburg, PA 17019-8522 • www.presbyterianseniorliving.org