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RECEIPT AND RELEASE
BLACK
AND
DAVISON
ATTORNEYS AT LAW
82 W QUEEN STREET
CHAMBERSBURG, PA
17201
717.264.5194
FROM:
Frederick Cody, of 8145 Armiger Drive, Pasadena,
Maryland 21122
TO: Constance Lee Ericksen, Executrix of the Last Will and
Testament of Janet Cody, _late of West Pennsboro Township,
Cumberland County, Yennsyvania, deceased
WHEREAS, Janet Cody died testate on March 9, 2009, and Letters Tfatamentary were
duly issued by the Register of Wills of Cumberland County, Pennsylvania, to Constance Lee
Ericksen on March 26, 2009; and,
WHEREAS, the First and Final Account of said Executrix, together with the Schedule
of Proposed Distribution, was filed in the Office of the Register of Wills of ("~umberland
County, Pennsylvania, and confirmed by the Court of Corrimon Pleas of the 9th Judicial
District, Pennsylvania, Cumberland County Branch, on June 22, 2010.
NOW, THEREFORE, I, Frederick Cody, do hereby acknowledge that I have had. and
received of and from said Executrix of the Estate of Janet Cody, deceased, all items and all
sums distributable under the Schedule of Proposed Distribution to Beneficiaries in the
aforesaid First and Final Account filed in the Office of the Register of Wills for Cumberland
County, Pennsylvania, as aforesaid.
AND, THEREFORE, I do, by these presents, remise, release, quitclaim and forever
~~c'~'~:~~r~Tt~ +~?e c~i~ ~~nctan~~ T .~~ ~:,-irk~~n. F.x~~~.l_~t.riX ol'the Estate of Janet C;od.y deceased.
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of and from the legacy or legacies according to the laws of the Commonwealth of
Pennsylvania and according to the Schedule of Proposed Distribution and of .and from all
actions, suits, payments, accounts, reckonings, claims and demands whatsoever for or by
reason thereof, or of any other act, matter, cause or thing whatsoever touching upon or
concerning the same.
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IN WITNESS WHEREOF, I hereunto set my hand and seal the ~~"~t day of
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Title: ~,~ Q. t. ~-~/ ~~-~i Ll ~~
M commission ex Tres: 0!_.~( (, }
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1 maintain an office in: ~.~ ~'.~~.-+~'~~ ~_~.
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~_ ~__ ___, 2010.
Witness:
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Frederick Cody , ~'
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s~~Alr c:~r r~~I~~~f~~
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COUNT Y OF ~~'?~LQ
On this, the ~~ day of _ ~ -- , 2010, before me, the undersigned officer,
personally appeared Frederick Co , kno to me, (or satisfactorily proven) to be the
person whose name is subscribed to the within instrument and acknowledged that he
executed the same for the purposes therein contained.
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