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A Tradition of Excellence
DATE: October 28, 2010
ESTATE N0.:21-10-844
DATE OF DEATH: July 30, 2010
IN THE ESTATE OF Charles M. Gehr
CLAIM AGAINST DECEDENT'S ESTATE
The Claimant certifies that there is due and owing by Charles M. Gehr, d~cela~ed, the sum
of $ 2,989.69 together with interest at the rate of .51 % per diem for a total of $ ~,9$'~9.69.
On behalf of the claimant, I do declare and affirm under the penalties oflp~ury that the
information and representations made herein are true and correct to the best of~!m~ know edge,
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information and belief. z ,-,=,
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StOWn Bank ~ C~":~ ..
2695 Philadelphia Ave. d ~_
Chambersburg, PA 17201 ~ ' :- ' _~
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CERTIFICATE OF SERVICE
I hereby certify that on , 2010, I, of ,did
serve a copy of the Claim Against Decedent's Estate, by first class U.S. mail, pos~a~e,prepaid, to
the party listed below, as follows:
.,
SIT-
' ' Register of Wills ~,
1 Courthouse Square
Carlisle, Pa. 17013
P.O. Box 250 • Shippensburg, PA 17257 • 717 530.3530 • 717.532.4143 f