HomeMy WebLinkAbout06-01-11DATE: May 25, 2011
ESTATE NO.: 21-10-1257
DATE OF DEATH: December 17, 2010
IN THE ESTATE OF DAVID R. POWELL
CLAIM AGAINST DECEDENT'S ESTATE
Claimant certifies that there is due and owing by David R. Powell, deceased, the sum of
$6,513.00 together with costs and interest.
On behalf of Claimant, I do declare and affirm under the penalties of perjury that the
information and representations made herein are true and correct to the best of my knowledge,
information and belief.
HCR ManorCare, Inc.
c/o Baric Scherer David A. Baric, Esquire
19 West South Street Baric Scherer
Carlisle, Pennsylvania 17013 19 West South Street
(717) 249-6873 Carlisle, Pennsylvania 17013
(717) 249-6873
Attorney for Claimant
CERTIFICATE OF SERVICE
I hereby certify that on May 25, 2011, I, David A. Baric, Esquire of Baric Scherer, did serve
a copy of the Claim Against Decedent's Estate, by U. S. First Class mail, postage prepaid, to the party
listed below, as follows:
George J. Morgan, Esquire
;.~ Morgan, Hallgreen, Croswell & Kane, P.C.
~ ~ P.O. Box 4686
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Lancaster, P lvania 17604
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