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HomeMy WebLinkAbout02-28-11~~ ~N~ ccfc!~t~r of c°~n~~U~v rta~:~s ~~` c~3<~rt~F~t~.,a~rta c°ti+~:ti°~ti~, ~~;~v:tis~ tai°.~~~~ R~ur.~~rF:x ~~~ ~+ rr.r. 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'7'1 l.7 ~~ ra=~~rrr t>'F e~rtso~~ra i~r~:r~rx~:~r~;~rr~~°r°r~°'~; C ,`ttl4atfxlti~CG;lth ~:?] ~Cnn511ti~nfc~ ~~ t'i>unae 1.:7t`{:'taanherlanii i Ire r'ctitiixner(s} herein naatteti swear c+r ailiartt that tttc statements in the i'a,a~gc~in~ i'Etiti«n ;tre trtsc~ t3rtiti s=caret t~> ttts: i?cst af'th~ kn+~ssieii€;e anti bclie!'~ai'F'eiit'st}ati'rf~) ~tnd that, a~ ~ea~:cxnal rei~ruwnteatistat*) i?i'thr I)c,a'zicatt, 1'eatti~ttet't~,a s~si41 w~cti anci truly .tdnninister the estaae acvcrrzitn~~ t~~ ftr+a. 4ssd>a"n t~~ „r maf`firaned wiatd subscritted /J J~iA_ ..~ ........ ..~ .m., . _.. txvt~xr€ arasr tltas .,.,,o~S~ dak 4:~f __ _ , ~~ `~~ ~'ROBATE AND C;RA?~IT t~F LETTF,R~; bt:itt ~~ _ _. Steu~r+ ~1 HeCtiCk Ctt~c.'sse~i Fi4eNum~,er: ~.1 _ ~~ ~ ~~,Q ~_ i ~~ ..... __ .. .. _._ ._.~_ ._ ............. "~ - ~-- ~1tiL7 C`'44'. this ~~ dad cti" ~RXX~,,.....,.,.~~_~..~ in ccan~itieratic+n ;sf'thc ('etiti~.,t7 ~~rt tPre reserse sick lterssaat, satisl'actaru prtx?!"has ink been lxress:nted heiitre nte. 1 T iS t~i.:t'~!.[.rt:) that I_;etter~= fs~t:arncntarrr ~._ ~sf ~idanin~istratatan are h'rchr~ ~;ranteti tc~ ~, " _. c, !!e ruPkrxAk sarrr c r w d 6.a d.ha~ tJ.~, ssc ~ ~ ~ ~£"a~CS a'a2'Clr;`~f .. O ._.~ ~) i~1 the :tht~v~e e~tatr and that~instt-uancnts s dated ~___~ _.~~.. _~ ~ de,crihecf in c sin l~ ~_ v adinaittsri t€} y~rssbatr' <sn€1 tlc:ti ~ti"recvrci :~s the (rtst 14'i31 ~anii t „dicittt ctt' I'7et~r"dt?nt ~~i, N r , , ri, w t,-~ ~,~,.nd~i ~..~ ~ y '„ C;te~ttdn i tsrner ~+trt~Y+atsg+~6t. -C~.l~1- - ~ C~ Rcgtastcr ca3` 1i II!s ~r Cu2~~~~.4 LC.Y' ~ o ~ iii N ' W - kF1~:S ia~ttas ........... ...~ ,....~~.. ~._ tiRsE'31, ,,. _,....~.~,..~... t'cxSi,.sdt~! ._.,.. ____ 2 a `ihc~rt t'ertiticaa~es ~ . ~..,,,,-. c z 19t~°nrtnc~iation~ .._.,~ C~ ...__ fat,>aCf ~ ..... ................. . _. __~~ auE."CTttit%R!i i`l.~_. ~.~ a6i. d~ l~t~t ~~ , . _._. Signature ~aft~+>uusrt Requir`ett Cea Enter ~ppe€irRS~ee Attb "s Sistnatezrr; 1'i~l~`r`iw1J!"~~ta~,a: 7ac~ia~s,e~o-??~' verr~t~ ~~~iz~'~,,. ~ '' S~;tr~rs~e tw curt II)~'~cx 7yt~~, zk~idrt*sy: i}lt[3ne; i-~~t; Cdv3r5rE, f~~, 37Gt' 717-2A3~~1;3G 717~243~3538 ~ r i , eL "~, t'.l .. .. .' 1- ~ ~ .. ~Mi.j'$` ~, E4.~s~:.t (~.Yyri35yo ,3r,'~tfP4 iir 4a#' {. S1LFPt Cc~,n ~ t-G~, -h~ ~~ec;~K~" -~`r~-~. ~~ ~~ a~ ~Ue,~'~~ ~- ~'t~f.e~l_. C~l,~ ~~ --_ _ _ 3(~ ~ ( ~ O, OCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 17114824 Certification Number M1oa1r iEV 112105 rrrE~ ~~ d32-445 cawMOnvreAUH of veNnsv~v~aA • oew-xnrEtrr of NEALTM • vRAC aeca~os coRONeR~s ceanFtca>ra o~ t>~-rri (bee 1lutrue11o1w ezN1 e><rMrfse en nwerw) r~,a o ~ ~C7 -+1 OHO n~ G7 Q ~ =_c7 a -- c~T c~G r„ ~ _ -~ c, ~ ~~ p _ rn ~ p n~ (U 1. N.4d OrrwS psa raw, 4t r1w1 9TA7E FlLE taN,eEn 195- ~pi°"w'rwt S even ~ a~~~46 - 21 49 ~ ~Januar 25 2011 aAO.awwnwrl thb+ Unwr1 a0rlaeie 1. rrrrla a.vrlla[brn rr Ira. wr w... r.a _ 54 ra November 13 1956 Sharon Pa ^nnh+ mronplSrl ^opA ^ l1er1 ^hrOrq poM. 10. Cbuga0ral ltS1~ 14 IMri ealaErNUlPm4wex grrbr rd4mbrl I.Wr D1r0a8d11pSe 6yh7 Ne N1 70. her Aaron U Pa plorySlrr~ (~~ ~artBWtSa0a lb ~~ Cumberland Eaat Penaeboro Hol S i i "'"""•°'r"°R0Y•rel Whit 11.OrIwa1 ra OSrI 121w1 e1r0tlwnrbh 718nriifnE6rIMI~Y la areeinc rr4q New Mnba iS. wrawla araerb.+barr LL0.Aartl Face ~rnaArYt Slnrrrr pFlZ) aortal ewrpni; yrl nbrr4r11 M71+Ja6.) q+rrna uraaaf9wr/t) Yr ^1b la olrarn laiFyAalny lBSnd dlYlbrL r,apmrl o,asaf ua [brOaS 1256 Kuhn Road MWh+bs +n er. Pa_ Urb• na ~wl.0iiie11,~b Mnn>rnn r--r Boiling Sprin s Pa. 17007 'm~°"A'-~nmberland 1bw~' +la^h,arr+u4nw Agnr Unwd CA'1er1 Nl FrirYxwiM raw.4l re0 11. Abhln Iwr list, e1aSA aYNnNnwp sa n+an4a1 Nrr frlslt Palo Son. »um... hee Aawr lwna r0tb.n, aaa Dpeear) Trac 2fa rrieetl0lprer QrrM ^mirun Sin Orla[rerer Man d. BbU 21e. vbe1a8r0rer Mr4dwrrr arras aaAr ^ am ^ hmar San ar aM Zfa ibrt r,eprow) ~,~ Shl Crrrrar Orirl0Ar4W b rrr e..n.tm.ln Nn^Ne Jan. 2R, 2011 aPa4r wan tee rro Pm. uorw loon. aw.Nb..rAan~ahap ~ ' - 501 N. Baltimore .Ave. SIaa1'wnbM ru~rw~.aa01~"arab rsr 4rar/nrreyAarne4nnerhw.,a4rddwnrra leyrln lrrnl ~ Ur4n 1rfS a.waarw ~~~~ nSPyw 81.114 aD180 Ss.Orl Pbngaer [Ir/Moat hY.Nr) 1aY/r 0r1N4nMblwdr EianrwlCaarbnhren(IMMCmirma0enrlrY- 2:31 A. M. Jaa r 25 20 1 '* ^~ MSS.MSBSrh~ae~-b1we,S+~L:Al1ee 0F0G711leea YrYaNwr Waelaywq ~ Apaaan4 SSar1k Ml: Earrhry~ ®. ON Teree8011 Carw4b0rN7 rrnnbrrirl,rwandrenerr rhrrh~W ra4halrt, D0lUirwrmbrarw rlasaar rirl, ~ aYSrlrwmwhaw. ~ Qrrb Ore nS nr nlaYgbh rrrlpgae. pwnb Pot ^w ^Pbp+h 7l G11KOSrarra i ^ib ^Uwb4 rrrr~.99 ~bwb1mb11 ~ ,. _ Acute Myocardial Infarction ; an.era,r, Grblar•magiriwrk ~ r1no~ab1ayrr,~~reMr, o. ~ ^ rrarorlneai o.rr~ ~arr~ae61r110 Ca0Ra 04blarnro4gwcl ~ ^Prarlra4a0rb Mwb w•.11NaraluSS ° ~ ^ Nol Plana MaR~aSMIb~S eq~ bprr n 441a+rw al: ~ d elna a. i ^ er aura pe pgreaSwyn b l ar ' ^ u1~ i na~harl.. Sw.XY rAre,ry zoo Ww A~agq hOp S+. Slbr4do.b ~ Prbmla+ MretllPbrbCnnpnYOn z3 crdgw MwlA arti Nrl ~.0nrrb tb Nlnr QxuinE .c.PbaYYyyrr Nob. Ron. enaPmt, rhrao.m ~Narr ^Ilartlw dbOrNylllrbl ^rr ~h ^rN ^h ^tirrl ^Prae bwSpSen eat N4a Hrr Sw.nyrr aaltl B3 STginparlr qrY llbneM wPtaoiraN+r(wa rrylbrt rbl ^aww ^crr earolwnaae r ^r4 ^xo ^uiwtapara ^hrryr ^hS1rW azr- a.aanraaa.M.N Ao.z4+l..m • fi~M~~rrrpAdara,raearaar~w.n rdwcMrernrraw.r.asrh.r araYlrS4a81 ~rr+ew~r MS wra.PM+w~e~~r.11N.rw.ra.------°°--°--°•-------------^ ~ Coron r welMraw~ab~.wmr~arbe4~eaa~ir~jrel~,ra bt~a~ 3fo.lbawwror saurav~rMarRM.rwl • wrw e.ww/C1n~ 1n11pler ~.^rra.------°'--------^ onhnwrr.rrer.rlabr.w~a.n,aar a~batrw~ww~rrhr.,ar,rrMb.,rrabrr.i.yy.r rabrrra. ~ N1a Januar 25 2011 m .r ~~o~~a~tte~~ Coonzn114tPr1 ~~~~~ c nro e @@ ~ ~, I.~ I I 13.1 t I ~ I 6375 Basehore Rd., Suite ,fl a N U 0 8 This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. ~~+~.K~.,b.~>rJAp 2 7/2011 Local Registrar Date Issued OePuMa~Pwelb "~~. CjSin9910 1•~J RENUNCIATION ~ ~ x'7"7 n ' ' ~ rn R1 f l 1 ffT lll ~~ ao c « _ REGISTER OF 1Y1[ l_S ~rr~j~ r.A ; CL71V1E3ERLAND Ct)LNI1".PFNtiSI'I~`AtiIA o ~~~ z'° _ ~' ~ I - I I - 0~- le $ ~~ N c,.: (state of STEVEN M. HETRIC'K Deceased I. lacelyn Larxon . in m} capacity'relationship as daughter I ,l11 +um4+ of the above Decedent, hereb} renounce the right to administer the Estate of the fecedent and respertfulky request that Letters be issued to Sean Hetrick ~/s /~~ rrwr+ F..recuted in 17egister's O~c•e tiworn u7 or af7irmed and subscribed befi~re me this dac o f. . Depute Ibr Register of 4l'ills F~im,n NH.(16 rrr lA ll fN.. !?35 East :3rd Street r.4rtr, 1,{,4rr+r< 5a~annah. GA 314pd ++. ~+tt Jrare. un, F,xec•ured out rrf ReKister's Office 13eti~re the undersigned personally appeared the pane executing this renunciation and certified that he or shr exrcuted the renunciation for the purposes stated within on this ~'-- day of tr ~ . Notan Public. Std C'ommissicm Expires: ~ /~C,~~UI f \i~,ryl ux¢ and 5cui of A~rt;~n or otlxl ~ritocr udli0r. h` ~ ~ admevslet rwkhx 5htrw date PI Cv~,>,t 7LUrr „i ~Uraan ~ C~wnnnyS,ua s atozu ''Jn9l1dAW10N b3t~t~ b t