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David R. Galloway Counsel for Petitioners
Attorney I.D. No. 87326
54 E. Main Street
Mechanicsburg, PA 17055
Telephone: (717) 697-4650
IN THE COURT OF COMMON PLEAS, CUMBERLAND COUNTY PENNSVANIA
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ORPHANS' COURT DIVISION c ~ rn
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IN RE: ESTATE OF ALISON L. GRINDER ) DOCKET NO: 21-1;; a , t~
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PRAECIPE TO DOCUMENT SERVICE' a, r
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TO THE CLERK OF THE ORPHANS COURT: --J I hereby certify that a copy of the Petition for Adjudication of Incapacity and the
Appointment of Plenary Guardianship, Hearing Order, and Important Notice Citation with
Notice was mailed to Emeritus at Creekview on November 20, 2012 by certified mail.
Attached is the Post Office return receipt signed and dated November 21, 2012.
Respectfully submitted,
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David R. Gallowa Esquire
I.D. No. 87326
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• • SECTION . DELIVERY
_1 COMPLETE THIS ~ ~GompTete items 4F?2Zannd 3, also complete F~Oived mtem $lt Restricted 00very is desired. ❑ Agent
■ Printtr name and address on the reverse so that we canreturn the card to you. 0 Addressee
■ Attach this card to the back of the mailpiece, y (Printed Name) C. ate of Delivery
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item Yes
If YES, enter delivery address b C$'o
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3. Service Type ~J~ c Q
Certified Mail ❑ Express
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) 13 Yes
2. Article Number
(Transfer from service label) 7 010 1060 0000 4039 3938
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M- 5540
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