HomeMy WebLinkAbout03-21-13 IN THE CIRCUIT COURT IN AND FOR CUMBERLAND
COUNTY PROBATE DIVISION
IN RE: Estate of JOHN G DELLO IACONO
Claimant: See attached claim detail
Case No: 2012-00522
Account No: See attached claim detail
SATISFACTION AND RELEASE OF CREDITOR'S CLAIM
The Claimant(s) listed on the attached claim detail has/have received the sum of $ 851,34
as payment in satisfaction the Claim filed in the above-referenced matter and hereby releases the
Estate and Personal Representative from any and all indebtedness relating to the Claim.
Dated: 13 day of 20_L3
Signature: 41�,
One of Claimant(s)fs Authorized Representatives
Printed Name: Jeffrey H. Johnson
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KEY: Case Number:
Line 1 —Account No 2012-00522
Line 2—Creditor/Claimant
Line 3 —Balance PF Reference No:
CL483091
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CDR227585 CLAIM DETAIL
IN RE ESTATE OF: JOHN G DELLO IACONO
Claim detail is as follows:
***********-497
OCR PHARMACY SERVICES OF EASTERN PA
$851.34
UNSECURED.
THE DECEDENT PURCHASED GOODS AND/OR SERVICES IN THE AMOUNT OF
$851.34, EVIDENCED BY ACCOUNT NUMBER ***********-497.
Claim Balance: $ 851.34
Claim—Details R2013 0215