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HomeMy WebLinkAbout03-15-13 IN THE COURT OF COMMON PLEAS OF THE 9TH JUDICIAL DISTRICT OF PENNSYLVANIA -CUMBERLAND COUNTY BRANCH ORPHANS' COURT Estate of Fred McGillvrary } File No. 21-12 f$06 STATEMENT OF CLAIM Claimant Ed's Custom Milling, LLC, by and through its attorney, Joseph A. Macaluso, hereby presents for ding against the above-captioned estate this Statement of Claim as follows: 1. The basis for the claim is the itemized statement of Ed's Custom Milling, LLC dated March 5, 2013, appended to affidavit of account of Ed's Custom Milling, LLC, a copy whereof is attached hereto as Exhibit A, for commodities sold to Fred McGillvrary as set forth in the invoices listed in the itemized statement. 2. The total amount of the claim due and owing as of the date hereof, and which is past due for more than 90 days, is $10,911.77 as set forth in the attached Exhibit A. Finance charges continue to accrue on the claim. o .Zo "o CO Z3 3. This claim is not contingent. , b ►-o, CX.) � o 4. This claim is unsecured. Jose h A. A ac u o, Esq. Supr me Court I.D. # 38262 tto ey for Claimant Ed's Custom Milling, LLC Box 83 Orrstown, PA 17244 (717) 532-4832 Dated: VERIFICATION I, J. Edward Sensenig, verify that I am the sole member of Ed's Custom Milling, LLC, that I am authorized to sign this verification on its behalf, and that the statements made in the foregoing Statement of Claim by Ed's Custom Milling, LLC are true and accurate to the best of my personal knowledge, information and belief. I understand that my statements are made subject to the penalties of 18 Pa. C.S. Section 4904, relating to unsworn falsification to authorities. e•,r,b �e J. Edward Sensenig, Mem r Dated: IN THE COURT OF COMMON PLEAS OF THE 9TH JUDICIAL DISTRICT OF PENNSYLVANIA -CUMBERLAND COUNTY BRANCH ORPHANS' COURT Estate of Fred McGillvrary } File No. 21-12-2806 AFFIDAVIT The undersigned, J. Edward Sensenig, being of full age and sound mind, and having duly affirmed according to law, states to the best of his knowledge, information and belief as follows: 1. 1 am the sole member of Ed's Custom Milling, LLC (the "LLC"). 2. 1 am authorized to execute this affidavit on behalf of the LLC in support of the Statement of Claim by the LLC in this estate. 3. The business records of the LLC show that there is a past due account in the total amount of$10,911.77 as of March 5, 2013, for commodities sold to Fred McGillvrary as set forth in the itemized statement of the LLC dated March 5, 2013, attached hereto and made part hereof. 4. To the best of my knowledge, information, and belief, there are no uncredited payments, counterclaims, or off-sets against said claim of the LLC. 5. 1 represent that the foregoing statements are true and correct to the best of my knowledge, information, and belief. I % �= J Edward Sensenig Affirmed before me this 0 day of March, 2013 �. COMMONWF.ALTfI OF PEN MVAMA ota Public NOTARIAL SEA J. AnW L Maoalns%Notary Pubfic SundumH4!n-Tag,Frmktia Coaaty MY eamminica ex pi"Ocbbw 16,2016 Ed's Custom Milling, LLC Statement 7500 Rice Road Shippensbulrg Pa 17257 rate 3/5/2013 To: C/O ESTATE SETT EMENT PRED M1CGILLVARY(DECEASIID) 122 BUTTERMILK ROAD NEWVILLE PA 17241 Amount Due Amount Enc. $10,911.77 Date Transaction Amount Balance 12106/2010 INV#56459. Due 12/06/2010.Orig.Amount$40.73. 40.73 40.73 -- Commodity AIR, 1 @$40.73=40.73 °.Tax:PA @ 6.0%=0.00 0110312011 INV 456753.Due 01/03/2011.04g.Amount$3,712.93. 3,712.93 3,753.66 -- Commodity AIR, 1 @$3,712.93=3,712.93 ---Tax:PA,(try 6.0%=0.00 01131/2011 INV#57067.Due 01/31/2011.Orig.Amount$36.73. 36.73 3,790.39 - Commodity AIR, 1 @$36.73=36.73 ...Tax:PA,@ 6.0%=0.00 02/03/2011 INV#57115.Due 02/03/2011.06&Amount$3,786.33. 3,786.33 7,576 72 ---Commodity A/R, 1 @$3,786.33=3,786.33 ---Tax:PA @ 6.0%=0.00 03/01/2011 INV#57396.Due 03/01/2011.Orig.Amount$69.28. 69.28 7,646.00 ---Commodity A/R, 1 @$69.28=69.28 ---Tax.,FA @ 6.0%=0.00 03/03/2011 INV#57424.Due 03/03/2011.Orig.Amount$20.00. 20.00 7,W.00 -,-Commodity AIR, 1 @$20.00=20.00 ...Tax.,PA @ 6.0°h-0.00 04/02/2011 INV#57787.Due 04/02/2011.Orig.Amount$132.75. 132.75 7,798.75 ---Commodity A/R, 1 @$132.75= 132.75 ---Tax:PA @ 6.0°/0-0.00 05/01/2011 INV#58120.Due 05/01/2011,Orig.Amount$111.67. 111.67 7,910.42 --Commodity A/R, I @$111.67=111.67 ---Tax:PA @ 6.0%=0.00 06/01/2011 1NV#58456. Due 06/01/2011.Orig.Amount$121.4$. 121.48 8,031.90 ---Commodity A/R, 1 @$121.48=121.48 --Tom;PA @ 6,0%=0,00 07/02/2011 INV#5$831.Due 07/02/2011.Orig.Amount$123.23. 123.23 8,155.13 ---Commodity A/R,I @$123.23=123.23 --Tax:PA @ 6.0%=0.00 08105/2011' iNV 9591$4.Due 08/05/2011.Orig.Amount$137.21. 137.21 8,292.34 Commodity A/R, 1 (R$137.21 =137.21 ---Tax:PA @ 6.0%=0.00 CURRENT 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS DUE DUE DUE PAST DUE Amount Due 0.00 127.98 151.62 146.91 10,485.26 1$10,911.77 Page 1 Ed's Custom Milling,LLC Statement 7500 Mice Road Shipperasburg Pa 17257 Date 3/5/2013 To: C/O ESTATE SETTLEMENT FRED MCGILLVARYMECEASED) 122 BUTTERMILK ROAD NEWVILLE PA 17241 Amount Due Amount Enc. $10,911.77 Date Transaction Amount Balance 08/31/2011 INV#859556.Due 08/31/2011.Orig.Amount$106.88. 106.88 8,399,22 ---Commodity AIR, I @$106.8$=106.88 --Tax.PA @ 6.0%=0.00 10101/2011 INV#59928.Duo 10101/2011,Orig.Amount$128.94. 128.94 8,528.16 --Commodity AIR, 1 @$128.94=128.94 --Tax:PA @ 6.0%=0.00 11/01/2011 rNV#60215.Due 11/01/2011.Orig.Amount$130.77. 130.77 8,658.93 ---Commodity AlR, 1 @$130.77=130.77 ---Tax:PA @ 6.0%=0.00 11/30/2011 INV#60596.Due 11/30/2011,Orig.Amount$124.36. 124.36 8,783.29 ---Commodity AIR, 1 @$124.36=124.36 ---Tax:PA @ 6.0%=0.00 01/04/2012 INV#60997.Due 01104/2012.Orig.Amount$152.12. 152.12 8,935.41 ---Commodity AIR, 1 @$152.12=152.12 ---Tax:PA @ 6.00/9=0.00 02/02/2012 INV#61326.Due 02102/2012.0%*Amount$128.29. 128.29 9,063,70 ---Commodity A/R, 1 @$128.29=128.29 ---Tax PA @ 6.0%-0.00 03/01/2012 INV 461698.Due 03/01/2012,Orig.Amount$125.78. 125.78 9,189.48 ---Commodity A/R, 1 @$125.78=125.78 ---Tax:PA @ 6.0%=0.00 03/31/2012 INV#61998.Due 03/31/2012.Orig.Amount$136.46. 136.46 9,325.94 ---Commodity A/R, 1 @$136.46-136.46 - Tax.PA @ 6.0%=0.00 05/02/2012 INV##62293.Due 05102/2012.Orig.Amount$147.65. 147.65 9,473.59 --Commodity,AIR, I @$147.65=147.65 --TAX:PA(a?C0%=0.00 05/31/2012 INV#62628.Due 05/31/2012,Orig.Amount$136.04_ 136.04 9,609.63 ---Commodity A/p, I @$136.04=I36.04 --Tax:PA @ 6.0%=0.00 CURRENT 1-30 DAYS PAST 31-60 DAYS PAST 151-90 DAYS PAST OVER 90 DAYS DUE DUE DUE PAST DUE Amount Due 0.00 127.98 151.62 146.91 10,485.26 $10,911.77 Page 2 Ed's Custom Milli og,LLC Statement 7500 Rice Road Shippensburg Pa 17257 Date 3/5/2013 TO, C/O ESTATE SETTLEMENT FRED MCGILLVARY(DECEA,SED) 122 BUTTERMILK ROAD NEWVILLE PA 17241 Amount Due Amount Enc. $10,911.77 Date Transaction Amount Balance 06/3012012 INV#FC 13.Due 06/30/2012.prig.Amount$142.76. 142.76 9,752.39 Finance Charge ---Fin Chg$142.76 ---invoice 056459 fvr 40.73 on 12/06/2010 --Invoice#56753 for 3,712.93 on 01/03/2011 •—Invoice#57067 for 36.73 on 01/31/2011 ---Invoice 457115 for 3,786-33 on 02/03/2011 ---Invoice#573%for 69.28 on 03/01/2011 --Invoice#57424 for 20.00 on 03/03/2011 ---invoice 457787 for 132.75 on 04/02/2011 --Invoice#58120 for 111.67 on 05/01/2011 --Invoice#58456 for 121.48 on 06/01/2011 ---invoice 458831 for 123.23 on 07/0212011 Invoice#59184 for 137.21 on 08/05/2011 ---Invoice#59556 for 106.88 on 08/31/2011 --Invoice#59928 for 128.94 on 10/01/2011 ---Invoice#60215 for 130.77 on 11/01/2011 ---Invoice#60596 for 124.36 on 11/30/2011 --Invoice#60997 for 152.12 on 01/04/2012 ---Invoice#61326 for 128.29 on 02/02/2012 --Invoice#61698 for 125.78 on 03/01/2012 ---Invoice#61998 for 136.46 on 03/31/2012 ---Invoice#62293 for 147.65 on 05/02/2012 CURRENT 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS DUE DUE DUE PAST DUE Amount Due 0.00 127.98 151.62 146.91 10,48526 $10,911.77 Page 3 Ed's Custom Milling,LLC Statement 7500 Rice:R.oad Shippensburg Pa 17257 Date 3/5/2013 To: C/O ESTATE SETTLEMENT FRED MCGILLVARY(DECEASED) 122 BUTTERMILK ROAD NEWVILLE PA 17241 Amount Due Amount Enc. $10,911.77 Date Transaction Amount Balance 0713I/20I2 rNV#FC 42.Due 07/31/2012,Orig.Amount$149.65. 149.65 9,902.04 Finance Charge --Fin Chg$149.65 --Invoicc#56459£or 40.73 on 12/06/2010 ---Invoice#56753 for 3,712.93 on 01/03/2011 ---Invoice#57067 for 36.73 on 01/31/2011 ---Invoice 457115 for 3,786.33 on 02/03/2011 --Invoice#57396 for 69.28 on 03/01/2011 —Invoice#57424 for 20.00 on 03/03/2011 --Invoice~`#57787 for 132.75 on 04/02/2011 ---Invoice#58120 for 111.67 on 05/01/2011 ---Invoice#58456 for 121,48 on 06/01/2011 --lovoire#58831 for 123.23 on 07/02/2011 ---Invoice#59184 for 137.21 on 08/05/2011 --Invoice#59556 for 106.88 on 08/3112011 – Invoice#59928 for 128.94 on 10/01/2011 ---Invoice 460215 for 130.77 on 11/01/2011 ---Invoice#60596 for 124,36 on 100/2011 --Invoice#60997 for 152.12 on 01/04/2012 ---Invoice#61326 for 128.29 on 02/02/2012 ---Invoice#61698 for 125.78 on 03/01/2012 --Invoice#61998 for 136.46 on 03/31/2012 ---Invoice#62293 for 147,65 on 05/02/2012 --Invoice 462628 for 136.04 on 05/31/2012 CURRENT 9-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS DUE DUE DUE PAST DUE Amount Due 0.00 127.98 151.62 146.91 10,485.26 $10,911.77 Page 4 Ed's Custom Wing,LLC Statement 7500 Rice Road Silippensburg Pa 17257 Date 3/5/2013 To: C/O ESTATE SETTLEMENT FRED MCGILLVARY(DECEASED) 122 BUTTERMILK.ROAD NEWVIJLLE PA 17241 Amount Due Amount Enc. $10,911.77 Date Transaction Amount Balance 07131/2012 INV#FC 42.,Due 07131/2012.Orig.Amount 5149.65. 149.65 9,902.04 Finance Charge ---Fin Chg$149.65 –,Invoice#56459 for 40.73 on 12/06/2010 --Invoice#56753 for 3,712.93 on 0 1/03/2011 --Invoice#57067 for$6.73 oja 01/3112011 ---Invoice 957115 for 3,786.33 on 02/03/2011 ---Invoice#57396 for 69.28 on 03/01/2011 --Invoice#57424 for 20.00 on 03/03/2011 --Invoice#57787 for 132.75 on 04/02/2011 --Invoice#58120 for 111.67 oia 05/01/2011 ---Invoice#58456 for 121.48 on 06/01/2011 —Invoice#58831 for 123.23 on 07/02/2011 –.Invoice#59184 for 137.21 on 08/05/2011 ---Invoice 059556 for 106.88 on 0813112011 ---Invoice#59928 for 128.94 on 10/01/2QI l --,Invoice#60215 for 130.77 on 11/01/2011 --Invoice#60596 for 124.36 on 11/30/2011 ---Invoice#60997 for 152.12 on 01/04/2012 --,Invoice#61326 for 128.29 on 02/02/2012 ---Invoice#61698 fnr 125.78 on 03/01/2012 Invoice#61998 for 136.46 on 03/31/2012 ---Invoice#62293 for 147.65 on 05102/2012 --Invoice 462628 for 136.04 on 05/31/2012 CURRENT 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST AVER 90 DAYS DUE DUE DUE PAST DUE Amount Due 0.00 127.98 151.62 146.91 10,485.26 $10,911.77 Page 4 Ed's Custom MAing,LLC Statement 7500 Rice Road Shippensburg Pa 17257 Date 3/5/2013 To, CIO ESTATE SETTLEMENT FRED MCCILLVARY(DECEASED) 122 BUTTERMILK ROAD NEWVILLB pA 17241 Amount Due Amount Enc. $10,911.77 Date Transaction Amount Balance 08/31/2012 INV#FC 74.Due 08131/2012.Orig.,Amount$151.97. 151.97 10,054.01 I±inanco Charge --Fin Chg$151.97 ---Invoice#56459 for 40.73 on 12/06/2010 ---Invoice#56753 for 3,712.93 on 01/03/2011 ---Invoice#57067 for 36.73 on 01131/2011 ---Invoice#57115 for 3,786.33 on 02/03/2011 ---Invoice#57346 for 69.28 on 03/01/2011 --Invoice#57424 for 20.00 on 03/03/2011 --Invoice#57787 for 132.75 on 04/02/2011 ---Invoice#58120 for 111.67 one 05/01/2011 •--invoice#58456 for 121.48 on 06/01/2011 --Invoice#58831 for 123.23 on 07/02/2011 -•Invoice#59184 for 137.2I on 08/05/2011 •--Invoice#39556 for 106.88 on 08/31/2011 ---Invoice#59928 for 128.94 on 10/01/2011 ---Invoice#60215 for 130.77 on 11/01/2011 ---Invoice#60596 for 124.36 on 11/3012011 --Invoice#60997 for 152.32 on 01/04/2012 --Invoice#61326 for 128.29 on 02/0242012 --Invoice 061698 for 125.78 on 03/01/2012 ---Invoice#61998 for 136.46 on 03/31/2012 ---Invoice#62293 for 147.65 on 05/02/2012 --Invoice#62628 for 136.04 on 05/31/2012 CURRENT 1-30 DAYS PAST 31-60 DAYS PAST 61-90 PAYS PAST OVER 90 DAYS DUE DUE DUE PAST DUE Amount Due 0.00 127.98 151.62 146.91 10,485.26 $10,911.77 Page 5 Ed's Custom Milling, LLC Statement 7500 Rice Road Shippensbulg Pa 17257 Date 3/5/2013 To C/O ESTATE SETTLEMENT FRED MCGILLVARY(DECEASED) 122 BUTTERMILK ROAD N.EWVILLE PA, 17241 Amount Due Amount Enc, $10,911.77 Date Transaction Amount Balance 09/28/2012 TNY#FC 87.Due 09128/2012.Orig,Amount$132.70. 132.70 10,186.7I Finance Charge ---Fin Chg$132.70 ---Invoice#56459 for 40.73 on 12/06/2010 --Invoice#56753 for 3,712.93 on 01/03/2011 -•-Invoice#57067 for 36.73 on 01/31/2011 ---Invoice#57115 for 3,786.33 on 02/03/2011 --Invoice#57396 for 69.28 on 03/01/2011 -•-Invoice#57424 for 20.00 on 03/03/2011 ---Invoice#57787 for 132.75 on 04/02/2011 ---Invoice#58120 for 111.67 on 05/01/2011 -,-Invoice#58456 for 121.48 on 06/01/2011 --Invoice#58831 for 123.23 on 07/02/2011 --Invoice#59184 for 137.21 on 08/05/2011 ---Invoke#59556 for 106.88 on 08/31/2011 ---Invoice#5992$for 128.94 on 10/01/2011 ---Invoice#60215 for 130.77 on 11/01/2011 --Invoice#60596 for 124.36 on 11/30/2011 ---Invoice#60997 for 152.12 on 01/04/2012 ---Invoice#61326 for 128.29 on 02/02/2012 ---Invoice#61698 for 125.78 on 03/01/2012 --Invoice#61998 for 136.46 on 03/31/2012 ---Invoice#62293 for 147.65 on 05/02/2012 --Invoice 1162628 for 136.01 on 05/31/2012 CURRENT 1-30 DAYS PAST 31-60 DAYS PAST $1-90 DAYS PAST OVER 90 DAYS DUE DUE DUE PAST DUE Amount Due 0-00 127.98 151.62 146.91 10,485.26 $10,911.77 Page 6 Ed's Custom Milling,LLC Statement 7500 Rice Road Shippensburg Pa 17257 Date 3/5/2013 To: C/O ESTATE SETTLEMENT FRED MCGILLVARY(DECEASED) 122 BVMRMILK ROAD NEWVILLEPA 17241 Amount Due Amourd Enc. $10,911.77 Date Transaction Amount Balanca 10/30/2012 INV#PC 99.Due 10/31/2012.Orig.Amount$156.40_ 156.40 10,343.11 Finance Charge .Fin Chg$156.40 —Invoice#56459 for 40.73 on 12/062010 ---Invoice#56753 for 3,712.93 on 01/03/2011 --Invoice#57067 for 36.73 on 01/31/2011 ---Invoice#57115 for 3,786.33 on 02/03/2011 ---Invoice#57396 for 69.28 on 03/01/2011 --Invoice#57424 for 20.00 on 03/03/2011 Invoice 057787 for 132,75 on 04/022011 ---Invoice#58120 for 111.67 on 05/01/2011 ---Invoice#58456 for 121.48 on 06/01/2011 ---Invoice#58831 for 123.23 on 07/02/2011 ---Invoice#59184 for 137.21 on 08/05/2011 – Invoice#59556 for 106.88 on 08/312011 - Invoice#59928 for 128.94 on 10/01/2011 ---Invoice#60215 for 130.77 on 11/01/2011 —Invoice#60596 for 124,36 on 11/3012011 --- Invoice#60997 for 152.12 on 01/04/2012 ---Invoice#61326£or 128.29 on 02/02/2012 --Invoice 061698 for 125.78 on 03/01/2012 -- Invoice#61998 for 136.46 on 03131/2012 —Invoice#62293 for 147.65 on 05/02/2012 ---Invoice 462628 for 136.04 on 05131/2012 CURRENT 1-30 DAYS PAST 1 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS DUE DUE DUE PAST DUE Amount Due 0.00 127.98 151.62 146.91 10,485.26 $10,911.77 Page 7 Ed's Custom Ming,LLC Statement 7500 Rice Road SMppensburg Pa 17257 Date 3/5/2013 To: C/O ESTATE SETTLEMENT FRED MCGILLVARY(DECEA,SED) 122 BUTTERMILK ROAD NEWVILLE PA 17241 Amount Due Amount Enc. $10,911.77 Date Transaction Amount Balance 11/3012012 lNV#FC 106.Due 11/30/2012.Orig.Amount$142.15. 142,15 10,485.26 Finance Charge ---Fin Chg$142.15 --Invoice#56459 for 40.73 on 12/06/2010 Invoice#56753 for 3,712.93 on 01/03/2011 --Invoice#57067 for 36.73 on 01/3112011 --Invoice#f57115 for 3,786.33 on 02103/2011 --Invoice#57396 for 69.28 on 03/01/2011 --Invoice#57424 for 20.00 on 03/03/2011 ---Invoice##57787 for 132.75 on 04/02/2011 ---Invoice 458120 for 111.67 on 05/01/2011 --Invoice#58456 for 121.48 on 06101/2011 ---Invoice 458831 for 123.23 on 07/02/2011 ---Invoice#59184 for 137.21 on 08/05/2011 ---Invoice#59556 for 106.88 on 08/31/2011 - Invoice#59928 for 128.94 on 10/01/2011 --Invoice#60215 for 130.77 on 11/01/2011 ---Invoice#60596 for 124.36 on 11/30/2011 --Invoice 060997 for 152.12 on 01/04/2012 --Invoice#61326 for 128.29 on 02/02/2012 -��Invoice#61698 for 125.78 on 03/01/2012 --Invoice#61998 for 136.46 on 03/31/2012 ---Invoice#62293 for 147.65 on 05/02/2012 ---Invoice#62628 for 136.04 on 0$/31/2012 CURRENT 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS DUE DUE DUE PAST DUE Amount Due 0.00 127.98 151.62 146.91 10,485.26 $10,911.77 Page 8 Ed's Custom Milling,LLC Statement 7500 Rice Road Shippensburg Pa 17257 Date 3/5/2013 To: C/O ESTATE SETTLEMENT FRED MCGILLVARY(DECEASED) 122 BUTTERMILK ROAD NEWVU,LE PA 17241 Amount Due Amount Enc. $10,911.77 Date Transection Amount Balance 12/31/2012 INV#FC I18.Due 12/31/2012.Orig.Amount$146.91. I46.91 I0,632,17 Finance Charge Fin Clog$146.91 --Invoice#56459 for 40.73 on 12/06/2010 ---Invoice#56753 for 3,712.93 on 0 1103/2011 ---Invoice 057067 for 36.73 on 01/31/2011 —Invoice#57115 for 3,786.33 on 02103/2011 ---Invoice#57396 for 69.28 on 03/01/2011 --Invoice#57424 for 20.00 on 03/03/2011 --Invoice#57787 for 132.75 on 04/02/2011 ---Invoice#58120 for 111.67 on 05/01/2011 --Invoice#58456 for 121.48 on 06/01/2011 ---Invoice#58831 for 123.23 on 07/02/2011 --- Invoice#59184 for 137.21 on 08/05/2011 --ItMiCO#59556 for 106.88 on 09131/2011 ,--Invoice#59928 for 128.94 on 10/01/2011 Invoice#60215 for 130.77 on 11/01/2011 Invoice 4605%for 124.36 on 11/30/2011 --Invoice#60997 for 152.12 on 01/04/2012 - Invoice 061326 for 128.29 on 02/02/2012 --invoice#61698 for 125.78 on 03/01/2012 ---Invoice#61998 for I36.46 on 03/31/2012 ---Invoice#62293 for 147.65 on 05/02/2012 --Invoice#62628 for 136.04 on 05/31/2012 CURRENT 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS DUE DUE DUE PAST DUE Amount Due 0.00 127.98 151.62 146.91 10,485.26 $10,911.77 Page 9 Ed's Custom Milling, LLC Statement 7500 Rice/toad Sbippensburg Pa 17257 Date 3/5/2013 To: C/O ESTATE SETTLEMENT FRED MCGILLVARY(DECEASED) 122 BUTTERMILK ROAD NEWVU,LF,FA 17241 Amount Due Amount Enc. $10,911.77 Date Transaction Amount Balance 02/01/2013 MV#FC 140.Due 02/0I/2013, Odg.Amount$151.62. 151.62 10,783.79 Finance Charge ---Fin Chg$151.62 ---Invoice 056459 for 40.73 on 12/06/2010 --Invoice#56753 for 3,712.93 on 01/03/2011 ---Invoice#57067 for 36.73 on 01/31/2011 -- Invoice#57115 for 3,786.33 on 02/03/201 t – Invoice#57396 for 69.28 on 03/01/2011 --Invoice#57424 for 20.00 on 03/03/2011 ---Invoice#57787 for 132.75 on 04/02/2011 --Invoice#58120 for 111.67 on 05/01/2011 --Invoice#58456 for 121.48 on 06/01/2011 --Invoice 458831 for 123.23 on 07/02/2011 ---Invoice#59184 for 137.21 on 08/05/2011 ---Invoice#59556 for 106.88 on 08/31/2011 --Invoice 059928 for 128.94 on 10/01/2011 ---Invoice#60215 for 130.77 on 11/01/2011 ---Invoice#60596 for 124.36 on 11/30/2011 —Invoice#60997 for 152.12 on 01/04/2012 ---Invoice#61326 for 128.29 on 02/02/2012 ---Invoice#61698 for 125.78 on 03/01/2012 ---Invoice#61998 for 136.46 on 03/31/2012 ---Invoice#62293 for 147.65 on 05/02/2012 ---Invoice#62628 for 136.04 on 05/3112012 CURRENT 1-30-DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS Amount Due DUE DUE DUE PAST DUE T 0.00 127.98 151.62 146.91 10,485.26 $10,911.77 Page 10 Ed's Custom Milling,LLC Statement 7500 Rice Road Shippensburrg Pa 17257 Date 3/5/2013 To: C/O ESTATE SETTLEMENT FRED MCGILLVARY(AEC,EA,SED) 122 BUTTERMILK ROAD NEWVILLE FA 17241 Amount Due Amount Enc. $10,911.77 Date Transaction Amount Balance 02/28/2013 INV#FC 192.Due 02/28/2013.Orig.AmoanL$127.98. 127.98 10,911.77 Finance Charge ---Fin Chg$127.98 --Invoice#56459 for 40.73 on 12/06/2010 ---Invoice 056753 for 3,712.93 on 01/03/2011 --Invoice#57067 for 36.73 on 01/31/2011 ---Invoice#57115 for 3,786.33 on 02/03/2011 --Invoice#57396 for 69.28 on 03/01/2011 --Invoice#57424 for 20.00 on 03/03/2011 ---Invoice#57787 for 132.75 on 04/02/2011 ---Invoice#58120 for 111.67 on 05101/2011 ---Invoice#58456 for 121.48 on 06/01/2011 ---Invoice#58831 for 123.23 on 07/02/2011 ---Invoice 059184 for 137.21 on 08/05/2011 ---invoice#59556 for 106.88 on 08/31/2011 ---Invoice#59928 for 128.94 on 10/0 1/2011 ---Invoice#60215 for 130.77 on 11/01/2011 ---Invoice#60596 for 12436 on 11/30/2011 Invoice#60997 for 152.12 on 01/04/2012 --Invoice#61326 for 128.29 on 02/02/2012 ---Invoice#61698 for 125.78 on 03101/2012 --Invoice#61998 for 136.46 on 03/31/2012 ---Invoice#62293 for 147.65 one 05/02/2012 --Invoice#62628 for 136.04 on 05/31/2012 CURRENT 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS DUE DUE DUE PAST DUE Amount Due 0.00 127.98 151.62 146.91 10,485.26 $10,911.77 Page 11 IN THE COURT OF COMMON PLEAS OF THE 9TH JUDICIAL DISTRICT OF PENNSYLVANIA - CUMBERLAND COUNTY BRANCH ORPHANS' COURT Estate of Fred McGiilvrary File No. 21-12-2806 PROOF OF SERVICE 1 hereby certify that on the day of March, 2013, 1 caused to be served a true and correct copy of the within Statement of Claim in this estate by Ed's Custom Milling, LLC upon the following individual by first class mail postage prepaid: Martson Law Office Hubert X. Gilroy, Esq. 10 East High St. Carlisle, PA 17013 1 further certify that the statements made herein are true and correct, and I understand that if any false statements were made herein, the same would be subject to the penalties of 18 Pa. C. S. Section 4904, relating to unsworn falsification to authorities. 4Josep .4Macaaluso, Esq.