HomeMy WebLinkAbout07-08-13 NOTICE OF CLAIM
(Filed Pursuant to 20 Pa.C.S. § 3532)
COURT F COMMON PLEAS OF
cum b (ge 1,4 rya COUNTY;PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF D, Ne-s " t 13 l"q k e- -, DECEASED
No. 'C70
To the Clerk of the Orphans' Court Division: nn {�
Enter the claim of I`A f Xj61 l f i, 8 O WSE C in the
(Claimant)
amount of s 3 / ; against the above entitled Estate.
The Decedent; who resided at 31,54 m g "e S f e x "ed. ('A mg P if jlv
(Street Address)
I I all W a/ R 11e v )—Ly died on -F,Q N(4 ,4 R 4e 17�, d O la Written notice of
1 / ate of Death)
said claim was given to T�}A M e /A Y fl Z QU e 'Z rho Yep 4 M e.Se-b e t, ts9 wige AY-
ersanal Representptive or hisJher counset)
at /0 FAst �;g� St eAgi,g.i,e ► '70,3
—i� (Address)
on J4 �4
013
9111,1
(Clabnanl)
(Street Address)
cl pW /7 a /c 4
ty,State,Zip) o
(140-tr IV tto 0 74i.? m1777 rn
M n
(Claimant's Coun. ) (Supreme Court 1.D.No.) 7 O e-.., 2
s�It � Y Cvol - t�011' 4 � �'d' 7s CO
rns � �; cs
(Address)(,j rn
1 P p 1 a z cz, x
-7•d 13' y cn � ,� cs
-ri
07171 aY� - yy3� " a
° ca r= rn
(Telephone) ,� –'� O N O In
D c,.)
Form OC-07 rev. 10.13.06