HomeMy WebLinkAbout07-22-13 NOTICE OF CLAIM ,
(Filed Pursuant to 20 Pa.C.S. § 3532)
/Y COURT OF COMMON PLEAS OF
C�I.1 vn �er IarJ� COUNTY,PENNSYLVANIA
ORPHANS' COURTDIVISION
ESTATE OF �U���dViT� »1a�1 , DECEASED
rro. 02�-�3-z�7
To the Clerk of the Orphans' Court Division:
Enter the claim of__!\�lA�-h�S LX.+� S�✓✓�'ce_ in the
(Gaiman!)
amount of$ 9/9 3� , against the above entitled Estate.
The Decedent, who resided at ������ �,� �.�p�;,�� aa c�
/sr. �Add.es:�
�v��.S �e� �a ���13 , died on��—/6—020 /3 . Written notice of
(Date ofDealhJ
said claim was given to 1rw;� � mc�v tuLr{
at �b W .{ P �,�, �.�, (Personal Represenmlive or his/her counselJ
es ov„ ,��-tCarL�clAy Pa 17oi3
(Address)
on �-I�- aUl3 ��j�;� ((},'/ 32.v✓�ce
(Dote) ' V-v �� Cl�de �
�-'��-�- �� �ko a h
(CJaimarctJ Q
. ��� ��EC,�S�vtuNflOa�� ��1.�0�( 11�.
(Street Address)
�ewv� ll�, �.a 17�µ 1
�cuy,srare,z�v�
c� —
c w � �
(ClarmanYsCounsel) (SupremeCaurl/.D.No.J � � L_ �T'! n
n _u c �? o
(Address) � +� r' N '-� � �
p ?' fr �v f�� Ct}
.. Cn i �:i O
p � � O �J
C7 O �i � '3 `"}
O C= '- �7
F-� �:: �
(Telephone) : � fV t"' rry
�
b Ul C» '.�
CJ `�7
Form OC-07 rev. 10.13.06 -
�