HomeMy WebLinkAbout09-06-13 __ -�
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I NOTICE OF CLAIM
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF VERONICA C. MURPHY, DECEASED
No. 21-13-0814
o the Clerk of the Orphans' Court Division:
Kindly enter the claim of Messiah Lifeways in the amount of$8,349.96 against the
bove-captioned Estate. The Decedent,who resided at 100 Mt. Allen Drive, Mechanicsburg,
ennsylvania 17055, died on July 22, 2013. This claim is a priority claim under
0 Pa.C.5. §3392(3) for nursing facility services rendered within six (6) months of the date of
eath. Written notice of said claim was given to Patrick Murphy at ll lu Street,New
umberland, Pennsylvania 17070, Executor of the Estate of Veronica C. Murphy an
eptember 5, 2013.
Claimant: Messiah Lifeways
100 Mt. Allen Road
Mechanicsburg, PA 17055
Respectfully Submitted,
Latsha Davis & McKenna, P.C.
ate: � � �a/3 �
St ve . n esor
Attorney No. 74244
1700 Bent Creek Boulevard, Suite 140
�n � Mechanicsburg, PA 17050
°�; <n N � - Phone: (717) 620-2424
v,, -' .-+ � ° Fax: (717) 620-2444
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�: . C e> v o smontresor@ldylaw.com
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MESSIAH �' �� �`�� � �""� � "
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ac MESSIAH VILLAGE
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1 MT.AI.LEN DRIVE,MECHANICSBURO,PA 17055 R SlpENT# UNIT STMT. DATE
61220 257 D 07/31/2013
RESIQENT S
PAT CK MURPHY Mrs.VERONICA MURPHY
1311 AK LANE
NEW UMBERLAND,PA 170T0 TOTAL AMOUNT DUE 9.96
DATE RUE OS/31/2013
$
DATE DESCRIPTWN RATE ��� CNAROES CREdttB BALANCE
Batance Fonvard 6,249.47
07/31/Z013 MEDICARE PART B CO-INSURANCE 26.00 6,275.47
DOS 4/3-4/10/13
***Nursin�Care ***
07/21/201 PATIEIVT LIABILITY 07/O1-07/21 326.00 21.00 2,074.49 8,349.96
RESIDE T# CURRENT OVEFi 30 OVER 80 OVER 90 OVER 120 TOTAI.AMOUNT DUE
6122 2,074.49 2,074.49 2,074.49 2,126.49 0.00 $8,349.96
RESIDEN NAME Mrs.VERONICA MiJRPHY ,FV,°""P&01
Please ma� check pryable to Mes�ah Lifewaye at Mesctah Village.
A 1%11nan e chsrge mey be anetecd on accounte for wL[c6 payment hae not been recelved by We due date. Thsnk you!
If you h ve any queeHons or concerns�bout your bill,please address them d►rectiy to Fiscal3ervlcea at 790-8220. Thank You!
____ _
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COURT OF COMMON PLEAS OF
i CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF VERONICA C. MURPHY, DECEASED
No. 21-13-0814
CERTIFICATE OF SERVICE
The undersigned hereby certifies that on this date a true and correct copy of the foregoing
otice of Claim was served via Certified Mail, Return Receipt Requested and First-Class United
tates mail, postage prepaid, upon the following:
Patrick Murphy, Executor
111`h Street
New Cumberland, PA 17070
ated: � �' �/3 _,��
Steven M. Montresor
297972v1