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10-15-13
Capital BlueCross October 9, 2013 c n f7 I> H III o � r Rt r ' rn c Cumberland County Courthouse n s1 Register of Wills C- 1 Courthouse Sq., 1st Floor © o " , Carlisle, PA 17013-3387 y, CO to � CIO Re: Estate of Nancy Q. Grim Docket No.: 2011-00810 Dear Sir or Madam: On or about July 25, 2013, Capital BlueCross ("Capital") filed a proof of claim against the Estate of Nancy Q. Grim. Since that time Capital has received payment in full for that claim. This is a formal letter requesting that you withdraw Capital's claim against the estate. Enclosed please find our check in the amount of$10.00, representing the fee to file this Satisfaction of the Claim. Please time-stamp the copy of this letter and return it to me in the enclosed, self- addressed, stamped envelope. By copy of this letter we are notifying the executors and attorney for the Estate of the withdrawal of this claim. If you have any questions or concerns, please do not hesitate to contact me at (717) 541- 7331. Very truly yours, /-V. �J �Qp� Kimberly A. Meals Senior Paralegal /mtf cc: Kelly A. Quain-Troi, Co-Executor Michael Quain, Co-Executor Brenda Woods, Collections Specialist Health care benefit programs issued or administered by Capital BlueCross and/or its subsidiaries, Capital Advantage Insurance Company®, Capital Advantage Ass an Company®and Keystone Health Plan®Central. Independent licensees of the BlueCross BlueShield Association.Communications issued by Capital BlueCross in it c city as administrator of programs and provider relations for all companies. C-60(7/2012) Harris b rg , PA 17177 • w w w c a p b l u e c r o s s . c o