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COURT OF COMMON PLEAS
CUMBERLAND COUNTY,PENNSYLVANIA
ORPHANS' COURT DIVISION
In Re: Estate of LARRY L. WALTERS, . No, �J_j;�- I�y�:
Deceased. ,
NOTICE OF CLAIM FILED PURSUANT TO 20 Pa. C.S. §3532 OF THE
PROBATE ESTATES AND FIDUCIARIES CODE
To the Clerk of Orphans' Court:
Enter the claim Presbyterian Homes, Inc. d!b/a Green Ridge Village (Green Ridge
Village) in the amount of $16,791.04. The sum of $16,791.04 is a priority claim under 20
Pa.C.S.A. § 3392(3) for the value of nursing care and services rendered to the Decedent within
six (6) months of death.
The decedent, who resided at Green Ridge Village, located at 210 Big Spring Road,
Nevwille, Pennsylvania 17241, died on December 20, 2012. Written notice of said claim was
given to Robert G. Frey, Esquire, Attorney for the Estate of Larry L. Walters, at 5 South Hanover
Street, Carlisle, Pennsylvania 17013.
Respectfully submitted,
Dated: �\ �`V '� �� � � � ( � `�
l � By: � v� � � � �
` Nicole M. Weigel
Attorney I.D. Number 206827
Presbyterian Senior Living
One Trinity Drive East, Suite 201
� � � � Dillsburg, PA 17019
� � � � . (717) 502-8976—Phone
� �» E ,� � � (717) 502-8843 —Faa�
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CERTIFICATE OF SERVICE
I hereby certify that a true and correct copy of the foregoing Notice of Claim was served
First-class United States Mail, upon the following:
Robert G. Frey, Esquire
Attorney for the Estate of Larry L. Walters
5 South Hanover Street
Carlisle, PA 17013
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Dated:_ l'1 �"��1�� B ��� i �� � ��� � � �
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Nicole M. Weigel, Esquire