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IN RE: ESTATE OF DOROTHY E. POMRANING : ORPHANS' COURT DIVISION
LATE OF THE BOROUGH OF CARLISLE : COURT OF COMMON PLEAS
CUMBERLAND COUNTY
: PENNSYLVANIA
NO. 21-13-0672
ORDER OF COURT AND RULE TO SHOW CAUSE
AND NOW this _A�lL day of qV/ '✓`a , 201$ upon
presentation and consideration of Petitioner's Petition for' ettlement of a Small Estate,
filed pursuant to 20 Pa. C.S. §3102, it is hereby ORDERED and DECREED that:
1. A Rule is hereby issued upon the Respondent, Commonwealth of
Pennsylvania, Department of Public Welfare, to show cause, if any they have,
as to why their claim for Medicaid Reimbursement should not be discharged
and otherwise why the requested distribution set forth herein by Petitioner
should not be approved.
2. Said Rule is returnable thirty (30) days after service by certified mail upon the
Commonwealth of Pennsylvania, Department of Public Welfare, Third Party
Liability Division, Estate Recovery Section, P. O. Box 8486, Harrisburg, PA,
17105.
3. Notice of entry of this Order shall be provided to all parties by Petitioner.
By the Court,
J.
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ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
In Re: DOROTHY E POMRANING CUMBERLAND COUNTY
PENNSYLVANIA
NO.21-13-0672
CERTIFICATE OF SERVICE OF ORDER
ORDER DATE: 1/ 014
JUDGE'S INITIALS: CLP
TIME STAMP DATE: 1/8/2014
IN RE: ORDER OF COURT AND RULE TO SHOW CAUSE
...........................................................................................................
SERVICE TO: BRADLEY L GRIFFIE 200 N HANOVER ST CARLISLE PA 17013
KATIE J EAST DEPT OF PUBLIC WELFARE THIRD PARTY LIABILITY DIVISION PO BOX
8486 HBO PA 17105-8486
METHOD OF MAILING: ENVELOPES PROVIDED BY:
®USPS ®PETITIONER
❑RRR ❑JUDGE
❑HAND DELIVERED ❑ CLERK OF ORPHANS COURT
❑ OTHER
MAILED: 119/2014
................................................
SERVICE TO:
METHOD OF MAILING: ENVELOPES PROVIDED BY:
❑USPS ❑PETITIONER
❑ RRR ❑JUDGE
❑HAND DELIVERED ❑CLERK OF ORPHANS COURT
❑OTHER
MAILED: Q�(('��� /n p�
Deputy
Clerk of Orphans'Court