HomeMy WebLinkAbout04-07-14 'REGISTER OF WILLS
#1 COURTHOUSE SQ
CARLISLE, PA 17613
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IN RE: ESTATE OF n r MM
000049 .�_Z � �] O
DONNIE C. ARTIS pt� Y,R
22 BIG HORN AVE n o ° -o
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MECHANICSBURG, PA 17055-5515 z t—' r M rn -
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File Number: ai' 14-6285
DECEASED DATE: 01/27/14 Division:
STATEMENT OF CLAIM
The undersigned hereby presents for filing against the above estate this statement of claim and alleges:
1. The basis of the claim is goods and services provided DONNIE C. ARTIS and charged on account
#579911972.
2. The name and address of the claimant is:
Credit First National Association
Revolving Charge Account for FIRESTONE COMPLETE AUTO CARE Customers
BK13/Credit Operations
PO Box 818011
Cleveland,Ohio 44181-8011
3. The amount of the claim is$1,175.96 which amount is now due and owing.
4. The claim is not contingent.
5. The claim is not secured.
6. A statement of the account is attached.
Under penalties of perjury,I declare that I have read the foregoing and the facts alleged are true,to the
best of my knowledge and belief.
Executed this 12th day of March, 2014.
CREDIT FIRST NATIONAL ASSOCIATION REVOLVING CHARGE ACCOUNT FOR
FIRESTONE COMPLETE AUTO CARE CUSTOMERS
Claimant t
By: \ \C
Credit Representative
on
Copy a �G to fir onal representative
E03/11,/14 S7991197-2
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Tr MP: 82t3
ACCT: 579911972 PRIV ID: 31.99s1779 PL:
DONNIE C ARTI,^3
MECHANICSBURC' PA 1-7055-S515-22
3ALANCE: $1, 197. 68
TYPE DATE ST0Rr- TICKET mauhrr INT INSIOP i=�'%A
G MT 02/27/14 i'fD BALANCE.
2'i.. 72 0: , M3. y)G 164. L7.f 197. b8
DAP 02/25/14 h4h 9 21626 90. 00 De� i,i; Far CFF,Il, x'11--1 F �rramerl i;
ACH 02/19/14 0t'}00 981679 90. 00_ CFNA A
STMT 01/27/14 Ohi P �yr:;_i7t, - Thank Yrj
r'.1.. 49 C%Q ` 2 00 b. 0{1 1 /5. 9r`.s
LPF t11/23ii4 561,5 777771
31. 00 Late Paumen i' +
CASH 01f07/14 19003 190111 40, 00-
STMT 12/27/13 i d2
CASH 12/ 10/13 190)03 18018�> . {):�r 46. ti{] . �:7C] 1, 159. 47
35. 00-
CASH 12/10/13 19+003 180005 is. 00-.-
91"MT Ii /27/i3
z r_,
CAST-i i i /22/M 1900; 16000 �. 3._ OO 4[,. 0°] 00 i s 187. 6S
ASH 11 /1.8/1:3 19003 180075 25. 00-
10/2:7/1;3 50. 00
CASH 1,0/09/13 .19003 19001;.3 $u 00 2:3. 06 0 5fk. 00 00 ? : G 3S. ti't_'}
CASH 10/09/1,3 19003 19001.:5 50. 00-
SALE 09/28/13 44,2682 1091.61.STMT 221. 95 Autamafiive 1 us ::he,se
STMT 09/2'7/13 20. 82
GASH 09/27:'13 19003 160005 45. 00- DO 30. +]0 0:.) is 12? . 91''
LPF 09/2'-4/13 5665 7777"7'7 35 }'
STMT 7. 0() Late �'s3Ufi3EPi±: �f' t
CAST O�.-r./r?7J13 21. 01 t]{) _: i1`;.
CASH 08/12/13 19003 1�?OOB3 50. G+0-_ 1-7
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