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NOTICE OF CLAIM
(Filed Pursuant to 20 Pa.C.S. § 3532)
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DNISION
ESTATE OF JACK E BERTOLETTE
, DECEASED
No. 2114-0228
To the Clerk of the Orphans' Court Division:
Enter the claim of Phillips & Cohen Associates, Ltd. on behalf of Barclays Bank Delaware
in the
amount of$ 4,185.26 �c�a'man`�
, against the above entitled Estate.
The Decedent, who resided at 1600 HEMLOCK LN, DAUPHIN, PA 17018-9391
(Sh-eet Address)
, died on 03/03/2014 . Written notice of
said claim was given to Michael L. Bangs Esq. & Jack I. Bertolette r��f��earh�
at 429 S 18th St Camp Hill PA 170ll & 1600 Hemlock LanenDauphin PA 17018
On 04�25�2014 (Address)
(Date)
�
aimant)
1002 Justison Street
(Street Address)
Wilmington, DE 19801
(Ciry,State,Zip) . �
(Claimant s Counsel) n, '-� � �
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Form OG07 rev. 10.13.06
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STATE OF PA I STATEMENT AND pROOF OF I FILE NO:
PROBATE COURT i CLAIVI
� CUMBERLAND COUNTYj � 2ll4-0228
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Cumberland Countv Re�ister of Wills
One Courthouse Square Room 10�
Carlisle PA 17013
Phillips & Cohen Associates, Ltd., located at 1002 Justison Street, Wilmington, Delaware 19801
on behalf of Barclays Bank Delaware submit the following claim against the estate for the sum
set forth.
DESCRIPTION � VALUE �
Account#: XX��:XXX��X�S��g016
Amount Due:
� $4,185.26
iPCA File#: 19791812 �
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There is now due on the claim, including applicable legal set-offs, the I
sum of: �4,185.26
I �
Notice to interested parties: This is a claim far services rendered and/ar goods provided. This
claim will be allowed unless notice of an objection by an interested person is delivered or mailed
to the court, personal representative and creditor at below address.
I declare that this claim has been examined by a representative of Phillips & Cohen Associates,
Ltd., and that i tents are true to the best of my information, knowledge and belief.
orized Signature
Chakeya Smith, l�Ianager
Phillips & Cohen Associates, Ltd. �
The Creditar's Rights & Bankruptcy Group i
A Division of Phillips & Cohen Associates, Ltd.
1002 Justison Street
Wilmington, Delaware 19801
Telephone: (866) 342-4270
Fee$10
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PROOF OF SERVICE OF CLAIM
I served upon the Estate of JACK E BERTOLETTE, a copy of this claim on 04/25/2014 via
United States Postal Service to:
Michael L. Bangs Esq.
429 S 18th St
Camp Hill, PA 17011
Jack I. Bertolette
1600 Hemlock Lane
Dauphin, PA 17018
I served upon the Estate of JACK E BERTOLETTE, a copy of this claim on 04/25/2014 via
United States Postal Service to:
Cumberland County Register of Wills
One Courthouse Square, Room 102
Carlisle, PA 17013
It is declared that this claim has been examined by a representative of Phillips & Cohen
Associates, Ltd. and that its contents are true to the best of ou ' formation, knowledge, and
belief.
04/25/2014
Date
ignature
Chakeya Smith, Manager
ACCEPTANCE OF SERVICE
Service of the attached claim is accepted.
Date
Signature
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The following account summary is provided:
SUMMARY OF ACCOUNT
l. ACCOIJNT NUMBER: XX��:x�;����g016
2. NAME IN WHICH CARD ISSUED: JACK E BERTOLETTE
3. OPEN DATE: 06/11/2006
4. REGARDING:
5. FINAL BALANCE: $4,185.26
6. PRIVIARY USE OF CARD: Purchases for goods and/or services