HomeMy WebLinkAbout06-04-14 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA
IN RE: ) ORPHANS' COURT DIVISION
ESTATE OF )
PATRICIA ANN GROHOL )
DECEASED ) No. 2013-01258
)
) SATISFACTION AND RELEASE OF
) CREDITOR'S CLAIM
)
)
)
) FILED ON BEHALF OF:
) JACQUELINE J. AYERS
) ADMINISTRATOR
)
)
)
)
)
) COUNSEL OF RECORD FOR
) THIS PARTY:
)
) CHARLES L. HOLSWORTH, ESQ.
) PA. I.D. #36787
)
) HOLSWORTH, SANDER AND
) ASSOCIATES, P.C. ° �
) 5801 BROWNSVILLE ROAD r � �� `�'
) PITTSBURGH, PA 15236 � O `�' �=�' °
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) FIRM #875 � '- �°� i, .s ", � i��
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IN THE PROBATE COURT IN AND FOR CUMBERLAND COUNTY
IN RE: Estate of PATRICIA ANN GROHOL
Claimant: See attached claim detail
Case No: 2013-01258
Account No: See attached claim detail
SATISFACTION AND RELEASE OF CREDITOR'S CLAIM
The Claimant(s) listed on the attached claim detail has/have received the sum of $ 1,617.83
as payment in satisfaction of the Claim filed in the above-referenced matter and hereby releases
the Estate and Personal Representative from any and all indebtedness relating to the Claim.
Dated: � day of , 20�
Signature:
�!i��
Printed Name:
Diane Arndt �
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Claim Detail
CDR255707
IN RF.THF.ESTATE OF: pATRICIA ANN GROHOL
CASE NUMBER: 2013-01258
PF RFFF.RF.NC'E NO: CL541303
Claim detail is as follows:
************5504
CAPITAL ONE
$2,022.29
UNSECURED.
THE DECEDENT PURCHASED GOODS AND/OR SERVICES IN THE AMOUNT OF $2,022.29,
EVIDENCED BY ACCOUNT NUMBER************5504.
Claim Balance: $2,022.29
CAPITAL ONE REFERS TO EITHER CAPITAL ONE N.A. OR CAPITAL ONE BANK USA,
N.A.
Cleim Details CAPONE R20121227