The URL can be used to link to this page

Home My WebLink About07-14-14 NOTICE OF CLAIM COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF FRANCES S. NICHOLAS, DECEASED No. 21-13-1240 To the Clerk of the Orphans' Court Division: Kindly enter the claim of Messiah Lifeways in the amount of$1,808.63 against the above-captioned Estate. The Decedent, who resided at 100 Mt. Allen Drive, Mechanicsburg, Pennsylvania 17055, died on September 8, 2013. This claim is a priority claim under 20 Pa.C.S. §3392(3) for nursing facility services rendered within six (6) months of the date of death. Written notice of said claim was given to Judith Boyer, 189 Wilcox Drive, New Cumberland, PA 17070, Executor for the Estate of Frances S.Nicholas on July 10, 2014. Claimant: Messiah Lifeways 100 Mt. Allen Road Mechanicsburg, PA 17055 Respectfully Submitted, Latsha Davis &McKenna, P.C.<.�t_�/\ Date: y Steven M. 1 ontres Attorney No. 74244 1700 Bent Creek Boulevard, Suite 140 Mechanicsburg, PA 17050 Phone: (717) 620-2424 Fax: (717) 620-2444 smontresor @ldylaw.com Ko o T T c CO c_ o rgn;ECQ r— v> Ui� 0(= -O'-{ aD f lT1 y tJi C p 435557v1 \\)\ f' P V4 MESSIAH s t �� t e m e Form P841 �Wa S� at MESSIAH VILLAGE 100 MT.ALLEN DR.,MECHANICSBURG,PA 17055 RESIDENT# UNIT I STMT. DATE 50901 001 D 09/30/2013 RESIDENT(S) JUDITH BOYER Mrs. FRANCES S. NICHOLAS 189 WILCOX DRIVE NEW CUMBERLAND, PA 17070 TOTALAMOUNT DUE $1,808.63 DATE DUE 09/30/2013 DATE DESCRIPTION RATE lDayst CHARGES CREDITS BALANCE Balance Forward 449.57 *** Nursing Care *** 09/0712013 RM/BRD-NURSING - SEMI-PVT 09/01-09/0 310.00 7.00 2,170.00 1,720.43 09107/2013 'AIR MATTRESS 09/01-09/07 5.00 7.00 35.00 1,755.43 09/07/2013 PREVAIL BRIEF 1.40 38.00 53.20 1,808.63 t :I ***HAPPY 2014! PLEASE MAKE SURE THAT YOU HAVE UPDATED ANY INSURANCE CHANGES WITH THE BUSINESS OFFICE. THANK YOU!*** RESIDENT tf CURRENT OVER30 OVER60 OVER90 OVER120 TOTAL AMOUNT DUE 50901 1,808.63 0.00 0.00 0.00 0.00 $1,808.63 RESIDENT NAME Mrs. FRANCES S. NICHOLAS Farm PB 1..: WA Please make check payable to Messiah Lifeways at Messiah Village, A I% finance charge may be assessed on accounts for which payment has not been received by the due date. Thank youl If you have any questions or concerns about your bill,please address them directly to Fiscal Services at 790-8220. Thank You! 141 MESSIAH s t a. @M e . e n t l ewa sN at MESSIAH VILLAGE 100 MT.ALLEN DR.,MECHANICSBURG,PA 17055 RESIDENT# UNIT I STMT. DATE 50901 001 D 1 12/31/2013 RESIDENT(S). JUDITH BOYER Mrs. FRANCES S. NICHOLAS 189 WILCOX DRIVE NEW CUMBERLAND, PA 17070 TOTALAMOUNT DUE $1 808.63 DATE DUE 12/31/2013 DATE DESCRIPTION RATE Unittss CHARGES CREDITS BALANCE Balance Forward 1,808.63 ***HAPPY 2014! PLEASE MAKE SURE THAT YOU HAVE UPDATED ANY INSURANCE CHANGES WITH THE BUSINESS OFFICE. THANK YOU!*** RESIDENT# CURRENT OVER 30 OVER 60 OVER 90 OVER 120 TOTAL AMOUNT DUE 50901 0.00 0.00 0.00 1,808.63 0.00 $1,808.63 RESIDENT NAME Mrs. FRANCES S. NICHOLAS FonnP"I NIA Please make check payable to Messiah Lifeways at Messiah Village. .A t% finance charge may be assessed on accounts for which payment has not been received by the due date. Thank you! If you have any questions or concerns about your bill,please address them directly to Fiscal Services at 790-8220. Thank Youl COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF FRANCES S.NICHOLAS, DECEASED No. 21-13-1240 CERTIFICATE OF SERVICE The undersigned hereby certifies that on this date a true and correct copy of the foregoing Notice of Claim was served via Certified Mail, Return Receipt Requested and First-Class United States mail, postage prepaid, upon the following: Judith Boyer, Executor 189 Wilcox Drive New Cumberland, PA 17070 Dated: - 9 Steven M. Montresor 4355570 LATSHA DAVIS & McKENNA ATTORNEYS AT LAW PLEASE REPLY TO: Mechanicsburg WRITER'S E-MAIL: smontresor @ldylaw.com July 10, 2014 cn a G W m��-,, tC' r-y C Clerk of Orphans' Court cj 1 Courthouse Square, Room 102 CDC—, Carlisle, PA 17013 oC'- - Re: Estate of Frances S. Nicholas, Deceased �' N `�CD �-t Cumberland County Estate No. 21-13-1240 Our File No.: 516-14 Dear Sir/Madam: Enclosed please find an original and one (1) copy a Notice of Claim for filing in the above-referenced matter. Also enclosed is our firm check in the amount of$10.00 for the filing fee. Kindly time-stamp the copy and return it to our office in the enclosed envelope. If you have any questions, please do not hesitate to contact our office. Thank you for your courtesy in this regard. Sincerely, Susan K. Leong Legal Administrative Assistant /skl Enclosures cc: Judith Boyer, Executor(w/enc.) Rebecca Rose, Manager of Revenue and Billing (w/enc.) 1700 Bent Creek Boulevard, Suite 140 • Mechanicsburg, PA 17050 • (717)620-2424•FAX(717)620-2444 350 Eagleview Boulevard, Suite 100 •Exton, PA 19341 •(610)524-8454•FAX (610)524-9383 3000 Atrium Way, Suite 251 • Mt. Laurel, NJ 08054• (856) 231-5351 • FAX(856)231-5341 Maryland Telephone: (410)727-2810 4355541 J 0 r n -- C) F x p o c D i v Z m � c <n o� c H U.., -. o > o =oo 3 �p s rLn N G z > z o y '17 not 0 cn :� pNV Fl (n w OI c C) I s N �+ 0 A O