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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 DIVISION
ESTATE OF EDNA M BERTOLETTE DECEASED
No 21-14-0229
To the Clerk of the Orphans' Court Division:
Enter the claim of Phillips & Cohen Associates,Ltd. on behalf of Portfolio Recovery Associate$in the
(Caimans)
amount of$ 2,847.25 against the above entitled Estate.
The Decedent, who resided at 1600 HEMLOCK LN DAUPHIN, PA 17018
(Street Address)
died on 03/03/2014 Written notice of
(Date aJ'Death)
said claim was given to Michael Bangs Esq. & Jack I Bertolette
(Personal Representative or his/her counsel)
at 429 S 18th St Camp Hill PA 17011 & 1600 Hemlock Lane Dauphin PA 17018
(Address)
on 07/21/2014
(Date)
( ant)
1002 Justison Street
(Street Address)
Wilmington, DE 19801
(City,State,Zip)
(Claimant's Counsel) (Supreme Court I.D.No)
(Address)
(Telephone) �T ;
ZT
371 2
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Form OC-07 rev. 10.13.06 nC+' -' �' f:711
�1l J
STATE OF PA STATEMENT AND PROOF OF FILE NO:
PROBATE COURT CLAIM 21-14-0229
CUMBERLAND COUNTY
ESTATE OF EDNA BERTOLETTE
Cumberland County Register of Wills
One Courthouse Square, Room 102
Carlisle,PA 17013
Phillips & Cohen Associates, Ltd., located at 1002 Justison Street, Wilmington, Delaware 19801
on behalf of Portfolio Recovery Associates, LLC. submit the following claim against the estate
for the sum set forth.
DESCRIPTION VALUE
Account#: XXXXXXXXXXY{-X4092
Amount Due: $2,847.25
PCA File#: 19914957
There is now due on the claim, including applicable legal set-offs, the $2,847.25
sum of:'
Notice to interested parties: This is a claim for services rendered and/or 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 its contents are true to the best of my information, knowledge and belief.
Afftl orized Signature
Chakeya Smith, Manager
Phillips & Cohen Associates,Ltd.
The Creditor's Rights & Bankruptcy Group
A Division of Phillips & Cohen Associates, Ltd.
1002 Justison Street
Wilmington;.Delaware 19801 -
Telephone: (866) 342-4270 . - __
Fee S10
PROOF OF SERVICE OF CLAIM
I
I served upon the Estate of EDNA BERTOLETTE, a copy of this claim on 07/21/2014 via
United States Postal Service to:
Michael Bangs Esq.
429 S 18th St
Camp Hill,PA 17011
Jack I Bertolette
1600 Hemlock Lane
Dauphin, PA 17018
1 served upon the Estate of EDNA BERTOLETTE, a copy of this claim on 07/21/2014 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 our information,knowledge, and
belief.
07/21/2014
Date ignature
Chakeya Smith, Manager
ACCEPTANCE OF SERVICE
Service of the attached claim is accepted.
Date Signature
The following account summary is provided:
SUMMARY OF ACCOUNT
1. ACCOUNT NUMBER: XXXXXXXXXXXX4092
2. NAME IN WHICH CARD ISSUED: EDNA BERTOLETTE
3. OPEN DATE: 02/12/2002
4. REGARDING: CAPITAL ONE BANK,N.A./CAPITAL ONE BANK,N.A.
5. FINAL BALANCE: $2,847.25
6. PRIMARY USE OF CARD: Purchases for goods and/or services