HomeMy WebLinkAbout10-06-14 (2) NOTICE OF CLAIM
(Filed Pursuant to 20 Pa.C.S. § 3532)
COURT OF COMMON PLEAS OF
Cumberland COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
EsTaTE oF David Sybert ,DECEASED
No.21-14-0054
To the Clerk of the Orphans' Court Division:
Enterthe claim of ELITE ENTERPRISE SERVICES LLC C/O Simm Asso�iates In�.in the
(Claimant)
amount of$$965.0� , against the above entitled Estate.
The Decedent,who resided at 44 C U M B E R LAN D AV E.
(Street Address)
SHI PPENSBURG, PA 17257 , died on 1 O/25/2013 . Written notice of
(Date ojDeath
said claim was given to DaVIC) E S�/I�el� C/O WIIIlal11 DUnCan Sq
(Personal Representativ o his/her cou
at 1 Irvine Rd Carlisle PA 17013
(Address)
on 09/30/2014
(Date)
ELI C/O Simm Associates,Inc.
(Cla ant)
80 Pencad Dr
(Street Address)
Newark. DE 19702
(City,State,Zip)
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Form OG07 rev.10.13.06
STATEMENT OF CLAIM
STATE OF: PENNSYLVANIA COUNTY OF: CUMBERLAND
ESTATE OF: David Sybert Estate#: 21-14-0054
This claim is being filed on behalf of ELITE ENTERPRISE SERVICES LLC, 56
HEYWOOD STREET WORCESTER, MA 01604.
The nature of the claim is for the CashNet account# 1243351. This account was
established on 02/22/2008 and said balance has accrued since that date. The balance due
on the account is $965.00.
The balance has accrued since the accounts inception and said balance represents
an accumulation of charges as posted to the account number described above.
I declare or affirm that I have read thi do ument know or believe its
representations are true and complete.
o an, Ag t
SIMM sso 'ates
800 Pencader
Newark, Delaware 19702
STATE OF DELAWARE,NEW CASTLE COUNTY,
SUBSCRIBED AND SWORN TO before me this 9/30/2014.
To me known and known to me to be the same person described in and who executed the
foregoing instrument and she duly acknowl ed to me that she executed the same.
�
� "
Notary Public: Danielle M. Gibbs
Expiration Date: August 19, 2(l l j