HomeMy WebLinkAbout11-17-14 IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
IN THE MATTER OF :
SARAH QUIMBY, :
An Alleged Incapacitated Person : No. �,I�-�� � �?���,�� �
AFFIDAVIT OF SERVICE
The undersigned hereby verifies that he made personal service of the Citation and
Petition upon the alleged incapacitated person.
Such personal service was made on October _U`1 , 2014 at�_: 3 (� �.m. at
Messiah Lifeways, 100 Mt. Allen Road, Mechanicsburg,�Pennsylvania, 17055.
The undersigned hereby verifies that at such time, he explained the contents and terms of
the Petition to the alleged incapacitated person to the maximum extent possible in language and
terms the alleged incapacitated person was most likely to understand.
The above statements are made subject to the penalties of 18 Pa.C.S. § 4904 relating to
unsworn falsifications to authorities.
Date: �� - a q - �� l.(/�
Ken Beiler,NHA
Administrator
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