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Home My WebLink About01-15-15 NOTICE OF CLAIM COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF LILLIAN MAE HOCKLEY, DECEASED No. 2013-00948 To the Clerk of the Orphans' Court Division: Kindly enter the claim of Sarah A. Todd Memorial Home in the amount of$6,976.17 against the above-captioned Estate. Of this amount, $6,122.98 is a priority claim under 20 Pa.C.S.A. §3392(3) for nursing facility services within six (6) months of the date of death. The remaining $853.14 is a general unsecured claim The Decedent, who resided at Sarah A. Todd Memorial Home, died on July 28, 2013. Written notice of said claim was given to Robert W. Hockley, Executor for the estate of Lillian Mae Hockley, at 120 Bryce Road, Camp Hill, PA 17011 on January 14, 2015. Claimant: Sarah A. Todd Memorial Home 1000 West South Street Carlisle, PA 17013 Respectfully Submitted, Latsha Davis & McKenna, P.C. Date: � - /�- ��/S� Steve . Montresor Attorney No. 74244 1700 Bent Creek Boulevard, Suite 140 Mechanicsburg, PA 17050 Phone: (717) 620-2424 Fax: (717) 620-2444 , smontresor@ldylaw.com �., � � rn ..�,. a c_.. c� �' 0 c� � � 'n � r-.'� �— f? ..� C� -x] f F-�-� ,._�� E"t7 . -rl C,.Ti ,:,,:7 � .,'� � _a C7 .., `, . , . ._'., ..�,� —r} c;`; �i � � 'rt .�, C7 �~- ►"'' C"" f'wl _,.� � � ,—� N � � .. CJO 510649v1 STATEMENT Sarah A 7odd Memorial Home Statement Date: 12/10/2014 1000 West South Street Cariisle, PA 17013-2798 Due Date: 12/26/2014 Telephone: (717)245-2187 Amount Enclosed$ Amount Due: $ 6,976.17 Account#; 1d249$ RE: �Ilian M Hockley Robert Hockley 120 Bryce Road Camp Hill, PA 17Qi1 _; ��.i, f D.. �r `'�t... .. '. . - ... ..,.,; R�. . :#t es..... ..P�._ .!�.; Ba�.ii�..;' �?a...:: Balance B/F 6,89I.09 6,891.09 11/3Q/14 Finance Charge 85.08 6,976.17 Current 31-6Q Days 61-90 Days Over 90 Days Amount Due 85.08 85.0$ .d0 b,806.01 f,9T6 iy, , . . NOTE; *****PAYMENf IS DUE UPON RECEIPT*****BUT NO LATER THE 25TH OF 7'HE MOMH***** Please remit the AMOUNT DUE your stafement.Include the ACCT# from the statement on the MEMO 5tatement Date: 12/10/2014 of your check,Payments after 12/8/14 do not reHed on statement. Due Ddte: 12/26 2014 HOTE: **LATE PAYMENTS ARE SUB)ECT TO A 1.25%E.A7E C1IARGE PER � MONTH **A$24.00 FEE WILL BE CHARGED for RE7URNED CHECKS** Lillian M Hockfey- Account#: 102498 Sarah A Todd Memorial Home 1000 West South Street Carlisle, PA 17013-279$ Telephone; (717)245-2187 � STATEM ENT Sarah A Todd Memorial Home Statement Date: I1/10/2014 1000 West South Street Carlisle, PA 17013-2798 Due Date: 11/25/2014 Telephone: (717)245-2187 Amount Enclosed $ Amount Due: $ 6,891.09 Account#; 102498 RE: Lillian M Hockley Robert Hockley I20 Bryce Road Camp Hill, PA 17011 . .` : : ; R�y�: ` ; at�:'; ........ _.�:: .. ..: � �t3o z; ._... : :=: . �a . .;.. ,R#te . .....�hau'...E�_.. ...�� ._ ni�:: ..��es.. Balance B/F 6,806.01 6,806.01 14/31/14 Finance Charge 85.08 6,891.09 Current 31-60 Days 61-90 Days Over 90 Days Amount Due ss.as .00 .o0 6,sos.oi �ss�t� NOTE: *****PAYMENT IS pUE UPQN RECEIPT***** BIFT NO LATER THE 25TH OF THE MOIVTH***** Please remit the AMWPli'DUE your statement.Indude the ACCT# from the statement on the MEMO Statement Date: 11/10/2014 of your check.Payments after l i/7/14 do not reflect on statement. pUe Date: 11/25/2014 NOTE: **LATE FAYMENT5 ARE SUBJECTTO A 1.25%LATE CHARGE AER MONTH **A$20.00 FEE WILL BE CHARGED for RE7URNED CHECKS** Lillian M Hockfey-Aocou�t #: 102498 Sarah A Todd Memorial Homs 1000 West South Street Carlisle, PA 17013-2798 Telephone: (717) 245-2187 ` STATEMENT Sarah A Tadd Memoriet iiome Statement Date: 10/10/2014 1000 West South Street Carlisle, PA 17013-2798 Due Date: 10/25/2014 Telephone: (717) 245-2187 Amount Enclosed $ Amvunt Due: $ 6,806.Oi Account#: 10249$ RE: Lillian M Hockley Robert Hockley. 120 Bryce Road Camp Hill, PA 17011 �� _..?c�a_ �'..... P��, _.:: ..�a��s..�. .....� �?la��.� .. .. .�- :: :.._.. .�sc�{. '_�2. .., .. _A� ,:-:�Ce. ......_... , _... Balance B/F 6,806.01 6,866.01 Curt�ent 31-60 Days 61-90 Days Over 90 Days Amount Due .00 .00 ss.oi 6,�23.ao - ._.;� �;�� , NOTE: ***'�*PAYMENT IS DUE UPON RECEIPT*****BUT NO LATER THE 25T'Ft OF THE MONTli***** Please remit the AMOUNT DUE your statement.Include the ACCT# from the statement on the MEMO Statement Date: 10/10f 2014 of your check.Payments after 10/9/I4 do not reflect on statement. DUe Ddte: 10/25/201�F NOTE:**LA�f'E PAYMENTS ARE SUBJECT TO A 1.25%LATE CHARGE PER MONTIi **A$20.00 FEE WFLL BE CHARGED fnr RETURNED CHECKS** Lillian M Hockley-Account#: 102498 Sarah A Todd Memorial Home 1400 west Sauth Street Carlisle, PA 17013-2798 Telephone: (717) 245-23.87 � STATEMENT Sarah A Todd Memorial Home Statement Date: Q9/11/2014 1000 West South Street Carlisle, PA 17013-2798 Due Date: 09/Z5/2014 Telephone: (717)245-2187 Amount Encfosed $ Amount Due: $ 6,806.01 Account#: 102498 RE: Lillian M Hockley Robert Hockley 1:20 Bryce Road Camp Hill, PA 17011 `,� '.;;� ....:: ....... ._�#!�t��;:.. s��'ai�e�_: s .�dtc : . ..::: ...:, �'i .. ..:_ ..,.,,; .... ..... . [[� . .:Itate. ... Balance B/F 6,806.01 6,806.01 Current 31-60 Days 6L-90 Days Over 90 Days Amount Due ,00 83.01 82.00 6,6�+L00 :fi�,80�.Q� NOTE: *****PAYMENT IS PUE UPON RECETPT***** BUT NO LATER THE 25!"H OF THE MONTH**'�** Please remit the AMOUNT DUE your statement.Include the ACCT# from the statement on the MEMO Statement Date; 09/11/2014 of your check.Payments after 9/8/14 do not reflect on statement. Du@ DetE: 09/25/2014 NOTE� **LATE PAYMENTS ARE SUBJECT"TO A 1.25%LA'fE CHARC7E PER MONTH **A$20.00 FEE WILL BE CHARGED for REfURNED CHECKS** Liliian M Hockley-Account#: 10249B Sarah A Todd Memoria! Home 1000 West South Street Carlisle, PA 17�I3-2798 Telephone: (717) 245-2187 � STATEM ENT Sarah A Todd Memorial Hame Statement Date: 08/09/2014 1000 West South Street Carlisle, PA 17013-2798 Due Date: OS/25/2014 Telephone: (717)245-2187 Amount Enciased$ Amount Due: $ 6,806.01 Account#: 102498 RE: Lillian M Hockley Rohert Hockley 120 Bryce Road Camp Hill, PA 17011 .. '' . �� S� .., .`.-; �: . 3C. .�� y:: .. .�'� �_. " ...:.. . .. ... .. . ..��S+C:.. ., .... .. ., d4� . .. . _ . ... :��.,.,t-'... ..:.ii I��tl'�li.,;, ...�di1L�S:..r: -.:-: : ... , .... .., . ..,_. Baiance B/F 6,723.00 6,723.00 07/31/14 Finance Charge 83.01 6,806.01 Current 31-60 Days 61-90 Days Over 90 Days Amount Due ss.o1 sz.00 si.ao 6,s6a.ao ,.,,�x��-� NOTE: *****PAYhSENT IS DUE UPON RECQPT*****BUT NO LATER THE 25T'H OF TH�MONTH***** Please remit the AMOUM'DUE your statement.Tnclude the ACCT# from the statement on the MEMO Statement Date: 08/09/z014 of your check,Payments after 8/6/14 do not refiect on sratement. Due Date: 08/25/2014 N�TE: **LATE PAYMENTS ARE SUBJECf 70 A 1.25%LATE CHARGE PER MOM'N **A$20.00 FEE WILL BE CHARGED for REI'URNED CHECKS** Liliian M Hodcley-Account#: 102498 Sarah A Todd Memorial Home 1000 West South Street Carlisle, PA 17013-2798 Telephone: (717) 245-2187 � STATEMENT Sarah A Todd Memarial Home Statement Date: 07/10/2014 1000 West South Street Carlisle, PA 17013-2798 Due Date: 07/25/2014 Telephone: (717) 245-2187 Amount Enclased $ Amount Due: $ 6,723.00 Account#: 102498 RE: Liliian M Hockley Robert Hockley 120 Bryce Road Camp Hill, PA 17011 ; , : :.: : �a...' ' - = Aa�::. .._. .. :; .._ . ....'.. . .. " � � .......: ... ...:.. . ,.... � :�e. ... ..;,. ac ies<..,. ..Pa �!t�r.: .�aitii�s..� Balance B/F 6,641.00 6,641.00 06/30/14 Finance Charge 82.00 6,723.00 Current 31-60 Days 61-90 Days Over 90 Days Amount Due sz.00 si.00 sa.00 6,a�o.00 _�� NOTE; *****PAYMENT IS DUE UPON RECEIPT*****BEJT NO LATER THE 25TH OF THE MOhtTH***** Please remit the AMOUDtT DUE yaur statement.Include the ACCT# from the statement on the MEMO StB�ement Date: 07/10/2014 of your check.Payments after 7/9/14 d�not refleet on statement. DU2 DBte: 07/25/2014 NOTE:**LATE PAYMENTS ARE SUBJECT TO A 1.25%LATE CHARG�PER MONTH **A$20.00 FEE WILL BE CHARGED for REfURNED CHECKS** Lillian M Hockley-Account#: 102498 Sarah A Todd Memorial Home 1000 West South Street Carlisle, PA 17013-2798 Telephone: (717) 245-2187 � STATEMENT Sarah A 7odd Memorial tfome Statement Date: 06/10/2014 1000 West South Street Carlisle, PA 17013-2798 Due Date: 06/25/2014 Teiephone; (717}245-2187 Amount Enclosed $ Amount Due: $ 6,641.00 Account#: 102498 RE: Lillian M Hockley Robert Hock{ey 120 Bryce Road Camp Hill, PA 17011 = .P,��c. ' .... . . ` . ..... .Dia� '. �a�t ;: �.ati� . E�a.. es .....Pa'mei�ts,i-,.=�ala�iccs.;,; Qa Balance 6/F 6,560.00 6,560.00 05/31/14 Finance Charge 81.00 6,641,00 Current 31-60 Days 61-90 Days Over 90 Days Amount Due 81.00 80.00 80.00 6,400.00 6�6�10, NOTE: *****PAYMENT IS DUE UPON RECEIPT*****BUT NO LATER TNE 2�fH OF THE MONTH***** Please remit the AMDUfYT DUE your statement.Include the ACCT# from the statement on the MEMO Statement Date: 06/10/2014 of your check. Payments after b/6/I4 do not reflect on statement. DUe Ddt@: 06/25/2014 NOTE:**LATE PAYMENTS ARE SUBJECI'TO A 1.25°/a LATE CHARGE PER MONTH **A$20,00 FEE WILL BE CHARGED for RERIRNED CHECKS** Lillian M Hockley-Account #: 102498 Sarah A Todd Memnrial Home 1000 West South Street Carlisle, PA 17013-2798 Telephone; (717}245-2187 STATEMEIVT Sarah A Todd Memorial Home Statement bate: 05/12/2014 1000 Wes�5outh Street Carlisle, PA 17Q13-2798 Due Date: 05/25/2014 Tefephone: (717)245-2187 Amount Enclosed$ Amount Due: $ 6,560.00 Account#: 102498 R�; Lillian M Nockley Robert Hockley 120 Bryce Road Camp Hill, PA 17011 . �� "``�'�"�r,1'c�.��'3„ak.'c'tx � 'S`�„s� c m.�a. ,y`sry - '-.^,as� . .�. '�"hz ••,,x� ..-.. ru''�,:' ��- . "� �. ��,�y�'f-�.��,�.,,, yr � �;a sczs , '"�' � . .� �-�'�,',��`��` '+�-* ",�` '..� � �:�, '� ��:.�,��-�^ �.. �;�"��', , s"2 r �:.i`*....��xni.��.�`.^-'�:-�'��:�-��.�. r :`!-'4, ,..�: ' � ..r_-a�'s��.-,,�+,� .�?..�. . _ r"�`,�-. '` :?� '� �r . _. _ .:. Balance B/F 6,480.00 6,480.00 04/30/14 Finance Charge 80.00 6,560.00 , Current 31-6Q Days 61-90 Days Over 90 Days Amount Due `�,*�� .�- �.�:�:-;�,..s��.<�;; '=� -�s..�T',r'�-.r��..�s,-x'�`-� � so.oa so.ao .o0 6,400.00 ��...�� . , NOTE: *****PAYMENT IS DUE UPON RECEIPT*****BUT NO LATER THE 25TH OF THE MONTH***** Please remit the AMOUM'DUE your statement.Include the ACCT# from the statement on the MEMO Statement Date: 05/12/2014 of your check,Payments after S/9/14 do not reflect on statement. �Ue Dete: 05/25/2014 NQTE:**LATE PAYMErfTS ARE SUBJECTTO A 1.25%LATE CHARGE PER MQNTH *'�A$20.00 FEE WTLL BE CHARGEd for RETURNED CHECKS** Lillian M Hockley-Account#: 102498 Sarah A'1'odd Memorial Home 1000 West South Street Carlisle, PA 17013-2798 Telephane: {717) 245-2187 STATEMENT Sarah A Todd Memor'ral Home Statement Date: 04/10/2014 1400 West South Street Carlisle, PA l7013-2798 Due Date: 04/25/2014 Telephane: (717)Z45-2187 Amount Enclosed $ Amount Due: $ 6,480.00 Account#: 102498 RE: Lillian M Hockley Robert Hockley 120 Bryce Road Camp Hill, PA 17011 r,."�.: -`�^�-.:""--�`. ,>,x.��:��'`w ��.�..a"` �va Y"��'�^ ,r��'a`s��'�'c'--�,�"��'n^ -.�. �� :� �?a,�,:x�;�»�_ '�,,.� � �:,,�y�� Ea� � u...... � ��"'��--,�,��,.a.�,�� '�""�-r�rN`"�-�.� �f ��a.`k ".,��"� �,. ' �r �,�."�''r �-,� � �,: t S�"`�.�.s.4r-�fl4�s..,.'"k��,�r.�'"`��'f",.,�.�z azr. "i, �f, �^ `�„ ,..ra��. �. c,. �1"+. 'e_ '�"i ae-, :3 ...-...,... r.� �.....-.�r ..._�,. ',�'�...'.:.. ...x�...h..�, ...�,_ .. ._.� .v,,r,. �_ 6,400. � � . .� Balance B/F m � �.�. 00 � 6,400.00 03/31/14 Finan�e Charge 80.00 6,48�.00 Current 31-fi0 Days 61-90 Days Over 90 Days Amount Due ^-t� `�."��t. �.� �-- r,�,{�3n�'`^.��-y�-}��} va..x $�.d0 .�Q .�� 6�4��.�� ',a �^�`?,�41��.lr�Y,+.L�.�%—�'.s�"�','.....x�...- NOTE: *****PAYMENT I5 DUE UPON RECPIPT*****BUT NO LATER THE 2S7'FI OF THE MONTH***** Please remit the AMOUNT DUE your statement.Include the ACCT# from the statement on the MEMO Statement Date: 04/10/2014 of your check.Payments after 3/il/14 do not reflect on statement. Due Ddte; 04/25/2014 NOTE: **LATE PAYMEPfT'S ARE SUBIECT TO A 1.25°k LATE CHARGE PER MONTH **A$20.00 FEE WILL BE CHARGED for RETURNED CHECKS"* Lillian M Hockley-Accaunt#: 102498 Sarah A Todd PNemorial Home i000 West South Street Carlisie, PA 17013-2798 Telephone: (7i7)Z45-Z187 STATEMENT Sarah ATodd Me�norial Home Statement Date: 03/13/2014 i000 West Sauth Street Carlisle, PA 17013-2798 Due Date: 03/25/2014 7elephone: (717) 245-ZJ.87 Amount Enclosed $ Amount Due: $ 6,400.00 Account#: 102498 RE: Lillian M Hockley Robert Hackley 12n Bryce Road Camp Hill,PA 17011 � �--.-,^s1'�-&h:-.�'. -�.,�ct�.+.'y��c1.�''^��",�,'a`��a�''a ��,�iY�,�-��+k�a,�v'�i�x'�.-�'""'��.tr._1��a� z �"�' "�.'r�^s'`�` � "`'S'2�s� ,. ...,.. .,. S:'w �'�-+"",y.� ti.v�.'h..�? � '>S.`�`.Sa „rc�.''"��'�4,�a[ . ir7..�^''�"-n'_.r`� 1}..,�"z't-S„'�,,.`»Tn�a' �_"�'��+cx..;��'P' '_ .rc�.'.,.�"� ', f _ , �'�'"' .,�.t ." "�.� `�.a��`�im��.'� '`„��, "�.. . ... � R,,�^`�`'i"'r.��'"^��?",,�.�x.-�-��'`w.�-�-"^^,: �":��.,.ev R�.S'-`:.�'��,..�� M. ��1�?=� �-a, � ..cw�:,,...� r..� �.�.. 5. ,,.,z..�,.�:;... _.._�_._:. _.. .__......,,. .. ..�.k � ,� � Balance 6/F 6,400,00 6,400.00 Current 31-60 Days 61-90 Days Uver 90 Days Amount Due ;4` s�w.*'`--•,»,��^',�,..`us;��.�,��.`�� .oa .aa .oa �,4oaao n ��s.�� -� ;-�° NOTE: *****PAYMENT IS DUE UPON RECEIPT*****BUT NO IATER THE Z5T"H OF THE MONTH***** Please remit the AMOUN7 DUE your sTatement.InClude the ACCi�# from the statement on the MEMO Statement Date: 03/13/2014 of your checic.Payments after 3/11/19 do not reflect on slatement. DUe DetB: 03/25/2014 NOTE:**I.ATE PAYMENTS ARE SUBJECT TO A 1.25%LATE CHARGE PER MONTH **A$10.00 FEE 4VlLL BE CHARGED for RErURNED CHECKS Lillian M Hockley-Account#: 102498 Sarah A 7odd Memorial Home 1000 West South Street Carlisle, PA 17013-2798 Telephone: (717) 245-2187 STATEM ENT Sarah A Todd Memorial Home Statement Date: 02J12/2014 1000 West South Street Carlisle, PA 17013-2798 Due Date: 02/25/2014 Telephone: (71'� 245-2187 Amount Encfosed $ Amount Due: $ 6,400.00 Account#: 102498 RE: Lillian M Hock�ey Robert Hockley 120 Bryce Road Camp Hill, PA 17�11 �.. ., . .. . . , , . , . . . , . M. �" ..:. . _ .. ...' '_ .,... . ,. . ti .. .... .. . _. ..._ ., , _ . . Balance B/F 6,593.27 6,593.27 Ol/19/14 HOCKLEY, ROBER7 193.27 6,40Q,00 Current 31-60 Days 61-90 Days Over 90 Days Amount Due .00 .00 80.18 6,314.82 NOTE: "****PAYMENI'IS DUE UPON RECIIPT*****SUT NO LATER THE 25TH OF TH�MONTH*"*** Please remit the AMOUNT DUE your statement.Indude the ACCT# from the statement on the MEMO Statement Date: 02/12/2014 of your check. Payments after 2/Ii/14 do not refled on statement. DU2 D8t2: 02/25/2014 NOTE: **LATE PAYMENTS ARE SUBJECT TO A 1.25%LATE CMARGE PER MOMN **A$10.00 FEE WILL BE CHARGED for RETURNED CHECKS Lillian M Hockley-Account#: 102498 Sarah A Todd Memorial Home 1000 West South Street Carlisle, PA 17013-2798 Telephone: (71�245-2187 STATEM ENT Sarah A Todd Memorial Home 5tatement Date: O1/13/2014 1000 West South Street Carlisle, PA 17013-2798 Due Date: O1/25/2014 Telephone: (717) 245-2187 Amou nt Enclosed $ Amount Due; $ 6,593.27 Accaunt#: 102498 RE: Lillian M Hockley Robert Hockfey 120 Bryce Road Camp Hill, PA 17011 �M� � > °� , v .'� ��_�.-�-°-� - ` � ti . � • - � �, , .re.:'=-:'C.. .._,._r.....'�."�.. .W.roiC.^'-^�-�.-arr�...e..�....�.?.. �t:: ...:. w....i�'�..�. �. ^�a"�"t�:?�;.`.�. �� , . Balance B/F 6,593.27 M b,593.27 Current 3i-60 Days 61-90 Days Over 90 Days Amount Due .QO 80.18 98.93 6,414.1b �� NOTE: W****PAYMENT IS DUE UPON RECEIPT*****BUT NO LATER THE 25TH OF THE MONTH***** Please remit the AMOUNT DUE your statement.IncEude the ACCI'# from the statement on the MEMO Statement Date: Ol/13/2014 of your check.Payments after 1/9/14 do not reflect on statement. DUe Date: Of/25/2014 NOTE:*�`LATE PAYMENTS ARE SUBJECTTO A 1.25%LATE CHARGE PER MOPfT'H **A$10.D0 FEE WILL BE CHARGED for RETURNED CHECKS Lillian M Hockley-Account#: 1OZ498 Sarah A Todd Memorial iiame 1000 West South Street Carlisle, PA 17013-2798 Telephone; (727)245-2i87 STATEMENT Sarah A Todd Memorial liome Statement Rate: 12/11/2013 1000 West South Street Carlisle, PA 17013-2798 Due Date: iZ/26/20].3 Telephone: (717) 245-2187 Amount Enclosed $ Amount Due: $ 6,593.27 Account#: 10249$ RE: Lillian M Hockley Robert Hockley 120 Bryce Road Camp Hill, PA 27011 ,, . .� ....�, . . .�. _. . .. �._.,. . .. _. . Balance B/F 8,013.09 8,013.09 11/13/13 HOCKLEY, ROBEftT 1,000.00 7,013,09 li/18/13 HOCKLEY, ROBERT 500.00 6,513.09 11/30/13 Finance Charge 80.18 6,593,27 Current 31-60 Days 61-90 Days Over 90 Days Amount Due 80,18 98,93 .00 6,414.16 N07E: *****PAYMEN'i'IS DUE UPON RECEIPT*****BUT NO IATER THE 2SfH OF THE MONTH***** Please remit the AMOUNT DUE your statement.Include the ACCT# from the statement on the MEMQ Statement Date: 12/11/2013 of your check.Payments after i2/10/13 do not refled on statemenk. DUe Date: 12/26/2013 NOTE:**LAT'E PAYMENTS ARE SllBJECT TO A 1.25%LATE CHAftGE PER MONTH **A$10.00 FEE WILL BE CHARGED for REl'URNED CHECKS Liilian M Hockley-Account#: 102498 Sarah A Todd Memorial lioe�ne 1000 West South Street Carlisle, PA 17013-2798 Te{ephone: (717)245-2187 STATEMENT Sarah ATodd Memoriaf Home Statement Date: 11/12/2013 1000 West South Street Carlisle, PA 17013-2798 Due Date: li/z5/2013 Telephone: (717}245-2187 Amount Enclosed$ Amount Due: $ 8,013.09 Account#: 10Z498 RE: Lillian M Hockley Robert Hockley 120 Bryce Raad Camp Hill, PA 17011 tn �-F zx . . �..��-^-�. �s^. �.-,� �-�n.'t�,.-�S'r,�., a.-�..�a �w�*�„ � � '.. ...r` �•..�Yv.ti � .� .., :.+ �,. ".,,� Cc'� r�'a��"�'��. �fi��c ��s^� .�y �„S ,��,s��e��`�.:.�L.-` �s-�..�'r"�' y1 �^tc.a ,...,H�..�. ., .��a.,��'�"`�-,.�a.�;f�..�+-*M='�s_....,k.�-�-...s:�r�}F»'1�._':"'�'�... . '. � `��,.h.��: �_`�,^,E,'"xr�'�' ,,;�. � �a>...�... .. :,.. '"'�,',�,c ��... �.....,. . .. . ... .:.. . . .... . Balance B/F 7,914.16 7,914.16 10/31/13 Finance Charge 98.93 8,413.09 Current 31-60 Days 61-90 Days Over 90 Days Amount Due :�� a, �, :.� 9$,93 .00 97J1 7,81b.45 ��$„�,„.. „� -�� NOTE: *****PAYMENT IS DUE UPON RECQPT*****BUT NO LATER THE 25TH OF THE MONTH***** Piease remit the AMOUNT DUE your statement.Tnclude the ACCT# from the statement on the MEMO Statement Date: 11/12/2Q13 of your check,Payments after 11/8/13 do not reflect on statement. Due DBte: 11/25/2013 NOTE:**LATE PAYMEIJTS ARE SUBJECf TO A 1.2S9�o LA7E CHARGE PER MONTH **A$1D.00 FEE WILL BE CHARGED for RETURNED CHECKS Lillian M Hockley-Account#: 102498 Sarah A Todd Memorial Home 1000 West 5outh Street Carlisle, PA 17013-2798 Telephone; (727)245-2187 STATEMENT Sarah A Todd Memarial Home Statement Date: 10J10/2013 1000 West South Street Carlisle, PA 17013-2798 Due Date: 10/25/2013 Telephone: (717) 245-2i87 Amount Enclosed $ Amount Due: $ 7,914.1b Account#: 102498 � RE: Lillian M Hockley Robert Hockley 120 Bryce Road Camp Hill, PA 17011 _�;. . ..,,_, ,.. .� .. ..� _ �. , . �. �•� .� .��_ � , �, . ; w �.. � ' ,�-�:;, . , .� ' . �._ ._ K.<, . _ __ ..� r „�. .. _ .. ._ , _ - . . Balance B/F 7,914.16 7,914.16 Current 3I-60 Days fi1-90 Days Over 90 Days Amount Due ;�r -,� .00 97.71 .00 7,816.45 ,�,�..�. NOTE: ****'�PAYMEN7 I5 DUE UPON RECEIPT*****BUT NO LATER THE 25TH OF THE MONTH***** Please remit the AMOUNT DUE your statement.Indude the ACCT# from the statement on the MEMO Statement Date: 10/10/2013 of your check.Payments after 1Q/8/13 do not reflect on statement. DU2 Date: 10/2S/2613 NOTE:**tATE PAYMENTS ARE SUBJECT TO A 1.25%IATE CHARGE P�R MONTH **A$10.Q0 FEE WILL BE CHARGED for RETURNED CHECKS Liilian M Hockfey -Account#: 102498 Sarah A Todd Merr9orial Home 1000 West South Street Carlisle,PA 17013-2798 Telephone: (717) 245-2187 STATEMENT Sarah A Todd Memorial Home Statemenf Date: 09/12/2013 100Q West South Street Carlisle, PA 17013-2798 Due Date; 09/25/2013 Telephone: (717}245-2187 Amount Enclosed $ Amount Due: $ 7,914.16 Account#: 1D2498 RE: Lillian M Hockley Robert Hockley 120 Bryce Road Camp Hill, PA 17011 Balance B/F 7,816.45 7,816.45 OS/31/13 Finance Charge 97.71 7,914.16 Current 31-60 Days 81-90 Days Over 90 Days Amount Due 97.71 .00 1,058.53 6,757.92 NOTE: *****PAYMEN7IS DUE UPON RECEIPT*****BUT NO LATER THE 25fH OF THE MONTH***** Please remit the AMOUNT DUE your statement.Include the ACCT# from the statement on the MEMO Statement�ate: 09/12/2013 of your check.Payments after 9/9/13 do not reFlect on statement. QUg DatE: 09/25/2013 NOTE:**LATE PAYMENTS ARE SUBJECf TO A 1.25%LATE CHARGE PER MON7H **A$10.00 FEE WILL BE CFfARGED for RETURNED CHECKS Lillian M Hocicley-Account#: 102498 Sarah A Todd Memorial Home 1000 West South Street Carlisle, PA 17013-2798 Telephone: (717}245-2187 Sarah A Todd Memorial Home � " " '�� Y� 1004 West South Street Carlisle,PA 17013-2798 Statement Date: 08/12/2013 Telephone: (717)245-2187 Due Date: 08/25/2013 Amount Enclosed $ Amount Due: $ 7,826.45 Account#: 102498 Robert Hockley R�� Lillian M Hockley 120 Bryce Road Carnp Hill, PA 17Q11 � ,4. S 4 �.._...,. . � .. ., ,: �� , 06/12/13 � Beauty&Barber _ .� _ -�` _. �6/19/13 Beauty&Barber -1 18.50 -IS,SO 06/26/13 Beauty&8arber -1 18.50 _Zg 50 15,847.07 06/30/13 Cable Television -1 18.50 -18.50 15,828.57 06/30/13 Personal Laundry Services '1 34.65 -34,65 1$,810:07 06/30/13 Cable Television -1 27„50 _Z��Q 15,775.42 07/01/13-07/31/13 Room&Board-Semi_p��te f 34.65 34.65 15,747.92 07/01/13 RESIDENT INCOME 31 290.00 -8,990.00 �5>>$Z•57 1,023.88 6,792.57 7,816.45 Current 31-60 Days 61-90 Days pYe�g�p� S y Amount Due .a0 1,OS8.53 1,058.53 NOTE; *****pAYMENT IS DUE tJPON R�CEIPT*****g��0 LATER 5,699.39 THE 2SfH OF THE MONTH***** pfease remit the AMOUNT DUE your staYement.Include tlie ACCT# from the statement on the MFMO of your check,Payments after 8/8/13 do not reflect on statement. St�t2I71eilt Ddte: 08/I2/2013 NO7'E:**LqTE PAYMENTS ARE SUBJECT TO A 1.25%LATE CHARGE PER MONTH **A g10:00 FEE WILL BE CHARGED for RETURNED CHECKS Due Date; 08/25/2Q13 Lillian M Hockley -Account#: i02498 Sarah A Todd Memorial Home 1000 West South Street Carlisle, PA 17013-2798 Telephone; (717)245-2187 �� . S7ATEM ENT Sarah A Todd Memorial Home 10Q0 WestSouth Street Statement Date: 08/12/2013 Carlisle, PA 17013-Z798 Telephone; (717)245-2187 Due Date: pg/Z5/2013 Amount Enclosed $ Amount Due: $ 7,816.45 Account#: 102498 RE: Lillian M Hockley Robert Hockley 120 Bryce Road Camp Hill, PA 1701I . Balance B/F. . � " 44,179.60 44,179.60 03/Ol/13 RESIDENT TNCOME 1 023.88 45,203.48 03/18/13 Medical Equipment Rental -1 5.47 -5.47 45,198,01 03/22/13 Personal Suppties -20Z .80 -408.70 44,789.31 03/28/13 Finance Charge 1 5.45 5.45 44,794.76 03/28/13 Late Charge Interest -1 5.45 -5.45 44,789.31 03/29/?3 Medical Supplies -241 .7p -424.45 44,364.86 03/29/13 Incontinence Supplies -31 10.78 -334.18 44,030.68 03/31/13 Personal Laundry Services -1 27.50 -Z7.50 �}4,003.18 03/31/13 Cable Tetevision 1 34.65 34.65 44,037.83 03/16/13 -03/31/13Room&Board-Semi-Private 16 Z94.00 -4,640.00 39,397.83 03/31/13 CBble Television -1 34.65 -34,65 39,363.18 04/01/13-04/30/13 Room&Board-Semi-Private 30 290.OQ -8,700.00 30,6b3.18 04/O1/13 RESIDENT TNCOME 1,023.88 31,687.06 04/11/13 Beauty&Barber -1 68.75 -68.75 31,618.31 04/23/13 Beauty&Barber -1 18.50 -18.50 31,599.81 04/30/13 Cable 7elevision -1 34.65 -34.65 31,5b5.16 04/30/13 Cable Television 1 34.65 34.65 31,599.81 04/30/13 Personal Laundry Services -1 27.50 -27.50 31,572.3! 05/01/13 RESIDENT INCOME 1,023.$8 32,596.19 05/01/13-05/31/13Room&Board-Semi-Prlvate 31 290.00 -8,990.00 23,606.19 05/09/13 Beauty&Barber -1 18.50 -18.50 23,587.69 OS/29/13 8eauty&Bartser -1 18.50 -18.50 23,569.19 05/31/13 Personal Laundry Services ' -1 27.50 -27.50 23,541.69 05/31/13 Cable 7elevisfon -1 34.65 -34.55 23,507.04 05/31/13 Cab(e Television 1 34.65 34.65 23,54i.69 06/01/13 RESIDENT INCOME 1,023.88 Z4,565.57 06/Ol/13-06/30/13 Room&Board-Semi-Private 30 290.00 -8,700.00 15,865.57 continued on next statement Current 31-60 Days 61-90 Days Over 9Q Aays Amount Due NOTE; *****pAYMFNT IS DUE UPON KECEIPT*****BUT NO LATER T'HE 25rH OF THE MONTH****'� Please remit the AMOUNT DUE your statement.Tnclude the ACCT# from the statement on the MEMO Statement Date: 08/12/2013 of your check.Payments after 8/8/13 do not reflect on s�tement. NOTE; **LA7E PAYMENTS ARE SUBJEC'T TO A 1.25%LATE CHARGE PER Due Date: 08/25/Z013 MONTH **A$10.00 FEE WTLL BE CHARGED for RETURNED CHECKS Lillian M Hockley -Account#: iQ2498 Sarah A Todd Memorial Home 1000 West South Street Carlisle,PA 17013-2798 TeEephone: (717)245-2187 STATEM ENT Sarah A Todd Memorial Home 1000 West South Street , Statement Date: 07/11/2013 Carlisle, PA 17013-2798 Due Date: 07/25J2013 Teiephone: (717) 245-2187 Amaunt Enclosed $ Amount Due: $ 44,179.60 Account#: 102498 RE: Lillian M Hockley Robert Hockley 120 Bryce Road Camp Hill,PA 17011 w - ,: Balance B/F 34,680.74 34,680.74 06/Oi/13 Personal Supplies 61 1,83 125.1z 34,805.86 06/Ol/13 �+qedical Supplies 68 1.29 158.29 34,964.15 06/OZ/13 Incontinence Supplies 1� 10.78 307.80 35,071.95 06/12/13 Beauty&Barber 1 18.50 i$.50 35,090.45 06/19/13 Beauty&Barber 1 18.50 18.50 35,108.95 06/2b/13 Beauty&Barber 1 18.50 f8.50 35,127.45 06/30/13 Cable Television 1 34.65 34.65 35,162.10 06/30/13 Personal Laundry SQrvices 1 27.50 27.50 35,189.60 07/Ol/13-07/31/13 Room&Board-Semi-Prlvate 31 290.00 8,990.00 44,179.b0 Current 31-60 Days 6l-90 Days Over 90 Days Amount Due 9,498.85 9,114.75 9,492,60 16,�73.39 NOTE: *****PAYMENT IS DUE UPON RECEIP7*****BUT NO LATER THE 25TH OF THE MOrlTH***** Please remit the AMOUNT DUE your statement.Indude the ACCT# from the statement on the MEMO Statement Date: 07/11/2013 of your check.Payments after 7/9/13 do not reflect on statement. NOTE: **LA7E PAYMENTS ARE SUB)EGT TO A 1.25%LATE CHARGE PER Due Date: p7/25/2013 MONTH **A$10.00 FEE WIU.BE CHARGED for RETURNED CHECKS Liilian M Hockley-Account#; I02498 Sarah A Todd Merreorial Home 1000 West South Street Carlisle, PA 17013-2798 Telephone: (717}245-Z187 STAI"EM ENT Sarah A Todd Memorial Home 1000 West South Street 5tatement Date: 06/12/2013 Carlisle, PA 17013-2798 Due Date: 06/25/2013 Telephone: (717)245-2187 Amount Enclosed$ Amount Due; $ 34,680.74 Account#: 102498 RE: Lillian M Hockley Rabert Hockley 120 Bryce Road Camp Hill,PA 17011 �. .. . , . . : . Balance B/F 23,049.99 23,049.99 02/27/13-02/28/13COIN5URANCE BILLED 2 148.00 296,00 23,345.99 03/Ol/13-03/05/13 COINSURANCE BILLED 5 148.Q0 740.00 24,Q8S.99 03/06/}.3-03/15/13CdINSURANCE BILLED 10 148.00 1,480.00 25,565.99 O5/Ol/13 Medical Supplies 73 f.29 I03.92 2�,669.91 05/Ol/13 Personal Supplies 64 1.83 125.44 25,795.35 05/03/13 Incontinence Supplies 8 10.78 86.24 25,881.59 05/09/13 Beauty&Barber 1 1$.50 18.50 25,900.09 05/29/13 Beauty&Barber 1 i8.50 18.50 25,918.59 05/31/13 Personat Laundry Servlces 1 27.50 �7.50 25,946.09 05/31/!3 Cable 7elevlsion 1 34.65 34.65 25,980.74 06/01/13-Ob/30/13 Room&Board-Semi-PrivaCe 30 290.00 $,700.00 34,680.74 Current 31-60 Days 61-90 Days Over 90 Days Amount Due 4,114.75 9,492.60 15,777.39 296.00 NOTE: *****PAYMENT IS DUE UPON RECEIPT*****BUT NO LATER THE 25TH 0�THE MONTFE***** Please remit the AMOUNT'DUE your statement,Indude the ACCT# from the statement on the MEMO Statement Date: 06/12/2013 of your chetic.Payments after 6/7/13 do not re�ect on statement. NOTE;**IATE PAYMENTS ARE SUBJEGT TO A 1.25%IATE CHARGE PER Due Date: 06/25/2013 MONTH **A$10.00 FEE WILL BE CHARGED for REfURNED CFiEGKS Lillian M Hockley-Account#: 102498 Sarah A Todd Memoriaf Home 1000 West South Street Carlisie, PA 17013-2798 7elephone: (717)245-2187 STATEMENT Sarah A Todd Memorial Home 1004 West South Street Statement Date: 05/10/2013 Carfisle, PA 17013-2798 TeJephone: (717) 245-2187 Due Date: 05/25/2013 Amaunt Enclosed $ Amount Due: $ 23,049.99 Account#: 102498 RE: Liilian M Hockley Robert Hockley 120 Bryce Road Camp Hill,PA 17011 �, x . �. _- : , � . . .., . _ _., ��.<. . ,. , a : �. Balance B/F .. .�; .. _ , . . : . . 04(11/13 HOCKLEY,ROBERT 14,046.19 14,04b.19 04/Ol/13 Medical Supplies 64 .70 121.36 4�$•s0 13,557.39 04/03/13 PersonalSupplies 66 1.83 134.82 13,678.75 04/03/13 Incontinence Supplies 13,813.57 04/11/13 Beauty&Barber 9 i�•�$ 97•02 13,910.54 Q4/23/13 Beauty&Barber 1 68.75 68.75 13,979.34 04/30/13 Personal Laund Services 1 I8.50 18.50 13,997.84 04/36/13 Cab�e Television 1 2�•5o Z�•5o 14,025.34 05/Ol/13-05/31/i3Room&Board-Semi-Private 1 34.65 34.65 14,059.99 31 290.00 8,990.00 Z3,pq9,gg Current 31-60 Days 61-90 Days Over 90 Days Amoant Due 9,492,60 13,557.39 .00 .00 NOTE: *****PAYMENT IS DUE UPON RECEIPT*****BUT NO fATER � THE 25TFI OF THE MONTH***** Please remit Fhe AMOUNT DUE your statement.Include the ACCT# from the statement on the MEMO Statement Date: OS/10/2Q 13 of your check.Payments after 5/8/13 do not reFled on statement. NOTE:** LATE PAYMENTS ARE SUaIECT TO A 1,25°io LATE CHARGE PER Due Date: 05/25/2013 MONTH **A$lOAQ FEE 4VILL BE CHARGED for RETURNED CHECKS Lillian M Hockley-Account#: 1OZ498 Sarah ATodd P+lemorial Home 1000 West South Street Carlisle, PA 17013-2798 Telephone; {717) 245-2187 STATEMENT Sarah A 7odd Memorial Home I000 West South Street Statement Date: 04/li/2013 Carlisle, PA 17013-2798 Telephone: (717) 245-2187 Due Date: Q4/25/2013 Amount Enclosed $ Amount Due: $ 14,046.l9 Account#: 102498 RE: Lillian M Hotkley Robert Hockley 120 Bryce Road Camp Hill, PA 17011 Balance B/F ' 03/OS/13 Seauty&Barber 488•$� 488.8Q 03/12/13 Beauty&Barber 1 18.50 18.50 507.30 03/18/13 MedEcal Equipment Rental 1 18.50 18.50 525.80 03/18/i3 Mediql Supplies 1 5.47 5.47 531.27 03/20/13 Incontinence Supplies 36 3.93 40.88 57Z.15 03/22/13 Personal Supplies 4 10.78 43.12 615.27 03/31/I3 Finance Charge 11 •$� z3.32 638.59 03/16/13-03/31/13 Room&Board-Semi-Private 5.45 644.04 03/31/13 Cable Television 16 290.00 4,640.00 5,2$4.04 03/31/13 Personal Laundry Services 1 34.65 34.65 5,318.69 04/01/13-04/30/]3Roam&Board-Semi-Private 1 27.50 z7.50 5,346.19 30 290.00 8,700,00 14,046.19 Current 31-60 Days 61-90 Days Uver 90 Days Amount Due 13,557.39 53.15 435.65 .00 NO7E: **�**PAYMENT I5 DUE UPON RECEIPT*****BUT fV0 LATER THE 25fH qF THE MONTH***** PEease remit the AMOUNT DiJE your statement,Indude the ACCT# from the statement on the MEMO Statement Date: 04/li/2013 of your check.Payments atter 4/6/13 do not reflect on statement. NOTE:**LATE PAYMENTS ARE SUBJECT TO A 1.25%LA7E CHARGE PER Due Date: 04/25/2013 MONTM **A$14,00 FEE WILL BE CHARGED for REfURNED CHECKS Lilfian M Hockley-Account#: 102498 Sarah A Todd h9emorial �lome 1000 West South Street Carlisle, PA 17013-2798 Telephone: (717) 245-Z187 STATEMENT Sarah A Todd Memarial Home IOOp West Sauth Street Statement Date: 03/12/2013 Carlisle, PA 17013-2748 Telephone: (717}245-2187 Due bate: 03/25/20i3 Amount Enclosed$ Amount Due: $ 488.80 Account#: 102498 RE: Liflian M Nockley Robert Flockley 120 Bryce Road Camp Hill, PA 17011 � � . , � �3�'��e,-.•` ��,� �ao-� �r s'� � � v.. .,w , _ . � , ,, �.�".�'Zi " �-�'.�,A�"�. � �.s- r , .:.: . , . , � , �� . �„ �..� _. -�..� , , ; : , �..,�. � ' . _ . _ ' ,. - - Balance B/� m �-� ' �. .. _ .. 02/i2/13 HOCKLEY ROBERT 870•6� 870.65 02/Z2/13 Beauty&Barber 1 18.50 18.50 435.00 435.65 02/28/13 hle Television 1 34.fi5 34.65 454.15 488.80 Current 3I-6d Days 61-90 Days Over 90 Days Amount Due 53,15 435.65 pp �"��""� ,ao - �` NOTE: *****PAYMENT IS DUE UPON RECEIPT*****BUT NO IATER THE 2STH OF THE MONTN***** Please remit the AMOUNT DUE your statement.Include the ACCT# frorn the statement on the MEMp Statement Date: 03/iZ/2013 of your chedc.Payments after 3/8/13 do not reflect on statement N�TE:**IATE PAYMENTS ARE SUBJECT TO A 1.25%LATE CHARGE PER Due Date: 03/25/2013 MONTH *x A$10.00 FEE WILl.BE CHARGED for RETURNED CHECKS Lillian M Hockley -Account#; 102498 Sarah ATodd Memorial liome 1000 West South Street Carlisle, PA 17013-2798 Telephone; (717)245-2187 COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF LILLIAN MAE HOCKLEY, DECEASED No. 2013-00948 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: Robert W. Hockley, Executor 120 Bryce Road Camp Hill, PA 17011 Dated: /' �� r��/� Steven M. Montresor 510649v1