HomeMy WebLinkAbout06-03-15 j3AA
Bureau of Account Management
SATISFACTION AND RELEASE OF CLAIM
IN THE COURT OF _Cumberland COUNTY, STATE PROBATE DIVISION
IN RE: ESTATE OF Gail L Bonder
CASE#: 21-12-151
AMOUNT: $ 1,000.00
The undersigned has received full payment of the claim which was filed against the above estate
or has otherwise settled or compromised said claim. This Satisfaction and Release of claim is
executed to acknowledge discharge of the claim and to release the claim against the estate.
Signed on May 24, , 2015 _ ca G_ n
0
Claimant
Bureau of Account Management, agent for Select Medical Corporation 89537 i rev "
O G.w
Ln 1
3607 Rosemont Avenue, Suite 502 • Camp Hill, PA 17011
Mailing Address: P.O. Box 8875 • Camp Hill, PA 1 7001-88 75
Toll Free: 1-800-599-0423 Ext. 3005 • (717)214-3005
1
r �
a �
� o
o �
rn
�s
4st m
7
Li o cCD
u zv 1 r
is C/1
;.aL. +� �--) ':17 Q
> w 071 cri -Tl
M., p -
� I
c
i
f
_ y o n�i UNITS
N o ol �9
X co
O m , y'
� C:
0 Z O 2 Y
M (:D
I
13 N) 10,
. Ln � y