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Home My WebLink About88-0258 r.i, �('his is tu rer�ify rhat the ii�fur�Y�ati�>n here given is a��rectly c>pied from an origi�al certificate e�f death duly filed with me as f.��c:il ltc��isu-ar. Tl�e�ori�;inal certificare will be furwarded ru rhe State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. , l�ee f<�r this certific��rE, �2,00 �,,n�''""jH OF � ,,,��a� pF,yy _ �� /�� -�- ,`i,��Po� _ J'�_ .s, � _t�fl,�-(�a �� _ �_,l= Local Reg strar � .Q_— � =:z; :�- � a� e* *• :,,;: , �_Q�� ,`�'�` 12 610 2 _ q9 , y ) -- -- I�ENT 0��+�''`� _ /L��%rs��?�-��-- No. -_-- — ,,.....nuerr Date -- --- ___ _. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH _ � VITAL RECORDS ' • -- CERTiFICATE OF DEATH . . ._. . _... . . _ . .__. _-. . ._ ... __ (CO�OO9►) STATE FILE NO. � Name of decedent (First) (Middle) (Last) Sex Date of death(Mo.,Day,Yr.) ,. Richard M Graham �Nlale 3. 03-18-88 Ra�—(e.p.,Whfte,Black, Ags bst birth- If under t yr. If under t da Dats of birth,AAqDay,Vr �ate or foreign muntry of County of birth City,Boro,or Twp.of birth Ameri n�ndian,etc.) day Mos. Days Hours Min. birt 11 � � g7-27-76 6e�Pa �. Dauphin so,Harrisbur 4.w 1 t@ 5A. 5B. 5C. A. County of death City,8ao,or Twp.of death Hospital or Institution(If not either,give address) �f hosp.or in:t.indicate DOA, �Cumberland �iiddlesex TG1�P. �C R. D. � Carlisle . or�ER,orinpatientlspecify) 7D. Decedent's Mailing Atld�au 1 treet or RFO No,► (City or Town) IState) (Zip Code) Maritaf Status Survivi�g Spouse(If wife,give meiden name) 8.109 Regency Woods Carlisle Pa 17013 s, Single ,o. Citizen of what oount�y� Was decedeM evar in U.S.A�med Forcet7 Social Security Number Uwal Occupation(Kind of work done during most Kind of business or indus[ry � ❑Vet �No of workinq life) USA f�y �s � 7 ti'3Q Student 11. 12. 13./ d�' � 14A. 14B. Where did ,�..st,t� � n sy V an�a Did decadent live 15c.� Yes,decedent lived in i e s e x decedent townthip. actually live? �[�y,�qunty um er an in a townshipt 16d.Q No,decedent livad within sctual limits of city or 6oro. 15. Father's name (first) (Middle) (Lest) . Mother's maiden name (First) (Middle) (Last) ,s. Richard B. Graham ,,. Carolyn S. Whiteaker InformanYs name(Typa or Print) IhformanYs (Street or RFD No.) (City or Town) (State) ' (Zip Codu) ,BA. Richard B. Graham 18B�ngaddress8 San Juan Drive Mechanicsbur Pa 17055 �Burial �Removal Date of burid,etc. Name of cematery or crematory . Location (City,boro,twp.) (State) ,OA.pa«�=�� pot � ,�.3-22-88 ,�c. Mt. Z'on Cemetery ,so. Monroe Twp. Pa Signature eral director license n 6er Name and address of funeral establishment ! so Fo-[0 1 2 6 6 2 -[L� Myers Funeral Home, Inc. Hegis re�'s ignat e Date received by ragistrar 37 E. M a i n St. Z�a ' K�.c.��!/ � a � °� 2�e. •j-.?�—�� 2oe. Mechani b rg, Pa 17055 �� On the basis o}examination and/ ,i sti ion,i �y opinion,death occurred at the time, date and place and dua ca ' sta �•E g . c'� e Sgnaturer �� 23A.andtitle CORONER o O Date Signed(Mo.,Day, r.) Hourof m� 03-19-88 . °88Lh A.M. � zse. z�. 5'5 5 P.M. F°, me and Address of Grtiffer PMysician,Medical Examinar w Coroner)(Print or Type► RONER Name of Attending Phycician �,ichael L. Norris,405 Fairwa Dr Mechanicsbur Pa. �. Z8• IMMEDIATE G4USE: �. Enter only one cause per line for IA1(B)and�C) Interval between onset and death �,i Closed Head Injuries � Dw to,or�f a oonpqusnp of. Intervel bstweon onset end death P jRT 1e� Blunt Trauma j Dw to,o�as�eoropuance o: 'Interval between onset and death IC► I 'A��) Other Sipnifk�nt Co�ditioru—Conditioni tontributinp to death but not related to cause given in Pert i(a) Autopsy Wu ca�s referred to Medical Ex- �yy aminer or Coroner7 s�. �nio 2B. Y�� p No , m.. �t.a Dat�af In�ury(Nb..D�y,Yr.) Hour oi A.M. Dsscrib how injury oaurred: P�ndinp I�v�stlp�tion(Spcifyl I�lury zon. ACCIDEN A �se.03-18-88 zec. � P•M• �eo.Pedestrian struck b vehicle n ury at wor aa o n ury t om�, em,strset,�te. ut on raet or . ty, ro,or tate ; zoe. �"° �"" ��, �"I�9'�WaY �yn,PA. Rt. 944 Middlc�a�x PA r � . , , 2�� ` �� 2� � � TO: PATRIGK GEGKLE��SQ (, - � � � , 301 MP,RKET ST. , RM. 403 � �' �� HARRISBURG, PA 17102 Re: Estate Of RTCH1aR1� M_ C;RAHAM No. 21-g� -�$ Date of Death: 3=18�8 8 NOTICE OF DELINQUENCY PURSUANT TO OItPAANS' COURT RULE 6.12 Dear MR. GECKLE Pursuant to the Supreme Court Orphans' Court Rule 6.12, the personal representative for each resident decedent dying after July 1, 1984, or counsel for the estate is required to file a Report of the Status of Administration with the Register of Wills of Cumberland County no later than the due date for filing the Pennsylvania lnheritance Tax Return or, if no Inheritance Tax Return is required, nine months after the date of death. No Report of the Status of Administration has been filed in this estate and more than nine months has passed since the date of the decedent's death. Accordingly, you are hereby advised that unless the required Report is filed within sixty (60) days from the date of this Notice, the undersigned is required to report your failure to the Orphans' Court Division, Court of Common Pleas of Cumberland County, for transmission to the Court A.dministrator of Pennsylvania. A form for the Report required by Supreme Court Orphans' Court Rule 6.12 is attached to this Notice of Delinquency. Please file the required Report as soon as possible, but in no event later than sixty (60) days after the date of this Notice. REGISTER OF WILLS � �� 1�� Mary C. Gewis DATF.: 4=7=98 � � TO: PATRICK G. GECKLE„ ESQ. . 301 MARKET ST. , RM 403 HARRISBURG. PA 17102 Re: Estate Of RTCHARD M. C;RAHAM No. 21-� 258 Date of Death: MARCH 18 , 1988 NOTICE OF DELINQUENCY PURSUANT TO ORPBANS' COURT RULE 6.12 Dear M&. GECKLE Pursuant to the Supreme Court Orphans' Court Rule 6.12, the personal representative for each resident decedent dying after July 1, 1984, or counsel for the estate is required to file a Report of the Status of Administration with the Register of Wills of Cumberland County no later than the due date for filing the Pennsylvania lnheritance Tax Return or, if no Inheritance Tax Return is required, nine months after the date of death. No Report of the Status of Administration has been filed in this estate and more than nine months has passed since the date of the decedent's death. Accordingly, you are hereby advised that unless the required Report is filed within sixty (60) days from the date of this Notice, the undersigned is required to report your failure to the Orphans' Court Division, Court of Common Pleas of Cumberland County, for transmission to the Court Administrator of Pennsylvania. A form for the Report required by Supreme Court Orphans' Court Rule 6.12 is attached to this Notice of Delinquency. Please file the required Report as soon as possible, but in no event later than sixty (60) days after the date of this Notice. REGtSTER OF WILLS , ��C�� - (! C Cc-L� �.L2 � {�� Mary G Lewis �� DATF.: APRIL 12, 1996 8.�_ .....-.:, .�', � � i �� . c � � "' ` �r� �- .� t �q t : �.°� 3 !�� t�A ' �' ,� �:f��:�� `:; ' v '�� Yl�'�� v : ��.7 !��1��' s :e �, - i ?fG�c l��m��;4.Z.. . � . �,�v ��y ' _- - . G C:? \ < wv � '.; C � ,._' tr! 4 :.� s� U �'-� ^� q�: � l� . cY r .:..: �i w�� v� J OM a o (J) V' N [xa O . ,--� �-- + � l� W fZ � a x - U • �C wha � � � �. • H � N � � � � xar� u° H � H � a a H r+ x � o � wr� x « � � 0 t� m c� � m t °o y a � � 3 O ° ro W o V � J Y �> (� � o c V V c � °n v a Q � c Q = � m � 3 �`� a = c� � �U ;; U w .� d ¢ � � � N C� � C 1 w 3 0, � � � � �,' m � � y � a � 7 n A 7 O n m C �-p " `G ] N � � r `c �. ('� -oi. m a.+�`� _._..._..,� w o o � _ w , � �� O � s N �\,r�ig�a ' W y 7 i`1Y.''�y � � �p N F,�, � '�_p� �,�`' : o 9`�C��>' c A��y ; � �,�� ;�,/�� i��a~ ! � � n . xwro � o � xJ t-� H � F-1 � H Cn � (� a� z� x cx � � � G� �-3 LT1 ti � cn x roH � � • r� ti �r N � � � O � �� w O i0 �. c � 03 • m �„ t�i r � O O '� W � � � �� 5�`��a �� :� f�� `w� s�� i � A a �i/ �,j � 1t2 �P� N ��` O � k � Q t _ ! N W 1 � a n �1t � �+!*�*a�► �*• �►.;'' . �. OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY CUMBERLAND } ss OF The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal representative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. � Sworn to or affirmed and subscribed � S � � � before me this 5TH day of � PRIL iq8$ � � v • � � RY . LEWI Register l d0 � � - No. 21 - 8s - 25s � ` ' �ate �; RICHARD M. GRAHAM �,>�_; , Deceased �✓-- �� - � � `-_f�_ � `GRANT OF LETTERS OF ADMINISTRATI01o1 AND NOW APRIL 5 , 19 8 8 , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that CAROLYN S. DEIMLER and RICHARD D. GRAHAM is/are entitled to Letters of Administration and in accord with such finding, Letters of Administration PENDENTE L�TE are hereby granted to CAROLYN S. DEIMLER an IC A in the estate of RICHARD M. GRAHAM` ;J � ' Register of Wil ARY C. LEWIS FEES ��1 `/• "" � - , -t� Letters of Administration . . . . . $ 13. 0 0 `'v41 2-► C-F` � ��:G�-r(-� a� �� Short Certificates( � . . . . . . . . . . $ 6 . �0 ATTORNEY(Sup. Ct. I.D.No.) Renunciation . . . . . .. . . . . . .. . . $ 3C='( j/�i�2 K� T �^Z= f�cx�� 103 $ TOTAL $ 19 . 0 0 ADDRESS Filed . . . A P RI L. 5 r. . . . . . A.D. 19 8 8 �q Q!U S P.x;2 Ci- � ��- ��,��v�•. PHONE �`3`'(—U Cl �('�--, Mailed letters to attorney on 4-5-88 . !� ,. PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of 1`��K�r�� '1 . C��za�a � No. �� —��—�aSC� also known as To: Register of Wills for the Deceased. County of CUMBERLAND �n the Social Security No. (? �' " G,� " �`�3� — Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, app1�� for letters of administration �.��o�-��r�-� 1�fie _ on the estate of (d.b.n.; pendente lite; durante absentia; durante minoritate) the above decedent. Decendent was domiciled at death in �-✓^^��"�" � County, Pennsylvania, with h 1 S last family or principal residence at ��' �'�� 3�'-/�� 7'° �?�r�n.v�c.��-.e t,._ (list street, number and municipali[y) Decendent, then�years of age, died ''�'�'¢�'C� � � 19 �'� � , , at • Decendent at death owned property with estimated values as folllows: �� (If domiciled in Pa.) All personal property $ , (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: Petitioner '' after a proper search ha S ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name Relationship Residence ��12C� �tT �E�rr�� 11'�c77H-E =d �r2��tifj�i�7/Z /'. /hc-cLi�,�.crh- 7 (�,=Fl�R r7 r ��+"� r`'-4-i.�c � S�� T�.a� �j�_ � Q-- 6�JPc�v�ras�i � ��E'�F G2 r .4�, S�s<—F2, d� C P�,t. ��t r�� h��Gr�..•G, THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. � � C � � � ��1�`�- b� - � �v xc �,o �'� tia �,�.. � ° � C 00 t%1 / � i .-'; �G�r�� --- �' 'I "/7C