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HomeMy WebLinkAbout10-11-05 . ~ / - C 5 -0 S-~:J- II PROB~E COURT ! STATE OF SOUTH CAROLINA COUNTY OF CUMBERLAND IN THE MATTER OF WILLIAM M. HERR CASE NUMBER N / A Decedent's Date of Death (if known): 4/?8/0S 640 SAINT JOHNS DR. CAMP HILL PA 17011 Decedent's Last Mailing Address: STATEMENT OF CREDITOR'S CLAIM Creditor: THE BON TON . Address: 9441 LBJ FREt=WAY Lock l30x 30 Dalbs. TX 75243 972-644-6360 Telephone: Basis of claim: Acct.#050-572-734 Amount of claim: $ 764. 78 Date claim will become due (if not already due): ,20_ ~ Nature of uncertainty as to amount of claim and due date, if any: Description of any security as to claim: INSTRUCTIONS: Claims must be filed with the Probate Court of this county and delivered or mailed to the Pe anal Representatives appointed to administer the estate (see section 62-3-803,62-3-804, and 62-3-806 on reverse). 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Herr, Deceased Case #N/A Proof of Mailinq I mailed the creditors claim to the fiduciary (and attorney, if applicabl~ as follows: I deposited a copy/copies of the claim with the United States Postal Service in a sealed envelope with the postage fully pre-paid. I used first-class mail. I am employed in the county where the mailing occurred. The envelope (s) wa$i/were addressed and mailed as follows: i i Mr. Dwayne Heckert 940 St. John'S Dr. Camp Hill, PA 17011 Date of Mailing: lo~ it /' County of Mailing: Dallas, Texas I declare under pe lty of perjury that the foregoing is true and correc d/ t?~_ Date: for The Bon Ton P.O. Box 741026 Dallas, TX 75374 '--" '(. ) .'";;"1 . Page: 1 Document Name: untitled CMD=> PH 717 737 6336 NAME *WILLIAM M*HERR ADDR 640 SAINT JOHNS CITY CAMP HILL 4TH SPSE EMPL RETIRED EADD ECTY EPHN RPHN LST PAY 20050413 LST LET 20050611 LOCAL TIME: 14:21 * COLLECTIONS * 50572734 F O-AC DR ~) EMP ADJ DSP N 20 4587 SSN 283 NM REFUSED 20.00 OPEN 19690300 061 20050627 BTS QUEUE LIM CYC PA 17011 STAT TU 1 0743 A PDUE ADUE PUR PAY CRED FCHG NBAL ~. CUR 47.00 85.00 .00 .00 .00 .00 764.78 'J 988 CP o RP 11 11TH MP DTL MP] 06/05 SCt1. JUN 47.00 85.00 .00 .00 .00 37.85 764.78 II I I I ~~:i ",- c.J .--t . .T. c-) 78.75 38.00 .00 2 AGE 2 900 WAC 1 MAY 11.00 47.00 .00 20.00 .00 12.86 726.93