HomeMy WebLinkAbout12-21-05
IN RE: EDITH MAYO : IN THE COURT OF COMMON PLEAS
: OF CUMBERLAND COUNTY,
: PENNSYLVANIA
: ORPHANS' COURT DIVISION
An alleged incapacitated person : NO. 21-05-1012
On the Petition of KEVIN L. ELLIS and DOROTHY ELLIS
CERTIFICATE OF SERVICE
I, Marielle F. Hazen, Esquire, certify that on November 30, 2005, I served a true and
correct copy of the within Petition for Appointment of Guardian of the Person and Estate of an
Alleged Incapacitated Person on the parties named below, by depositing same in the United
States mail, certified mail, postage prepaid as follows:
Mrs. Dorothy Ellis
4097 H Farm Drive
Harrisburg, P A 17112
Mr. Kevin Ellis
1505 Nittany Lane
Harrisburg, P A 17109
Mrs. Laura Lennon
4428 44th Street
S. Minneapolis, MN 54406
Mrs. Brenda Selby
26454 Forill Avenue N.
Wyoming, MN 55092
Mrs. Beverly McClure
30 Second Avenue
Bay Shore, NY 11706
West Shore Health & Rehabilitation Cntr
770 Poplar Church Road,
Camp Hill, Pennsylvania 17011
Michael J. Whare, Esq.
Rominger, Bayley & Whare
Attorneys at Law
155 S. Hanover Street,
Carlisle, P A 17013
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Respectfully Submitted,
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4.ti; e -:H.un, Esq.
P A I.D. No. 68003
2000 Linglestown Road, Suite 202
Harrisburg, P A 17110
(717) 540-4332
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Date
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SENDER: COMPLETE THIS SECTION
. Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
. Print your name and address on the reverse
so that we can return the card to you.
. Attach this card to the back of the mail piece,
or on the front if space permits.
1. Article Addressed to:
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A Signature
,
o Agent
o Addressee
B. Received by ( Printed Name) I C. Date of Delivery
O. Is delivery address different from item 1? 0 Yes
If YES, enter delivery address below: 0 No
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3. Service Type
Ot Certified Mail
Ol:legistered
o Insured Mail
o Express Mail
tl(Retum Receipt for Merchandise
o C.O.D.
4. Restricted Delivery? (Extra Fee) 0 Yes
2. Article Number
(1/'ansfer from service Iab.'
PS Form 3811, February 2004
7003 2260 0001 3500 7325
102595-02-M-1540
Domestic Return Receipt
SENDER: COMPLETE THIS SECTION
. Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
. Print your name and address on the reverse
so that we can return the card to you.
. Attach this card to the back of the mailpiece,
or on the front If space permits.
1. Article Addressed to:
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2. Article Number
(Transfer from service /abeI)
PS Form 3811, February 2004
3. Service Type
.B( Certiflecl Mall 0 Express Mail
o Registered ~ Return Receipt for Merchandise
o Insured Mail 0 C.O.D.
4. Restricted Delivery? (Extra Fee) 0 Yes
7003 2260 0001 3500 7332
102595-02-M-1540
Domestic Return Receipt
Exhibit "A"
SENDER: COMPLETE THIS SECTION
. Complete items 1 , 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
. Print your name and address on the reverse
so that we can return the card to you.
. Attach this card to the back of the mail piece,
or on the front if space permits.
1. Article Addressed to:
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2. Article Number
(Tl8fISfer from servICe IabeQ
PS Form 3811,F.ebruary 2004
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COMPLETE THIS SECTION ON DELIVERY
3. Service Type
.bitt:ertlfied Mail 0 Express Mall
o Registered jSif"Retum Receipt for Merchandise
o Insured Mail . d C,o.D.
4. Restricted Delivery? (ExtRJFe8) 0 Yes
7003 2260 0001 3500 7349
102595-02-M-1540
Domestic Return Receipt
· Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
· Print your name and address on the reverse
so that we can return the card to you.
· Attach this card to the back of the mailpiece
or on the front if space permits. '
1. Article Addressed to:
M~S. ~~~ d6LBY
bll.e4 54: fO't..\L\.. kJ'e tJ~r~
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D. Is delivery address different from item 1?
If YES, enter delivery address below:
3. Service Type
o Certified Mail 0 Express Mail
o Registered 0 Retum ReceIpt for Merchandise
o Insured Mall 0 C.O.D.
4. Restricted Delivery? (Extra Fee) 0 Yes
2. ArtIcle Number
(ThJnsferfromserv/ce 7003 2260 0001 3500 7356
PS Form 3811, February 2004 Domestic Retum Receipt
102595'()2-M-1540
Exhibit" A"
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SENDER: COMPLETE THIS SECT/ON
. Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
. Print your name and address on the reverse
so that we can retum the card to you.
· Attach this card to the back of the mailpiece,
or on the front if space permits.
1_ Article Addressed to:
M(2,S, ~~ve-f2..U{ Me c.t.Ut'l.E
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2. Article Number
(Transfer from service lit". ;
-JI$ Form 3811, February 2004
COMPLETE THIS SECTION ON DELIVERY
-i11gent
tJ -Addressee
C. Date of Delivery
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3. Service Type
;k(Certlfled Mall
D Registered
D Insured Mall
4. Restricted Delivery? (Extra Fee)
D Express Mall
~~~ Receipt for Merchandise
Dyes
7003 2260 0001 3500 7363
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102595-02-M.1540
Domestic Retum Receipt
.. . .
.
· Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
· Print your name and address on the reverse
so that we can retum the card to you.
· Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
A{:)}-..ll}J ,"STlUt\O('2. .
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C {(WI..p rt-lLL I P A- \ "16 t \
2. Article Number
(1/'8nsfer from service IBbeI)
PS Form 3811 J February 2004
COMPLETE THIS SECTION ON DELIVERY
C. Date of Del~
IJ-/~T)
D. Is delivery address different from Item I? D yes
If YES, enter delivery address below: D No
3. Service Type
~ Certified Mall D Express Mall
D Registered f,i{Retum Receipt for Merchandise
D Insured Mall D C.O.D.
4. Restricted Delivery? (Extra Fee) D Yes
7003 2260 0001 3500 7370
Domestic Return Receipt l02595-02-M-l540
Exhibit" A"
r-n-- .--.---..
SENDER: COMPLETE THIS SECTION
. Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
. Print your name and address on the reverse
so that we can return the card to you.
. Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
LA.lCt\'t\e\.... :s: Wt\oAUz) e;S9
~ 1.O~~12- ~{l.G'( ~ \P\t f't-iZe'"
S~ S. 'r\fcNt./'Jte'1L S"t"~T
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COMPLETE THIS SECTION ON DELIVERY
D. Is delivery add different from item 1?
'-If YES, enter delivery address below:
3. Service Type
ej Certified Mall 0 Express Mail
D-Registered U! Retum Receipt for Merchandise
o Insured Mall 0 C.O.D.
4. Restricted Delivery? (Extra Fee) 0 Yes
icle Number
.nsfw from service label) --r.oO <l \ l(OO ~ S l. 38 S "l B ~
rm 3811. February 2004 Domestic Retum Receipt
102595-02-M-1540
Exhibit" A"