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HomeMy WebLinkAbout10-23-84 NO. ';</-7r-- f.,1? - J.5.4. 1'7-/(,.-6331 l::l-/~t -,s- ~ PETITION FOR LETTERS OF ADMINISTRATION IN THE ESTATE OF ...Jobn.W...Ellenberger....................... DECEASED. M~~, Lewi Th.........A_~...........~........................................................................ Register of Wills for the Count~. of Cumberlancl. in the Commonwealth of Pennsylvania. The Petition of .... ...Robe.rt..M....Ellenberger.......... .... ..... ...... .... ...... ..... ..... ........ ... ........... ...... .......... ........... ............. .... ..... .... ........ ... ..... ................ respectfully showeth that ... ..John..W., ..Ellenberger...... ........ .......... ..... was a resident of ...Canl1..Hi11...................................~R h . Cumberland County, State of Pennsyl- oroug vania, and a Citizen of United States, and departed this life intestate in the County of ...~:l);~;r......... ..9.~~1:l...~~.l?N,P.......... and Stat e of .f.~yl.:v.<ID;i,.~.... ........ .... .... ... ........ .... ........... ................. .... ........... .............. on ....Sunday..................... the ...JAth........................ day of .......~);q~r.,.......................... A. D., 19....~4... at the age of ....61........ years. That the said .........John..W...El1en~ger........................... deceased. left surviving the following named widow or husband. heirs and next to kin, to wit: Name Relationship Residence ...~~:r:.t....l:'!:..~~~~~~.............. ~r9.t,l;~L........................... ~~JQ;.~.tP.~~~..lP.~~.!...~...~~.~,11~acill ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ That those above named include all of the next of kin. so far as known. The said decedent was possessp.d of personal property to the estimated value of $.1.30.,0.00.00........... and of Real Estate. less incumbrance. to the estimatp.d value of $.....None.................... as np.ar as can be ascertained. That the said Real Estate in so far as is known is located in None .... "'-"~ro... .......... ..... ..... ........... ............... .... Therefore, your petitionerOol respectfully appl)((ies) for Letters of Administration in the above named estate. Dated ....... ......October..f3 .......... A D.. 1!1.84.... Signature and Address of Petitiolll'l',b() .~~w~~..................... . .Camp . Hill.. .. P a':'.1'1 Ql............................................. ",...::J 117P- ) ./.,.., COMMONWEALTH OF PEN:,\SYLVANIA COUNTY OF CUMBERLAND ) f ss: J .......................................EQllEBI.M.,..~............. .....................................................................,. named in the above application being duly ........=m............................ according to law, say that the facts set forth in the above application are true to the best of .his........ knowledge and belief. .......... ...STllOID. ................................. and subscribed) ................ .......... .......... ............... .................. ...... ............. efore me, ~ ......e.~.~.:.....~........................ ~....................~);.()~:r:........7.-~....... A. D., 198.4..... I ....................................................................................... .4l;d4.q..t1..,..~................ tl' Register ........................................................................................ Filed:. ......................................................................... Attorney: . 'jofu 'A:' 'ROe';"'Esq:' ...... ... ........ ...... ... The M::Connick Mansion 101 N. Front Street Harrisburg, Pa. ;t;7!lOloi ("')1"'1 A OATH OF PERSONAL REPRESENTATIVE ~;' v,.' I 2@ } ss: e'3 -0 :.u'" ,..,1Tl r;,g ;J;:::o ,0 "!f!1 ~'~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND T:::::, , )+~ -,'. N W -, :-, -n ........................................~~..~:...~........................................................................, petiiioner(s). being duly ...............~m................................ according to law do es........ depose and say that as the administrato;!;"....... ..... of the estate of .....Jom ..w...Ellenberger..... ........... ...... ...... ..... ..................................... -0 .--.J ........................................................................................................................................................................................ deceased ........................ will well and truly administer the goods and chattels, rights and credits of said deceased, according to law. And also will diligently comply with the provisions of the law relating to Transfer Inheritances. ............?w.?m................................... and subscribed before me. ....................Octobe1:..........?::3... A. D., 19.84..... RfI2~..t!-...,..~.............. ....~....~.:..~.................... ............................................................................................. DECREE Be it remembered that on the ....c:li~........... day of .e~................ A. D., 19..8.4.... Letters of Administration in the estate of ..........J.QHN..W,...~......................................................... .... .......... .... ........... ................ ..................................... late of .~OO..J'!<?r.~..f!~...(;~..lliJJ..,............................... Cumberland County, PennRylvania, deceased, were granted to ...................................................................... ROBERT M. ELLENBERGER ..................................................................J..................................................................................................................... Witness my hand and official seal the day and y~~.~..~~...L?..,. .~.., ._. .~../............. ':::L/~ / ~~i~ter HIQS 112 600M REV 278 :100 ["n '-w, booki 'FEE FOR hilS CERTlFICA TE 52001 WARNING: It is i...... to .1_ this copy or to duplicate by photostat or photograph. COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF HEALTH-VITAL -RECORDS PI<l.C(' of Death LOCAL REGISTRAR'S CERTIFICATION OF DEATH ~ &.,., ~ 4 ~~~L<> Re,idence .33/()..zt~ /?J //.-// ~-' fAl? L2t7// Number ~~, ~l"Own Cou Y State ./7.'"' . /d ~~Z;:L 0' T n,hip / 1" Full Name of Deceased Regist('!'pd No. NO.4604559 Pel1nsyJ\"dni~1 Sex m~4 /0'02- No/"'7 /~ Date of Death Dute of Birth Birthplace /? Race 2tJ li l\farital St;-ttus c~ .3~i79~()91 Soci;d Sf'curity ~~< / O("!.:upation VptPriln's Sf'l'iaJ ~o MEDfCAL CERTIFICATE Part I. Death wa~ caused Ly Inten-al Between OnsC't and Dea1h Inllllcdi<tte Caus('la) ~7fA~ ~d-~_ DUeTO(bl.rh?hj~.I~ /LJn- AA~.I.J ~('.I' Y~.dX.I Due To(c) PART II. OTHER SIGNIFICANT CONDITIONS: cOiltributiJl~ to death but not related to the inunedia!e caU:-ie given in Part I (a) Accident, Suicide or Homicide How did injur.y Occur Name and Title of Person Who Certified Cause of Death (M.D., D.O., Coroner, M,E. - Address p/?//JI!. I)' /)b~~ ~.6~;r!~ ~- elt." Street This is to certify that the information here given is correctly copied from an original certificate of neath duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vit!!! Records Office for permanent filing. ~ Street Address /~U.~ Lml Reg,,,..,