HomeMy WebLinkAbout10-23-84
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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
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.......................................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 ~;'
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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........................................~~..~:...~........................................................................, petiiioner(s).
being duly ...............~m................................ according to law do es........ depose and say that as the
administrato;!;"....... ..... of the estate of .....Jom ..w...Ellenberger..... ........... ...... ...... ..... .....................................
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........................................................................................................................................................................................
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,,,..,