HomeMy WebLinkAbout12-22-05
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYL VANIA
IN RE: ESTATE OF DOROTHY DEVERS,
DECEASED
No. 2005-439
PROOF OF CLAIM
HCR ManorCare - Carlisle files this claim against the Estate of Dorothy Devers in
the sum of $1,105.97, in accordance with the invoice attached hereto, plus interest and
attorney's fees. The sum of $1,105.97 is a priority claim under 20 Pa. C.S.A. 9 3392(3) for
the value of nursing care and services rendered to the Decedent within (6) months of
death.
Respectfully submitted,
SCHUTJER BOGAR LLC
Dated: I~ -;lJ ,- cf
By: ~~
W. Sc t Foster
Attorney J.D. No. 90622
441 Friendship Road, Suite 102
Harrisburg, PA 17111
(717) 909-5924
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HCR*ManorCare
MANORCARE CARLISLE 372
940 WALNUT BOTTOM ROAD
CARLISLE, PA 17013
(717)-249-0085
PRIVATE
STATEMENT
ROOM 109 - A
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Payment Due Upon Receipt
Amount Due
$1.105.97
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CERTIFICATE OF SERVICE
I hereby certify that a true and correct copy of the foregoing Proof of Claim was
served via first-class, United States mail, postage pre-paid, upon the following:
Greg Kerwin, Esquire
4245 Route 209
Elizabethville, P A 17023
(Attorney for the Estate of Dorothy Devers)
Dated:
/ /;2-/;)-;!or
,
By:
Christy A.