HomeMy WebLinkAbout11-30-05
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
IN RE:
ESTATE OF
ALBERT BALLOTS,
Deceased.
ORPHANS' COURT DIVISION
No. 21-2005-558
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PROOF OF CLAIM
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Manor Healthcare Corp. d/b/ a Manor Care Health Services - CarlislefHes t!Ys
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claim against the Estate of Albert Ballots in the sum of $4,446.00, for the value of ~
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nursing care and services provided to Mr. Ballots within six (6) months of his death,
plus accruing interest at the highest rate permissible at law, and attorneys' fees and
costs in the amount of $450.00.
Respectfully submitted,
SCHUTJER BOGAR LLC
Dated: (IZ$/05
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Attorney I.D. No. 83755
(717) 909-5920
Rodney Alan Myer
Attorney I.D. No. 89381
(717) 909-8160
441 Friendship Road, Suite 102
Harrisburg, P A 17111
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CERTIFICATE OF SERVICE
I hereby certify that a true and correct copy of the foregoing Proof of Claim was
served first-class, United States mail, postage prepaid, upon the following:
Thomas Ballots, Executor
c/o John H. Broujos, Esquire
Broujos & Gilroy, P.c.
4 North Hanover Street
Carlisle, P A 17013-3013
Dated:
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