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COMMONWEALTH OF PENNSYLVANIA
COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
ORPHANS' COURT DIVISION
NOTICE OF CLAIM
In Re: The Estate of:
RUTH A ANOKA
Court File No: 2005-00722
Deceased
TO: THE CLERK OF THE ORPHANS' COURT DIVISION:
Notice of claim by creditor, Pursuant to Section 3532(b)(2) of the Probate,
Estates, and Fiduciaries Code, 20 PA.C.S.A. ~3532(b)(2).
MBNA AMERICA
1) Claimant's name:
P.O. BOX 15137
2) Claimant's address:
WilMINGTON, DE 19850--5137
877-767-9383
3) Creditor listed below is the owner and holder of a claim in the amount of
$ 872.04
4) The facts upon which this claim is based:
This claim is based on an account for credit evidenced by the attached
Affidavit of Account Stated.
5) Decedent's address: 54 E MAIN ST MECHANICSBURG, PA 17055
6)
Date of Death:
07/18/05
7) That the claim arose prior to the death of the decedent on or about
8) That the claim is secured by
On behalf of the claimant, I do solemnly declare and affirm under the penalties of
perjury that they Information and representations made herein are true and correct
to the best of my knowledge, information and belief.
Dated: 1. L /jz~ u.a/ '):~
Leah Schenkenberg/Jessica Lerbs - Aut ad Representative-in-Fact For MBNA';An:jerica:. ,
Written notice of claim was given to Personal Re sentative and/or his/her counsel
as stated below:
ROBERT BENKOVIC
Name
1561 BRAILWOOD DR
Address
HARRISBURG, PA 17111
CitY/State/Zip/ I
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Date notice mailed'
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IN RE ESTATE OF:RUTH A ANOKA
AFFIDAVIT OF ACCOUNT
The undersigned, being first duly sworn deposes and states the follows:
1. Your Affiant is authorized by the Claimant as its Authorized Representative-
In-Fact to make this Affidavit.
2. Your Affiant has reviewed the account records of the Claimant with respect
to the decedent. Your Affiant is familiar with these records and accounts and
reviews them as a regular part of hislher duties.
3. The Decedent purchased merchandise in the amount of$ 872.04
evidenced by account number 4264520019379288
4. The unpaid balance does not include any post-death late payment charges,
accrued interest, collection costs or attorney's fees.
Further your affiant sayeth not
MBNA America.
By:
Leah chenkenberg "'--
Jessica Lerbs ./'
MBNA America
P. O. Box 15137
Wilmington, DE 1985(}?5,1~7
Subscribed and sworn before me
This
C{ ~ day of
~,
,2005.
t>>U
STEPHA . JOHNSON
NOTARY PUBLIC - MINNESOTA
MY COMMISSION EXPIRES 1/31/08
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