HomeMy WebLinkAbout02-24-06
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of George! r. Ga....i.i son
also known as
Deceased.
No. JJJOh.- () /75
To:
Register of Wills for the
County of Cumt)~~rl dnd in the
Commonwealth of Pennsylvania
Social Security No. 208~.52-.1800
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, app 5'
for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Decendent was domiciled at death in Cumber 1 and County, PeI}nsy)vania with
hlJ last family or principal residence at 320 Bridge St. New CumberTana, Pa. 17u/U-2172
(list street, number and municipality)
Decendent, then 47 years of age,~ied
at IJ, S . :n s _ 11 ;~ 15 > E 110 1 a, 1?~_
October 20.
, 192005
Decendent at death owned property with estimated values as folllows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows: NoJl'If~
$ I J' ~/ dO 0
$
$
$
Petitioner_ after a proper search ha~ ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
Name Relationship
Ernest R. Garrison. Sr. Father
O.lor E.'Shooe
Jean M. Fu:rnish
Florence M. Miller
Sister
Sister
Sister
-3354
Ernest R. G
r
Brother
1505 Pecks: Rd.
THEREFORE. petitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
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OATH OF PERSONAL REPRESENTA'IiIViE--
COMMONWEALTH O. F PENNSYLVANIA/;'~S~i;-[' .~~.- f
..'- ss
COUNTY OF ~ -
r ~.1 1 ~. t).)
I;: I , i' L,J
The petitioner(s) above-named swear(s) or affirm(s) that the
statements in the foregoing petition are true and correct to the best
of the knowledge and belief of petitioner(s) and that as personal
representative(s) of the above decedent petitioner(s) will well and
truly administer the estate according to law.
sw.orn to or affirme~and subscribed f~~-;?~: .~~
before me this =.::L 0... day of . ))'
"""~W";".~"'''' ~9 ~
<:?::-.~ ~ J ~~~, ~1 ~
~~ .'<,~ ,'l- ~ Register l 3f
N 9-.00h-OJ75
o.
Estate of (~eOr3G P 6-arrrS()n
GRANT OF LETTERS OF ADMINISTRATION
, Deceased
- . . c2).J UJOtR
AND NOW Februar!! 'T 1:9_, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
lT IS DECREED that f;yne5+ R. rrarn5{)n. Sr.
i
CW'are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to frnes,t 1<. lYf1rfJ50Y'I, Sr.
in the estate of Creoyge [7. 6-arriS() ()
FEES
$ .'Ji_O. 0 0
Letters of Administration .-<-lV
Short Certificates(~) . . . . . . . . .. $ I ~ . 0 D
ReBHRfiliati9R -:ref. . . . . . . . . . . .. $ ;0 00
auto $ 5.0D
TOTAL _ $ ;"~7.0D
Filed . F <<?~.q.(Ij. .. ?: ~.... Jtl). 3 BJ21;
~f{ '1aMM <_J1Atu/~
'fVl ~iiU{V~
G~"ry~ ~el!- ';<';120~
ATTORNEY (Sup. Ct. 1.0. No.)
;().. 0 P<r-Ku,~ ~<e..
J I /. ADDRESS /JJ 17~ / /
/fCtrt"'ffvCf7 /,/r-
<7 d PHONb
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Thi', is to certify that the information here given is correctly copied from an original cer~ificate of death du~'y. filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Offtce for permanenbhlmg.
WARNING: It is illegal to duplicate this copy by photostat or photograph,
No,
'vf~ ~4L
Fee for this certificate, $6.00
Local Registrar
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12064678
o~ .tt!> oe r' ~s.f
ec1d S-
Date
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H106.I4A Rev. 1/91
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(Coroner)
TYPU>_T
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BUCK _
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030-100
NAME Of DECEDENT (F... MOte, LasI)
George
uNOER 1 VEAR
- Doyo
P
UNDER \ OA.V
Hours ........
PlACE OF oeRH (ChIck only one _ inlltructi0n8 on oht sid8)
KINO OF 8U
SEX
., Mal'e
STMe"FIlE ~A
socw. SECUMV NUMIlE'\.
s.' 208-52-1lWO
, cm:
Eaet Pennsboro
8IJlMWOO llPOUSE
"....~--
ederal Governm
DEQ;DENT'S
ACTUAL 17.. s:&.l:.
REStDt;NCE
(Seeifl8lfuc:tionl
onOCh_aide)
'70,
PA
Cumberland
.,..
-
......
_,
11..0....._"1""..
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New Cumberland
-.
~
~
..Conolite Cremator
NAMe 1189"MClUT't
YERS FUNERAL HOME
UCCHs.E NUII8EA
MECHANICSBURG PA 17055
ORE
-,Iloy.-
DAfE PRONOUNCED DEAD (Month, Day, 'tWu)
October' 20, 2005
..... ....
VIM CASE REFERREO 10 ME~\.. EXAMWERICOAONER?
....1lII.. "llOt rA. . NoD
!=:=.... PARTI: C:-~~~~
Ior-.........
I
24. M .
27. MIlT I: Enter thcI cbMNe, ........ Of' complclol!ont whk.h Cllueed the dMIh. 00 no!:enl.,. rhe ~ 0' dying, 1UCh.. cardiaC Of reeplfalOfy atr_, I/lDU Of heIart......
u.t only one C&IIIIII on.-eft 11nI.
Multi Ie Traumatic In uries
DUE 10 (OR AS A CONSEQUENCE OF):
..
DUE 10 (OR AS A CONSEQUENCE Of):
DUE 'TO (OR ,ll,S ACQNSEOUENCE Of):
.,
WERE AUTOPSY FINDINGS
IIWU.A8LE PRIOR m
COWLETtOH OF CAUSE
OF 0E.<rH?
MANNER OF DEATH
DRIE OF INJURV
(MonIh, Dav. ~r)
TIME OF INJURY
Coroner
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Hornick'-
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2... aD.
csrr1l'WR (Ched< ...... one)
-ceRTlFYlNG PHYSICIAN (Physici8n car1ityiog cause d 08aU1 oNhefl anottler phYeK.;iaft hillS j)r<>nOUr'lCed de6lh and completed hem 23)
Ta....-..otmtkno..........occ.......dUelotheC......)llJIdlNMilf_...ted.....................................-........ .......
Suif:1de
'",
PendIng lollMtigation
Could not be determined
. .
O PlACE OF INJURY. AI horN. ,.rm...... tacIory. ofIice
..........,OCC,(Specj1y)
-,
'IIEDlCAL UAIIIIlEIlICOROlER
On the bMIa of .un...... an4/0' lnve-'lgdOn. In my ~"'0IlI. dUth oc:cun-ed at the tN, did., and pIatCe, end due to the cauM(.) and
...-_IIla\ed....................'..'.. .........,.........................................
StL
REG
12JIZll/a
SIGNAnJAE
o. .
UCENSEN 0Af'E8IGfED~. OIIy,.....j
o II. 1. October 24, 200S
=E2~:~,~~~~:r~Dr~c:"f:~Hroner
,.., . 6375 Basehore Road, Suite III
~ Mechanicsburg, Pa. 17050
...
~FLEOoe .l~~ 2~ &oS-
.pflOHOUHClNQ AND ceRTlFY*'I PHYSICIAN (PhI'SK"lCIO tat. pt'OIU...1.:;irIQ rktllltl and certifying k) cause at deeft1)
lQ...belIlot....,~.dHlhoccurredat1heUme, daUl..ndp)Ke..nctdlU4tlO....cauM(.)....manner.....-cI..,.... ....................