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HomeMy WebLinkAbout02-08-06 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION INRE: ESTATEOFDOROTHYN.SWAIN, DECEASED O.C. No. 21-05-0918 PROOF OF CLAIM HCR ManorCare - Camp Hill files this claim against the Estate of Dorothy N. Swain in the sum of $1,978.80, in accordance with the invoice attached hereto, plus interest and attorney's fees. The sum of $1,978.80 is a priority claim under 20 Pa. C.5.A. S 3392(3) for the value of nursing care and services rendered to the Decedent within (6) months of death. Respectfully submitted, SCHDTJER BOGAR LLC Dated: .7-e.J- 7, 2006 By: ;/~-- w. Scrt Foster Attorney J.D. No.: 90266 305 N. Front Street, Suite 401 Harrisburg, PA 17101 (717) 909-5924 ,. ,-,j r? : I _" ...1 'I I n r.-; , .~1 ',~. - !.... ~.; Rx~Date/Time FEB-05-2005(MON) 15:08 717 737 2189 FEE 06 2006 16:18 FR MANOR CARE-CAMP HILL 717 737 2189 TO 9095925 P. 002 P.02/02 .. .:,l!~!.j;:# _ ,-",t "- ~1"J1~~f'4~~ . 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'.:, .:.' . . ...., I " ": ..-:....,?:...:..;..::,:: : .... , . ,,"- ..... . '. ..,'. . .', ,- . 'J :""::"::'" .... :' " "' . : I, ,~ , \':.':,; :'~ ..' '.. ..' "', .. , . "-:AMoUNT DUE"'. '., . . ,... . . ~ ' ." '. .'. .... . ':\;; , I':, " J' .. '. -. ' ....':,..': "::'. : '. . . . .. . . '" ;. .! '", ;.... ":. '. - . . ;,~ '-: '. ..... ',I. .' . '. ".',.'~ ~ ~ . .: ,', , '.. . l" : .:..:<.l~: ;,';':~:'.'~'.:: .'. . '.' .1. . I.. I..' ~I, . ' . , . w ,:", '<i:',:':."::;"~ :.<:, '~'.. ... ". ,'., '. = . . "". .. '.. , ., ,:...;...,. /'''':~':'' ...: :.' <::::. ':... :,...,';:,:.....~:~.:,~r,.~..,:.:~.;:~.',:,:,;.:,. ......: ;:". ....,<..':.:r.\..~.;..; >.' i' . ,:.'" .' .. '** TOTAL PAGE. 02 ** ,:,~:~~. ~: ',. ... .. :';';,,\ :'~:;":::"~.:'''.~:::i': 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 prepaid, upon the following: Douglas Miller, Esquire IRWIN & tv1cKNIGHT 60 W. Pomfret Street Carlisle, PA 17013 Dated: () d-.h 7/0b I By: SCHUTdER I BO(;AF~ LLC Attorneys at Law Ernail: dong@schutjerbogar.com Direct Dial: (717) 909-5923 February 7, 2006 Glenda Farner-Strasbaugh, Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 In Re: Estate of Dorothy Swain, Deceased O.C. No.: 21-05-0918 Dear Ms. Farner-Strasbaugh: Enclosed for filing please find an original and (1) copy a Proof of Claim against the above-referenced Estate. Kindly time-stamp the extra copy and return same in the self-addressed, stamped envelope we have provided. Additionally, we are enclosing a check in the amount of $10.00, payment of the required fee for filing a Claim. If you should have any questions, or require anything further, please do not hesitate to contact me at the number above. Thank you for your attention and assistance in this matter. ('.' i, I.. . ,_ Sin jcer.e. IY.. ' . ~~- ~t; hri "ty ~L:r Para egal Enclosures cc: Douglass Miller, Esquire (w / enc.) ....- . II I ~"~ : 1 ;,.J .' ."". 441 Friendship Road, Suite 102, Harrisburg, PA 17111 Fax (717) 909-5925 www.schutjerbogar.com