HomeMy WebLinkAbout04-17-06
FORM 93 - O. C. DIVISION
IN THE COURT OF COMMON PLEAS
OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS. COURT DIVISION
IN RE: ESTATE
OF
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No. 21-06-0039 ~
RALPH SMITH
(Deceased)
CLAIM
To the Clerk of Orphans court Division:
Index and make proper entry in your official records of the claim of OMNIUM
WORLDWIDE, INC. for AMERICAN EXPRESS (Claimant), account #
372378576931000/ 072115064016USD /372378576931000 D2AA, in the amount of
$11,109.37 against the estate of the above named decedent.
This claim is filed under Section 732 (b) (2) of the Fiduciaries Act of 1949 as amended.
The said decedent, who resided at 98 LONGSTREET DR, CARLISLE, P A
17013-8112, died on December 20,2005.
Written notice of this claim was given to KEITH BRENAMIN, 44 WEST MAIN
ST, MECHANICSBURG, P A 17055 (Personal representative, if any, or counsel).
April 7
, 2006
!,'.
1 ;
( aimant)
o NIU ORLDWIDE, INC.
7171 MERCY RD, SUITE 400
PO BOX 6618
OMAHA, NE 68106
800-999-3778
(Claimant's Address)
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ARS-ARRC 25
RECOVERY MAINTENANCE
RECDSP 12:42:34 4/07/2006
ACCOUNT: 122380686
PACKET:
CLIENT: AMERICAN EXPRESS - DCARE
STATUS: ACTIVE STATUS
CLI REF#: 372378576931000
REASON: 42-CLAIM FILED
I
CONTACT TYPE: PRMCON
PREFIX:
FIRST NAME: RALPH
MIDDLE NAME:
LAST NAME: SMITH
EXTENDED :
SUFFIX:
CONTACT INFORMATION I I ADDRESS INFORMATION I I
LANGUAGE: ADDRESS TYPE: PRMHOM
RESP: PRMRSP STREET: 98 LONGSTREET DR
More. It
PHONE INFORMATION I
PHONE TYPE: HPPOSS
AREA CODE: ~
PREFIX: 939
NUMBER: m7
EXTENSION: um-OOOO
ANSWER CODE: 33
CALL CODE: CALL
CITY: CARLISLE
STATE: PA
ZIP CODE: 17013 8112
COUNTRY: us- -MAIL CODE: MAIL
SSN: 168482946
I EVENTS I I
CURRENT BALANCE: 11109.37000
PROMISED PAYMENTS: 0.00000
BALANCES I I ADJUSTMENTS I I
ADJUSTED BALANCE: 0.00000
PRINCIPAL PAYMENTS: 0.00000
PAYMENTS I I ACCOUNT STATISTICS I
LISTING BALANCE: 11109.37000
LOCAL LISTING BAL: 0.00000
More It .
ACTIVITY:
S42
CLM
CLM
CLAIM FILED
INDATY-FILE CLAIM WITH PROBATE:PROBATE CLAIM FORM
PRBCRT-FILE CLAIM WITH PROBATE:PROBATE CLAIM FORM
FOLLOW UP ACTIVITY: REVIEW
FOLLOW UP DATE: 4/14/2006
FOLLOW UP TIME:
4476 04/07/2006 12:42:33
4476 04/07/2006 12:42:31
4476 04/07/2006 12:42:02
More It .
I ACCOUNT ATl'RIBUTES I
F2.CONTINOE SEARCH F3.EXIT F4.PROMPT F6=ADD CONTACT F7.PREVIOUS CONTACT F8.NEXT CONTACT F9.HISTORY F24.MORE KEYS
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RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17G13
Rece~pt Date:
Rece=!-pt Time:
Recelpt No. :
4/17/2006
13:23:42
1044031
SMITH RALPH L JR
Estate File No. :
Paid By Remarks:
2006-00039
OMNIUM WORLDWIDE
RSK
------------------------ Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
CLAIM AGAINST EST
Check# 0096313
Total Received.........
10.00
----------------
$10.00
$10.00
CUMBERLAND COUNTY GENERAL FUN