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HomeMy WebLinkAbout11-13-06 ... ~/.1 ,..' ~ "~'~-JY0 fO If, Register Of Wills Cumberland Cnty. Crthous #1 Courthouse Square Carlisle, PA 17013 ~~ ~ .~ ~ \ ')\J :\: 'l' ~ \, 1'"'\ C(., ~~\) ~,/ .. ",,,,~ ~? . ~ IN RE: ESTATE OF Shirley A. Hazzard 586 Middle Rd. Newville, PA 17241-8633 #.~;;~i# .. J...._-' File Number: Division: DECEASED DATE: 09/11/06 STATEMENT OF CLAIM The undersigned hereby presents for filing against the above estate this statement of claim and alleges: 1. The basis of the claim is goods and services provided Shirley A. Hazzard and charged on account number #609545097. Credit First National Association Revolving Charge Account for Firestone Complete BK13/Credit Operations PO Box 818011 Cleveland, Ohio 44181-8011 ~ a ~ Auto ca~~ustom!5s co ""0 C' ;0.:: rB I\~~ i,,::':~ cJ'; :~~~ Th~ amount of the claim is $611.33 which amount is now d~~O..-i; OW1ng. ,~ ;:J~j . --\ -0 Y "l';~'''' 2. The name and address of the claimant is: - c..:> -:1) --:tJ {"'f1 1"'1'"C) , ~") Q~ C')c:> .---' Al \;3 e.J '''''''''''0 ~:;:r; -14\ --r1 n r"'f1 4. 5. 6. The claim is not contingent. The claim is not secured. A statement of the account is attached. ""0 3 c..:> .. c..:> cP 3. Under penalties of perjury, I declare that I have read the foregoing and the facts alleged are true, to the best of my knowledge and belief. Executed this 12th day of October, 2006. CREDIT FIRST NATIONAL ASSOCIATION REVOLVING CHARGE ACCOUNT FOR FIRESTONE COMPLETE AUTO CARE CUSTOMERS BY: Claimant ~. g~LJ Credit Representative COpy mai!td t~_personal representative on I1-lL I gz , 6LtJ~" .