HomeMy WebLinkAbout2178 ~ ~
~
. ~
IN THE CIRCUIT COURT FOR '
. BROWARD COUNT1f, FLORIDA
PROBATE DIVlSlON
IN RE: ESTATE OF 79-0824 ,
MARGARET D. WILSON Fik Number
- Division
G
r
1)eccased
~~i
`moo: ~
STATEMENT OF CLAIM
~
x r~~ j
G` 1
The undersigned hereby presents for ~R~B against the above estate thin statement aQ~Clain
and alleges:
1. The basis of the claim is Funeral Services for Margaret D. Wilson,
deceased January 27, 1979.
1. The name and address of claimant i3: Wadlington, Brown ~ Cooper Funeral
Home's, Inc., 140 South Dixie Highway, Hollywood, Florida 33020.
and the Haines and addn~ses of the deimant's agcjit or attorney, if any. are
3. The amount of the claim is S 1,091.70
which amount is now due and owing,
. 19~.
4. The claim#it) (is not) contingent. If contingent, the nature of the contingency is
i ,
S. The claim i~c) (is not) secured. If secured. the security consists of
~ -
• - .
Under penalties of perjury, t declare that 1 have read the foregoing, and the facts alleged are
true. tu.thc best of my !cnowkdge and belief.
Crcruted this 7t~ dayy of Aril ,19 .
WADLINGTON, BRO 0 ~ NERAL HOME'S, INC./
BY t ~ -
{riiNUWt.
Copy mailed personal ntative /f~
un ~ .191
(:LERK OF E CIR 1T OU ~
• i3y
i
MUST BE FILED IN DUPLICATE. SEE REVERSE SIDE FOR IMPORTANT pYFORMATi~JN.
-o~, No. Pso - - 8335 P~2i71
Y.