Preview
= DE-174
|ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar aumber, and address): FOR COURT USE ONLY
t— Andrea R. Patton, SB#204512
Prenovost, Normandin, Dawe & Rocha
2122 North Broadway, Suite 200
Santa Ana, CA 92706-2614
revepHoneno: (714) 547-2444 Faxno. (optionay:
E-MAIL ADDRESS (Options); ADat ton@pnbd. com me
ATTORNEY FOR (Nema: Brian O'Flynn ‘
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO San Francisco County Suoerlor Court
streetappress: 400 McAllister Street a
MAILING ADDRESS: JUL 742021
cirvanozpcoou:San Francisco, CA 94102-4514 CLE!
BRANCH NAME: Probate Department RK OF THE COURT
ESTATE OF By
(Name: KAY MURPHY-O'FLYNN, aka KATHARINE LORETTA ) “Depiiy Clerk
MURPHY-O'FLYNN aka KATHARINE MURPHY-O'FLYNN__DEGEDENT
ALLOWANCE OR REJECTION OF CREDITOR'S CLAIM CASE NUNS
PES-20~-304006
NOTE TO PERSONAL REPRESENTATIVE
Attach a copy of the creditor's claim to this form. If approval or rejection by the court is not required, do not
include any pages attached to the creditor's claim.
"PERSONAL REPRESENTATIVE'S ALLOWANCE OR REJECTION
4. “Name of creditor (specify): Brian O'Flynn, Executor of Estate
2. The claim was filed on (date); 05/04/2021
3. Date of first issuance of letters: January 11, 2021
4, Date of Notice of Administration: n/a
5. Date of decedent's death: March 19, 2017
6. Estimated value of estate: $ 236,340.00
7. Total amount of the claim: $ 837.13
8. (2) Claimis allowed for: $ The court must approve certain claims before they are paid.)
9. () Claimis rejected for: $ (A creditor has 90 days to act on a rejected claim.* See box below.)
10. Notice of allowance or rejection given on (date):
11. [) The personal representative is authorized to administer the estate under the Independent Administration of Estates Act.
Date: 6/1/2021 B .
Brian O'Flynn d Brian Murphy Mnohe Feu
(TYPE OR PRINT NAME OF PERSONAL REPRESENTATIVE) (SIGNATURE OF PERSONAL REPRESENTATIVE)
NOTICE TO CREDITOR ON REJECTED CLAIM
From the date that notice of rejection is given, you must act on the rejected claim (e.g., file a lawsuit) as follows:
41. Claim due: within 90 days* after the notice of rejection.
2. Claim not due: within 90 days* after the claim become due.
* The 90-day period mentioned above may not apply to your claim because some claims are not treated as creditors’ claims
or are subject to special statutes of limitations, or for other legal reasons. You should consult with an attorney if you have
any questions about or are unsure of your rights and obligations concerning your claim.
COURT'S APPROVAL OR REJECTION
2 reposts $37.14
13. ejected for:
This [2 | (le C La
Date:
SIGNATURE OF JUDICIAL OFFICER
144, Number of pages attached: ______ G SIGNATURE FOLLOWS LasTaTTacHMENT POSS C, MOODY
{Proof of Mailing or Personal Delivery on reverse) Page 1
Form Adopted for Mandatory Us ALLOWANCE OR REJECTION OF CREDITOR'S CLAIM Probate Code § 90002 oat sag.
eae, CEB! Essent (Probate-Decedents' Estates) course. go0
\JeFormsDE-174
ESTATE OF CASE NUMBER:
(Name): KAY MURPHY-O'FLYNN, aka KATHARINE LORETTA PES-20-304006
MURPHY-O'FLYNN, aka KATHARINE MURPHY-O'FLYNN DECEDENT
PROOF OF [XK] MAILING ((} PERSONAL DELIVERY TOCREDITOR
1. At the time of mailing or personal delivery | was at least 18 years of age and not a party to this proceeding.
2. My residence or business address is (specify):
2122 N. Broadway, Suite 200
Santa Ana, CA 92706
3. | mailed or personally delivered a copy of the Allowance or Rejection of Creditor’s Claim as follows (complete either a or b):
a. (Q] Mail. | am a resident of or employed in the county where the mailing occurred.
(1) l enclosed a copy in an envelope AND .
(a) EX] deposited the sealed envelope with the United States Postal Service with the postage fully prepaid.
(b) (] placed the envelope for collection and mailing on the date and at the place shown in items below
following our ordinary business practices. | am readily familiar with this business's practice for collecting
and processing correspondence for mailing. On the same day that correspondence is placed for
collecting and mailing, it is deposited in the ordinary course of business with the United States Postal
Service in a sealed envelope with postage fully prepaid.
(2) The envelope was addressed and mailed first-class as follows:
(a) Name of creditor served: Brian O'Flynn
(b) Address on envelope: 1754 Greenwich Street
San Francisco, CA 94123
(c) Date of mailing: 6- Y¥-2 /
(d) Place of mailing (city and state): Star, ID
b. C) Personal delivery. | personally delivered a copy to the creditor as follows:
(1) Name of creditor served:
(2) Address where delivered:
(3) Date delivered:
(4) Time delivered:
| declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Dates & ~Y-2|
Deborah J. Forbeck > Q. Lolo
(TYPE OR PRINT NAME OF DECLARANT) (SIGNATURE OF DECLARANT)
DE-174 [Rev. January 1, 2009] ALLOWANCE OR REJECTION OF CREDITOR'S CLAIM Page 2 of 2
CEB Essential (Probate-Decedents' Estates)
cabcom | f]Forms:ATTORNEY OR PARTY WITHOUT ATTORNEY (emo, slate bar umber, and edoas); = a: FOR COURT-USEONLY
f-Andrea R. Patton, SB¥204512 (714) $4
Prenovost, Normandin, Dawe & Rocha
2122 North Broadway, Suite: 200
Santa Ana, CA 92706-2614
;[ATIORNEY FOR (Namey Brian O'Elynn. ELECTRONICALLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO FILED
4 . c . f California,
imerranstem 400 McAllister Street See of Son Hraneloee
onvanozmcove’'San Francisco, CA 941702=4514 05/04/2021
eranchnave: Probate’ Department. _ Clerk of the Court
J ESTATE OF (Name a = BY: MICHAEL RAYRAY
KAY MURPHY-O" FLYNN, aka KATHARINE) JORETTA Peputy Clerk
MURPHY-O'FLYNN, aka KATHARINE. MURPHY-O" FLYNN DECEDENT |.
. a et AIA CASE NUMBER:
GREDITOR'S CLAIM. . ; PES-20-304006
You must file this claim with the court clerk ‘at'the court-address, above before the LATER of (a) four months after the date letiers
{authority to act for the estate) were first issued'to the personal representative, or (b) sixty days after the date thé Notice’ of
Administration was given to the creditor, if notice ‘was given.as provided In Probate. Code section 8051, ‘You must.also mail or
deliver @ copy of this claim'to the personal. representative ‘and: his:or her forney: A proof of service‘is‘on:the reverse,
WARNING: Your claim will in most instarices be invalid if you do not properly:Comiplete this form, file it on time with the-court, and
mailior deliver a copy t0:the personal répresentative and his or her attorney.
1.. ‘Total amount of the claim: $ 837.13
2. Claimant (name): Brian O'Flynn
a. (X] an‘individual
b. (J en individual or eritity doing business under the fictitious name‘of(specify)::
c. () a parinarship. The-petson signing'has authority to sign-on behalf of the partnership.
8.) a corporation. The person signing has authority to sign-on behalf‘of the corporation.
e. CE) other (specity) : . :
‘3. Addréss of claimant (specify): 1754 Greenwich Streét
San Francisco, CA 94123
4, Claimant is [EQ ‘the creditor © (CJ a person acting on behalf of.craditor (state reason):
5. [Q} Claimant is (XQ the'persorial representative CQ) the attomay-for the personal representative.
8. | am authorized to make this ‘cldim. which is just arid due or may become-due. All. payments on or offsets'to the claim have been:
‘credited. Facts. supporting the.claim are- (} ‘on reverse: GE} attached.
| declare under penalty of perjury under the laws.of the State of California that’ the foregoing is:true‘and correct.
Date: 4/28/21 s
‘Brian..O..Flynn...
NBE
Diem orinn aris. don1ast00r,
“ (SIGNATURE OF CLAIMANT)
+ INSTRUCTIONS TO CLAIMANT
‘A. ‘On the reverse, itémize tHe claim arid show the date the.service was.rendered.or the debt incurred. Describe the item or service:in
detall, and indicate the amount claimed for each Item. Do not iriclude debts incurred after the date of death, ‘except funeral claims,
If the claim Is-not due.or contingent, or the amount is not yet asceitainable, state the facts supporting the claim.
ithe claim is secured by a note or other written Instrument, the original ora copy must-be attached (state why original is unavailable).
If secured by mortgage, deed of trust,.or other lien‘on property that is of Fecord, it is sufficient to describe the security and refer tothe.
‘date or volume and page, and.county where recorded. (See Prob. Code, § 9152.) .
D. Mall.or take this original claim:to. the court clerk's office for filing. If malléd, use Certified mail, with retutn ‘receipt requested.
E. Mallor deliver a copy to the personal representative and his or her attorney. Complete theProof of Mailing or Personal Delivery on
the reverse. ”
F. The pérsonal representative or his or‘her-attorney will Notify you when: your claim is ‘allowed or rejected.
G. Claims against the estate by the:personal'representative and the:attorney forthe personal representative. must be filed within the
claim period allowed In Probate Code section 9100. See the notice’box above.
on
(Continued ‘on reverse)’
Fou Approved by he CREDITOR'S CLAIM Probele Code, §§ 800) ot eoa, 8183
wesc GomelotCallonls CE 3'| Essential ,
DeLTZ Rew ganar eel gs |fSrorms (Probate),ESTATE OF (Name) : ,| CASE NUMBER:
| KAY MURPHY-O'FLYNN, aka KATHARINE LORETTA . | PES-20-304006
MURPHY-O'FLYNN, aka KATHARINE MURPHY-O' FLYNN DECEDENT
FACTS SUPPORTING THE CREDITOR'S CLAIM
(CC) See attachment (if space is insufficient)
Date of item Item and supporting facts Amount claimed
03/29/2017 Discount Builder - coffin/urn supplies 82.58
03/31/2017 Malloy's Tavern - memorial party 206.00
03/31/2017 SF Party - Memorial Party supplies 57.99
03/31/2017 Discount Builder - lights for memorial 59.63
03/31/2017 Farley/Murray - circle dinner 363.48
03/31/2017 Bevmo - memorial dinner beverages 67.45
TOTAL: |$ {837-13
PROOF OF [.] MAILING [(X] PERSONAL DELIVERY TO PERSONAL REPRESENTATIVE
(Be sure to mail or take the original to the court clerk's office for filing)
1. lam the creditor or a person acting on behalf of the creditor. At the time of mailing or delivery | was at least 18 years of age.
2. My residence or business address is (specify) :
1754 Greenwich Street
San Francisco, CA 94123
3. I mailed or personally delivered a copy of this Creditor’s Claim to the personal representative as follows (check either a or b below):
a. Q) Mail. | am a resident of or employed in the county where the mailing occurred.
(1) | enclosed a copy in an envelope AND
(a) [EX] deposited the sealed envelope with the United States Postal Service with the postage fully prepaid.
(b) [2] placed the envelope for collection and mailing on the date and at the.place shown in items below following
our ordinary business practices. | am readily familiar with this business' practice for collecting and
processing correspondence for mailing. On the same day that correspondence is placed for collection and
mailing, it is deposited in the ordinary course of business with the United States Postal Service in a sealed
envelope with postage fully prepaid.
(2) The envelope was addressed and mailed first-class as follows:
(a) Name of personal representative served: Brian O'Flynn
(b) Address onenvelope:1754 Greenwich Street
San Francisco, CA 94123
(c)_ Date of mailing: 5-4-2 |
(d) Place of mailing (city and state): Star, Idaho
b. [-) Personal delivery. | personally delivered a copy of the claim to the personal representative as follows:
(1) Name of personal representative served:
(2) Addressed where delivered:
(3) Date delivered:
(4) Time delivered:
| declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date: 5 421 0
Deborah....w.....Forbeck.. . > ye
“(TYPE OR PRINT NAMI
{SIGNATURE OF CLAIMANT)
E472 Tre os ‘enn 4988] CREDITOR'S CLAIM Page two
(Probate)scUeyy
ipeed LEO]
SOI UNA uy
AWATSO -WPNVTSG TOA ANH
ee
85:29 tason
~. 1isa+l2s (5
O16 YO. “OGSTINV
JIKIS. NOISSIH $6Creditors Claim re Funeral Expense
Final Audit Report 2021-04-28
Created: 2021-04-28
By: Andrea Patton (apatton@thepattonlawfirm.com)
Status: Signed
Transaction ID: CBJCHBCAABAAITanl0L2/A_lAcarlyS7dBqUMGALILKx
"Creditors Claim re Funeral Expense" History
Document created by Andrea Patton (apatton@thepattonlawfirm.com)
2021-04-28 - 7:11:48 PM GMT- IP address: 99.114.165.64
© Document emailed to BRIAN O'FLYNN (bmof123@gmail.com) for signature
2021-04-28 - 7:12:18 PM GMT
Email viewed by BRIAN O'FLYNN (bmof123@gmail.com)
2021-04-28 - 9:50:10 PM GMT- IP address: 66.249.84.81
@@ Document e-signed by BRIAN O'FLYNN (bmof123@gmail.com)
Signature Date: 2021-04-28 - 9:51:28 PM GMT - Time Source: server- IP address: 73.223.165.134
© Agreement completed.
2021-04-28 - 9:51:28 PM GMTAllowance re Creditors Claim re Funeral Exp to
be signed
Final Audit Report 2021-06-02
Created: 2021-05-31
By: Andrea Patton (apatton@thepattonlawfirm.com)
Status: Signed
Transaction ID: CBJCHBCAABAADIbT-h2dOSY 2IJ03Zf0rrixdrOvIMm57
"Allowance re Creditors Claim re Funeral Exp to be signed" Hist
ory
®) Document created by Andrea Patton (apatton@thepattonlawfirm.com)
2021-05-31 - 9:40:41 PM GMT- IP address: 99.114,165.64
© Document emailed to Brian Murphy O'Flynn (bmof123@gmail.com) for signature
2021-05-31 - 9:41:22 PM GMT
3 Email viewed by Brian Murphy O'Flynn (bmof123@gmail.com)
2021-06-02 - 4:43:00 PM GMT- IP address: 66.249.84,89
&% Document e-signed by Brian Murphy O'Flynn (bmof123@gmail.com)
Signature Date: 2021-06-02 - 4:43:37 PM GMT - Time Source: server- IP address: 73.223.165.134
@ Agreement completed.
2021-06-02 - 4:43:37 PM GMT
Adobe SignEx Parte Allowance re $837.13 to be signed
Final Audit Report 2021-06-02
Created: 2021-05-31
By: Andrea Patton (apatton@thepattoniawfirm.com)
Status: Signed
Transaction ID: CBUJCHBCAABAAF pUdSai03ndZdgDv03obrxlcibHDF SI}
"Ex Parte Allowance re $837.13 to be signed" History
©) Document created by Andrea Patton (apatton@thepattonlawfirm.com)
2021-05-31 - 9:41:53 PM GMT- IP address: 99.114.165.64
© Document emailed to Brian O'Flynn (bmof123@gmail.com) for signature
2021-05-31 - 9:42:46 PM GMT
© Email viewed by Brian O'Flynn (bmof123@gmail.com)
2021-06-02 - 4:43:46 PM GMT- IP address: 66.249.84.67
@ Document e-signed by Brian O'Flynn (bmof123@gmail.com)
Signature Date: 2021-06-02 - 7:47:09 PM GMT - Time Source: server- IP address: 73.223,165,134
Qo Agreement completed.
2021-06-02 - 7:47:09 PM GMT
Adobe Sign
Preview
= DE-174 |ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar aumber, and address): FOR COURT USE ONLY t— Andrea R. Patton, SB#204512 Prenovost, Normandin, Dawe & Rocha 2122 North Broadway, Suite 200 Santa Ana, CA 92706-2614 revepHoneno: (714) 547-2444 Faxno. (optionay: E-MAIL ADDRESS (Options); ADat ton@pnbd. com me ATTORNEY FOR (Nema: Brian O'Flynn ‘ SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO San Francisco County Suoerlor Court streetappress: 400 McAllister Street a MAILING ADDRESS: JUL 742021 cirvanozpcoou:San Francisco, CA 94102-4514 CLE! BRANCH NAME: Probate Department RK OF THE COURT ESTATE OF By (Name: KAY MURPHY-O'FLYNN, aka KATHARINE LORETTA ) “Depiiy Clerk MURPHY-O'FLYNN aka KATHARINE MURPHY-O'FLYNN__DEGEDENT ALLOWANCE OR REJECTION OF CREDITOR'S CLAIM CASE NUNS PES-20~-304006 NOTE TO PERSONAL REPRESENTATIVE Attach a copy of the creditor's claim to this form. If approval or rejection by the court is not required, do not include any pages attached to the creditor's claim. "PERSONAL REPRESENTATIVE'S ALLOWANCE OR REJECTION 4. “Name of creditor (specify): Brian O'Flynn, Executor of Estate 2. The claim was filed on (date); 05/04/2021 3. Date of first issuance of letters: January 11, 2021 4, Date of Notice of Administration: n/a 5. Date of decedent's death: March 19, 2017 6. Estimated value of estate: $ 236,340.00 7. Total amount of the claim: $ 837.13 8. (2) Claimis allowed for: $ The court must approve certain claims before they are paid.) 9. () Claimis rejected for: $ (A creditor has 90 days to act on a rejected claim.* See box below.) 10. Notice of allowance or rejection given on (date): 11. [) The personal representative is authorized to administer the estate under the Independent Administration of Estates Act. Date: 6/1/2021 B . Brian O'Flynn d Brian Murphy Mnohe Feu (TYPE OR PRINT NAME OF PERSONAL REPRESENTATIVE) (SIGNATURE OF PERSONAL REPRESENTATIVE) NOTICE TO CREDITOR ON REJECTED CLAIM From the date that notice of rejection is given, you must act on the rejected claim (e.g., file a lawsuit) as follows: 41. Claim due: within 90 days* after the notice of rejection. 2. Claim not due: within 90 days* after the claim become due. * The 90-day period mentioned above may not apply to your claim because some claims are not treated as creditors’ claims or are subject to special statutes of limitations, or for other legal reasons. You should consult with an attorney if you have any questions about or are unsure of your rights and obligations concerning your claim. COURT'S APPROVAL OR REJECTION 2 reposts $37.14 13. ejected for: This [2 | (le C La Date: SIGNATURE OF JUDICIAL OFFICER 144, Number of pages attached: ______ G SIGNATURE FOLLOWS LasTaTTacHMENT POSS C, MOODY {Proof of Mailing or Personal Delivery on reverse) Page 1 Form Adopted for Mandatory Us ALLOWANCE OR REJECTION OF CREDITOR'S CLAIM Probate Code § 90002 oat sag. eae, CEB! Essent (Probate-Decedents' Estates) course. go0 \JeFormsDE-174 ESTATE OF CASE NUMBER: (Name): KAY MURPHY-O'FLYNN, aka KATHARINE LORETTA PES-20-304006 MURPHY-O'FLYNN, aka KATHARINE MURPHY-O'FLYNN DECEDENT PROOF OF [XK] MAILING ((} PERSONAL DELIVERY TOCREDITOR 1. At the time of mailing or personal delivery | was at least 18 years of age and not a party to this proceeding. 2. My residence or business address is (specify): 2122 N. Broadway, Suite 200 Santa Ana, CA 92706 3. | mailed or personally delivered a copy of the Allowance or Rejection of Creditor’s Claim as follows (complete either a or b): a. (Q] Mail. | am a resident of or employed in the county where the mailing occurred. (1) l enclosed a copy in an envelope AND . (a) EX] deposited the sealed envelope with the United States Postal Service with the postage fully prepaid. (b) (] placed the envelope for collection and mailing on the date and at the place shown in items below following our ordinary business practices. | am readily familiar with this business's practice for collecting and processing correspondence for mailing. On the same day that correspondence is placed for collecting and mailing, it is deposited in the ordinary course of business with the United States Postal Service in a sealed envelope with postage fully prepaid. (2) The envelope was addressed and mailed first-class as follows: (a) Name of creditor served: Brian O'Flynn (b) Address on envelope: 1754 Greenwich Street San Francisco, CA 94123 (c) Date of mailing: 6- Y¥-2 / (d) Place of mailing (city and state): Star, ID b. C) Personal delivery. | personally delivered a copy to the creditor as follows: (1) Name of creditor served: (2) Address where delivered: (3) Date delivered: (4) Time delivered: | declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Dates & ~Y-2| Deborah J. Forbeck > Q. Lolo (TYPE OR PRINT NAME OF DECLARANT) (SIGNATURE OF DECLARANT) DE-174 [Rev. January 1, 2009] ALLOWANCE OR REJECTION OF CREDITOR'S CLAIM Page 2 of 2 CEB Essential (Probate-Decedents' Estates) cabcom | f]Forms:ATTORNEY OR PARTY WITHOUT ATTORNEY (emo, slate bar umber, and edoas); = a: FOR COURT-USEONLY f-Andrea R. Patton, SB¥204512 (714) $4 Prenovost, Normandin, Dawe & Rocha 2122 North Broadway, Suite: 200 Santa Ana, CA 92706-2614 ;[ATIORNEY FOR (Namey Brian O'Elynn. ELECTRONICALLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO FILED 4 . c . f California, imerranstem 400 McAllister Street See of Son Hraneloee onvanozmcove’'San Francisco, CA 941702=4514 05/04/2021 eranchnave: Probate’ Department. _ Clerk of the Court J ESTATE OF (Name a = BY: MICHAEL RAYRAY KAY MURPHY-O" FLYNN, aka KATHARINE) JORETTA Peputy Clerk MURPHY-O'FLYNN, aka KATHARINE. MURPHY-O" FLYNN DECEDENT |. . a et AIA CASE NUMBER: GREDITOR'S CLAIM. . ; PES-20-304006 You must file this claim with the court clerk ‘at'the court-address, above before the LATER of (a) four months after the date letiers {authority to act for the estate) were first issued'to the personal representative, or (b) sixty days after the date thé Notice’ of Administration was given to the creditor, if notice ‘was given.as provided In Probate. Code section 8051, ‘You must.also mail or deliver @ copy of this claim'to the personal. representative ‘and: his:or her forney: A proof of service‘is‘on:the reverse, WARNING: Your claim will in most instarices be invalid if you do not properly:Comiplete this form, file it on time with the-court, and mailior deliver a copy t0:the personal répresentative and his or her attorney. 1.. ‘Total amount of the claim: $ 837.13 2. Claimant (name): Brian O'Flynn a. (X] an‘individual b. (J en individual or eritity doing business under the fictitious name‘of(specify):: c. () a parinarship. The-petson signing'has authority to sign-on behalf of the partnership. 8.) a corporation. The person signing has authority to sign-on behalf‘of the corporation. e. CE) other (specity) : . : ‘3. Addréss of claimant (specify): 1754 Greenwich Streét San Francisco, CA 94123 4, Claimant is [EQ ‘the creditor © (CJ a person acting on behalf of.craditor (state reason): 5. [Q} Claimant is (XQ the'persorial representative CQ) the attomay-for the personal representative. 8. | am authorized to make this ‘cldim. which is just arid due or may become-due. All. payments on or offsets'to the claim have been: ‘credited. Facts. supporting the.claim are- (} ‘on reverse: GE} attached. | declare under penalty of perjury under the laws.of the State of California that’ the foregoing is:true‘and correct. Date: 4/28/21 s ‘Brian..O..Flynn... NBE Diem orinn aris. don1ast00r, “ (SIGNATURE OF CLAIMANT) + INSTRUCTIONS TO CLAIMANT ‘A. ‘On the reverse, itémize tHe claim arid show the date the.service was.rendered.or the debt incurred. Describe the item or service:in detall, and indicate the amount claimed for each Item. Do not iriclude debts incurred after the date of death, ‘except funeral claims, If the claim Is-not due.or contingent, or the amount is not yet asceitainable, state the facts supporting the claim. ithe claim is secured by a note or other written Instrument, the original ora copy must-be attached (state why original is unavailable). If secured by mortgage, deed of trust,.or other lien‘on property that is of Fecord, it is sufficient to describe the security and refer tothe. ‘date or volume and page, and.county where recorded. (See Prob. Code, § 9152.) . D. Mall.or take this original claim:to. the court clerk's office for filing. If malléd, use Certified mail, with retutn ‘receipt requested. E. Mallor deliver a copy to the personal representative and his or her attorney. Complete theProof of Mailing or Personal Delivery on the reverse. ” F. The pérsonal representative or his or‘her-attorney will Notify you when: your claim is ‘allowed or rejected. G. Claims against the estate by the:personal'representative and the:attorney forthe personal representative. must be filed within the claim period allowed In Probate Code section 9100. See the notice’box above. on (Continued ‘on reverse)’ Fou Approved by he CREDITOR'S CLAIM Probele Code, §§ 800) ot eoa, 8183 wesc GomelotCallonls CE 3'| Essential , DeLTZ Rew ganar eel gs |fSrorms (Probate),ESTATE OF (Name) : ,| CASE NUMBER: | KAY MURPHY-O'FLYNN, aka KATHARINE LORETTA . | PES-20-304006 MURPHY-O'FLYNN, aka KATHARINE MURPHY-O' FLYNN DECEDENT FACTS SUPPORTING THE CREDITOR'S CLAIM (CC) See attachment (if space is insufficient) Date of item Item and supporting facts Amount claimed 03/29/2017 Discount Builder - coffin/urn supplies 82.58 03/31/2017 Malloy's Tavern - memorial party 206.00 03/31/2017 SF Party - Memorial Party supplies 57.99 03/31/2017 Discount Builder - lights for memorial 59.63 03/31/2017 Farley/Murray - circle dinner 363.48 03/31/2017 Bevmo - memorial dinner beverages 67.45 TOTAL: |$ {837-13 PROOF OF [.] MAILING [(X] PERSONAL DELIVERY TO PERSONAL REPRESENTATIVE (Be sure to mail or take the original to the court clerk's office for filing) 1. lam the creditor or a person acting on behalf of the creditor. At the time of mailing or delivery | was at least 18 years of age. 2. My residence or business address is (specify) : 1754 Greenwich Street San Francisco, CA 94123 3. I mailed or personally delivered a copy of this Creditor’s Claim to the personal representative as follows (check either a or b below): a. Q) Mail. | am a resident of or employed in the county where the mailing occurred. (1) | enclosed a copy in an envelope AND (a) [EX] deposited the sealed envelope with the United States Postal Service with the postage fully prepaid. (b) [2] placed the envelope for collection and mailing on the date and at the.place shown in items below following our ordinary business practices. | am readily familiar with this business' practice for collecting and processing correspondence for mailing. On the same day that correspondence is placed for collection and mailing, it is deposited in the ordinary course of business with the United States Postal Service in a sealed envelope with postage fully prepaid. (2) The envelope was addressed and mailed first-class as follows: (a) Name of personal representative served: Brian O'Flynn (b) Address onenvelope:1754 Greenwich Street San Francisco, CA 94123 (c)_ Date of mailing: 5-4-2 | (d) Place of mailing (city and state): Star, Idaho b. [-) Personal delivery. | personally delivered a copy of the claim to the personal representative as follows: (1) Name of personal representative served: (2) Addressed where delivered: (3) Date delivered: (4) Time delivered: | declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: 5 421 0 Deborah....w.....Forbeck.. . > ye “(TYPE OR PRINT NAMI {SIGNATURE OF CLAIMANT) E472 Tre os ‘enn 4988] CREDITOR'S CLAIM Page two (Probate)scUeyy ipeed LEO] SOI UNA uy AWATSO -WPNVTSG TOA ANH ee 85:29 tason ~. 1isa+l2s (5 O16 YO. “OGSTINV JIKIS. NOISSIH $6Creditors Claim re Funeral Expense Final Audit Report 2021-04-28 Created: 2021-04-28 By: Andrea Patton (apatton@thepattonlawfirm.com) Status: Signed Transaction ID: CBJCHBCAABAAITanl0L2/A_lAcarlyS7dBqUMGALILKx "Creditors Claim re Funeral Expense" History Document created by Andrea Patton (apatton@thepattonlawfirm.com) 2021-04-28 - 7:11:48 PM GMT- IP address: 99.114.165.64 © Document emailed to BRIAN O'FLYNN (bmof123@gmail.com) for signature 2021-04-28 - 7:12:18 PM GMT Email viewed by BRIAN O'FLYNN (bmof123@gmail.com) 2021-04-28 - 9:50:10 PM GMT- IP address: 66.249.84.81 @@ Document e-signed by BRIAN O'FLYNN (bmof123@gmail.com) Signature Date: 2021-04-28 - 9:51:28 PM GMT - Time Source: server- IP address: 73.223.165.134 © Agreement completed. 2021-04-28 - 9:51:28 PM GMTAllowance re Creditors Claim re Funeral Exp to be signed Final Audit Report 2021-06-02 Created: 2021-05-31 By: Andrea Patton (apatton@thepattonlawfirm.com) Status: Signed Transaction ID: CBJCHBCAABAADIbT-h2dOSY 2IJ03Zf0rrixdrOvIMm57 "Allowance re Creditors Claim re Funeral Exp to be signed" Hist ory ®) Document created by Andrea Patton (apatton@thepattonlawfirm.com) 2021-05-31 - 9:40:41 PM GMT- IP address: 99.114,165.64 © Document emailed to Brian Murphy O'Flynn (bmof123@gmail.com) for signature 2021-05-31 - 9:41:22 PM GMT 3 Email viewed by Brian Murphy O'Flynn (bmof123@gmail.com) 2021-06-02 - 4:43:00 PM GMT- IP address: 66.249.84,89 &% Document e-signed by Brian Murphy O'Flynn (bmof123@gmail.com) Signature Date: 2021-06-02 - 4:43:37 PM GMT - Time Source: server- IP address: 73.223.165.134 @ Agreement completed. 2021-06-02 - 4:43:37 PM GMT Adobe SignEx Parte Allowance re $837.13 to be signed Final Audit Report 2021-06-02 Created: 2021-05-31 By: Andrea Patton (apatton@thepattoniawfirm.com) Status: Signed Transaction ID: CBUJCHBCAABAAF pUdSai03ndZdgDv03obrxlcibHDF SI} "Ex Parte Allowance re $837.13 to be signed" History ©) Document created by Andrea Patton (apatton@thepattonlawfirm.com) 2021-05-31 - 9:41:53 PM GMT- IP address: 99.114.165.64 © Document emailed to Brian O'Flynn (bmof123@gmail.com) for signature 2021-05-31 - 9:42:46 PM GMT © Email viewed by Brian O'Flynn (bmof123@gmail.com) 2021-06-02 - 4:43:46 PM GMT- IP address: 66.249.84.67 @ Document e-signed by Brian O'Flynn (bmof123@gmail.com) Signature Date: 2021-06-02 - 7:47:09 PM GMT - Time Source: server- IP address: 73.223,165,134 Qo Agreement completed. 2021-06-02 - 7:47:09 PM GMT Adobe Sign