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ALBREKTSON & SHUMATE LLP
CHRISTOPHER A. SHUMATE, Bar N0. 238094 SUPERIOR COURT 0F CALIFORNIA
1801 Orange Tree Lane, Ste. 230 COUNTY or SAN BER
3A“ R“""“’”‘”“W° 'v—‘Psergfigo
Redlands, CA 92374-4587
909—335-9658; F: 909-335—9489 OCT 0 6 2021
\OOOflQUI-PUJNH
Attorney for Irene G. Madrid
BY W4 .’
KIMBERLY TIEY‘DEPUTY
IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA
FOR THE COUNTY OF SAN BERNARDINO
(SAN BERNARDINO JUSTICE CENTER - PROBATE DIVISION)
ESTATE OF JULIO PABLO MADRID CASE NUMBER PROSB2100247
A/K/A JULIO P. MADRID
NOTICE TO FRANCHISE TAX BOARD
TO FILE OR PRESENT CLAIM
Prob. C. §9202(c), et. seq.
DECEDENT.
TO: FRANCHISE TAX BOARD
NNNNNNNNN—t—ty—tn—An—AH—AF—‘y—Aw
NOTICE IS HEREBY GIVEN that the above-named decedent died 0n January 20, 2021,
WNQM-PWNfloomflo‘JlAWNh-‘O
and Letters were issued to the administrator, Irene G. Madrid, on September 20, 2021. A copy of
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the decedent’s death certificate is attached. Under Probate Code Section 9200 you are requested t0
file or present any claim you may have against the decedent 0r the estate in the manner and within
the time required by law.
3
Dated: g1! 3’0 ,2021
Irene G. Madrid,
Petitioner
NOTICE TO FRANCHISE TAX BOARD TO FILE OR PRESENT CLAIM
S
Ohio Depaflment o! Heallh
V'm STAWT‘“ State File No. 202101 0132
"m“ R” ”'3‘ "° _ 25'”
CERTIFICATE 0F DEATH
Regisuars No. 26004021000936
om o: onm (Momymu)
1.0mm Legal Mm (Fm. Mud». m1, sunk) 5.x 3‘
(Include Am. uany) z.
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us.
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I HEREBY CERTIFY THIS DOCUMENT IS AN EXACT COPY OF THE RECORD ON FILE WITH THE OHIO DEPARTMENT 0F HEALTl
,
REV. #2015
,
»
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Preview
ALBREKTSON & SHUMATE LLP CHRISTOPHER A. SHUMATE, Bar N0. 238094 SUPERIOR COURT 0F CALIFORNIA 1801 Orange Tree Lane, Ste. 230 COUNTY or SAN BER 3A“ R“""“’”‘”“W° 'v—‘Psergfigo Redlands, CA 92374-4587 909—335-9658; F: 909-335—9489 OCT 0 6 2021 \OOOflQUI-PUJNH Attorney for Irene G. Madrid BY W4 .’ KIMBERLY TIEY‘DEPUTY IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA FOR THE COUNTY OF SAN BERNARDINO (SAN BERNARDINO JUSTICE CENTER - PROBATE DIVISION) ESTATE OF JULIO PABLO MADRID CASE NUMBER PROSB2100247 A/K/A JULIO P. MADRID NOTICE TO FRANCHISE TAX BOARD TO FILE OR PRESENT CLAIM Prob. C. §9202(c), et. seq. DECEDENT. TO: FRANCHISE TAX BOARD NNNNNNNNN—t—ty—tn—An—AH—AF—‘y—Aw NOTICE IS HEREBY GIVEN that the above-named decedent died 0n January 20, 2021, WNQM-PWNfloomflo‘JlAWNh-‘O and Letters were issued to the administrator, Irene G. Madrid, on September 20, 2021. A copy of W the decedent’s death certificate is attached. Under Probate Code Section 9200 you are requested t0 file or present any claim you may have against the decedent 0r the estate in the manner and within the time required by law. 3 Dated: g1! 3’0 ,2021 Irene G. Madrid, Petitioner NOTICE TO FRANCHISE TAX BOARD TO FILE OR PRESENT CLAIM S Ohio Depaflment o! Heallh V'm STAWT‘“ State File No. 202101 0132 "m“ R” ”'3‘ "° _ 25'” CERTIFICATE 0F DEATH Regisuars No. 26004021000936 om o: onm (Momymu) 1.0mm Legal Mm (Fm. Mud». m1, sunk) 5.x 3‘ (Include Am. uany) z. MALE JANUARY 20, 2021 _ - 4. Soot! 565-91-7288 M JULIO PABLO MADRID Numbov u Ago Xr’ 9. m1 °"' "”‘h' Yw "5:?me" ' 0‘ DIII JANUARY d Bmmflun 22. 1973 7. Bmhu-(cuy and 3w. w Forum eoumy) REDLANDs. CALIFORNIA E E unmask CALIFORNIA mama SAN l ERNARDINO | ae.cxyuTm SAN BERNARDINO a = *fl Id. —‘-*. 2554 sun! Mann Ind 2g“. POPPY D IVE 92407 l 1.3mm 5pm“'N-m u«m.gm mm. 1 9. NO month: o Em In us led Fum? max m ) g m REMEE-MAEh-R-IED OR GED 13.nwomwmpwconoh YES - MEXICAN ".an WHITE | g E HIGH SCHOOL GRADUATE 1a Fm. Nam. 1a. Mother. mm- (prbno w mm) I I ‘ ' ' _o 5‘; DANIEL VICTOR MADRID 1n 3mm- Nm GLORIA SAENZ 17:2.me 11a mmmmm wwwnm.c_ny.m.mm . DANIEL MADRID BROTHER 216 OVERBROOK TERRACE Ea 1a.. Fuo- ov Dunn P|TTSBURGH PENNSYLVANIA 15239 _.- ,.. HAMPTON INN & SUITES 1w.F-aRyN-mmmmumwmamw) wackyor‘rmmwzpcom 19d FRANKLIN mum 501 N. HIGH ST. RM 648 COLUMBUS, 0H 43215 E mnenmmwwlmmy 21.wammmmgurménuuy ‘3 S ', 19.Fmrusm1numuuuoumm ? NIKKI L LEWIS 008841 SCHOEDINGER NORTHWEST ~ S E g ’2 "W'M Pk"°’°"9°""°" 1740 ZOLLINGER RD g CREMATlON- SCHOEDINGERICOLUMBUS CREMATORY, COLUMBUS. OH i’ ,‘3 J“ COLUMBUS 0H 43221 a “2:.Lyuamw 24.nmruud(uormmylvm I ' SANDRA TAYLOR JANUARY 26, 2021 (WWW) Dmmpnywn rommummm, ”Manama”. ummmuummmuu CERTIFIE’R Emuwmammummmhwmmmuhm. mmmmmmm)mmm MMWDOHUMMNDIVNM mmmmbwmww us. JANUARY 20, 2021 YES Uncut numb“ 290.601”me 20!. lzJANUARY 25 2021' ANAHI M ORTIZ MD 35.0631 O4 Nmmmdemcuan-dcwndonm 27. ROAD COLUMBUS. 0H 43223 M ORTIZ, 2090 FRANK” ANAHIm Wu m:nmuiufih mamhmlm'hm ‘ T EA PENDING D CF b.D|nln(oruWon CAUSE b aDuNowucOmoqume-d) dDmlowchd) mWnAnAmy MNHOWWIAVIIW mmmmmmmmmmmmhumhmmwmmnm. Pm mToCompMonOvCuu-oi n-m r YES NO wWTWUuWIth? 31. M Funk. Prom 51m MINIMUM 82. PENDING INVESTIGATION UNKNOWN m n» my o1 (Mdonyrvw) 33b. Thn- NOT APPLICABLE. dHuy 33c. Phnl d Hanan. WI WW homo. Ill.-ud-nm,woododuu) m mum _ ‘ 339. Lowell o! "wry (sun! Ind Number or Rural Rm Iumb-r, Ghyor Town. 8w.) “.mmmm: 339J1Trlmpol'mbfllliw‘xswy: mflu MJIIII 20210;o132 Sandi: Taylor. Fmflin County W FEB M wz/Z/ I HEREBY CERTIFY THIS DOCUMENT IS AN EXACT COPY OF THE RECORD ON FILE WITH THE OHIO DEPARTMENT 0F HEALTl , REV. #2015 , »