HomeMy WebLinkAbout94-00554
,.
. ",:J\;,
.. ';,;:')H;,
"
,.
:,;;:'\',
, '{II,
,
Ii'
'I:~!'
;"~'"",.,
,,'I,
I" '," ,
"
'~
I .'.
().
":00
,
;~ \ ' -.
,
,.
1\..
'1"
,
.,"'.'
..:.",11:
'I
.".','r
ii"';"
':1"
,"
.(.
"
, ~ ~
"
; t ~ : _~ ~" ~ i
,.
,"
t"
i" ."
,\1;1"
',' .-
,/ ,I,;:'
,.
..;1,
'I',l.t,
"
\,-Jt
, ~ " '
\'1. f:
,j, \i
,.-
,,11,-,.,
I,"
i,-,
i
'~ "
)
,
, l~'_'\'-
-/!, .
I'i,'/I" .>,-
S.
'ii'
t,'; """-,/.'
/',,"\:'
'. ."',.;:'!.ii{;
'"
l,",'
"f,;.,
.-~ I~
"
d'
,.,i'
'1,<
':-, /
."
I'"
J1,
.,.
..;
..,
\,1"
Ii:,)
.1./ ~'
,'1 ~'
" ,_ ~-t
-,':".'
,
."
; j -,~ i, ;:: I '
,<,I'
<,'"
'f/J:'
'. .1
',.:.,,:,'
.,'_1'
1'1'
>.'
.'
:,"
\-:
I . ~
.' {.
;';'1
.1
,(if'
"
"
f)",
,',
,/
..
o
'Z
'j k
.
":, ;,'\
Il.1, \'
,"
i
.,.
"I <'r"~ ,',
'I\,~ :
:1\
"
, \,(.'-.1"
,'I
I'
,
,
'I,
',.
',,' ..
"
,'1,
."1
,(')'
(f,'
I'
,.
','
"1'
'"
"~I:
, .
"
','
"
;t'
:f.
I'
..
" "
,j'
.
'.
'I',
I.
I":
/,
-,",'
'1
,.
,;
"
',".,'
.,' ..
I,
'I'
I','
,,"
I'
..
,Ii,
I.
/.
I' ,\
'j\"
, I"
.'
',II'
(: _",,1'
,,'
,. ,1'
"
".
, f"
-'1,'\,0
,"
!"
I,'
. .'
Il.'
I"
,
,'I.
',1.,_
" " , : ~ I,'.
'\;,~,'~ h'. I; "
,', ~ .
'\-f'i
":/,',-,
'j:!'"
.,
"
"
"
!:I"
~ j
.,.
,
':"
"
,I'
,.
..~
o
.~
....
.;
LI.I
".'.
,.
'j;"
.1
':-.,:',;..:jf_,
l:-';:I)i~'\;,
"" . ...,\1
.,\:::'1)\1
: I I" .,: ;\::.:-?~~~;.
:!,;~',!:"..',,' -r~,t;,~J,
';" II' ':, "-;" i" :.,~,J~ ,
;;: :-",!~;,://;~i~,l~f~
l' : ,"" ~~};.'VA~~;)~?
'1 I,,':, 1,"_'lJtd~
',1 ,-,<,\ '" 'J,,; ;";\-Vl'
" -''t,-'''!':\",''-'': rj:\',,:t::Oi-~
:',' , ' -, '.. ,,' \- ; i If";' :'ll;~
,I' "," ','.' .,,', ,I ";'\ ,,' '>:'I(;\;~;~
':,'i,' '1\, ,,' ",I\~ ~h'Y (\ 'i.,j.~,1&~l);l.l
" . 1,1 "'/1\' I I .. .;"}J,j,~~
".. ":, : '," ':': . ,:,': \::,~"<~~iJ~~~
, f.I' ,~\ I, ' : 'II! "i ~If,' t"'.' ,~"I' ~~I".JWt
",(!,,, ",: ,. ',"1.",. ....".,I'~.\'
, " I : f J l' (" f '~"ll"t",I",,~,~
,{, '" 1\' ;~ ''': I ",' il\', \1 ," " ),Ii\, ,~"I'~'I\ ~l,
I ,,1]1" ,] II '-""1\Y"(
,.:-:.,;:',',1,1" '\ <.-;,,<~\,~~t,~\J,~H"
, .,' \ ~\I" ,J {j.)'" n' 'II ...\. ~
" ',. \1'," .. ',',. .: ,". ":.,.:, ",,',.,!"'; ':"'~'il'~"
, I', I' ' "l. }' ) II '1 \~, ' 'I" " .,
,1\,\' HI.'" ,.1' ,,~,~f'I"" :" ,t)f(I\>~.)"i'~
l, ,f,'l' \ \" 'I, ,. ! I 1\1~'f"'( th\',i j
~'II -("io " ,i,',"'\ 1'" '.".I"I~"I'.:J)r",(!t'~lt',1 -rol,
" "'~\ ' "Il'j II."" t~ l}r ,.,',HrY.'I~1 l.t,C:I~).~
" 11 I \"Hl' l I I' ,', ., '1'( 1,1 ,1,1 r" 'If''''~~!'
. , II; " \,' I' l " , , . I .,,', 'j, ' \' ~' 'j I' ~i' 't
,.....' L I', ,', ,~ ", I, ,'~ 'II I ,/ "I \ j~lq~/\ .; /I t.'~,'ip }-
, " ,. ' ..".,' . i' " " I r ~ 'A,,' ';.(I'~
I' \-,,\ -01\ " II ,ll'i\\",'W';V'." \Wl~J,t(~l,~1
/ ,I. "J I 1. ,'I'" I 11'\'1 ~ 'i~ '1!""tJn~
'1 -_ 1-','.\.1, ',1, " ,", ' I Ii ,,11111.,1 I .t ,t'" ".f'~i'{""~'l~)
, ,,' , " , I' I ,., , ' ,',' ~ I (\ '\'}/,' r
,i, 't, j' I I.' !" I t' I "(,,"., "Ill ,,~., .I;~I
ii' ,I,' \., , I' "Y" 1 ,\'01 ',' ~ ~ ''Il:
;,1 ;,,', '~.' .f' r ;", fl'" \"I'-"I~~." "'i'\~")~
,', ')'-,i'...I-i'\:: .I, ! \1' ."" "I i ':lr{t~'1\ ',I ~''1 .~'DV~
' _ ,,', \, "'...," ~ 1" 'I.l'",i ,'~' 'I'" 'lltJ, .
;,1,' , J, ,I' "~I', I" ,. 'rjl~'{\,:, I~d.~"
'<, ' I ' f' \1 oJ I ,~, i 1 i . "II'J...,,~
ll;I\" l,lJ1.: L"I'~I'!II)\~'I"I,,!,'~';~r)tI'fl;f
" , " " 1 j" ri' .. "h'I'~'
dl"'\~"~l~"" .'.',\,. \',J,~'\"; q..,A.'t,
,"", ' :,_1' \;<-,f' I:, "";_i\:,H'__,::'..)"/;ll~'v
" ,__,-!; \ '-'_\' ,'__,-,' 1,":_:'- L,,_,"}. ,'_'I", j-~i}\VJ,{t'i"~~:<t
'I, :,-,/,'.';1' ':;",I:';~' ,\ ,ll '.',,:y'-'; \'1 -~ 1-' .~.. '1:\~"'j'-\1'l~,::~
I: ", " . \ " ' I, If' ,,; .' i'U" "~' II' ~ '" " (0,,;1".1
, ~,l' ',:,V.' I ! II: " if., ,.'1 ";\' ".Y';f ,': 'J!" 'I"\"i' ~~'
'~, I ,{:'\' "Il '\', ,-.; < :-i::' 'f 1:: ,;, t,,;, "',':' I!,' ",I )~:,~~ \ (,1H'",t ..q:Ufl
t.,: o'l;,.;,,(,',:'-:-r', \ I, I,.' '::"l'/ ,J,lp,':~:,\',it\t;~'I:f'"
I:. ".....: ';.;:,,': .",,' :\/," :.':.::I,...,:~I"i;!i:;';;'I,:'l!ii'I\~'\1
," ';"" -'!"':";::"1:"",.'I," ",' 'I:~\:,' ,'; ,::::!t':';H:)~I/:ll"~:I~~~"t
" \: ~, : , " I I ' ',il' '.0,' l) :' ~ '" ~;i"
. ,] " ' " I.' 1;./. I I, I" il " " f .. ~. \ I 1 "." Jl.~ .'
',,) , II I' I,' \l,-..~"IfJi', I', ~ '''~~I''.It
, :'1' ~ ,\\ "('I", 'l'ri" ~ .\/1 P'. ,,(.\; .,I~" J1
. 'I \-". ",," , .' I " ,,~~" oJ, f'
",'.' '. ,,_ L I' " ',\.' '.1,/1'(.1/' :'; j/" ,',
, j"" II~it ,lr'"I~~' lJ" 'I"~t~
"..' " ':, ' ,j" _\( . '. ,j I' ~ \ 1fll;" I ~", ','l~J,'""!~
. t j.' "\ '1,1 ,f t1r"I' , :1,1 "\~ '." "
I , .,' J' '11' I.. ., ' , ,~, ~ I' ,~.', ill: ' "",.(1 'I' '1"1'1' l: . '~'/
'I'" ,', t' I "I" ~'I;S '/'4t' ~'J.- H ,\~
. \ "ff' \ \\ .,:", '1:'i,\,\,\,.,t,,/I,II!"1Jjt,/:\:,)IB
\.""", t,;, ~", ,",,~.,1~"j.F' ','.f\~I!,lf\jliJltl'I'
"", :', ',f :' ~"'.Ii" r,' "~lJ,~..,,'r\I,~~),:~\')lf',, ~
",;. ' ",:1 pJ"" ,\" J d ;. ;;{I:JV:'J~ ,',\;"'~fA~~l\,
. l,t " .', '; '. I" 1'\ I' '. ',.;' ] t,~", :' ,.!, ~ 1 I, t!J tJ t',
. ,I ,t~J'll ,I ,',I Io'~:,\ d!ifL'" ,\11
, I'i ',. ",", ' ','. -f!' i 1\ 'i~IIU'jJ\'" I"
';', i:j!'i'I'I",tJ,1 It '~h ,it,,I""I"; ,':~''''~ 'i
,1, ~ ." 1.,." ~,{.t l"t~' ~L
, , j ':?~ : '/ \ ,/,., T' "/)!,, ' ',' ,I !':
}', -,1' ,', ',~\ :'/', ':' t, . 'I, ,.Ij ,,\ ,'~' ~;\
:~ "",',', II /1''; \' 1" "t, \,\'rJ;'lr;r,:'
" iiJ ;':"; j<~,;-;~'!~,/fJ"'-~lri:,fq"':'.s'.':, Ii
I, ~, ~:i;':\(l;,'.~,~.8'/~'t:I'J\'il'.11, I
" ~ I, ' I' \ I" I ,'f ' ' I, . ,'\1'\" t, ' ,-''<- '
, ~ "\,'" I 'i I :'."} ,I f ': . fl''. ,\1'. ," IJ t\ I I' "I, I ,j;
,.' ,/1',,' , " "'~"')\ni' (1l';,Hqln'.:'.'ai ,;'
,'1/ I " '" ")'>1:1"".,1, l~ Iljl" J .., 'L,
. " \"" 1, G II"'" ,h, ',' \'-'1'
, II, q ~ I I '1' "\~,b'< I ' ,\\ I')' ",r .,', I '~~'\ llY
10." ' I " f 1 , I" ,"j~ 1 " '1" Ijl" ' \ jl, l' 11' ~
'I"~'" . I.} 111In',lV,"'" '~th,,\ll'l'j \:~i!ip" :Jl'JI,!,
./"'-' 1 ~ '. ,/ I 1"j' "l ,{ Ii Ii ,'I 't~ t.>ll(1.\'1"l , "lo"h'JI'"
'.\ I .;' ., t' f' , <' I' "/1' ,1" '1"'( , rp1
,i-" c ; ;,:1';' , , ,', ""0)'1" L:[(, t,l/t' l' "~I ~k' q';':v~~t<'~tJ '~J
""i;" r' ,;'( I~' /I' -IT}' ~;rT~,I~!lll~II:/.,~q!.~Ji::'~tj'~,'"
1 :'. "'-:/<,.','. .P' , I . , /, 'It" ,,'d ,I", ;11 n"1 "~'I' ,.vt't ,Ii -.; 'f; ~,;,~
_" , "r'"'' ~i'J\~"/,,,.,/,'t'~:fi'~'I,d\tl
I'" ,',1,.1" '1',1'1 ,.' -"i' "'r"'l" r11j"'j'\ ,,',
J; I,' " ~, /f" f,ll' \'I'i ,'j, ~ 1.1 . '.r: \. ",'
, ,": (,' ""I"" "., (;'h,'~ ']\.'-r t'd,
~".' '\1 " 1" ~11, ~,' '" I" ,/~: ~ :,'l''''';{~'' I l~ T (. ',;];1,"
. )" ,~'rn<"."II.ti"!f ,1 VJ,.,,'~JllJ
",J; :-J. I~' ,,' '., 1/ \' ~ I' PlI~ 1', . ( r ,i) :'1'1, f
,';'1; ':: 1,\\H'\t,"JJ\\r:~'l"\\{,,l: .:."";')'" 'Iii,
,,' /.,:1,:\ ; ,"'r1:'; 'J f ,~;J'~I"t)"'1t,~'lf:'lt\,~:d
I, ,. /, " ~ ., "1\" i '1./'\ :t~l, I ,.., \1> " ('t'
"J ' ' " ~'""ld r I (l '\1 'f I\;' ..
I I; ""~ ,Ill,..,' I ~\,I "iJ '~1,~.1'1~ /1', ;'\
I;,;i,';', ,I,' ~ '111\ ',~'r.: .,1'\10,1 II, ~h"I""
I. _ -I ','1 I ~ ;.~u,,'\ 'I!', >l1'b ~l",~,f",,_"JIJ'f'-\""j.'tJJlf"
,': I" J .,,' j '~''i'' j' 'r \ , "I \ YI( J
_' , _' OJ; I" 'II:'~ /, ' ",/ ",I r,T\,,_ '/ ~ "~l/j.' ,','1 ,f'f!",;: , f
. i'; '-Hi I," " ',if, , I' , t, \'. ," " r:,. ,It ~';II/t[l 'J~ 1\ 'iIJ'" """'1
if, ,:. " , ,'j l' I."{, ,"~ 11/ II( 'f" I " ;,,' rd ,Il,11 ':
'!f' " ,,1,', "F,.', I' "/(1-'" ,~ r "'\1<-) ,\
;1 ,',,"1: ,','.'n 1'~':III(,I" ;..'H),~t",:};"({} '~,~1!"1"1
~', It, \ ,', ',; 1',1',,'\' ,~, ",V":'.'~ ''.1'1''.'''.' ~.'''" ,1~'
I, '. ',' ",': '14,1,';" ,,(~I;"'fd\f!{1 !J;'~"I'll~~J"1
" , , r- ' ,,,,,.J
.I' I' 11." ,1.\ ti" ',' ',d'I,'} ',(lI/! 1f"{,\
/ f':l"l' ".I\P,(~i~/!"I'~'tl\{II
, ,,' '\ J " , ,~ \ " , ,. I,' '" " 0'\1\' I I ~ '~ .' .ill
,I;" ',' - '_1,1'T d,.'" :', "t'~\il. --:'_f,I"'."4;':'('~ :"rt..~!
,I, '.'_.' "l\.'j:~(~,,':'~.:'_V#:'?':;',I':!':\;j:_~;'l;fll t_~\;
,--.':", ,ql,' "'tl'(f' " ill,'
, '" ,Ii ',,' ,'I,,, '\'/J' , ?1 l' I' 4 ':. \ !',,"J~ j
_,' "" ' ',', I' j ~ j ',' l " .""'if^- r.
,I;" ',,' .,.;:111.1 ,~'I~';'~I,~,i fr'l '1'.tlrf,~
I " "I,," 1 ,', \'\", ~rl " .: '~'I!,d~
'J,1.\ ., ,r, '" ,,! \ ",}, , ,..I, f) "1~'-'1
j," ,,', ,1',',1 \. ~ ,.,' .' '11""1;[\"\- .,.,: ,'" \,;..oJtli
:1 : II, ~",d~" :1. ( rh'/ J)' ,,,~i' I'; tfr?'i\;..t!nJ
I" q,.,,~l 'I,I~.: t~'." '-":.11:~"
l ,j ,.', ;;'''.,'' i,~ \ ,~;F"l~'nl '.';
I .Ii ,\),,' f',,~ r, I' " I,., j'11 ' t':.,
\, l\" '" \ ;"1/" "',t '''~'f I
. ,'\',' "I;~:' "I 1,/ ,yJ"J', J'\
It ", '11f'" ,'",
I '.'" ~ I 't. 1 i',,, ~. t'htjl(
f; ',' "", ~' ...~r,' '," \' / !~~jitt
I.", ' I . '.1 ";"'1';/" ,,\~),l ~':Ili~
'I' I, "l' -~I\,.!lllllt 'jIJ,~, "7''!'~~@
II r, '\',~\;I\,.. ,"" ,/ <'1:', !ll,"~'
It I, '1,1" 'i"i df,!,.."""j\',1 III"JI,t!
.,);_.- I~ U. '., ',/; I~ d," . 'I, J !If
" , :"';.;~;: ~;\i );').'!-..Jtl.itl~
" \, ;..:\( :.: .',:;~,\>:,:;:Yi:i:'I;';i:~':J1:i
j ,-- - , ' -, J' ~, 1" - " '\'.' ~',
, _'t. \'~ ,i' I~'-(] _In~
,:';, . .' >.i:';,~i':i):i.~\?
I' '\I''lI:~,H(~:~''-' J:'~"l':J
, ,'-i':-'_-- '-',,' .,j ,lij I~~
"," t,'. --; -~ \.':,1/ ,( ~,_;-,.ll\
,(,!_I '., ,., j t.,-.{t',.
,I,,, ti ',~tk
, ',J. ::\rf
;u ./1' ~~J
I J/~~4J.
, ~ ',:,,;
""--,'1
'l:\.t(,
"
,.
"
'...
"
I"
.'
I,
,. .
"'I ",
,.
:',
,
,
"
,I',
.'
"
,.
\. \'
.,.
'"I
'Ii: ,.
,.
,.
; '~, 'I " ,\,'
,,'."
".
t+,'-,
,
.,
\'1-'1'
J- ::1
'11__'1 (.' I,'
..
';,
.,'
.
, ,,"
1",!'I'
" ',.
l_"ll
,,:
"'I' 'I
""
,
'eO'
\-;
!
I'
,
....
",1-"
" I
,', ',d
. ':-"
'n ,""'-.-"\
'f'.
j ".",1 ,:,;'i
',I:.'
\\
, ,
I"~.
"
"I"'.
...
jl'-I1';
/,' "-tl
"
1'_.
/.
,.
",
"
1;'
,.
'II!,
,/"",
,t,
;':
,.
','
,q,
1: ,j,
\ ~ "~
I,"
,I"
..,I'
"
i':'
'.
"
"'':''
,',
I'
,
.'
1/,
,
'l';,t
,.1',,",;\.'1.1: :~~-.;,/,
'I' ",
'; "~I "j
':;
,.
,:l'
,..
,
.,
, I
"I,
J"(
"
"
i'l II;
'1!1, ,
:1 r ',.1.
I.
, J -,~ ,
,.
"'I
, ~,
II.
I,;"
,.
"
, \' L;, ,/;
I.',I',\\,'
1\'
l' :
!-,
",r
,',
I"
I'
I'
I I ~ '
,,'1,'
,.
'j
',,"
,.
,..
.'
;'-1\
,
,
.j',,':
'.
.,.
"
,
1,'
'.,
"
I
1',
'iI'
.1,
'}(~
"1"/
,
'.
'Io!,
I'
'I,'
..,
,
"
':Ii
I'
"'1,'1 "',1';'/.\";';'\":':':'1
,..,'\....1
I}"ll_'-',:
, ,1.'
.,.'
.;,.
/,,1:
Il'
./
1'1'
';,"
I" 'd
,.
" .' ~
"
,(I'
",.Ii
"-,
I,.'
,.'!
,.
,.
.;,,'
,;
'.'
'-I',",
;
',i
"
"
,;,
~
~
l\j
~
N
~
~.
-.'; , ,~ '
"'il;
. , , I
/1.
;.
\'
."1
"/"
'-1."
'"
.'-'
",'1""
It '.'_;',';
-.'1:,\
I,
'.,
I
'I
.'
.,'
. . "- ~
"';,>,
..
,
.,
'.'
I' ",';"
..
'"
,11;
,
"
"
.'1'
,.
;\,-
I",
" \;
is
.1,,,1 "P': ,II
,:.',::1.
I" "
'I"
",'
.,
,
'-'
.,
--",./1'
1',"1,.1
,u
:,,,,:/,,
, ,\ t', ~
",j'--,
il!
,
,
,[.11
':'"
"
I WI' ,/II l.~i' ,y
IH'l1l
11/11'Iu',';:a.;l)
'I ~ :1':1\1,
--I ",m-, ''''''''''',
1......_......1\,1.
I 111'.1(1':11',' ,:I':I{J' W',' '1I111T '1\ II: 1,'1'1'/1\ \ 11':1) I:; {I '111111'; \I i1'Y (II' /I
f(j':r\i1(11 iJ/ "11,1'; III '1111'. /111,11:;11>:/111' 1/1'1'/11. 1(1':'\1[(1(;, f
d y, '"
/]~ Q, ~yv (j)"rr~f..Pl
U.'I'/YIE 1(/'{,j1:;'I~(/\1l Iii' 1,11'1'1\1, /(i,)i~
.....,...,""
,IUN 0 71994
,
.........---
"
... ,14'.....'..
...."..
~" - :l 0 7 :1- ()].[
bIll
1,
ron
filAlr
llrnlnlf1AII
STATE OF MAIIYLANO I UEPAnTMENT OF IIEALTH ,.NU MENTAL IIYOIENE
CERTIf'lCATf: OF DEATH 1110 11(\
I vtCtllfHI!I H...W, {''''!, U,~l"', I''''
IflAlfnrOU'1I
1l1l.,'1l
IUU 0' DUIII
'1.iJ.mu.
4 !llJCtAL lUr.UfllIlHIUlI1[1I
a:
g
w
a:
/5
..J
~
W
Z
"
U.
>-
11l
Cl
W
t;;
..J
0.
~ :!:.
c 0
n U
" w
" 11l
~ 0
:; ...
"
u
n
"
>
"
t
.
,
~
j
;
~
u
1
J
i
u
"
,
,
,
I
"
,
l
"
;
~.
~
;
,
.
,
,
l
~
\
,
'U.\~i.u:.u.. . --.lJ 'U1W~L(; 1 _. _l1il:j'
'1fl J' AUf 1"',,\ 'IIII.,r'd'tl '1J'lI1f"ITl'" . l"l'I" Ii''''' IllAI/ UlniJ"'l . elf1lllrl"'C(t~I,...",,(~..,V'\
I III III ".1', 1'1'\ !lot', (." '~'YI
7.(Hi-:I?-'I;li7 ')C..II' ",; "" ''''''''L:'' ''''',,'' .'" 1{)..?-ICjill i'ENNSYt.I/^NJ^
t. '''''''' H'."'" '''''''''1'" ,....., -,..., ". "" 'n'H """"""""" ""'" P;;;'H" or 01''''
l\ 1J.c.k.lLLlilL-.... LMilll.L.9illllill:.v
.
-Sh"",,.....G=' 11""piL.LL
1ll.1i11"it;j(!"O'lIf,CWIl~
In",." IOhflllH,.,
10, Ullrll AHtlllI)WII(l1
IIQ,f111"IllWIlOIlIOCAlllHj
L. C ^ I! " I ~;" F
101 ll!'coOt
IQ""I'IOrf.llY
11"11'11
II Ill'. , )(HO
I'FNN:;Yf,I/^ 11 ^
(:111.1111.: I! 1 ,/\11 I)
n ;.\'1', '/.lON tW,
j'!I)I'\
Il.s.^.
lIW.'HIAl!l.'U'I
, I I ~,..., MUtt."
JII"I.I'....<I 41
l';.(III.",.,j
1111..",-,<1
1-.-i M\lIr!:fUfN~' ,nihil'! Ar'UIII--r1'M'i U'(UIIlPn [,f 11I'if'AI,lf OI1lUmll'lI',,(II, 1ft 'If NI -1" '4 nAe! -, "'""IICI" In"'ln,
IIHlU'" I H'\ 'i I.m IITu.WOel'Ie"',"l U,.J'I", ru"'o IlIC." 'leI 1I111_,WI"I,IIC
II 11'i. (lI~1 1\1111\14"'1 II I "'ll )(110 'I'" I, ("",-,1,
\'J F'I'NMI \'111 I 'I'E
,.. UHllIflll'lJr,UAt ClCClII'AIi<\..'
i" ." I ,-" < I ~".'l ,~. ~ ,'-," 'J ,.,.." ,~ .' ,j "'1
,\",./",I"''''-''''!I
1\ IIInllfNI ~ lIHJrAl10N
I'~.' ~, ""\, . 'J'''" ~'. .. "''''1 "'.11
I", !(INl1ll' nU'I~f""'HlU"llf
''-""nltrl'''fCo,~ll'lI1111
r."II'~1 (I . '" , 'I
r, ,
M'COIIN'I'^N'I'
JlEilEH~J, r:nVEHN~tEN'I'
II fAllll"i'i II.....' I"" I' '.'" (WI
II 1,lIlllltfl ~ NUlt ,1'11 I' .~.... _'t...., ~ ~"~ '''''
I'll J, ; , 1 Mol II, II I.: O\'II~ F \.; F J, 1 .
Ill-:H'I'II^ 1-:, \'11 ('1(^101
111 l~ftHll.lA'l I !; 'IAWr ('".\1'
nl, IUllltlllA11Ill!f','l"',,,", ". "'.,
'.. '" ...... " ," I.." ~'I'., II" -,. '"
1I0FJlH^N-IW'I'11 F, IImlE
7. J 'J II.~NI)VI'H ::'1'. ('^HJ,\,SJ,I.:, I'^. I'll) 11.
l\l~"f ItlOll (1' 1l1~I'O!IfIOU
11\0111111 "'(:II""U"n llln."HI.II!l<llllnllll
41: 1I01\IlIIIn 'I 011\.111'.....,'11
I IIAfF IOc LOCAIIO"! -. elll II' ''''''II,ltel.
:[,/'.1, r:^I~J,\':;t.I\,i'^,
IJh 1'1 Alf "'mIlAI,CIf CII~l'\l~III()'II'I'
'\"!iI:':(:N~I1, !l~;" I:' 1-:'/'11 r.'ill S'I'
i,
'1 ~hlNATlIlll 01 fUUfn,u 'illIVIClL!("fU'fl
II 'lAW' AI'll ~IJO"\'" m ,~'W'
IIEI\ ':, .;, ,J1'1~J(lN:; " SONS
ij'1I)'i ynrn: HI), 1l^1,'I'O, ,r.lil.
21217.
I
I
I
I
I
I
I
I
I
I
i
co,
2,1 rA1111, [nllll !llll IIIUAlu, or (OO1flll(Allool 1I'~1 ulJtlld HIll ll~It'h Uo nul !'111M IiiI' IIWII~ or lIflllfl, 'uth AI CAlltlltc fir Ill"llfl'OfY Ir",I,
Ihork,ofllullllllulllll,ll1IlIYl1llllr.Aulllnnl'ltthllllll
flpPfculm,lt
1018"'111011".."
CIlulllld Dnth
IMMEOIATE C"U!it jfloll
dlUUtOrcol1lllllnn--lrr..
luulllnglnduth) --r
/v\~! ~,t\ I, ~,~".J,~~?~\ (( \ S-~
{"
SIl(IUAnlllll~ 1111 fntlllllhln"
II Iny, 18Ilctlllll to 101l11~(1I11~
Clute [OIM UNOrllLYlfHl
f.AU!i[jU!,"...nllnjufY
1t.I'jnllllll'lIflVlln1l
'''HIHng In It. 11th} lAST
11111 III lOll ~'i A t,'1l'I'if (Wf IICI ',r.
Ullf 'P(olll A'. AnHl",Ill1It'KI (III
PAnT II ~1I11l1 'lgIlUICIIl\1 COl1l!llIont contllllllUI'f1ln cI~.lIIIHl' 110' 'll,ulUrq III thll1llhll'/It1nq (AI/'Illllv(lllIn 111U11
'11 I'fI,,\Al\AlHOr,\y
rlll'OIU'fIll
'~I'\IIIN()
Hb .l'InIAUI(\'\"~OIItO'
A~llAIl4.I'AlQnTO
COIl'LlIIOltOf tAu,.
OfllUlttl
1\(1" 'f )NO
DID TOBACCO USE CONTRIBUTE TO CAUSE OF DEATH YES [] NO []
n"M' rA'H n"'IlAW Hl"HlIf.Al
IU!,lINlnl
I,XHS lll"!o
14 rL Art 01 III All! d ^.., ''''\ ,.,'~I
IHIlIl'I'^1 ... ]11111111
I Ir'C"!I"11Xlnrh"I"I""11~4 /j l.tl,'Q 11'''. \ 11"1<111<11' OH'IfI'~..,.'I,1
'h'j;W~I~-I.III' II..f(II-1 'It IUjIIll' A' ",, nl,CfI,nIIlQWmIUIlI flC{\lllfLI
1',,'"..''1 ~'t III/LillI ",,)Il~l. l"lf1.,'V~l(
. Yo .i.E.l-'li'___ ~J.:t1t:_ h~':~'~_' .x",,_
II. 1'1 Aff or II'JIIIII AI I.."", fo,~, 1l',.1 r""." "Il,," ',1/, ." (fl' ,., II..." II "4/1..,,,,..,..
1",",1"~ '~{~~'G E:.
JllUI(Nlllm "'''III
11 I Nlh",1 \ L 'I"'~I"'Q
'X~(I'II'" 1"'.III'jlll""
II jc;"ltl'h iC",,'.I''',II>4
. [ I HO",ICI<II d.t"n,'",~
III 1~,~,~1~',~~~1 I I I f1lrlilll'W rl\l~IIHII
,~..,
'hit .'''lrIUI 1",1,""1', It," /."11111."01 "llnn'l II IlIl..1
,
~
;
!
,
,
I X t.I(lIlrAI 11."'11111 0" I'.' I",., n'.. ""...1'..., I" I ,,' ''''''''1'';'''1 I' "'I "1""(,." Lht'" ",,,,,.,1 .1 II.. I n,. ,I." ,'~l 1"1" .,,~ 01'11 I~ I',' (I"UI'! 1'101 ml,.n"
U .Illtd
_"'h_" '";~;,,;;;;;;r,, .. -lIt"~ ,.." -,,,,,,,,,,,,,,,, I', ,.,.,
, {,' ~ .. I .
IHII'li',,", ,'",
)1"1\11 {~ ,. '"Pili
~
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedentl Wnnyo E. Arownowoll
Date of Deathl__--1:laY 10. ]994
Will No. 2194-0554
Admin. No.
To the Regis Lera
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' Court ftules was served on or mailed to
the following beneficiaries of the above-captioned estate on
Q.Q.t.QJJor 3], 1994 I
~ame
Address
Shil ron r.. Brown""" II
I RO? 1 PArt. ; 1('1 r-.'(:\Q(lnl~' r''"'lll.... ~;"11 t'hr.'rihl1r'J, '41.) 20877
,
, RO? 1 fill-H."'I-; 1('\ Mr.-;,rlnhJ r,....'lt't.. r:;'1'; thnY'1'hI1t"1}. ~lD 20877
,
, RO~ I f,'C\l"t.; I" r ,1 ("I ~) rllit~1 r"l1t'f' . ('::11 thnrchl1rrr MD. 20877
. .- ,
NeeDle Hannigiln
I30verly JilY
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except
Nono
Datel Ocl'Dber 31 r 19'14
n
I'lmoal:., ,1,-
,
T;'!l~ t. 11; 'Jh ~ t'I"P.~t
("Cll"liql" , nl\ '7011
Telephone(", ?41-~SI1
Capacity I
Personal Representative
Counsel for personal
representative
t ~
(.J l)
x
~ >- BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH <(-(
Urlcef penchill of perjlJrY. I declor, Ihall hove oIl.IJmi",d Ihil reI urn, inclvdirl9 accompanYing Ichodull" and Halemen11, and 10 the bell 01 my knowtedgtl and bello!
it.. true. correct and COmplllllt. I declare !hol all real eUote hOI bOlln reporleo Qj Hue markol valve. Declaralion of preparer Olner thon Ihe perianal r'preuntotlve II
bOled on 011 inlormolion 01 which preparer ~o, ony knowJedqll
5IG~'U~! Of H~SON >1t~'ON51&l( ,o~ 'llllj(J ~nU~N _ AooiiH
'Ib" .( 1\111""',1111[:\ II',' II
IO.Iv.\! 0' '~e''''lf~ OIHI~ I Ml llfP~IWH"'lv(
{ ,....\ \
....
z
w
'"
w
U
w
'"
w
....
",:!5~
u"'u
!l!~S
U~..
,....
"z
l:jw
",'"
",z
ult
1.
2,
3,
4,
5,
z
51 6,
....
:5 7,
:>
~ 8,
u Q,
w
'"
10,
11.
12,
13,
14,
15,
16,
17,
z
Q
;:: 18,
"
.... 1Q,
:>
..
II
'"
U
:l 20,
....
21.
\
, '
,(
J
lOR OATIS 01 DIATIi AITIR 11/31191 CHICK HiRl .-'
II A SPQU~Al 0 ~
POVIRTY CRIDIT IS ClAIMID
ml NUMBlR ..
21 94 0511
COUNTY CODe YEAR NUM6E~
OleeOeNT'S COM lITe AOO~U5
22 Ht. Zion Road
CarliRle, Pennsylvania 17013
COMMONWEA.lT~ OF PENNSYlVANIA
O~PA.~lMHH m ~!VENUE
OfPT 280001
HARRISBURG. PA 17128.0601
ole.DIN .~ ~l"Mf l~A$I, 1IUJ, "NO MIDO~IINII'A\J
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILeD IN DUPLICATE
WITH REGISTER OF WILLS)
BIWlo/NEHELL, H~ne E,
SOC'A~ HCUIIUY NUMIU
DAI! 0/ O(MH
OAf( 0' IIIITH
206-32-/,267
5/30/94
10/2/41
50CIA\ HCURI!r NUMU~
/,/,1..44-3555
<':OVn11
AMOUNI HC!I'o'fD (m INSUUCTIONSI
(1/ """'''''111 ~lJhl"'ltjO l'OvU1 'Ul,lf 1101.11, '.HI ~'40 *'410011 ""11.'1
BROHNEHELL, Sha ron I..
&J 1. Original R"urn
o 2,
Supplemenlal Return
OJ,
[15,
Remainder R'Iurn
(lor dOlO. 01 doalh prior 10 12,1 J,621
Federal Euot. Tax R.lu,n Required
o 4. Limited ellahl 0 4\]. Future Inrereu Compromiu
(lor dolo. 01 doolh ahor 12.\ 2,821
o 6. Decedent Died rlllQI8 0 7. Oecedent Maintained a living Trull
IAlloch copy 01 Willi (Ailach copy 01 TrvII'
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO,
NAM! COM'UU MAIIINQ "'OO_B~
James D. FlO\'Il' I' , Jr., ERquire 11 East High Street
IIL"HONI '<UMOU Carlisle, Pennsyl?S\I)ia
717) 243-5513 ( ;
_ 8. TOlol Numb" of Sofe Depolil &011.01
17013
:0
Rool elloto (Sch.dvlo AI
Slock. ond 80ndl ISchodulo 8)
Clo,oly Hold SlockIPartno"h1p Inloro.' ISchodvlo Cj
MortgagOl and Nol", Receivoblo ISr.hldule 01
COin, Bonk Oepolill & Milcelloneoul Plnonol Properly
(Schodvlo el
Jolotly Ownod Proporty (Schodvlo FI
Tro"'o,, IS,hodulo OJ ISchodvlo LI
Tolal Gron Allellllolol Linll 1.71
Funeral ElI.penlel, AdminiWOlive CO"" Milcellaneoul
E,po"o, ISchodvl. HJ
O"bll, Mortgage LiabililiOl, Liens (SchedlJle 'I
TOlal Oodv";o" l'oIollino. 9 & 10)
Net Volu. of EUole ltine 8 mlnu, LIne II)
ChorHoble and Oove,nmenlal B.qu'lII (Schedule J)
Net Valu. SUbjlCllo To}( (Line 12 minut ~inl 13)
SpolJlal Tranlferllfor dOll" of deolh ahlt 6.30.94)
See InllfuC1ionl for Applicable Percen!oge on Reveru
Side. (Indude vallJellrom Schedule K or Schedvle M.)
Amounl of Lin. 14 laxable 01 6% role
llnclud. valu" from Schedule K or 5chedule M.l
Amounl of lln. 1.4 IQJoble 01 15% roll
llndude voluOl from Schedule K or Sch.dlJle M,I
Principal tOll. due (Add tall. Irom Linlll 15, 16 ond 17-)
Credill SpolJlol Poverty Credil Prior Paymenll
+ $6,000.00
....Jl
;'.i
I
'0
J
"J
In
..,
"
98,272.40
8,842,50
89.429.90
89,429.90
5,365,79
--
5,365.79
Oi"ount
315.78
Inler~l'
(191
1201
6,315,78
949.99
+
If Lin. 19 it grea'" than Line 18, enter lne difference on line 20, Thil II Ihe OVERPAYMENT.
IJlIi!
(heelc he.a if \l4U o.e 'e'questing a rrfund of you. overpayment.
If Line 18 it greate, Ihan Line lQ, tnlft Iht difletenc. on Line 21. Thil it Ih. TAX DUe,
A. Enlet Ine inletlll on Ihe boloJnce due on LIne 21 A.
B. EIllet Ihe 10101 of Une 21 Clnd 21 A on Line 218. Thil hlhe BALANCE DUE.
Mako Chock Payoblo 101 ~oglllor of WIlIo, Ago"
12'1
121A)
121BI
j}t"(I,!foll
0.101(
l t I ~ j{ I 11\ ( I
.) If 'i')
OAIl
b::2) ~
') t
n '
, ' \ I ,
,/"' , ') Ii! J\ J (':U/
"f,(, r/Oli
W/UO'l'hIJe6J
COMMO~4WI~I'II'" 'IWl\1LV~'114
ItHU_ltMIC( UC H1UUl
_UIUHlIClICIDWI
. SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE Of
BR0\1NEHgLL, HaYlw E.
fiLE NUMBER
21-9/.-055/,
---
Joint '.nont(.).
A. Sharon
-NAM'E--------- -_.,-",- ADDRBSS -'--------'-r:,J!LATIONsliiP-TODEcEDENT---
1.. Brownell Id f c
B,
C,
Jolntly.owned pr.porty.
ITEM LETTER ! DATE
NUMBEI fOR ' MADE DESCRIPTION Of PROPERTY TOTAL VALUE DECO'S DOLLAR VALUE Of
JOINT JOINT Of ASSET 0/0 INT, DECEDENT'S INTeREST
TENANT
1. ^ UHcel1uneollH pc rflOnU I und real N/^ N/^
lropcrty held Jointly with
ecedent's wife lIA, tenon t H by,
the entiretieH und conReqllently
. exempt from tux
,
,
,
..
" .
- ,
"
.
I, " I I "
, ,
I .. , ,
"
" , ,
,
, ,
, "
, ,
"
, ..
" , ,
" ,
, .
,
, "
I ,
,
,
, '
TOTAL IAha .nl.r on IIn. 6,R.copllulollonl S
---.,
(II mora 'pac. It n..d.d inlOlI oddilionnl,...,. of lame ,izo)
IIV.1J11 ""1'"1
~:i~:~"
......f/}u.-
COMMONWEAlTH OF PHlNSYlVANIA
INHERITANCE T"X RETURN
AISIDINT DICIDINI
1 SCHEDULE H J
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
- -
E
Plea.e Prlnl or Tvpe
ESTATE OF
IlItOHNEHELL, l'layno E.
ITEM
NUMBER
A.
B.
21-91,-05.11,
DESCRIPTION
AMOUNT
1.
FunDral ElCpen,",
lIoffman-Roth Funerlll 11011\0, fUlwral "orv ko"
HIIAgonor I s United Hothod 1st Church - fUlwl'id I\lnohoon
R,'vor<'I1d Tom \Hlll1rd - hOl1lornrlum
\~aAgonor's United Hothodlst Church 0 c',"wtury plot
Flowers
$ 5.01/..00
100.00
50,00
300.00
165.00
1.
Adrnlnlllrallv. Calli'
Personal R.pre.enlalive Commission.
Social Security Number of Personal Representollv"
YeQr Commllllons paid
2.
Attorney Fees Flowor, florgenthul, Flolwr & I.lndsay
2,950.00
3,
Family Exemplion
Clolmanl
Addre.. of Claimant at decedent's dealh
Slreel Addrell
Relalionlhlp
City .
Slole
Zip Code
4, Probate Feel
C, Mllc.llaneoul bpen,,"
1. Regist,.r of HillH - LottorH of AdminiHtration /.0.00
2. Register of Ii! Us - Short Certlficates 12.00
"
3, ROAistor of Hill s - Bond I' il i ng [pc 15.00
4, RL'gisc,'r of \~i.lls - JCP 1'00 '5,00
5, Inheritance tax filing foe 15.00
6, RoglHtor of IHlls - Cort if ied copIes 2.50
7, PromlulIl for hOlld (G:lhh Flnuncia I Sorvicos) .135,00
9, Fee for trunsfor of Topa? uutomohi \0 tIt I'e 39,00
TOTAL (Also enler on line 9, Recapitulation)
(II mall Ipac. II needed, Inl." addlllonal IhulI of lame cl...)
s
3tfHI~. 50
\
,
V'
REV.1607 EX AFP 112.94*
COHHOHWEAL HI Of PEHHSVL VANIA '
DEPARTKENT OF REVl'HUf
BUREAU OF INDIVIDUAl lAlCES
OEPT, 280601
ttARRIsaURO, PA 11120-0601
11.dJt,~ II
AtN 101
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATE 06-12-95
ST TE OF BROWNEWELL WAVNE E FILE NO. 21 94-0554
DATE OF DEATH 05-30-94 COUNTY CUMBERLAND
NOTE, 10 INSURE PROPER CREOIT TO YOUR ACCOUNT. SUBHIT THE UPPER POR1ION OF THIS FORH WllH YOUR lAX
PAYHENT 10 THE AODRESS SHOWN, HAKE CHECK PAYABLE AND REHIT PAYHENT TDI ,
JAMES D FLOWER JR ESQ
11 E HIGH ST
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
~-R'.ltt'd
CUT ALOIlG THIS LINE .. RETAIN LOWER PORTION FOR YOUR FILES ....
REV: ii. ,(i; - Elf -A F ji - f i'F 94"1 - - - - - -lii,i; - i NtfER ii'-"NC E" - T Alf -sTAY EME"N'T - '(iF - Ac:coiiN-f - - iiJi Ii - -- - - -- - -. - - - --.... --
DATE 06-12-95
ESTATE OF BROWNEWELL WAVNE E FILE NO.21 94-0554 ACN 101
THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENl STATUS OF lHE STAlED ACN IN THE NAHEU
ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATIUN OF ALL PAYHEN1S,
THE CURRENT aALANCE, AND, IF APPLICABLE, A PROJECTEO INTEREST FIOURE,
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 05-15-95
PRINCIPAL TAX OUE, 5,365,79
PAVMENTS (TAX CREDITS),
PAVMENT
DATE
08-15-94
05-25-95
, OJ
,1';- CI'
cr~ ..
RECEIPT
NUMBER
MM912815
REFUND
DISCOUNT (t)
INTEREST (-)
268,29
.00
6,000,00
902.50-
AMOUNT PAID
rl', I.: ...(
'. '.,1 \(L,
:
('"
[-j
;;
1
I, , ,
~) I .'! ::1
00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
5,365.79
,00
,00
.00
. IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTERES1,
I IF TOTAL DUE IS LESS THAN $1,
NO PAYHENl IS REQUIRED,
IF TOTAL DUE IS REFLEC1EO AS A "CREOIT" ICRI,
YOIJ HAY BE OUE A REFUNO. SEE REVF.RSE SlOE OF THIS FORH FOR INS1RUCTIONS, I
,
PAYNENT I
O.tech thl top portion of thl, Notlcl and tub_It with your pay.,nt Ilad, p"yablt to the mlltl 'tnd addr...
prlntld on the r.....r.. lid..
If RESIDENT DECEDENT uk. chick Dr 1I0nll')l order payable tOI REGISTER OF WILLS J AGENT.
If HOH-RESIDENT DECEDENT lIoke chick or IIOnlY order Pllyable tOI COMMONWEALTH OF PENNSVLVANIA.
All Pfty~.nt. received shall b, applied flrtt to any lnter..t which lilY bl dUI with any r'.aJndtr applied to the tax,
REFUND (CRll A r.fund of II tax orod!t, which was not rlquI.tld on thl Tax Return, ~ay bl r.quested by co.plltlng an
"Appllnatlon for Rufund of Pynnlyll/llnla Inh.rltBnco and [state lalC" (REIJ.13BL Applications art IlYlllhbl. at
thl OffiCI of thl Reghter of Wills, any of tho 23 Reyonull Dlttrlct Offlcos or froll the OIlPllrtllllnt'1 24-hour
Ilnlwerlng ur...lclI nu.ber. for 'orlll orderIngl In P,nnlyl...tlnlll 1-800-362.2050, outllde Plnnlyl...llnltl
Bnd within local Harrllhurg arn (711) 787-6094, TOOl (717) 77Z-Zl52 CHllarlng I.p"lr.d only),
DISCOUNTI
'Juutlonl regarding IIrror. contained on thlt notice should be IlddrOlud tOI I1A Oop!lrtll.nt of Re....nu., Buruu
of Indl...Jdual T,u(," ATTNI POlt hUII..nt R....lew Unit. Oep\. 2&0601. IIllrrlsburg, PA 17128-0601, phone
(711) 181-6505.
If any talC dUll 11 paid wlth!n thrill U) cllhndllr IIIOnth!J "ftnr the decodent'. d.ath, 0 fI"'ll percent (5%1 dhcount
of th~ talC pnld I. allowed.
REPLY Tal
IN1ERF.STI
Int.rut 11 chBrqld b.glnnlng with flr.t day of dollnquoncy. or nino (9) .onthl Ilnd anII' (1) day frail thl dati of
dlllth. to the dllh of paVllont. TIl)(1lI which bllca.e delinquent bel(lr. J""!lIlrY I, 1982 b.nr Intere.t 8t the rate of
IIle (6%) percent pit IlnnUIl calculated ot II dally rllte of ,000164. All tllklll which he<:all' dellnqullnt on Ilod after
January 1, 1982101111 bur Inttrlllt tit " rllte which will ...tlry Iroll cnlondllr YOl'lr to callndllr YOllr with that rtlt,
onnoun<:ed bv th, PA Olpartllent of Re....nue, The Ilppllcllble Intllrast r/ltos for 1982 through 1995 l'lrll
Yur Interut Rllte Oalh Intlrlllt fl'lctor
Vetlr
IntflroDt r:'.1:o
Dlllty Int8rolt FftCtor
1982 20% ,000548 1981 9% .000247
198$ 16% ,000438 1988-\991 11% .000$01
1984 11% .000301 1992 9% .000211
U8S 13% .000356 1993-1994 7X .000192
1986 10% .000274 199!:a 9% .000247
-.Inhrut II clllculllted .. fOUOWII
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTDR
--Any Hottct luu.d nft.r the talC bleall.. d.llnquent 101111 r.f1.et an Int.rut calculation to flftlln 05) day.
b.yond the dati of the ".......nt. If PIlYllent II IllIldl Ilftlr th. lnhrut cOIlPutatlon dllt. .hown on the
Hotlc., nddltlonll In'.r..t IIUI' be ctllcLlIl'lted.
1~',^lg~/'f
edV-,
,/
COHHOHWEAI III Of PEWHSVl VAHIA ACN 101
OfPARtHEH' Of REVEHUE NOTICE OF INHERITANCE TAM
BUREAU Of IHOIVIOUAl Ims APPRAISEHENT. ALLOWANCE OR DISALLOWANCE
;;~~~~~~;PA ~~~;'~t[C ___- iI;WFl~= ~~~~O~~~~~~~:o~SSESSHEN~F:L~:~': ~~'~;1 ~:~~: --~
DATE OF DEATH 05-30-94 COUNTY CUMBERLAND
NOTEI TO INSURE PR~PER CREDIT TO YUUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAM
PAVHENT TO THE REDISTER OF WILLS. HAKE CHECK PAYABLE TO "REDISTER OF WILLS, ADENT"
REMIT PAYMENT TO:
JAMES D FLOWER JR ESQ
11 E HIGH ST
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
c:::___A~ount Ro~lt~od
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
R 'EV: i5'4-; - EX - "j:"p.. r i"F94 Y - NOY i c r -OF - "iNHER if A ire E - YA'x - A"pii ilA"i S EilENr; -" i.rOWA NeE. a Ii - - - - - - no.. - - -. --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BROWNEWELL WAYNE E FILE NO. 21 94-0554 ACN 101 DATE 05-22-95
If an assessment was issued previously, lines 14, 15 and/or 1&, 17 and 18 will
refleot figures that include the total of ALL returns asftessed to date.
ASSESSMENT OF TAXI
IS, A~ount 01 Llno 14 .t Spou.ol roto 1151
16, AlIOunt of L1no 14 to.oblo ot L1n..I/Clo.. A roto 1161
17, AlIOUI\t 01 L1no 14 to.ablo ot Collotorol/Clo.. B roto 1171
18. Prlnolpol To. Duo
TAM RETURN WAS I I X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1, Roel E.hh ISchodule AI III
2, stock. .nd Bondo ISchodulo BI 121
3, Clo..ly Hold stock/Portnor.hlp Intor..t ISnhodulo C I 131
4. Hortgac../Not.. Receivable (Schedule 0) (4l
5, Co.h/Bonk Ooposlto/Hlso, Por.onol Proporty (Schadulo El 151
6, Jointly O.nod Proporty (Schodulo FI 161
7, Tronlfor. ISchodulo 01 (71
8. Tctol Ao..to
APPROVED DEDUCTIONS AND EXEMPTIONS I
9, Fun.,...l Expan.../Ad.h COlh/Hho I El<pln... C Sch.dule HI I c))
10, Dobto/Hortgogo Llobllltlo./Llon. ISch.dulo II 1101
11, Toto1 Doductlon.
12, Not Voluo of Tax Roturn
13. Chorltoblo/Dovorn~ontol Boquo.t. ISchodulo JI
14, N.t Voluo of E.toto Subjoot to To.
NOTE I
TAX CREDITS:
PAYHENT ~ECEIPT
DATE ,--~";UHBER
"-"-'4 l "."."
DISCOUNT (+ I -I
INTEREST 1'1
268.29
I I CHANDED
,00.
.00
~
,00
98.272,40
,00
.00
IBI
98,272 ,40
8.842,50
,00
1111
(12)
1131
114)
8.842 50
89,429,90
.00
89,429,90
,00 X .00,
89.429,90 K ,06,
,OOX.15,
I1Bl
,00
5,36U,L
,00
5.365,79
AHOUNT PAID
6.000,00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOT AL DUE
6.268.19
902,50CR
.00
----
902,50CR
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR tALCULATIDN OF ADDITIONAL INTEREST,
IF TOTAL DUE IS LESS THAN II, NO PAVHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY YE DUE
A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUtTIONS.1
I'
"
no
l: (f:'
'")-
, '
,
l/"l
\)1
'1)
;/."1<"
"
::i,
-.:
1'1
~ J',
,,-,
RESERVATION I Eltat.. of dtotdtnt. dvlng on or blfor. Olclwb,r, 12, 1982 ~- If any future l~t.r..t In thl ..tat. 1. ~ren.f.rr.d
In po.....lon or enjoy,,", to CI... B (col1at.ral) beneflel.rlt,Of thl dlcldent aft.r the ..plr.tl~lof any I,tat, for
llf. or for VI.r., thl Co-.onwlalth hereby IMPr...!v r...rv.. thl right to appral.. and ...... trftOt..r Inh,rltancl TaKI'
at tM lawful Cia.. a (coUahral) f3t, on eny luc:h future Int.r..t.
P\JRPOSE Of
NOTICE I To fulfill thl r.quirlllnt. of Stetlon 2140 of thl Inhtrltance and E.tat. TaM Act, Aot 22 of 1991. 72 P.S.
S.atlon 2140.
PAYMENT I O,tltCh thl top portion of thh Hotle. al"'d tub,1t with 'lour pay,ent to thl Rlghtor of Willi prlnhd on thl r.v.r.. .ldI.
uHake check or 10nlY order pllyablt tOI REOISTER OF' MILLS, AGENT
All p8~nt. r.~.lvld .hall flr.t bl applied to any Int.re.t which .a~ b. due with any r..alnd.r appllad to the taH.
,REFUND (CA)I A r.fund of a taM cradlt, which was not roqu..ted on thl Tax Return, ~ay be r.que.tld by coaplltln; an "Application
for R,fLm of P,nn.vIYMla Inht;rltanc:. and E,tat. Tax" (REY-1313l. Application. art '!IvallDbI. at thl Offlo.
of the Regllter of .,1111, any of thl 23 R,vlnu. Oh\rlet Off leu, Dr by call1n; the 'Plelal 24~hour
anlwtrlnt ..rvlol nu.ber. fer fori' orderlngl If'l r'M.ylvanla 1-500-362-Z050, outlldl Plnn.Ylvanla and
within 10011 HarrltOOr; ar.a (717) 187-8094, TOOl (717) n2-ZZ52 Wearing IlPllrad OnlY).
OIlJECnOfftl Any plrb In Int.re.t not utltfhtd with tha apprahtttent, allowanc. or dltallowanc. of dtduotlon., or a..un.ent
of taM (Inoludlng dl.count or Intlre.tl a. .hown on thll Hotle. IU.t obJlct within .IMty (60) day. of rlc.lpt of
thll Notlcl by I
--wrltten prot..t tc.. thl PA DlPartlent of Aavenu., Board of ApPlIlll, nept. 281021, HarrhOOrQ, PA 17128-1021, OR
--.l.otlon to have thl latt.r ~.tlr.lnld at audit of thl ~ccount of the per.onal rIPr..antatlv., OR
--eppt.l to thl Orphan.' Court.
IDltIN
ISTRATlI/t
CORRECTlDItS.
FlOtuel Irror, dltcovlrld on thh a.....""t .hould ~ addr....tl In writing tOI PA D.partHnt of R.vtnU.,
Bur.eu of Individual Tax.., AnNI po.t A.......nt R.vlew Unit, Dept. 280601, t1arrhburQ, PA 17128-0601
Phon. (717) 781-6505, SH PI" 3 of the bookl.t "Inttructlonl for Inh.rltanel Tax Return for I Ruld."t
aeeedent" (REY~1501J for an ,xplanatlon of adlllnlttratlv.lY corrtctabl. .rrort,
DISCOUNT I
If any tax due II paid within thrlt (3) calender ItOntnl after thl dlcldlnt'. dlllth, a five p.rc.nt (5:'0 dltcount of
thl tax paid II al1oNtd,
INTEREST.
Intlr..t It charQe(J blglnnlng wUh fir.t day of dtllnqulncV, or nln. (q, .ontht and ont (11 day frot thl date of
dlath, to tM date of P'~'"t. Ta.x.. which bee.. delinquent blfore Janulry 1, 1982 b.ar lnt.r..t It tht rat. of
.IM (6~) percent p.r annul oalculated at a dailY rat. of .000164. All taxe. Mhlch ble... dtllnquent on and aft.r
JlnU8ry 1, 1982 will bur int.r..t at a rat. which will vary frol calendtr Yllr tn cal.ndar y.ar with that rate
InnCQlCId by the PA DtJllrt...,t of RlvtnUe. The appllcabl. Intlr..t rat.. for 1982 through 1995 ar.l
~ Int.r..t Rat. Oa.l1v Int.r..t Factor ~ Inttrnt Rat. DaHy Int.rut Faotor
1982 2D~ ,DDDI48 1987 .~ .000217
19U 16~ ,000438 1988.1991 \IX .000101
1984 1I~ .000101 19lJ2 9~ ,000247
19B5 13~ .000116 1991-1994 ]X ,0001'2
1986 1DY. ,000214 }C195 .~ .000241
--Inter..t I, calcul,t.d a. follow. I
INTEREST' BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINqUENT X DAILY INTEREST FACTOR
-~'ny Notlc. I..ued Ift,r the taM btco.l. d.llnquent wll1 reflect an Intere.t calculation to flft.en (15) dav.
b.yond thl dati of th. ..'.....nt. If pay-.nt I. lade afttr thl Inter..t cOlputatlon date .hoMn on the
Notice, addltlon.l Inhr..t IIl!Ult bt calculet.d.
~
21
94 - !i54
t,. _..~'._",,:, .,. -,._~-'._"'~_...-- ~,. .on ..__.....~..~.-..;.;.:...:...:..::. ....:""~.~ ll11
. :.~,;; t';'.' 4' "I":"n___~~.....~:-:--:,_-:: ~_--
~y
:1 Western Surety Company
Know all Men by these Presents:
'I'IIA'I' \\'1': Sharofl I" IJrowncwc.l.l , as l'l'illdpal,
alld Ih" \\'1';S'I'i':lt~ SI'In:'I'Y ('(l~II'ANY,,, ,'ol'I"'I'atioll dill,\' !i"l'lIs,'d to do
hIlSilll'" ill Ih" (:Ollllllollll',,:dlh of 1"'I'I",\'I\'allia, Ill'" h..ld alld fil'llll,l' hOlllld
111110 Ih,' ('''IIIII,ollll'.'allh ,,1' 1"'III",I'II'IIlda illlh.. SIIIII or
Twenty Five ThouSWld i,lI1d lIojlOO ($25,000.00) IIOIIIII'S,
to hi' paid (0 ttll' :;;dd (~ollllll(llm't'allh, (I]' Ilwi!' ('l'l'lain Atlol'fl(',\' 0/' "SSi)~I1S, 'I'll
Ih.. \\'hl,'h pa,\'III1'11I 11'1'11 alld Inil,\' I" I", Iliad." \l'l' hilld olll'",I".,s ,joilltl,l' alld
"'''''I'alll', 1'''1' alld ill II", \l'h"I.., olll'II,'il',;, 1';,"I'lItol',' and Adlllillisll'atol's, fil'llIl\'
hy lh\'s~' IlI'('~t'llts, .
Sealed With Our Seals - Dated the 14th day OLJllfl()
In the year of our Lord one thousand nine hundred and nfiirBLY""
(llr
The Condition of This Obligation Is Such, That If The Above Bounden
Sharon L. Brownewel.l
or all IIl1d sillg'i1lal' IIIl' (;oods,
" .e,.\\I\II+ -- ".. '" _ , ,
01' jlltv 'till' h1llIlh('~lld pO",l'ssi,," or a 11,1' oth"I' 1"'1'';''11 01' 1"'1'';011';, rOI',\VaYflQmF:."I}roWfIewcU do
\\'i:\L!!lld ttl\lr",ll'.ll1\inbl"I' a"""I'dillg' to Ill\\' , Alld 1'111'1111'1' do IlIlIk,' 01' l'allS" '01", iliad." a ,jllSllllld trill' a"('OIIlII
"f~n"tgll",~J.l: said Adllli"isll'alil'", \\'ithill six IIlolllhs 1'1'0111 thl' dill., hl'I','or, 01' \\'h..1I thl'I'<'lIl1lo
I'AIlllilNII>,1' Ih" (1I'l'hllnS' (:/1111'1, alld all till' I'<'st alld I'l'sidll" or Ih., Haid (;lIods, (:haltl'1s alld ('I'l'dils which shall
ho"f;!II1IlII'l'llIaillia~llpol1l11,' said Adlllillisll'alol"s 1II"'/lIlIlI, th., S1111l..1,,'illg' fil's! ",allIillt'd alld :dl/l\\'l'd h,\' Ih.,
Ol'ph'nm;' ,0)\111 or Ih~ "III1IlI,\' IIa\'illl~ ,jul'isdi.'liOIl, ,;hall .h,lil"'1' alld I,ay Ulllo -,Ia'h I'l'I'SIlIl 01' 1"'I'HOIlS at till' "aid
OrpjH'II,'C/lIII't, hyth.'il' d"I'I'.,1' III' S,,"tl'III"', I'UI':;tlltlit to la\\', shalllillIit alld app"illl, alld shall \\'l'1I alld 11'111.1'
"('"1111,V\yitJII\ltf~h)\\',; ,,1' I hI" ('''"U1101llI'l'llIl11 I'l'!alill(( (0 l'I>lIat"l'lil illhl'l'itala'l's: alld ir il shall hl'I'l'aft,,1' al'l'l'H1'
tllal lIa,\' Id"t I'ill IIlld '.'stilllll'lIl \\'a,; iliad" 1,.1' Ih" dl'I'l'aSl'd, alld th., 'HI!la' shall I", I'l'ol'l'd a("'/ll'dilll~ t" la\\', if
tlll'sllid Sharon L. Browrl8wcl.1
-,
I,,'ill~ 1I1l'1'<'1111l1"''I"il','d, do SIIlTI'lld"I' IIii' said \".tl"I'S or AdllIilli,tl'alillll illto till' HI'~is'l'I"s offi,'" aflll'l'said,
tlll'1l this /lhlit.:ali/lll to I", "oid, oth"I'\\'iSl' t/l 1"'lIlltlll ill 1'1111 fOI'I'l',
SI'al,'d alld .it'!i""l'l'd ill Ih., 1'I"'Sl'I\('., /If
I'l'illl'il',tl
l"I",lll'I,\ ",',
l-'\'.'('!i"/" ,
L \., ....,.. ,I ,c;
11\',\ ,
", { \ \CJ!j/l
w
'...!.o.~.._..
," .'
~w
Western Surely Company
POWI<JH 01<' A'r'l'ORN~~Y
KNOW ALL MEN BY THESE PRESENTS:
Thai WESTERN SURETY COMPANY, a eorporallon organllO(1 and oxlallng undOl Iho Iowa ot Iha Slalo 01 Soulh Oakola, and
oulhorllod and Ileanaodlo do bu,lnoo, 11\ Iho ~Ialoo 01 Alabama, Ala,ka, Arlwnll, Arkan,as, Call1ornla, Colorado, Connoclloul,
Oolawaro, Olol,lel 01 Columbia, Florida, Ooorgla, Idalro, illinois, Indiana, IC,WIl, KlInsas, Konlueky, Loulolana, Maino, Maryland,
Massaehuaall', Michigan, Mlnno,ola, MI,sI09Ippl, MIs90url, Monlana, NObrll,ka, Novadll, Now Hnmpshlro, Now Jorsoy, Now
Moxleo, I~ow York, North Carolina, North Oakola, Ohio, Oklahoma, Orogon, Ponn9ylvanlll, Rhodo 'olllnd, Soulh Carolina, Soulh
Oakola, Tonnos900, To,as, Ulah, Vormonl, Vlrolnlll, Wa'hlnglon, Wosl Vlrnlnla, Wlseun,'n, Wyoming and Ilro Unllod Slalos 01
Amorlca, doos horohy mako, constitute ancl appoint
Joe P., Kirby
01
sioux Falls
Slale ot _ South Dakota ,lis rogularly oloelod President ",..,
00 Allorney In Facl, wllh lull powor a,ld aulhorlly horoby conlollodupon him 10 9lgn, oxoeulo, acknowlndgo and dollvo, lor and on lis
boha" a8 Suroly and as lis ael anti dood, all ollho 10110Nlng elassos 01 doeumonl' lo,wlt:
Indemnlly, Surely .1n{l Undorlaklngs Ihal mllY ho (joshod hy ccmhncl, 01 may ho glvonln OilY ncllon or proceeding In (Iny courl 01 law or oqully;
pollole5 IndomnllylllO amployers agalns! 10~9 or dilfllfl{lO cautlo{l hy Iho mlSC(Jllducl 01111011 011IrIOY(109; olllcI<<I, hall and swoty and Udollly bonds.
Indernnl\y In all cosos whoro Indemnlly may ho lawlully glvon; anel with lull powor lllld lluthorlly to oxoculo consorlts anti walvllrs 10 modl'y or ohango or
extend any bClncl at document olleculocl lor Ihls Company, clnd 10 compromlso and sollln allY find all olfllms or domands mado or oxlsting a(lalf1SI said
Company.
Wnstern Surely Company furlhor -:ortlhoslhat 1110 lollowing 15 cl truo "flll exltct copy 01 5001101\ 7 ollho ny'law~ 01 Was torn Surllly Company duly
adopted and ntlW In force. lo.wlt
Socllon 7, All bonds, pollclos, tlndOrlHklnos, Powors 01 AlIufnOY, or olhor obllgRlIoll!ll" Iho co,poralloll !lllltll bn e~ooutod 1111110 corporBlo name 01
the Company by tho Prosldont, Socrotary, any Asslstanl Socrelary, TreMllror, or nny Vlco Plosldonl, (Jf hy !It/ch othor oUIr.ors as the Doold 01 Dlroctors
may authorlzo. Tho Prosldont, any VlCo Presldonl, Socrotary, any A'J,lslnnl Socrelary, or lho troasuror milY appoint Allornoys In rae! or agonl8 who shall
havo BlIthorlly 10 Issuo bonds, POUCI05. or tlfldorlaklllgs Itlll1e nama 011110 Company, Tl10 corparulO !Ioalls nol nocessilly lor 1110 '{nlldlty 01 any bonds,
policies, undonaklngs, POW()fS 01 AHarnoy or othor ot1llgatlons 01 tho corporallon. Tho slgnaturo 01 any such ollleol aMl tho aorporata 50al may ho
printed by laeslmllo.
In Wllne,s Whe,ool, 1100 seld WESTERN SURETY COMPANY loa' ollllsod Ihoso pro'ools 10 hll oxoclIlod by Its
___""dJ'f(Jsj<;leJ!t . _. wllh Iho corporalo soal olllxod Ihi5 _ 14th
ATTEST WESTERN SURETY C
c'{..- ~ By
Asslslanl Soerolary
JUl}e_ ___,1994
y, Pro,'donl
STATE OF SOUTH OAKOT A l. os,
COUNTY OF MINNEHAHA \
On Ihls , ,J4th.
day 01 m
""lune
,,' 19 94 holoro mo, a Nolary Puhllc, porsonalty appoarod
Joe P,Klrby
and
L. Nelson
who, bolng by 1Il0 duly sworn, ac,knowledgodlhallhoy algnocllho ahovo Powor 01 Allornoy as, President
and Asalsl.nl Soerolory, rospoellvoly, 01 Iho said WESTERN SURETY COMPANY, and aoknowlodgod ,old Inalrlllnonl 10 bo Iho
volunlory ocl and dood 01 said Corporallon,
+~"''''::'':''"'l~~,",..",........,;..;,...;,.;..;..~ +
:1 S,li^ltNES' " I
~ NOTAIIY I'unuc ,C~ l.
flE,\ L SOUill !lAKOTA (~f",~ I.) :
: M~-I'III'llIlj~I",d;~ld','~ 1.~~~j~' i:
~~~~~~~~~~~~~~~~~~~~~~+
,s,~.
Nolory Puhllo
Form 612 - B9J
...,.,,,. '*
DIRECTIONS FOR FIDUCIARY
As an Exeoutor, Administrator, Personal Representative, Guardian, Conservator, Trustee,
Reoelver or similar title, you are a flduolary, entrusted with the oare of someone else's
property (trust).
The fOllowing DO's and DON'Ts are basic rules which you should follow to properly and
conveniently perform your trust duties:
I
DO
1. Use a checking account for all money paid out. Your cancelled checks
are the best record of how you have spent the trust money,
2. Keep an accurate record of all receipts and all disbursements. The
form on the other side could help you.
3. Obtain written Court approval before you payout any substantial
monies or dispose of any property.
4. Consult with your attorney at all times. Help and advice are what
you are paying for.
D.Q.1iQJ
1. Treat the property as your own, even If you are an hell' or relative, It
Is not yours until the Court and the law says It Is. Keep the property
separate from yours. Not doing so could be a criminal offense.
2. Spend any major amounts without the Court's written approval.
3. Be afraid to ask your attorney for advice and guidance. It will help
make the work easier 101' both of you.
'4. Delay In reporting to the Court. Follow your attorney's directions on
signing papers and filing them with the Court.
REMEMBER:
ASK FOR AND FOllOW YOUR ATTORNEY'S ADVICE
and
DO NOT TREAT THE PROPERTY AS YOUR OWN
~y
Western Surety Company
FormI2ol4-&M
(OVER)
STATUS REPORT UNDER RULE 6.12
R'__~____'_.~_______
, \ Z : 1~ '1 1
Name of Decedent: Gv _L~ L'n'-l. ), I' (I V1 If '1 <!. ",,-t., L J
/
Date of Death: ) '3 u ,'J' LI
1-
Will No.
2,1- 'i~1 -, \ l, '{
Aclmin. No. 2/, '; '(" \ \ l(
Pursuant to Rule 6.12 of the supreme Court Orphans'
Court Rules, I report the followIng with respect to completion of
the admInistration of the above-captIoned estate:
1, State whether administration of the estate is complete:
Yes No ,'\
2. I f the iH1RWBI: is No, Rtate when the personal
representativlj' reasonab., ly ~)elJevfls that the administration will be
complete: ~hi:'IWI..\,:-,:,-,-_"L,JI.~i.!--~LL_.Ll:~
3. If the anRwer to No. J is Yes, state the following:
a. Old the personal representative file a final
account wIth the Court? YeR No
b. The Rsparate Orpllilns' Court No. (if anYI for
the, personal repI'esentatlve's accuunt is:
c. Did the personal representative state an
account informally to the parties in Interest? Yes No
d, Copies of rece j pt!l / re leases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this r~port.
r'p}l, /{1 J\\'~ fL~A
Signature '
y2 "j <'1/ t!~,- f'klo f-, "L Ie c
Name (Please typ~ or print)
_II (, j..J'I{JJ+c.,vl,'jf.(,/l/}
Address '
,L!~ 1'-( J. l' " I 7
1'e 1. Nt>,
Date 1-0- Il./'i /
'f' ,
'I
'Ill:)
'0
1'7 u {j
(-);: (':"(}
Z! {,'r:r" I"
1.1"
Capacit.y;
Personal Representative
· II
...-,-
c./ _Counsel for personal
representative
(MAH 1 rmf/ AM3)
"
"
I
'I
"
"
,
Ii
,
"
,,'
I'
"
"
"
"
'1,
Ii'
"
i, '
, ,
",I
"
,
"
I'
"
,"
"
,
"
,
,
, , "
"
"
,
,
..
"
,
"
.Jl
Ll1
Ll1
IT'
.:/'
IT'
Ll1
,..1
P'JlLI!J"
C'JI!.t'/il''''l
Ll1
ru
o
o
o
o
.Jl
,0
o
o
o
f'.
fI olw n r !tj(~ /1 III F ou
(~ndN~l1lr1onl 11<1(1I1'I"dl
, RO,lr'IOlod DO:"f'ltf:lJ/l
'lElIl/O"Olllll\ilIIQq''''('(IJ
Tol"rpOI1.1UIl" FQIIS
"
"
"
"
I'
'.'
~.. ,...".'
." -.~
"
-. ---._..__.~.._--
..---..--.-.--...--..
.-........--....-.-
$
\'
."
',i
Ii
,\
1")1'm",~
fror,)
"
',-
"
"
.......,......
;1'
'.
'II
"
"
I.V
II
I
,
,
I
"
.l,i,
i
,
(p' 'I
,l,
"
,
" I"
,
~,' i
Ii,
',\
,
"
I~tl ' I
,A
",I.
l
/1\
p
,.
'-~-"-'.
........~ ,
", 4l'~nl'f'-.'~"",
...........4IIIIW _ _ .
"
',,'
"
,.
,
I,
,
I
I
, I,
,
I
,
I
i
I
,I
('
I'
"
, .. "',' ~. -".."
,1
"
, ''.
, "
'-
· Sender: Pleese prlT\l.~ ~;'address, and ZIP+4 In this box'
_.AT r N' V Zt.\ 1\,'1\-
hkl,O('V~IU:::.i ,_
I (' . I '(::1-"- <c,
/) uX r/ll/.~) :-f-,P:i.:...J.. '.'
Cr\11101LIPA /"/0) j
" I
",
'I' I, -'.'--' ~
" ,.-..
I' ". "
:1' I
"
"
~1
.CIW!lnH'-,
ago6.1'oal Paid .
USPS' -'" .
,Permit No, G.l0
I r. , r: r I
2 . '!h ~ :.J:..; , .
Q1, "",1I1",/II"""II11Il",lIp,II,,,'t1,dltl""/'/!'/'/'II'
'''i'
, '
"
" \
"
'I
, ,
I,
,'"
"
,
,,;,
.'"
;,
, ,
, '
,I
. '
,\
,.'
. .....
.-......-
..1.'
"
,
,I
I,
\
1<'-
,
'I
I,
"1'
,\
."."
,',
I'
,
,
I
(."
,.\
" ,
t,,:
. ;11
." ,_ 'I, ,f -4
1-' I, i ,l' . "
"
'. '
"
"
"
'"
f\ Ii,
01. ' ,
, I'
,
',i .I
. "i' i"
.
"
.. ,;
I I;).
''I
/
\ I"~
"
,.
. .. ........--
" ...'""""......-.w ....[.~rd \.'.,