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Estate of Walter J. SlIl1T1t!rs
also knawn as
PETITION }'OR PROIIATE and GRANT OJ<' LETTERS
r-:,/-ql/ -t'79
Nu.
To:
Reglsler of Wills for Ihe
, Deceased. Counly of Currberllll1d In Ihe
Social Security No. 164-03-0148 Commonweahh of Pennsylvania
The pelltlon of Ihe unde"lgned respeclfully represenlS Ihal:
Yonr pelllloner(s), who IS/lire 18 years uf liKe or older IIn Ihe execul or
Inlhe lasl will of Ihe IIbow decedenl, daled ....M.w:t:l~4
and codlcll(s) daled
named
, 19..2.L.
(IIDIC' rC'lnllllt "irt:lll11i!am'cs. e,g. ft'lIlllldatloll, dt'alh ur uecUIN, tiC.)
DeeedeOl 11'11' dOllllclled al dealh in -,"1Inht>,.~ County, Pennsylvania, with
" is lasl family or principal re,ldenee at C rland Crossinqs
Carlisle. pennsvlvllI1ia
m~t Hlnoel. nUl1Illt'r. TW(J. IIr Bnrn,1
Decedenl,lhen 93 )'ea" of age, died Octcber 7 ,19 94
at ClllIOOd and Crnssi ngs .
Excepl as follows, decedenl did nollllarry, was nOI divorced and did nol have a child born or adopled
afler execullon of the will offered for pro bale: was not the vlelim of a killing and was never adjudlealed
Incompetenl:
Deeedenl al dealh owned properlY with e'llmaled valnes as follows:
(If domiciled In Pa.) All personal properlY
(If not domiciled in Pa.) Personal properlY In Pennsylvania
(If not domiciled 10 Pa.) Personal property in County
Value of real cst ale In Pennsylvania
situated as follows:
b';~1 tJOO
$ .65-;{)OO-;QO-
$
$
$
WHEREFORE, petltioner(s) respeelfully requesl(s) Ihe probate of the last will and eodicil(s)
presented herewith and Ihe grant of ICllers testrurentarv
(ItSlamentary; admlnlstrollon c.I.a.; admlnlslratlon d.b.n.c.l.a.)
theron.
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ThOl1\'lS A. Beck ley
212 N. Thi,.rl ~ryppr
Harrisbu'V, PA 171IlR
~qL,4:s:I;;;d/
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } ss
COUNTY OF Currberllll1d
The petltloner(s) a~ove.named swear(s) or arrirm(s) lhal the statements In the foregoing pelitlon arc
true and correct to the best of the knowledge and belief of petltloner(s) and Ihat as personal represen-
tatlve(s) of Ihe above decedent pelitioner(s) will well and truly admlni te eslate according to law.
A I.
arrir~ d . and sUi~ J
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No 21 - 94 - 879
.
Estate of Walter J. S\.D1tTCrs
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW OCTOBER 19. 19.2!-, In consideration of the petition on
the reversc side hereor, satisfactory proof having been presented beforc me,
IT IS DECREED that the Instrument(s) dated March 24, 1993
described therein be admllled to probate and filed of record as the last wll1 o'f
Walter J. SlIl1T1t!rs
and Lellers Testanentarv
ase hereby granted to Thomas A. Becklev
FEES
Probate, Lellers, Etc. ......... $
Short Certlncates(4 ) . . . . . . . . .. $
m-A~" 1.(0. ,\'L~ ~fJm~ ah'
() Rt&1altr of Willa 1Vrr-rJ
ARY LEWIS
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AlTOR BY tSu o~'N~:.ro~l)
212 N. Third Street, Ilarrisburq, PA
ADDRESS
410.00
1?00
Renunciation ..........,..... S
X-Pages $ 18.00
JCP TOTAL _ $ 44S:B8
Flied ........ QP.Q~ ~~.. W 1.. m~.. .. .. ..
(717) 233-7691
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6LB - 116 - ~G
IJ\.<;'J' WlLL J\ND TESTJIMENl'
OF
WALTER J. SlMIERS
I, WALTER J. SlJMoIERS, of CurlDerland county, pennsylvania,
being of sound and disposing mind and rneI1Dry, do make, publish and
declare this to be my Last Will and Testament, hereby revoking all
Wills and Codicils by rre at any time made.
ITEM I: TAXES. I direct that all inheritance and estate
taxes becaning due by reason of my death, whether such taxes may be
payable by my Estate or by any recipient of any property, shall be
paid by my Executor out of the property passing under this Will, which
is not specifically bequeathed or devised, as an expense and cost of
administration of my Estate. My Executor shall have no duty or
obligation to obtain reimbursement for any such tax paid by my
Executor, even thoogh on proceeds of insurance or other property not
passing under this Will.
ITEM II: PERSONAL POOSFSSIONS. I hereby give and bequeath
all of my hoosehold furniture and furnishings, autanobiles, books,
pictures, jewelry, china, linen, silvetware, wearing apparel and other
articles of hoosehold or personal use and adorrment in equal shares,
to my nephew, JOlIN ROBERT SUMMERS, and my niece, MARY JANE DERBY.
Page 1 of 6 Pages
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ITEM III I RESIDUARY PROPERl'Y. I direct that all of my
property, real, personal and mixed, not disposed of in the precedin:J
portions of this will (inclucling assets over which I may have a power
of appointIrentl shall be distributed as follCMSI
(a) FIVE PER CENI'UM (5\1 to the SHRINERS' HOSPITALS FOR
CRIPPLED CHIIDRnl (philadelphia Unitl, a corporation,
for the use and benefit of the hospitals owned,
operated and maintained by said corporation I
(bl FIVE PER CENI'UM (5\1 to the CAMP HILL UNITED
PRESBYTERIl\N CHlJR:H FOONDATION if it is then in
existence or, if it is not, to the CAMP HILL UNITED
PRESBYTERIl\N CHlJR:H, Carrp Hill, pennsylvania I
(cl
FORTY-FIVE PER CENruM (45\1 to my nephew, JOHN 00BERl'
St>>lERS, of Lansdale, Pennsylvania, if he survives rre
or, if he does not, per stirpes to such of his issue as
survive mel and
(b) FORTY-FIVE PER CENI'UM (45\1 to my niece, MARY J1;NE
DERBY, of Cleveland, Mississippi, if she survives rre
or, if she does not, per stirpes to such of her issue
as survive me.
Page 2 of 6 Pages
ITEM IV: EXEx:tlTOR'S PO'IERS. In the settlement of my
Estate, my Executor shall possess, amen<] others, the following pc7o>'ersl
(a) To sell either at public or private sale and upon such
teDl\S and conditions as my Executor may deem
advantageous to my Estate, any or all real or personal
estate or interest therein, whether owned by me
severally or in conjunction with other persons or
acquired after my death by my Executor and to
conBUlllTlate said sale or sales by sufficient deeds or
other instrurrents to the purchaser or purchasers,
conveying a fee sinple title, free and clear of all
trust and without liability of the purchaser or
purchasers to see to the application of the purchase
lOOney or to make inquiry into the validity of said sale
or salesl also, to make, execute, acknowledge and
deliver any and all deeds, assignrrents, options or
other writings which may be necessary or desirable in
carrying out any of the powers conferred upon my
Executor in this paragraph or elsewhere in my will.
(b) To pay all costs, taxes, expenses and charges in
connection with the administration of my Estate.
Page 3 of 6 Pages
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(e) To distribute my Estate in kind or in rroney. In the
event assets are distributed in kind, such assets shall
be distributed at their value (s) on the respective
date(s) of their distribution.
(d) To do all other acts in the judgment of my EKecutor
necessary or desirable for the proper and advantagea1ll
management, investrrent and distribution of my Estate.
ITEM V: SIMllLTJINEXXlS DEATIl. 1\ny person who shall have died
at the same time as me or in a ccmron disaster with me or under such
circumstances that it is difficult or ~ssible to determine who died
first, shall be deared to have predeceased me.
ITEM VI: GUJlRDIlINSHIP. If at any time any minor child
shall be entitled to receive any assets hereunder, DJ\UPHIN DEPOSIT
BlINK 1\ND TRUST CCMPJINY, having offices in and around Harrisbw:g,
Pennsylvania, shall act as Guardian of the assets payable to such
child. Said Guardian may receive and administer all assets authorized
by law and shall have full authority to use such assets, both
principal and incare, in any manner said Guardian shall deem advisable
for the best interests of such child, including college, university,
post-graduate or other educations, without securing court order. Said
Guardian shall have all the rights and privileges as to the
Page 4 of 6 Pages
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Q]ardianship(s) and tho assets thereof as are herein granted to my
Executor as to my Estate and the assets therein.
ITEM VII: EKEx:t1IDR. I hereby naninate, constitute and
appoint THCWlS A. BEX:KLEY, of CaIrq;l Hill, Pennsylvania, as my Executor.
In the event of the death, disqualification, resignation, refusal or
inability of 'l'HCMAS A. BFX:KI.EY to serve as my Executor, I naninate,
=nstitute and appoint DAUPHIN DEPOSIT BANK 1lND TRllST CCMP1INY to serve
as my Executor. My Executor and Guardian specifically are relieved
fran the duty or obligation of filing any bond or other security.
Page 5 of 6 Pages
IN wrmESS ~f', I have hereunto set my hand and seal to
this, my Last Will and Testament, consisting of this and the preceding
five (5) pagea, at the end of each page of which I have also set my
initials for greater security and better identification this .i/'1tt
day of '1flM..cJ; 1992.
~~e~~ 1\ /\ .
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W tar J. sunmerp, ~
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We, the undersigned, hereby certify that the foregoing W~
was signed, sealed, published and declared by the above IUIIl'ed Testator .
as and for his Last will and Testament, in the presence of us, who, at
his request and in his presence and in the presence of each other,
have hereunto set our hands and seals the day and year above written,
and we certify that at the time of the execution thereof, the said
Testa r f and disposing mind and rranory.
../" (SEAL) Residinq at :, '?:l3 J ~ '}1i 5) J
(2",/1 JAil I ~
Residinq at ~) Apf-4 .-SJJpf ~
(SEAL)
Page 6 of 6 Pages
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J:J.h eea.. ' - tp"le;/
(SEAL)
r c?LI11 P /-k~ 0 ) ~A
Residing at
J\FFIDAVIT
Ccmronwealth of Pennsylvania)
coonty of C1-1.J..,,-e,yv'-~ l
SSI
We, the undersigned Testator and Witnesses, respectively,
whose names are signed to the attached or foregoing instrument, being
duly qualified according to law, do depose and declare to the
undersigned authority that:
1. The Testator signed and executed the instrurrent as the
Testator's Last Will.
2. The Testator signed and executed the will willingly as
the Testator's free and voluntary act for the purposes therein
expressed.
3. Each of the Witnesses, in the presence and hearing of
the Testator, signed the Will as witnesses.
4. To the best of the knCMledge of each of the undersigned,
the Testator was at the time 18 years of age or older, of sound mind
and under no constraint or undue influence.
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Witness"
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("witness")
SWorn or affirncd and subscribed to before me by the
above-nmred Testator and Witnesses, this :1.tfl:h day of '1JUvt-J1
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C'IY (Jlllalfl~bUlfJ, O:lllpl\lll Counly (
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EEOKT,EY & MADDEN
~TrORNaTS AT LAW
H"'"11SDUI\O, PalflISYLV^NI" t110A
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CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent I Walter J. Sunmers
DlIte of Deathl October 7. 1994
Will No.
08879
Admin. No. 2194-0879
To the Registerl
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' Court ~ules was served on or mailed to
the following beneficiaries of the above-captioned estate on
1-26-95 I
Name
Address
Cllmp Hill Presbyterian Church Foundation, c/o Thanas A. Beckley, P.O. Box 11998, Harrisburg,
I!A 17108
John Robert Sunmers , 612 York Ave.. Lansdale, PA 19446-3329
Mary Jane Derby, 130 Co11ep,e Avenue, Cleveland, MS 38732
Shriners Hospitals for Crippled Children, 8400 Roosevelt Blvd., Philadelphia, PA 19152
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except
Date I 12-26-95
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5i nature
Name Thanas A. Beckley
Address P.O. Box 11998
Harrisburg, PA 17108
Telephone (7171 233-7691
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Personal Representative
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COMMONWlALTH OF .INNSYLVANIA
COUNTY OF CUMIIRLAND
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Tharas. Beckley
is the
boln; duly sworn occordlng to low, dopolOl ond "Y" thot ho
ElCecutor of tho est.to of Walter J. Surmenl
loto of _ ~1Z~d ~.~j,t19~_ I Cumborlond County, P.., doc"l.d ond th.t tho
within Is .n In.ontory m.d. by him _, tho Itld ElCecutor
of the ontlro ..I.t. of Itld docodonl, con silting of .11 tho pOrion. I prop'.rty .nd ro.1 .It.t., ..c.pt ro.1 ....t. ou"ldo
Iho Commonweolth of Ponnlyl..nl., .nd th.t the f1gurol Oppollt. ..ch Itom)of the In..ntory ropro"nt It'l f.lr v.luo
.. of tho d.to of docodonl'l deolh. Tharas A. 1leckl,ey .
8-' , /
Swom I' ,
.nd lublcrlb.d b.foro m., hi), , .
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(J J ' l' I I'llCoil;: ~..lMKIIiH '
19 L Beckley & Madden
212 North Third Street
P.O. Box 11998
Harrisburg, PA 17108
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D.le of D..th
7
Doy
V..r
october
Mooth
1994
INSTRUCTIONS
I. An Invonlory muat bo flied within three monlhl .ft" .ppolntmont of ponon.1 repro"nt.tl.o.
2. A lupplomont In.onlory muat bo fllod within thirty dOYI of dllco.,ry of .ddltlon.1 """.
3. Addltlon.1 Ih.... m.y b. .It.ched .. to porlon.lly or n.tly
4. See Article IV, Flduclorl.. Act of 1949.
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Inventory of the reol end perllOnol ..tot. of
St.MIERS, WALTER J.
dee.a.ed.
DAUPHIN DEPOSIT BANK I\ND TRUST cnlPJINY, TRUSTEE
WAIJl'ER J. St.ll+IER3 TRUST ACXDlNl'
1.
Navigator Fl.D1d - principal $22,003.10, Interest $15.40, Incare $9,003.26
10,261 units Fi><ed Incare Collective Investmlnt Fund of Dauphin Deposit
Bank & Trust Company, Principal $103,233.36, Interest $565.0B
Per Unit 10.06
17,717 units Municipal Bond Fund - Principal $195,024.79, Interest $B6l.99
Per unit 11.00
2.
3.
4.
300 shares J\nerlcan Telephone & Telegraph CaltJany - Principal $15,600.00,
Dividend $99.00, Per Share 52.00
('
5.
40 shares Air Touch CaTmunications - Per Share 27.75,
I
,
40 shares Bell Atlantic Corp. - Per Share 51.75 I
45 shares Bell South Corp. - Per Share 54.56
600 shares Exxon Corp. - Per Share 5B.06
900 shares General Motors Corp. - Per Share 44.31
40 shares Pacific Telesis Group - Principal $1,220.00, Dividend $21.BO
Per Share 30.50
6.
7.
B.
9.
600 shares Sa;: Corp. - principal $7,B75.00, Dividend $150.00
Per Share 13.12
40 shares u.S. west Inc. - Per Share 37.93
Persooalty
Miscellaneous Coins
Costme Jewel.J:y
Miscellaneous Jewelry
Television, RCA
Walkers (2)
Secretary Desk
Slate Top Buffet
larrps ( 2)
Wheelchair
7.63
250.00
3,630.00
250.00
BO.OO
100.00
75.00
B5.00
2,000.00
'IOl'AL
31, B2l B4
103,799 24
195, BB6 7B
15 ,699 00
1,110 00
2,070 10
2,455 43
34,B37 50
39 , BBl 25
1,241 BO
B,025 00
1,517 50
6,477 63
444,B23 07
f!tttt! 7' Atz./.;I7 ;::!/ /j:Y
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
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COMMONWIAUH O. ,fHNIY,VANIA
DIP",_'MINT O. IIV(NUI
DI,T. '1IMOl
HAUISlUIC;. P,.. 17121.0601
, HAM UA ,I ,A
"'I L IN 'All
Sl.MIE:RS , ~Il\LTER J .
IArIlCilTn, NUMUI
.
. H
164-03-0148
fKI 1, Original R,:urn
10-7-94
,
C 2,
!tuppl'rMntal R.tum
3-19-01
I
I C 4, Limil.d ellat. 0 AD. Futur. Int."" CompromlM
I (fa, dot.. 01 deoth oft" 12.12.821
I ~ b, DICld.nt Di.d T.llat. 0 7. Dlc.dent Maintain.d a Living Trull
I IAlloch copy 01 Will) (Anoch copy 01 T,unl
14U CORUSI'CINDENCE AND.CQNJImNnM""X 1HI'GIMAtlON:IItOlJ1D- ,
, NAMl
.
'lbanas A. Beckley, Esquire
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19. If lin. 18 II g..ot., than lino 17. -. tho dlffo1once on Ilno 19. Thl. II tho Ovn""YMINT.
1fiI0
20. If lin. 17 II gr....' than Ilno 18. ....., the dilfe..n.. on lino 20. Thl. II tho TAlC DUE.
A. Ent.r lhe Int...., an tho bola_ d.. on lino 20....
B. Enl.' the 10101 ollino 20 and 20A on lino 208. Thl. II tho IALANCI DUI.
Mok. Ch.cIc ..ay..... tal ",I...,.f Wllk. ....,
....IIIII1.nO"" n_olW.~..o.doCltl_ SIll<< jlmJC.\.,~ - UJI......r~~"l"*"~,.,
Und.r penallitl of perjury. I dedo... that I ha.,. .aomitted 'hi, return, = GcaMftponying IcMduIet Oftd .1_~....Ilt'. ond to the..., of "'y !tno_ledgl Gftd.......,
It II truI, co,r.ct and comp~", I declare lhal all rwal.... hal bNn r 01 tnIe MOrbt...... C.duG'iol. of preporer ether them.. ,.nonal,.,...ntOthoe b
~~. ~ un ollln'o,,"o.lon 01 whlcl> prwpara' has any k_lodll'l.
,~, ,,"f /.'/1/ , 212~. 3rd. St., P.O. Bolc 1.1998 D'''t,.?7. '/ S-
f I.' ,/ / , , ,( ( , HarrJ.sb~, PA 17108
,. "II TH""" U'ltl$INTiVI ADDItUl 212 N. 3rd St., P.O. Box 11998 DA'i.
'<,:) Harrisb PA 17108 ,1
233-7691
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1, R.ol Ella.. (Schedul. AI ( 1)
2, Slack. .nd Bond. (Schedule B) ( 2)
3, Clo..ly H.ld SloclctPo"..nhlp Int....t (Schadule q (3)
A, MO"909.' and Not.. R.cel.oble (Schadule D) ( A)
5. Co.h, Bonk D.po.I" & Mbcellanoov. Panonal P'opertyl 51
ISchadul. E)
b. Joinlly Ow..d P'OfM"Y (Schadule fl ( b)
7. T,on.l.n (Sch.dul. GI(Schodule L) ( 7)
I 8, TOlol Gro" A"." (Iotolllno. 1.7)
I 9, Fun.rol hptln..., A.dminlltratw. Coltl, MI.ceUOMOUI ( 01
Eop.n... (Sch.dule HI
I to. D.b", MO"gog. Uobllllial, u...(Schadule II (10)
Ill. Tolol D.ductlon. (Iololllno. 9 & 10)
12. N.. Volu. 01 Eliot. (II.. B mlnu.llno II)
13. Chorilobl. and Go..mmanlol Baq"ll1 (Schadule J)
IA. N., Volu. Sublact to Ta. pin. 12 mlnu.llno 131
15. Amounl olUne 14 ta"obl. at 6% ral.
(Includ. .01... from Schedule K a' Schadule M.I
lb. Amoun. olllno lA lo.obl. 01 15'110 rat.
(Includ. .01... from Schadul. K or Schadule M.I
117. Prlncipo"o. du.(Add 10. from Ilno 15 and from llno lb.)
18, Cr.dits Pria, Payment. Di.count
52,000.00 + 2,600.00
--
/:,
nu HUM'"
21
94
0079
COUNTY COD!
YEAR
NUMIER
H
~rland Crossings
1 Longsdorf ;qay
Carlisle, PA 17013
c-. CUmberland
03,
05.
Rlmaind.r Rllurn
(for dati' of d.olh priarla 12.13.82)
hd.ral E.lot. To..
A.tum R.quir.d
1.. 8. Total Number of Sofl D,polil 8011I1
-..LJIOt. ~:"';
Beckley & Madden
212 N. '1hird St., P.O. BCIK 11998
Harrisburg, PA 17108
-0-
438,345.44
-0-
-0-
6,477.63
-0-
-0-
23,973.07
1,553.44
( '1 444,823.07
" 25,526.51
(111
112) 419,296.56
(131 37,701.30
(IA 381,515 .26
)(.06 .
(15)
(lb)
381,515 .26
",15 .
57,227.28
57,227.28
(17)
Intere,l
54,600.00
(I')
(19)
Ch", h"II' ,I you lilt. fl'qIJl...tl"'1 n ".lunll 01 your Dv"'pnym,'nl
2,627.28
(20)
(20A)
(201)
/ ),1,".'-
I
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (.,.) IN THE
APPROPRIATE BLOCKS.
YES NO
1. Did decedent moke 0 transfer and:
c. retain the use or income of the property transferred, .......................................
x
b. retoin the right to designate who shall use the property transferred or Its income,
x
. ., t
c. retain a reversionary In erest or ....................................................................
x
d. receive the promise for life of either payments, benefits or care' .......................
2. If death occurred on or before December 12, 1982, did decedent within two years
preceding death transfer property without receiving adequate consideration' If death
occurred after December 12, 1982, did decedent transfer property within one year of
death without receiving adequate consideration? .................................................
x
x
3. Did decedent own an 'in trust for' bonk account at his or her death"-....................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
r- ~'i~
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IV)
I
5
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a:: ~,)', ..:25
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None
_',",.~. '..^n,~._____--,..<~._~.~.,^._,_._.......~,_~___
SCHEDULE A
REAL ESTATE
DESCRIPTION
VALUE AT DATE
OF DEATH
-0-
TOTAL Allo enler on line t, RIco' ltularlon
(II more 'poce js "I.d.d, in.I" additional .h,.,. at 10m. ,ize.)
s
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.lY.!.SO:! fh (.,161
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. (OMMONWIAlTH D. PfNN5VLVANIA
INHUITANCE TAX RflUlH
IUSIDINJ DICfDINT
ESTATE OF
SCHEDULE B
STOCKS AND BONDS
FILE NUMBER
StMIERS, WALTER J.
21-94-0879
(All property lolnlly-owned with RighI 01 Survlvo..hlp mUll be dlscloled on Schedule F.)
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
2.
Dauphin Deposit Bank and Trust Calpany Trust Account -
Navigator Fund - Principal $22,003.10, Interest $15 .40,
Income $9,003.26
10,261 wrl.ts Fimd Inc:c.ne Collective Investrrent Fund of
Dauphin Deposit Bank and Trust Calpany, Principal $103,233.36,
Interest $565.88
103,799.24
O.
9.
10.
11.
12.
$ 31,821.84
3.
17,717 units Municipal Bond Fund, Principal $195,024.79,
Interest $061.99
195,886.78
4.
300 shares J\nerican Telephore & Telegraph Calpany,
Principal $15,600.00, Dividend $99.00
40 shares Air Touch Ccmnunications
15,699.00
1,110.00
2,070.10
2,455.43
34,837.50
39,881.25
5.
6.
7.
40 shares Bell Atlantic Corp.
45 shares Bell South Corp.
600 shares Exxoo Corp.
900 shares General Motors Corp.
40 shares Pacific Telesis Group, principal $1,220.00,
Dividend $21. 80
1,241.80
8,025.00
1,517.50
600 shares SCE Corp., principal $7,875.00, Dividend $150.00
40 shares U. S. West Inc.
TOTAL Also .nter on IIn. 2, AICD llulatlon)
{II more space i, n"d,d, in..rl additional .ft..,. Dr lame .i,.,}
S 438,345.44
U.V.1JO'... 1&.101
~
COMMONWrALTH O. PlNNSYlVANIA
. INHUITANCE TAX UtURN
RESIDENT DECEDENT
SCHEDULE D
MORTGAGES AND NOTES
RECEIVABLE
ESTATE OF
SUM>lERS, WJ\IIl'ER J.
IAII praporty latntly.awnod with Right of Survlva"hlp mu.t bo dl"la.od on Schodulo PI
ITEM
NUMBER DESCRIPTION
FILE NUMBER
21-94-0879
VALUE AT DATE
OF DEATH
-0-
1.
None
TOTAL AI.a onlo, on IIno A, Roca 1I010110n
III mora 'poco I. nood.d Inllr! oddillono' .h.." 0' .omo "11,)
S
-0-
dv.uoa... P,UI
~
SCHEDULE "E"
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
PIDa,e Print or T .
FILE NUMBER
21-94-0879
COMMONWUUH 0' rlNN$'f'tYANIA
INHlllfANCI TAX InUIN
IIIIDINY DlelDINt
ESTATE OF
SLM-lERS, WALTER J.
(All prop.fir lolnllr.owned \JIllh th. Righi 01 Survlvonhip mUll b. dlulol.d on Sch.dul. "F"I
ITEM DESCRIPTION VALUE AT
NUMBER DATE OF DEATH
1. Miscellamous Coins $ 7.63
2. Costurre JeNelIy 250.00
3. Miscellaneous Jewelry 3,630 .00
4. Television, RCA 250.00
5. Walkers (2) 80.00
6. Secretary Desk 100.00
7. Slate Top Buffet 75.00
8. LaJTps ( 2) 85.00
9 Wheelchair 2,000.00
TOTAL AI.a enlor an Une S, Reea
s
6,477.63
IAnoch oddi'lonol'~- Ie 11- IMetl1t more apoc.ll nMCMd.1
nY-ISIlI" 1""1
T TE OF
SlMIERS ,
ITEM
NUMBER
A.
B.
2.
3.
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
~,'~:i"
-!'iJlI.....
COMMONWfAUH 0' 'fNNSYlVANIA
INHfll:llANCf 'A': Il:UUIl:N
Il:UIDfN, OfCfDfN'
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Plea Ie Print or T pe
WALTER J.
21-94-0879
DESCRIPTION
AMOUNT
1.
Funeral Expenlell Myers-Harner Funeral Hare, Inc.
1903 Market St., Canp Hill, PA
$ 2,435.00
1.
Admlnlltratlve COlt..
Personal Replelenlatlve Commllllonl
Social Security Number 01 Perianal Reprelenlollye:
Year Commllllonl paid
Allorney Feel Beckley & Madden
20,523.00
Family Exemption
Claimant
Addlell 01 Claim. nl 01 decedonl'l deolh
Streel Addlell
City
Relollonlhlp
State
Zip Code
Probate FeOI Register of Wills, Currberland County, Pennsylvania
445.00
Mlleellaneoul Expenle..
Dauphin Deposit Bank & Trust Co., Trustee's Fee
Huff & Lakjor Fuooral Hare, Death Certificate, ~atee
Walter H. Fry, cPA
268.99
9.00
150.00
Beckley & Madden - reinburserrent for:
Telephone Tolls
Postage
Photocc:pying 372 sheets
36.24
12.84
93.00
142.08
. .
TOTAL (AlIa enlor on Une 9, Recapitulation)
S
23,973.07
(If more Ipaee II needed, Inlert additional Iheetl of lame II.e.)
11'1.151111.11.')1
'*'
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
PI.a.. Print or T .
FILE NUMBER
21-94-0879
CQMMONwlAlIH O' PfNNS't'\YANIA
INHUIIANCI fAI "fUIN
IUIOINIOfelOINI
ESTATE OF
St>>IERS WALTER J.
ITEM
NUMBER
H
,
,
DESCRIPTION
AMOUNT
$ 230.19
31.00
5.36
200.30
10.91
5.82
1.
Care Apothec:m:y, C\!llberland Crossings, Carlisle, PA
Account No. 590057 - $6.48; Account No. 570042 - $223.71
CoreStates Bank
2.
3.
Ad!lllB CuIlberland Medical Center
4.
ATS Medical Services
5.
me Erlergency physicians
Carlisle Imaging Associates
Carlisle Hospital
Account No. 814263-0
Account No. 759871-7
Acoount No. 747104-8
43.11
6.
7.
14.01
22.10
7.00
o.
Nurse Match Nursing RegistIy
1,026.75
TOTAL 1,1,1,0 .ntor on IIn. 10. Recopltulollon)
(II morw .pOt. i. nHd.d, In..rt addifional .heets of .ame .;Z..'
$ 1.553.44
Ilv.ISUII.IJ"1
W
COMMONWIAlht 0' ,fNNUl"ANIA
INN,lnA...cr rAIl I"UIN
InIDIN'DleIDI"'1
SCHEDULE J
BENEFICIARIES
ESTATE OF
St.>>lERS, WALTER J.
ITEM
NUMBER
1.
2.
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
A. Taxable eeque.lI:
John Robert Surmers
19 ArraN Road
Hilton Head Island, SC 29928
Mar.y Jane Derby
1310 College Street
Cleveland, MS 38732
NAME AND ADDRESS OF BENEFICIARY
8. Charltobl. and Gov.,nmenlol a_quelll:
1.
Shriners' Hospitals for Crippled Children
8400 Roosevelt Boulevard
philadelphia, PA 19152
Canp Hill united presbyterian Olurch Foundation
North 23rd and Walnut Streets
CalIp Hill, PA 17011
2.
3.
Personalty - Walkers (2)
Secretary J);!sk
Slate Tcp Buffet
LaIlps (2)
Wheelchair
Donated to Cunberland Crossings
80.00
100 .00
75.00
85.00
2,000.00
- See attached
FILE NUMBER
21-94-0879
RELATIONSHIP
nephew
niece
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Allo onll/ on IIno 13, Rocopllulotlon)
(If more .poce I. needed, Inurt addltlonol theett of tame tin)
AMOUNT OR
SHARE OF ESTATE
Item II
50% jewelIy $1,940
Coins $3.81
Item III (c)
45% of Residuro:y
Item II
50% jewelIy $1,940
Coins $3.82
Item III (d)
45% of Residuro:y
AMOUNT OR
SHARE OF ESTATE
Item III (a)
5% of Residuro:y
$17,720.65
Item III (b)
5% of Residuro:y
$17,720.65
2,340.00
S 37,781.30
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"
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CUMBERLAND CROSSINGS .
~~~~~~~J ~
v'
f'
June 19, 1995
Mr. Thomas Beckley, Esq.
c/o Mary Davis
212 North Third street
Harrisburg, Pennsylvania 17108
RE: Walter Summers Donation
Dear Mr. Beckley,
As requested, please find enclosed a copy of the memo from the
Internal Revenue Service stating the tax exempt status of Carlisle
Retirement Community Corporation (DBA CUmberland Crossings
Retirement Community) as designated under section 501(a) of the
Internal Revenue Code. Please feel free to contact us if you should
have any questions. Thank youl
si
Cumberland Crossings Retirement Community
Nursing Care and Personal Care. 1 Longsdorf Way. Carlisle, PA 17013 . 717.245.9941
Marketing Office' 9 i.foore Circle. Carlisle, PA 17013 . 717.245.0777 or 717-245.5125
.,
.
../'
Internal Revenue Sotvlce
District Director
Department of the Treasury
st 1I0PKIIlS PLAZA
BALTIMORE. MD 21201
CARl.lSLE RETIRE~IENT COMMUNIl V
CORPORATION
61~ WALNUT STREET
CARI.ISLE, PA 1701S
Employer Identification Numberl
2S-249966S
Contact Personl
ICEITII JOVNES
contact Telephone Numberl
(SOli 962-~797
\
DatIl! JUL 26 \9119
Accounting Period lndlngl
June SO
Form 990 Requlredl
Yes
Addeud un, App I I e51
No
Deal Appllcantl
Based on Information supplied, alld assuming your operations Hill be as
stated III your application fo)r f(.'co)gnltlon of (~r.en,ptlon, 110 have deternlined
you ar... exempt from Federa I I ncon,e tall under sect I on 601lal of the Int,'rna I
Revenue Code as an organl%atlon do'lscrlbed In s",ctlon 601(cl (SI.
w. have furth\lr det.:lrolined I.hat you are not a private f.)undatlon IIlthln
the ~eanlng of section 609(al of the Code, because you are an organl%atlon
described In section 509(al (31.
If your sources of supp"rt, "r y"ur purpOlles, c:harar.ten or n.",thod ,,;
opelatlon change, plea"e let us lenoll no Ilo'l C.ln consider tho effect of the
change on your exellpt statu!> and foundatl,," statu~. In the case of an anu.nd-
nlenl; to your organ I %at l,)na I docun.ent or by I ails. p'l erise selld us a C')py 0)( th"
amended document "r by I ails. A Is,,, y,'u' sh,)u I d I nforn, us olf a II changes I n your
naftlll ,)r address.
As of Jalluary 1,1994, you are Ilabl. for talle. under the Federal
Insuranc'" Contributions Act (social security taxes) on rClluneratlon 01 fl00
or n",re yo)u pay to each "f your ,'n'plo'yees during a ralendar Yo'lar. V,'U are
n"t liable for the tax Impolled under the Federal Un"n,ployment Tall net tFUTAI.
SlnLe you are not a private foundatlau. you ar" not subject to th~ ellelse
tu,'s under Chapter ~2 o)f the C"de. Itollevor, 'I"U are not auton,atlca Ily el:ampt
froo, "the.r Federal ellclse tlll:es. If you have .lny questl"ns about ellcl.",
trn,pl"yn,ent, "r othor F"der.ll taxes, please let us kll,'II.
DOtl(lrs n,.lY deduct contdbutl"ns to y.)U as provided In seLtion 170 ,)f the
Coa~. Beque~ts. legacies, devls~ti, transfers. or gifts to you Dr for your use
are deduLtlble for Federal ~stat0 and glfL tax purpo)ses If they meet tl.
applicable pravlslons af Code seLtlonft 2005,2106, and Z~22.
Contribution dedu/:tl,)nft are allollab"~ to "',nO'"f. only to the el(tent that
theil" e"ntrlhlltlons ar" glfl.s, \lith n';' consideration r"cC'lved. Tlcllet pur-
char.",s and sln,llar' paYllents in c"nJunt tlOl' \lIth fundralslng otv&nts n,ay n,)t
,
letl....r 947 (IJlIlCril
I.
,.'
.0-
-,
-
,-
-2-
CARLISLE RETIf<EMENT CO"MUNlTY
necussarlly qualify as deductlbl. contributions. depending on the circum-
stances. Oee Revenue Ruling 67-246. rubllshed In Cumulative Dulletln 1967-2.
e'n page 104. IIhlch seh fort;h guid&lines regarding tho deductibility, as chari-
table contributions. of payments made by tanpayers for admission to or other
partiCipation In fundralslng actlvltl&s fDr charity.
In the heading of this I"tter lie have Indicated IIhethel' ye,u mnst fill? Fe'rm
990. Return e,f Organ I ~"t I c,n Elleml't Ff'('n. Income Tall. If Ves I sind I cated. you
are required to fill? Form 990 only If your gross recelptu each year are
normally nlore than $2fo.000. HOlmver. If you rl'!celve a Fe'rm 990 packagu In th&
mall. please fl Ie the r&turn ev&n If you do not enceed th~ gross r&celrts test.
If you an! not required te, f 11&. simply attach the lab&1 pre.vld&d. check tho
bOil In the heading to Indlc..te that ye,ur ,lnnual gre,ss receipts are normally
$2fo.000 Dr less. and sign the r&turn.
If a return Is requlr&d. It mnst be filed by the 16th day of the fifth
mon~h after the &nd of your annual accounting period. A penalty of $10 a day
Is charg&d IIhen a return 15 fll&d late. unll?ss thero Is reasonable cause for
the d.. lay. He'Hover. the man I nlll/l1 penal ty <:harg,)d cannot ",:ceed $lhOOO <'r 6 ror-
c..nl; of your gn'56 r..c..lpts for I;he y&ar. IIhlchever 15 less. This penalty may
also be chargltd If a rl'!turn Is not complete. SD please be sure yonr return Is
ce,n,!1I ete befe're ye.u f il e It.
Vou are not requll'ed t,.. fll11 Federal Incr.,me tall returns unless yr.,u are
sUb,lltct to the tall on unrelated husln&ss Incon", under section 611 of th.. Ce,d...
If you are subJect to this tall. you mnst file an Income tall return on Form
9YO-T. EIl..mpt Organization Business Income Tall Return. In this letter I~ ar..
ne,t det&rnllnlng IIheth..r any of y.;'ur pr..sent or prop<'sed activities ar.. unre-
latOld trade or business as def In,!d In s&c.tle'n (;13 e,f the Cod...
Vou need an .!mple'I'H Id&ntl f'lcatlon numb&r ev&n If yoU have ne, enlploy&es.
If ,II, employer Idc.ntlflcatlon number lias not &lIt"red on your application. a
nun,her 11111 bll assigned te, l'oU and y',u 11111 b.. advlsl1d of It. PIllase use that
numher e'lI all rl!turn!3 you file and In al/ ~orrf1spondencE' filth the Internal
Revrmue llervlce.
If fill h.v~ Indicated In 'th~ h..adlng of this letter that an addl?ndll/l1
appllE's. the Ilnclosed addE'ndum I~ all Integral part of thl. I&tter.
Because this lettar c~nld halp resolv~ any qne~tlons about YDur ell..mpt
sta/;us and fe'undatlr.'n "tatus. ye,n shr.onld keep It- In ye,ur p"rn.anent re<<'rds.
LntL.r 947(On/CGI
.
-3-
CARLISLE RETIREMENT COMMUNITY
If you have any questlo3ns. Illene co3ntact the perSo3n uhose naftle and
telitphone nUllller are sh"lln In thit heading o3f this letter.
~'];;;;~
District DI,'ectol"
Le~t~r 947(DO/COl
/';c/i '/ tti,1'~.r,f. r/'.'/ I'~ r /.1) 1'1 ,)i-ll_,",)
R!V-1607 !X AFP (12-94*
COMHOHW(AlfH Of PU..SVlVANIA
DlPARIHfNI Of REvtNUt
IURfALI Of INDIVIDUal laxU
DlPI. ""01
IWI.lnURa, PA UUI.uDl
ACN 101
/
\
i..
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATI! 12-04-95
SUHHERS WALTER J FILE NO. 21 94-0819
DATI! OF DEATH 10-01-94 COUNTY CUMBERLAND
HOTE' TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBNIT TNE UPPER PORTION OF THIS fDRN WITH YOUR TAM
PAYNENT TO THE ADDRESS SHOWN. NARE CHECK PAYABLE AND RENIT PAYNENT TO, "
THOMAS A BECKLEY ESQ
212 N 3RD ST
PO BOX 11998
HBG PA 11108
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 11013
AltOunt R..l tt.d
CUT ALONG THIS LIN! ~ RETAIN LOWER PORTION FOR YOUR FILES .....
iikii=Uiijj-ix-AFP-nZ-:9i,j"-uu..ii-iilifilii'fliNcriiiif"sTAfEHEIWOF-AccciiJiifuii..-----...u-----------
ESTATE OF SUMMERS WALTER J FILE NO.21 94-0819 ACN 101
THIS STATENENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS Of THE STATED ACN IN THE NANEO
ESTATE. SHOWN BELOW IS A SUNNARY OF THE PRINCIPAL TAM DUE, APPLICATION OF ALL PAYNENTS,
THE CURRENT BALANCE, AND. IF APPLICABLE, A PRO~ECTEO INTEREST FIGURE.
DATE 12-04-95
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 09-25-95
PRINCIPAL TAX DUE, ___.._.,.._. 51 ,221.28
PAYMENTS (TAX CREDITS),
PAYMENT
DATE
01-05-95
06-30-95
11-13-95
RECEIPT
NUMBER
AA022685
AA041955
REFUND
DISCOUNT (+)
INTEREST C-)
2,736.84
.00
.00
AMOUNT PAID
52.000.00
2,621.28
136.84-
" ,
. IF PAID AFTER THIS DATE, SEE REVERSE
SIDE fOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN '1,
NO PAYNENT IS REQUIRED.
IF TOTAL OUE IS REfLECTED AS A "CREDIT" ICRI,
YOU NAY BE nUE A REfUND. SEE REVERSE SIDE OF THIS
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
51,227.28
.00
.00
.00
PA'ltEHT I
DetKh the top portion 0' thh Notlc. Md .w.lt with )'our p.PMt ... p.y.tll. to thl nMe IInd Mdt..a
printed on tha r.v.r.. ald..
11 AESIDENT DECEDENT .ak. chick or !tOn.l' ordar p.nbll to. REGISTER Of WILLS, AGENT,
11 NOfHfESlDEHT DECEDENT .ak. chick or HnIIY ordl,. plvllbll to. COtmOHWEALTH Of PENNSYLVANIA,
AU p.panta rac.lved .h.lI H appllad flnt ta MY Int.,..at which ..y b. dua with any r...lncte,. applied ta thl tax.
REfUND (CA)1 A r.'und a' . t.x credIt, whIch .... not raqua.tad an the T.x Aatu,.n, .IY b. raque.t.d by co.,lltlng an
"Appllc.tlon '0,. R.'und a' Penn'Ylvanla Jnh.rltanc. IInd E.t.t. Tlx" (REV-IS.SI, ApplicatIon. ar. av.lllbl. at
tha O"lcI 0' the RIgl.t.r a' Will., InY a' the 2J Rlvanua DI.trlct of,lc.. or 'r~ the Deplrtaent'. 2~-hoUr
an'''lrlng ..rvlcl ~Ir' '0,. fo,... ord.,.lngl In P.nn.ylvanl. 1-100-J62-2050, aut.ld. Penn.ylvanla
and within 10cII Harrl.burg .r.a (7171 717-.094, TOOl (717) 77Z-2t5Z (HI.,.lng 1.,.lr.d only).
REPLY TO. au..t1on. ,....rdlng Irran cont.lned on thl, notlc. .hould ba Ildd,....ad to. PA O.,.,.tnnt 0' RIVIl'll.Ml, Iura'"
o. Indlvldu.l Tax.., ATTH. Po.t A"I..-.nt Rlvl... Unit, Dlpt. 210601, Harrlsbura, PA 17121-0601, phons
C7171 117-6505.
DISCOUNT. I' any tax dul I. paid ..I thin thrl' CSI c.I~." .onth. .,tlr the dlcadent'. ~.th. . ,lvI percent (SXI dl.count
af thl tax p.ld I. .110wed.
IHTERESTI Intar.st 1. ch.rged baa Inning wIth flr.t d.y a' d.llnquancy, 0,. nlnl C9J .onth. 8nd ~ (II d.y 'r~ the d.tl 0'
dl.th, to the data 0' pavaant. T.xI. which bac... dallnquant b.fora J~ry I. 19.2 bl.r Int.,...t .t thl rat. 0'
.Ix (6XI p.rcent p.,. annua calculat.d .t . d.lly rat. of .00016', All t.x.. which b.c... dlllnquent on and .,t.r
January 1, 191Z will b..r Intar..t at . rat. whIch will v.ry 'ro. c.lllnd.,. y..r to c.I~.r vllr with th.t rat.
announcad by the PA Olp.,.t..nt 0' RIVlnue, ThI appllcabl. Int.r..t rata. for .9.2 through 1995 .rl.
VI'" Int.,..t A.t. DaIlY Intarlll Factor
Vllr
Int.r..t Rat.
Dilly Intlr..t Facto,.
191Z ZOX .0005" 19.7 OX .000247
191J t6X .DOOoa 19.1-."1 UX .OODSOI
19.' llX .OODSOI I'" 'X .000247
1915 lSX . ODDS56 1")-1994 7X .aOO192
1966 lOX .00021' I'" OX .aOOn7
--Intlnat II calcul.ted .. 'ollowlI
INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAYB DELINQUENT X DAILY INTEREST FACTOR
--Any Hotlc. I..ued .,t.~ thl t.. beco... delInquent will r.'ltct .n Int.r..t calcul.tlon to ,I,teen ClS1 d.y.
beyond the data 0' the .......-ot. I' plyaant I. lids .,tlr the Intlr..t coaputatjon data shown on the
Hotlc., Itddl tlonal Int.rllt .....t b. c.lculat.d.
,.,....... ..-....., -, ,-'.
;~,:" ,
-',."
--.-- - - - '-- -....- .-. ,.-- ~ - --- - - '-.-...-. - '- -- - --. - - --- - --- ----- - -- -_. --..-
,
"
.'
.,
Ran- 1 ~ /:;1. '1 "Ptf I-/J> ,
D'. AA 047955 COMMONWEALTH OF PENNSYLVANIA
NO. DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
~j,~
~,
'11\1.1161111,....'
RECEIVED FROM:
&
ACN
ASSESSMENT P:'
CONTROL ...
NUMBER
AMOUNT
THOMAS A BECKLEY
ell:! N THIRD ST
lul
_E:;' , en:: I . C'tI
HARRISBURG PA 17108
lOtDHU,
ESTATE INFORMATION,
~ FILE NUMBER
g 21-1994-0879
~ NAME OF DECEDENT IlAST)
~ SUMMERS WALTER J
II OATE OF PAYMENT
EJ POSTMARK DATE
COUNTY
SSN 164-03-0148
(FIRST) IMI)
CUMBERLAND
OATE OF OEATH
REMARKS
m TOTAL AMOUNT PAID
THOMAS A BECKLEY ESQ
SEAL
CHECK4I 6
RECEIVED BY
REGISTER OF WILLS
~-----------------------_._------------------------,~-
~, , ~,.\ -:
I
--,
.
:
..--."
r- .,.,..,,-
'.
"7=;-"_W-:-:'~'--_..'''.tId. rr.,. ~-(.... "::
..- _..
\
..... .., .......~' _. .- .
,
,------------------------------------------------
. .
\-
I
I
.1
,
I
I
t
I !
,I
! t
, r- 1010 HUI
. . ESTATE INFORMATION.
I!:'I FILE NUMBER
511I e 1-1994-0879
I!:'I NAME OF DECEOENT (LAST)
~ SUMMERS WALTER J
II DATE OF PAYMENT
m POSTMARK DATE
COUNTY
CUMBERLAND
DATE OF DEATH
D No.AA 022685 COMMOND~~~~~~T~: R~~:~:YLVANIA
, OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATETAX
1IV-1l62 IX 1"'41
@t~
RECEIVED fROM.
i
ACN
ASSESSMENT I!'
CONTROL ...
NUMBER
AMOUNT
THOMAS A BECKLEY
212 N THIRD ST
JOI
.:52,000.00
HARRISBURG
PA 1710S
ICHDHUI
SSN 164-03-0148
(FIRST) IMII
REGISTER OF WILLS
m TOTAL AMOUNT PAID S:52,OOO.00
~
// \..
i.--' ~.
RECEIVED BY?:~' u., ~
GNAfURE
MARY C. LE
REGISTER OF WILLS
REMARKS
THOMAS A. BECKLEY,ESQUIRE
SEAL
CHECK" I
~-- ~- -.--- - - - - --'- -- - - - - ---- -- - - - - -, - - -- - -- - - - - "';"" - -,~ --, f."
. , ~ . ,
y
II . r
., '
'~l" - '.',
, ",':
.
.
; ,-
~.
''l
,
.
I
",
'"
i, .
.r
',"'" 'f.
.. ~ -~ ~... - .
._-- .
r~
t.. - ~
"\:-
. ,
, ... - ._.,- , .--..,.-.--
--'---::-:-~~A"
; - .
\.
, V' j2tLI.e..
'7 13 (/ l</.:.- /..1 7 /)0' /- / s>
I'/-.A.lj!-J.,
REV-1547 EX AFP 112-94*,
CDH"ON~EALTH Of PENNSVLVANIA
DEPARTHEHT OF REVENUE
BUREAU OF INDIVIDUAl TAICES .
OEPJ. 280601
UARRISaURC, PA 17lU.0601
c..,
ACN 101
NOTICE OF INHERITAHCE TAX
APPRAISEMENT. ALLOWANCE DR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE 10-02-95
ESTATE OF FILE NO.
DATE OF DEATH 10-07-94 COUNTf CUMBERLAND
NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT TIlE UPPER PORTION OF THIS FORM WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS. MAKE CHECX PAYABLE TO "REDISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
THOMAS A BECKLEY ESQ
212 N 3RD ST
PO BOX 11998
HBG PA 17108
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
Allount Renltbd
I CHANGED
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .....
REv:is4j-EiCAFP-m---94Y-ilijl'-fcE--oF-YNHEiifi'ANcE-TAi("iipPRiifsEifEil:r-;-,U.i."OWAiicE-iiFi--m-----nm--
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF SUMMERS WAL TER J FILE NO. 21 94-0879 ACN 101 DATE 10-02-95
TAX RETURN WAS. I X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l Est.t. (Schedule AJ (1)
2. Stocks and Bond a (Schedule OJ (2)
5. Clos.ly H.ld stock/Partnership Inter..t (Schedule C) (3)
4. Horta.gas/Nat.. Receivabl. (Schedule OJ 141
5. C..h/Bank Deposita/Hi,c. Parlonal Property (Schedul. EJ (5)
6. Jointly Olned Property (Schedul. F) 16J
7. Transfars (Schedule G) (7)
8. Tot.l A...t.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funer.l Expen.a./Adn. Costs/Hl.c. Expan... (Schadule H) (9)
10. Dabt./Hortg.ga Liabllitl../Li.ns (Schadula I) (10)
11. Tot.l Daduction.
12. Nat Valua of Tax R.turn
13. Charlt.bla/Govarnbental Baqua.t. (Schedula J)
14. Net Value of Eatata Subjact to Tax
NOTE I
If an assossment was issued previously, lines
reflect figures that include the total of ALL
ASSESSMENT OF TAXI
15. Anount of Llna 14
16. Abount of Lina 14
17. Anount of Llna 14
18. Principal Tax Dua
.00
438,345.44
.00
.O~
6.477.63
.00
.00
181
444,823.07
23.973.07
1.553.44
Ill)
ll21
ll31
ll41
?;.;?~ ;1
419,296.56
37.781.30
381.515.26
14, 15 and/or 16, 17 and 18 will
returns assessed to date.
at Spou.al rat.
taxabla at Lin..l/Cla.. A rat.
taxabla at Collat.ral/Cla.. 8 rata
llSI
llbl
ll71
TAX CREDITS:
PAYMENT
DATE
01-05-95
06-30-95
RECEIPT
NUMBER
AA022685
AA047955
DISCOUNT I + I
INTEREST I-I
2,736.84
.00
.00 X .03.
.00 X .06.
381.515.26 X .15.
llBI
.00
.00
57.227.28
57,227.28
AMOUNT PAID
52.000.00
2,627.28
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
. IF PAID AFTER DATE INOICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
57,364.12
136.84CR
.00
136.84CR I
I IF TOTAL DUE IS LESS THAN fl. NO PAYMENT IS REQUIRED.
IF TOTAL OUE IS REFLECTEO AS A "CREDIT" ICRI. YOU MAY BE OUE
A REFUNO. SEE REVERSE SlOE OF THIS FORM FOR INSTRUCTIONS. I
'F~,'..,..., '.'" 'of.",....
00 \(1 :T.l
c it. :rJ c,
" Ul {'-'
t:;
-,
I
.l>.
'0
l.ll _...
-J' .. "' (~ J
~'" <'",:"1
--.J
RESERYATIONs E.t.t.. of dlcld.nt. d~lng on or b.for. O.caablt 12, 1912 -- If an~ future Intar..t In the ..t.t. I. tr~.farr.d
In Po.....lan or .nJoy..nt lo CI... a (coll.t.ral) b.n.flcl.rl.. of the dlc.d.nt .ft.r the .xplratlon of env ..tat. for
Ilf. or for y..r., the Ca..onw..lth h.r.by .xpr...ly r...rv.. the rlaht to .ppr.I.. .nd ...... tran.flr Inn.rltenc. TaMI.
.t lhl llwful CI... a (coll.taral) r.ta on any .uch future Int.r..t.
PURPOSE Of
NOTICE I To fulfill the raqulr...nt. of S.ctlon 214D of the Inh.rltlncl and E.tltl TIM Act, Act 22 of 1991. 72 P.S.
S.cUO" 214D.
PAYftENTr
Det.ch the top portion of thl. Hotlc. Ind .ub.lt with your p.y..nt to the A.gl.t.r of Will_ prlnt.d on the rev.r.. .Ida.
--"ak. cMck or .on.~ ardtr payable tal REGISTER OF MILLS, AGENT
All pay.ant. r.c.lv.d .h.11 flr.t b. appll.d to an~ Int.r..t which ..y b. due with any r...lnd.r .ppll.d to the tlM.
REfUND ICA)I A r.fund of . taK cr.dlt, ~hlch w.. not r.qu..t.d on the T.M R.turn, .ay bl r.qu..tld by caapl.tlng an "Application
far R.fund of Plnn.ylvanl. Inh.rlt.nc. and E.tat. TIM" IREY-1515J. Application. ar. IVlllabl. at the Dfflc.
of the RIghtar of Willi, .n~ of thl U R.v.nu. Dhtrlct OfficII, or b~ caUlng thl .Plcl.1 2~.haur
an.~.rlng ..rvlc. nueb.r. for for.. ord.rlngl In P.nn.ylvanla 1-8DD-562.205D, aut.ld. P.nn.ylvanla and
wIthin 10c.1 H.rrl.burg .r.. (717J 787-8D94, TOO. (717) 772-2252 (H..rlng lapalr.d Only).
DlJECTIOHSI Anv p.rty In Intar..t not ..tl.fl.d with tho .ppr.I....nt, .Ilowanc. or dl..llow.nca of d.ductlon., or ........nt
of tax (Including dl.count or Int.rl.tl a. .hown on thl. Notlca .u.t obJ.ct within .Ixty (6D) d.y. of r.calpt of
thh Notlca bVI
--wrltt.n prot..t to tha PA O.p.rt..nt of R.v.nuI, loard of App..", D.pt. 281021, H.rrlsburg, PA 17128-1021, OR
--.I.ctlon to h.v. the .att.r d.t.raln.d at audit of th. .ccount of the p.r.an'l r.pr...ntatlv., OR
--app..l to th. Orph.n,' Court.
ADttIN
ISTRA TlVE
CORRt eTlDNSI
Factu.1 .rror. dl.cov.rad on thl. ....'...nt .hould b. .ddr....d In ~rltlng tOI PA D.p.rt..nt of A.v.nu.,
aur.au of Individual Tax.., ATTHI Po.t A.......nt R.vl.w Unit, D.pt. 280601, H.rrl.bura, PA 17128-0601
Phon. (717) 787.6505. s.. pial 5 of the bookl.t "In.tructlon. far Inh.rltancl TaM R.turn far a R..ldent
Dlc.dent" IREY-15a1) for an .xpl.natlon of .~lnl.tr.tlv.l~ correctable .rror..
DISCOUNT.
If 'n~ tax due Is p.ld wlthtn ,.thre. U) ul.ndllr aonth. af"r the dlc.d.nt', d.eth, . flvl pere.nt U:() dhcount of
the tax paid I. allow.d.
INTEREST I
Int.r..t I. ch.rg.d blglnnlng with flr.t day of d.llnqu.ncy, or ntn. (91 aonth. and on. (II d.~ fraa the data of
~..th, to the deta of ply.ent. Tax., ~hlch b.ca.. d.ltnqu.nt b.for. Janu.ry 1, 1982 be.r tntere.t at the r.t. of
.IM (6~J p.rcent p.r annul c.lcullt.d .t . dally r.t~ af .00DI64. All ta... whtch b.c... d.llnqu.nt on .nd aft.r
Janulry 1, 1912 will b.ar Int.r..t .t a rata ~hlch will v.ry fro. cal.nd.r y..r to c.l.nd.r y..r wtth th.t r.t.
announc.d by the PA D.part.ent of Rav.nu.. Thl .ppllcabl. Int.r..t rat.. for 1982 through 1995 er.1
'!!!! Intar..t Rata DatlY Int.rllt F'actor Vear Intara.t Rat. Dally Internt f.ctor
1982 U:C .DaaS",8 1987 .~ .oaozu
198' 16:C .00008 1918-1991 U:C .aa05at
198ft m .onsal 1992 .~ . aOOZ~7
1915 m .000556 1995.199" 7~ .000192
1986 l'~ .00D274 1995 .~ .aoozu
ulnter..t h c.lcul.t.d .. fallo~u
INTEREST . DALANCE OF TAX UNPAID X NUnDER OF DAYS OELINQUENT X DAILY INTEREST FACTOR
--Any Hotlc. I..uld .,tlr the tax b.caa.. d'llnqu.nt wtll r.fl.et an Int.r..t c.lculatlon to flftaln (15J d.y.
b'~ond the d.ta of thl ........nt. If p,y"nt I. .ad. .ft.r the Int.r..t co.putatlan data shown on the
Hotlc., additional Int.r..t au.t bl calcul.ted.
.
..
AGREEMEm' OF TRUST
BEnWEEN
WJ\l/l'ER J. smlMERS, SEll'l'IDR
t:!'iQ
DAUPHIN DEPOSrr BlINK 1IND TRUST cnlPJ\NY, TRUSTEE
pURPOSE OF TFdJST ............
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ARrICLE I - PRE.VIOOS TRUST
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ARrI~ II - ~ST ASSEl'S .......................................
ARrICLE III - SETrLOR'S TRUST
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ARTICLE IV - SETrLOR'S D~ ....................................
ARrICLE V - sPENJ:Il'IIRIE'T PRJVISlOOS
ARrICLE VI - TRUSTEE 'S J?CMERS
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ARrICLE VII - INSUlWlCE COSTS
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ARrICLE VIII
INSURllNCE a'lNERSHIP
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ARTICLE IX - TRUST REVOCABLE ....................................
ARrICLE X - INSURANCE l'~S
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ARrICLE XI - SI!oIJLTANEDUS DEATH
ARrICLE XII - GUlIRDIANSHIP
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AGREEMEm' OF TRUST
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THIS AGREEMENT OF TRUST is made and entered into as of
1/
, 1989, by and between WALTER J. SUM>1ERS, Of
Cumberland County, Pennsylvania, hereinafter called "Settlor" and
DAUPHIN DEPOSIT BANK AND TRUST c::nIPlINY, a corporation duly foImed and
existing under the laws of Pennsylvania, with offices located in and
around Harrisburg, Pennsylvania, hereinafter called "Trustee."
WI'lWESSLTH:
WHEREAS, Settlor and Trustee previously have entered into an
Agreement of Trust dated Jlugust 2, 1983, and amended as of November
26, 1984, which both parties now desire to terminate; and
WHEREAS, Settlor desires hereby to establish an inter vivos
trust to which he and others will be able to make assets payable; and
WHEREAS, Trustee desires to serve as the Trustee of such a
trust.
NCM, THEREFORE, in consideration of the mutual covenants and
agreements herein contained, and, intending to be legally bound
hereby, it is agreed by and between the parties hereto as follows:
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J\Rl'ICLE II PREVIOUS TRUST. 'nIe Agreenent of Trust dated as
ot AUCJllst 2, 1983, and amended as of November 26, 1984, and any other
Trust IIgroolllents between Settlor and Trustee hereby are terminated.
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I\RTICLE III TRlST ASSE:l'S. A Trust hereby is created
whereunder Settlor, or other persons, fran t.iJoo to ti.lre, may make
insurance policies or other assets, subject to the terms of this
lIqreemant of Trust either by inter vivos transfer or by Will.
I\RTICLE IIII 5m'l'LOR'S TRlST. Trustee shall have, hold,
manage, invest and reinvest the principal of said Trust, collect the
incare and pay over the net inccme and so lIRlch of the principal as the
Trustee deEms necessary and/or appropriate to or for the benefit of
Settlor during his lifet.iJoo.
Additionally, Trustee shall pay to Settlor such portions of
the principal of the Trust as Settlor, fran time to ti.lre, shall
request in writing.
ARl'ICLE IV: SEITIDR'S DEAn!. Upon the death of Settlor,
the assets constituting the Trust, whether principal of incane, shall
be distributed as follows:
(a) SIXTl( PER CENl'IlM (60%) to Settlor's nephew, JOfIN ROBERt'
SlJMolERS, of Lansdale, Pennsylvania, if he is then
living, or if, he is not, per stirpes to his issue I
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(b) THIRl'Y PER CEN'l1JM (30%) to Settlor's niece, MARY JANE
DERBY, of Governeur, New York, if she is then living,
or, if she is not, per stirpes to her issuel
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(c) FIVE PER CENrtJM (5%) to the sHRINERS' HOSPITALS FOR
CRIPPLED CHIlDREN (Philadelphia Unit), a corporation,
for the use and bE:nefit of the hospitals CMned,
operawd and maintained by said corporation I and
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(d) FIVE PER CENlU1 (5%) to CAMP HILL UNITED PRESB'iTERI1IN
CHUOCH FOONDATICN if it is then in existence or, if it
is not, to the CAMP HILL UNITED PRESBYTERIl\N CHURCH,
Camp Hill, pennsylvania.
ARl'ICLE V: spENJmlR]:Fr PROVISICNS. No part of the incare
or principal of the property held in Trust hereunder shall be subject
to attachment, levy or seizure by any creditor, spouse, assignee or
trUstee or receiver in bankruptcy of any beneficiary prior to the
beneficiary's actual receipt thereof. Trustee shall pay over the net
ineare and principal to the parties herein designated, as their
interests may appear, without regard to any attelll>ted anticipation,
pledging or assignrrent by any beneficiary under a Trust and without
regard to any claim thereto or attempted levy, attaClurent, seizure or
other processes against said beneficiary.
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ARTICLE VII TRUSTEE'S PCMERs. Trustee shall possess, among
others, the following powers:
(a) To vary or to retain investments, when deared desirable
by Trustee, and to invest in such bonds, stocks, notes,
real estate llOrtgages or securities or in such other
property, real or personal, as my Trustee shall deem
wise without being restricted to so-called "legal
investments."
(bl In order to effect a division of the principal of the
Trust or for any other purpose; including any final
distribution of the Trust, Trustee is authorized to
make said divisions or distributions of the personalty
and realty partly or wholly in kind. In the event a
division or distribution is made in kind, such division
or distributioo shall be made at the fair market value
of the property at the date of division or
distribution. Should it appear desirable to partition
any real estate, Trustee is authorized to make, join in
and consmmate partitions of lands, voluntarily or
involuntarily, including giving of nutual deeds,
recognizances, or other obligation with as wide powers
as can be exercised by an individual owner in fee
simple.
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(c) To sell either at public or private sale and upon such
terms and conditions as Trustee may deem advantageous
to the Trust, any or all real or personal estate or
interests therelll owned by the Trust severally or in
conjunction with other persons and to consurnnate said
sale or sales by sufficient deeds or other instruments
to the purchaser or purchasers, conveying a fee simple
title, free and clear of all trust and without
obligation of liability of the purchaser or purchasers
to see the application of the purchase money or to make
inquiry into ~ validity of said sale or sales, also,
to make, execute, acknowledge or deliver any and all
deeds, assignments, options or other writings which may
be necessary or desirable in carrying out any of the
powers conferred upon Trustee in this paragraph or
elsewhere in thJ.S inst.runent.
(d) To rrortgage real estate and make leases of real estate
extending beyond the tsrms of the Trust hereunder.
(e) To borrow money fran any party, including Trustee, to
pay indebtedness of the Trust and taxes and to assign
and pledge assets of the Trust therefore.
(f) To pay all costs, taxes (including any interest or
penalties thereon), expenses and charges in cOMeCtion
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with the admiJustration of the Trust, inc~Uding a
reasonable carpensation to agents. Additionally, to
the extent Settlor's estate/ in the opinion of
Settlor's Executor, lacks appropriate funds so to do,
Trustee shall pay debts of the estate and costs of
estate aclministration and taxes (including any interest
or penalties thereon).
(9) In the discretion of Trustee/ to unite with other
owners of similar property in carrying out plans for
the reorganizations of any corporation or carpany whose,
securities fom a part of the Trust.
(h) To vote any shares of stock which fom a part of the
Trust.
(i) To assign to and hold in the Trust an Wldivided portion
of any asset.
(j) '1b place and carry any asset of the Trust in the l1aIlI3
of a naninee.
(k) '1b do all other acts in judgment of Trustee deemed
necessary or desirable for the proper and advantageous
management, investment and distribution of the Trust.
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ARl'ICLE VII: INSURANCE COSTS. It is expressly understood
and agreed that Trustee is not obligatoo to pay any premiums or
assessrents on insurance policies which may be made payable to Trustee
by Settlor or another and is to be under no obligation in respect to
such policies or insurance except to the extent expressly agreed to
herein.
ARTICLE VIII: INSURANCE OWNERSHIP. Wi th respect to any
insurance policies which now are, or at any time may be, owned by
Settlor, Settlor reserves to Settlor, during Settlor's ownership of
said policies and during Settlor's lifetime, all paymtmts, dividends,
surrender values and benefits of any kind which may accrue on account
of any policies and the right at any time to assign, pledge or use
said policies or any of them or to change the beneficiary thereof, to
borrow IlDney thereon for any purpose without the ccnsent, approval or
joU1der of Trustee or any beneficiary hereunder. It is the intent of
Settlor, in regard to said insurance policies, that this instrument
shall be operative only in respect to the proceeds of such of the
policies as may be due and payable to Trustee at the time of the death
of Settlor or thereafter after deduction of all charges against i:I~
policies by reason of advances, loans, premiums or otherwise and the
receipt of Trustee for such proceeds shall release the insurance
canpanies fran liability on the policies.
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ARl'ICLE IXI TRUST REVOCABLE. It is agreed that the Settlor
may, by instrurrent in writing delivered to Trustee, l1'Odify, alter or
revoke this Agrement of Trust in whole or in part.
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ARl'ICLE X: INSURANCE p~r;. Settlor agrees and directs
that upon Settlor's death the proceeds of insurance policies which are
subject to the terms of this Agreerrent of Trust shall be paid in
accordance with the directions then set forth in said policies or
beneficiary designations then attached thereto. In the event the
proceeds of said policies are payable to Trustee, Trustee may
institute any proceedings at law or in equity in order to enforce the
payment thereof and may do and perform any and all other acts and
things which may be necessary for the purpose of collecting any S\Dl1S
which may be due and payable under the terms of said policies; it
being distinctly understood, however, that Trustee shall not, except
at its option, enter into or maintain any litigation to enforce the
payment of said policies until it shall have been guaranteed
indemnification by one or more of the beneficiaries of this Agreement
of Trust to Trustee's satisfaction against all expenses and
liabilities to which Trustee may, in its juc1grrent, be subjected by any
such action. Trustee is authorized to canpranise and adjust claims
arising out of the insurance policies or any of them upon such terms
and conditions as it may deem just and the decision of Trustee shall
be binding and conclusive upon all persons and corporations interested
therein.
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ARl'ICLE XII SIMULTANmlS DEA'l1i. Any person who shall have
died at the Sllll'e time as Sbttlor or in a c:ornron disaster with him or
under such circumstances that it is difficult or impossible to
determine which died first, shall be deemed to have predeceased him.
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ARl'ICLE XII: GUlIRDIJ\NSJlIP. If at any time any minor child
shall be entitled to receive any assets hereunder, Dl\lJPHIN DEPOSIT
BANK AND TRUST c:c:MPANY shall act as Guardian of the assets payable to
such child. Said guardian may receive and administer all assets
authorized by law and shall have full authority to use such assets in
any maIUler said Guardian shall deem advisable for the best interests
of such child, including college, university, post-graduate or other
education. Said Guardian shall have all the rights and privileges as
to the Guardianship(s) and the assets thereof as are herein granted to
Trustee as to the Trust and the assets therein.
IN WITNESS WIlEREDF, WALTER J. StJMolERS has affixed his hand
and seal, and DAUPHIN DEPOSIT BANK l\ND TRUST cx::MPANY has caused this
Agreement of Trust to be signed by its (Vice) president, attested. by
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its Secretary and its seal to be affixed, all by order of its Board of
Directors and all as of the day and year first above written.
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NJ!rEST:
D1IIlPHIN DEPOSIT BANK AND TRUST
ca.tPANY
By: ~....L~ .;j,,-~
(Vice) President Trustee)
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~TH OF PmNSYLVANIA)
CXXlNl"l OF [It..,t./.......L,t..( -l
On this the .~'1d
S91
day of 1C"r~.. LlJ/l " 1989, before 100,
the undersigned officer, personally appeared WALTER J. SlHlERS, kna.m
to 100 or satisfactorily proven, to be the person whose nilIOO is
subscribed to the within inst:rul1'ent and acknowledged that he executed
the sarre for the purpose therein contained.
IN wrmESS WllERIDF, I hereunto set my hand and official
seal.
IIOTAnlf,L $~^l
lo\i\RY .~. UAVI5, 1:,1,:\'11 rH~I.!r.
NEll ~!P13L"'-^:m I:cm cr";::: n.D CO.
NY CO..US3ICIl EXf'lI,r.S fi.',ilL:i 19, 1;Jfii
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Notarp Public
(SEAL)
exMDlWEALTH OF PmNSYLVTINIA)
c:otmn: OF f@~a/ / J
On this, the m- day Of.J}t&!4r~, 1989, ,~~re me,
t1le undersigned officer personally appeared ~e'~ ~"7t:1&Z:-
who acknowledged himself to be a (Vice) President of DAUPHIN DEl'CSIT
ss:
BlINK 1IND TRUST a::MPJ\NY, a corporation, and that he as such (Vice)
President being authorized to do so, executed the foregoing instrurent
for the purpose therein contained by signing the nilIOO of the
corporation by him self as (Vice) President.
IN WI'lNESS ~' , I hereunto set my hand and official
seal.
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I. MARY ANN mOERSON. NOTAIIY ~~)
HARRISBURG. DAUPHIN COUNTY
: IoIYCOMMISSfOH EXPIRES OCT. :10. lOGO
Mlmber. Ponnsyl'/IIr" """,'iollon 01 No"'"",
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ATTORNBYS AT LAW
HARlIISBURO, f'IlNHSYI.YANIA .7tOR
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09892
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FIRST J\MENJ:MEm' 'ro
AGREEMENT OF TRUS"l
THIS IS A FIRST J\MENOMENl' to an AGREEMENT OF TRUST which was
made and entered into as of December 4, 1989, by and bet~ WALTER J,
SUMMERS ,
of fo2chanicsburg,
ClJ1lberland County,
Pennsylvania,
hereinafter called "settlor" and DAUPHIN DEPOSIT BANK AND TRUST
o::M>ANY, a corporation duly forrred and existing under the laws of the
Comnonwealth of Pennsylvania, with offices located in and around
Harrisburg, Pennsylvania, hereinafter called "Trustee."
wrmESSE:l'H:
WHEREAS, Settlor and Trustee heretofore, as of December 4,
1989, entered into an Agreeroont of Trust with Settlor as "Settlor
therein and Trustee as "Trustee" therein; and
l~, said Agreement of Trust provides, inter alia:
"Article IX. It is agreed that the Settlor may, by
instrument in writing, delivered to Trustee, m:xlify,
alter or reVoke this Agreeroont of Trust in whole, or
in part." and
WHEREAS, Settlor and Trustee now desire to m:xlify and alter
said Agreement of Trust as permitted under said Article IX, in the
manner lIDre particularly set forth hereafter.
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09892
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NCM THEREFORE, in consideration of the mutual covenants and
agreements herein contained, and, intending to be legally bound
hereby, it is agreed by and between the parties hereto as follows:
ARTICLE IV of said Agreement of Trust shall be deleted and
the following shall be inserted in its place:
"ARTICLE IV:
constituting the Trust,
distributed as follows:
Upon the death of Settlor, the assets
whether principal or incane, shall be
(al To the extent Settlor's estate is unable to fulfill
the Five Thousand Dollar ($5,000.001 bequest to
Patrice Weber set forth in Settlor's Last Will and
Testament because of a lack of funds, Trustee, fran
the Trust assets, shall pay such bequest;
(bl The balance of the said assets shall be distributed
as follows:
(il FIVE PER CENTUM (5%1 to the SHRINERS'
HOOPITAIS FOR CRIPPLED OIILDllEN
(Philadelphia Unitl, a corporation, for
the use and benefit of the hospitals
owned, operated and maintained by said
corporation;
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09892
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(ii) FIVE PER CEmUM (5%) to the CAMP HILL
UNITED PRESBYTERIAN CHUROJ FOUNDATION,
if it is then in existence, or, if it is
not, to the CAMP HILL UNITED
PRESBYTEIW\N CHURCH, Camp Hill,
Pennsylvania;
(iii) FORTY-FIVE PER CENl'UM (45%) to Settlor's
nephew, JOHN ROBERT SUMMERS, if he
survives Settlor, or, if he does not,
per stirpes to such of his issue as
survive Settlor; and
(iv) FORTY-FIVE PER CEN'lUM (45%) to Settlor's
niece, MARY JANE DERBY, if she survives
Settlor, or, if she does not, per
stirpes to such of her issue as survive
Settlor. "
J\Rl'ICLE VI of said Agreenent of Trust shall be deleted and
the fOllowing shall be inserted in its place:
"J\Rl'ICLE IV: Trustee shall possess, among others, the
following powers:
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09892
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(al To vary or to retain investments, when deemed
desirable by Trustee, and to invest in such bonds,
stocks, notes, real estate mortgages or securities or
in such other property, real or personal, as Trustee
shall deem wise without being restricted to so-called
"legal investments."
(bl In order to effect a division of the principal of a
Trust or for any other purpose, including any final
distribution of a Trust, Trustee is authorized to
make said divisions or distr:lbutions of the
personalty and realty partly or wholly in kind. In
the event a division or distribution is made in kind,
such division or distr:lbution shall be made at the
fair market value of the property at the date of
division or distribution. Should it appear desirable
to partition any real estate, Trustee is authorized
to make, join in and consl.UTl1late partitions of lands,
voluntarily or involuntarily, including giving of
mutual deeds, recognizances, or other obligation with
as wide powers as can be exerciSed by an individual
owner in fee s:imple.
(cl To sell either at public or private sale and upon
such terms and conditions as Trustee may deem
advantageous to a Trust, any or all real or personal
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09892
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estate or interests therein owned by a Trust
severally or in conjunction with other persons and to
consmmate said sale or sales by sufficient deeds or
other instruments to the purchaser or purchasers,
conveying a fee sint>le title, free and clear of all
trust and without obligation or liability of the
purchaser or purchasers to see to the application of
the purchase rroney or to make inquiry into the
validity of said sale or sales; also, to nake,
execute, acknowledge and deliver any and all deeds,
assignments, options or other writings which nay be
necessary or desirable in carrying out any of the
powers conferred upon Trustee in this paragraph or
elsewhere in this instrument.
(d) To nortgage real estate and to make leases of real
estate exterding beyond the term of the Trusts
hereunder,
(e) To borrow rroney fran any party, including Trustee, to
pay indebtedness of a Trust and ta~es and to assign
and pledge assets of a Trust therefor.
(f) To pay all costs, taxes (including any interest or
penalties thereon), expenses and charges in
connection with the administration of a Trust,
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09892
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including a reasonable compensation to agents.
J\dditionally, to the extent Settlor's estate, in the
opinion of Settlor I s EKecutor, lacks appropriate
funds so to do, Trustee shall pay debts of the estate
and expenses, costs and attorneys fees related to the
estate administration and taxes (including any
interest or penalties thereon).
(g) In the discretion of Trustee, to unite with other
owners of a similar property in carrying out any
plans for the reorganizations of any corporation or
calpally whose securities form a part of a Trust.
(h) To vote any shares of stock which form a part of a
Trust.
(i) To assign to and hold in a Trust an undivided portia!
of any asset.
(j) To place and carry any asset of a Trust in the name
of a naninee.
(k) To do all other acts in judgrrent ,of ,Trustee deemed
necessary or desirable for the proper and
advantageous management, investment and distribution
of a Trust."
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09892
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Except as modified aforesaid, the Agreement of Trust herein
referred to shall remain unchanged and specificallY shall retain
Article IX thereof, causing it to be a revocable trUst.
IN WITNESS WHEREOF, WALTER J. SUMMERS, has affixed his ham
and seal and DAllI'HIN DEPOSIT BANK 1\ND TRUST CCI>lPllNY has caused this
First l\rrendl1'ent to l\greement of Trust to be signed by its (Vice)
president and its seal affixed by its Secretary, all by order of its
,
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Board of Directorsl and all as of 11e Ie',' I
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, 1992.
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ATl'EST:
D!\UPHIN DEI?OSIT BANK 1\ND TJUlST
CQoIPANY
(As-::l:) sec:r~~~r..' I' ~..
By: ,.!...u I} I (Lvu:..L c,
H'" r, (Vice) President, Trustee
(SEAL)
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09892
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CCMM:lNWFALTlI OF PalNSYLVlINIAI
I SS:
OJUNTY OF CtJolBERLAND I
On this, the /(,11, day of
/t!,~ ,)
, 1992, before
ne, the WKiersigned officer, personally appeared WALTER J. stll+lERS,
known to ne (or satisfactorily provenl to be the person loIhose name is
subscribed to the within instrument, and acknowledged that he executed
the same for the purposes therein contained.
IN WI'lNESS WHEREOF, I hereunto set my hand and official
seal.
NOTARIAL SEAL
MARV V DAVIS. NOIll'" Public
City 01 Ho,~'burg. OouPMhl." ~gu~~94
M '''i x ir.' .
(SEALI
a:MM:l'MEAL'llI OF PalNSYLVlINIAl
COUNl'Y OF "l)/tc/,I)IIUJ \ SS: _
On this, the~Jdday of ~. ., )9:~' before
ne, the undersigned officer, pers.,,::y,;ppeared ,~///J2,/~
who acknowledged himself to be ~oel President of DAllFHIN~IT
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BlINK AND TJUlST CXfolPANY, a corporation, and the he, as sucH eel
President being authorized to do so, executed the foregoing instrurrent
for the purposes there%. :"t-tained by signing
corporation by himself k'r{/fc~1 President.
IN WITNESS WIJEREDF, I hereunto set my hand and official
the narre of the
seal.
L/2!itd,.~&(Jat/
)/0 Public
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Current
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Fiduciary
Acquisition
Value
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Uninvested
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12,800.00
39.17
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PROPOSED DISTRIBUTIONS TO BENEFICIARIES
Current
Value
01/25/96
TOI John Robert Summeru - 45\ of
Residue as per Article IV (b) (iii)
of the First Amendment to Agreement
of Trust dated April 16, 1992
Principal I
.
Fiduciary
Acquisition
Value
Cash 172,370.74 172,370.74
Less Advanced Distribution Ofl
Cash (24,537,50) (24,537.50)
150 shares AT & T Co. (9,806.25) (9,806.25)
300 shares Exxon Corp. (24,337.50) (24,337.50)
450 shares General Motors Corp. (21,318.75) (21,318.75)
InC'omel
Cash
5,777.63
98,148.37 98,148.37
5,777.63
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TOI Mary Jane Derby - 45t of Residue
as per Article IV. (b) (iv) of the
First Amendment to Agreement
of Trust dsted April 16. 1992
Principal I
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Less Advanced Distribution ofl
Cash
90 shares Bellsouth Corp.
300 shares Exxon Corp.
40 shares Pacific Telesis Group
600 shares SCE Corp.
172,370.74
(39,962.50)
(3.780.00)
(24.337.50)
(1,195,00)
(10,725,00)
Income I
Cash
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98.148.37 98,148.37
5,777.63
172,370.74
(39.962.50)
(3,780.00)
(24,337.50)
(1,195.00)
(10,725.00)
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To. Shrinera Hospital fOl' Cl'ippled
Children - 5' of Residue as per
Article IV (h) (i) of tha First
Amendmsnt to Agreemsnt of Trust
dated April 16, 1992
Principal.
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19,152.30
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Church Foundation - 5t of Residue
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First Ameodment to Agreement
of Trust dated April 16, 1992
Principal.
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88
AFFIDAVIT
Dauphin Deposit Bank and Tl'ust Company, Trustee under Agreement
with WALTER J. SUMMERS, Settlol', Now Deceased, hereby declares under
oath that said Trustee has fully and faithfully discharged the duties
of its office, that the foregoing Account is true and correct, and
fully discloses all significant transactions occurring during the
accounting period, that all known claims against the Trust have been
paid in full, that, to its knowledge, there are no claims now
outstanding against the Trust, and that all taxes presently due from
the Trust have been paid.
t Bank
"'55T. VICE PRESIDENT
. TRUST OFF/""
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, 199~
Mary Ann l~Sr/al SOS,
.. Hsrrtlbun orson, NOlal)! P
"'y Comm'",~, g,aUPhln Coun~bilo
1''''''... """ plros Oct. 30, 1998
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APPOOVAL OF ACOJUNT, RELEASE AND INDEMNIFlCATI@f;,l
ESTATE OF WALTER J. StJM.IERS, DOCEASED 1. .
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The undersigned, the individual legatees named'in th~il1 :,~ ~.:
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of Walter J. Sumrers, Deceased, desire that the Estate b;! distr.tbuted ;; ~
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without the formality of a Court accounting.
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The Executor of the Estate is willing to consent to such
distribution upon receipt of a proper release and indemnification,
which it is the purpose of this docUlTent to provide. In consideration
of the willingness of the Executor to make distribution without the
formality of a Court accounting and agreeing to be legally bound
hereby, the undersigned, individually and on behalf of the under-
signed's heirs, personal representatives, successors and assigns, does
hereby:
1. Waive the filing of an account of the administration of
the Estate in any Court;
2. Declare that the undersigned has examined the attached
infotmal. account of the Executor, Thanas A. Beckley; finds it to be
true and correct in all particulars; accept and approve it with the
same force and effect as if it had been prepared and filed with,
audited, adjudicated and confirmed absolutely by a Court of canpetent
jurisdiction; and as if the balance of principal and incane had been
awarded by the Court in accordance with the account;
" I
3. Warrant that the beneficiaries named in the informal
account are the sole individual parties in interest in the Estate;
4. Warrant that the undersigned knows of no outstanding
and unsatisfied claims against the Estate and approves the distribu-
tion of the balance of principal and income shown in the informal
account to the Bank set forth therein;
5. llbsolutely and irrevocably release and discharge the
Executor and his/her heirs, personal representatives, successors and
assigns of and from any and all actions, liabilities, claims and
demands relating in any way to the administration of the Estate and
distribution in accordance with the infonnal account and with a Court
accounting and adjudication;
6. Agree to indemnify and hold hannless the Executor and
his/her heirs, personal representatives, successors and assigns fran
and against any claims, liabilities, loss or expense (including costs
and counsel fees) arising from any cause whatsoever ,which the Executor
may incur as a result of the administration of the Estate and its
distribution in accordance with this document including, but not
limited to, any liability for any Federal Estate Tax, Pennsylvania
Inheritance Tax or any other death taxes, and any Federal or Pennsyl-
vania incare taxes, and Pennsylvania personal property taxes, together
with any interest, penalties and costs incidental thereto, relating in
any way to the Estate and also including, but not limited to, any
- 2 -
,
assets received or payments or distributions made by reason of any
negligence or mistake of law or fact.
DATED:
WI'mESS :
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ESTATE OF WALTER H. SUMMERS
FIRST AND FINAL ACCt::m1r
'1'IlCMAS A. BEX::KLEV, EXEX:U'roR
Date of Death: October 7, 1994
Account stated thru: May 15, 1996
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SUl+IARY & INDEX
Paqe No.
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PRI~AL
Receipts
less Disbursements
Distribution to Beneficiaries
1
2
$ 525,277.15
518,436.22
6,840.93
6,477.63
2
Principal Balance Ranaining
'ro: Dauphin Deposit Bank and
Trust Catpany, TrusteE.,
Walter J. Sunners UtA
$ 363.30
$ 363.30
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REI:EIPl'S OF PRINCIPAL
Inventory Filed - Dauphin Deposit
Bank and Trust Ca!i>any, Trustee,
Walter J. S\.IlIlIerS Trust Account,
copy attached
$444,823.07
Subsequent Receipts
10-13-94 Cash
6.48
12-14-94 Carlisle Retirement Ccmnunity Corporation -
Refund 2,792.15
1-9-95 Dauphin Deposit Bank and Trust Canpany -
lldvancement of Funds fran Trust of the
Deceased for PA Inheritance Tax 52,000.00
2-14-95 Met Life Insurance Canpany - Proceeds
on Life Insurance 9,345.99
2-22-95 Penn Mutual Insurance Canpany Death
Claim Policy #01338381 1,761.93
Penn Mutual Insurance CaIpany Death
Claim Policy #01338380 1,738.63
6-7-95 Paid Prescriptions - Reimbursement 45.45
6-28-95 Met Life Control Account - Refund 26.61
12-13-95 CalIl'onwealth of Pennsylvania
Inheritance Tax Refund 136.84
12-20-95 Dauphin Deposit Bank and Trust Canpany -
Walter J. SlJIl1lers Trust - lldvancement
for Attorneys I Fees and Elcpenses 12,600.00
Increase 80,454.08
'lUl'AL PRINCIPAL REX::EIPl'S $525,277.15
DISBURSE%oIENl'S
10-10-94 Dauphin Deposit Bank and Trust Canpany -
Amount retained in Trust per Agreerrent
between Wal tar J. Sumners and Dauphin
Deposit Bank and Trust Ca!i>any 438,345.44
1-6-95 Register of Wills, Cunberland County -
deposit on PA Inheritance Tax 52,000.00
1-12-95 John Touchberry, M.D. Services 75.00
Dauphin Deposit Bank and Trust Ca!i>any -
Checks 18.08
2-21-95 Nurse Match Nursing Registry 1,026.75
- 1 -
17.00
'rol'AL DISBURSEMENl'S
..A \
2-27-95
6-5-95
6-27-95
Myers Funeral Hare - Services
Walter Fry, CPA - Services
Register of Wills, CUmberland County -
PA Inheritance Tax
Cumberland Crossings - Personal
Withdrawal Account of Deceased
ATS Medical Service
Patient Accounting Services
Adams CUmberland Medical Center
Care Apothecary
Corestates Bank of America -
Credit Card
~ Emergency - Medical Services
Carlisle Hospital - Medical Services
Beckley & Madden - Attorneys I fees
and out-Of-pocket expenses
Reserve for: Filing Indenmification
and Release with Orphans I Court
of CUmberland County
8-23-95
12-21-95
5-15-96
DISTRIBUTIOOS OF PERSOOAI/lY
'ro BENEFICIARIES AND NURSING HCME
1-6-95 CUmberland Crossinqs Retirement Hane
Television
Walkers (2)
Secretary Desk
Buffet - Slate TOp
Lamps (2)
Wheelchair
5-18-95 Miscellaneous jewelry to include costume
jewelry and sundry items, such as coins,
llDI'ley clip with watch, belt buckle,
pocket knife, etc.
'ID: John Robert Sunmers, nephew
1/2 share
Mary Jane Derby, niece
1/2 share
2,435.00
150,00
2,627.28
125.95
10.23
5.82
5.36
238.03
31.00
10.91
43.11
21,271.26
$518,436.22
250.00
80.00
100.00
75.00
85.00
2,000.00
2,590.00
3,887.63
1,943.82
'lUI'AL DISTRIBUTIOOS
1,943.81
$ 6,477.63
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ARCA CODI: 717
TCl.-l"JlOI'f& "'711'
BECKLEY & MADDEN
ATTORNEYS AT LAW
CltANIlII:MHY CoURT
UlII NORTII 'I'IUHP HTHII:II:T
I"O.T omca nox Uto.
HARRISBURG, PENNSYLVANIA 17108
PAX "0.
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22885
January 6, 1995
Mary c. Iewis,
Register of wills
CUnberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
Re: '!he Estate of Walter J. S\J1I1'E!rs
No. 1994-00879
Dear Ms. Iewis:
You will find enclosed check No. 1 in the amJunt of $52,000.00
drawn on the Estate of Walter J. S\J1I1'E!rs on account of Pennsylvania
Inheritance Tax.
MVD/ls
Very truly yours,
b2~
lIdrni~~ative Manager
Enclosure
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STATUS REPORT UNDER RULE 6.12
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Name of Decedent I
l'1al ter J. SUI1Il1eI'S
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Date of Deathl
10-7-94
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Will No. 1994-00879
Admin. No.
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 estatel
1. State whether administration of the estate is complete I
Yes X No
3. If the answer to No.1 is Yes, state the followingl
a. Did the personal representative file a final
account with the Court? Yes No X
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete I
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c, Did the personal representative state an
account informally to the parties in interest? Yes X No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be 'ttached to this report.
7
Date: 9/24/96
lmE: Info:cnal Settlement
Agreement was filed on June 18,
1996, with Register of Wills of
Cunberland County.
'llianas A. Beckley
Name (Please type or print)
212 N. Third St., P.O. BaK 11998
Harrisburq, PA 17108
Address
(717 ) 233-7691
Te 1. No.
Capacity: Personal Representative
X Counsel for personal
representative
(MAH: rmf/ AM3)
IN THE COURT ON COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
FIRST AND FINAL ACCOUNT
for Trust under Agreement dated December 4, 1989,
Amendment dated April 16, 1992
with Walter J. Summers, Settlor, Now Deceased
Stated by Dauphin Deposit Bank and Trust Company, Trustee
Walter J. Summers, Died
Date of Trustees' first receipt of funds
Accounting Stated for the Period,
October 7, 1994
December 5, 1989
December 5, 1989 to
January 25, 1996
Purpose of Account, The Trustee offers this account to acquaint
interested parties with the transactions that have occurred during
its administration of the Trust.
It is important that the account be carefully examined. Requests
for additional information or questions or objections can be
discussed with,
Dauphin Deposit Bank and Trust Company
213 Market Street
Harrisburg, PA 17105
(717) 255-2109
or
Thomas A. Beckley, Esquire
212 North Third Street
Harrisburg, PA 17101
(717) 233-7691
1992-12-02 CoreStates Bank of Dalaware -
Balance due on Mastercard
1992-12-02 Camp Hill presbyterian Chm'ch
_ OUt payment
1992-12-02 EHSF - Balance due
1992-12-02 Holmes O.K. Lettet'shop -
printed cards
1992-12-02 Masonic Charities - Oift
payment
1992-12-02 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-12-02 Salvation Army - Oift payment
1992-12-04 Cumberland Crossing Retirement
Community - Convalescent Home
Expense
1992-12-07 Patrice Weber - Nursing Care
1992-12-08 Doris Fields - Nursing Care
1992-12-08 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-12-14 patrice Weber - NUrsing Care
1992-12-15 Doris Fields - Nursing Care
1992-12-15 Nursing Match Nursing Registry
Inc. - Nursing Care Expsose
1992-12-16 cumberland Crossing Retirement
Community - Convalescent Home
Expense
1992-12-16 Salvation Army - Oift payment
1992-12-17 Adams-cumberland Medical
Center, Inc. - Medical Expense
1992-12-17 Camp Hill presbyterian Church
_ oUt payment
1992-12-21 Doris FieldS - Nursing Care
1992-12-21 The patriot News -
Subscription fee
1992-12-21 Patrice Weber - Nursing Care
1992-12-23 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-12-28 Dauphin Deposit Bank and Trust
Co. - Commission
1992-12-29 Brooks Brothers - Balance due
. ,
21. 00
180.00
15.71
50.56
"
35.00
1,040.29
20.00
223.05
370.00
386.00
920.00
370.00
468.00
842.63
3.822.33
10.00
4.42
25.00
468.00
85.80
370.00
912.00
1,133.13
160.39
63
1992-12-29 Doris Fields - Nursing Care
1992-12-29 Holy Spirit Hoapital - Balance
due
1992-12-29 Internal Revenue Service -
1992 Personal Income Tax
~ 6 8.00
307,38
~03.00
1992-12-29 Nursing Match Nursing Regiatry
Inc. - Nursing Care Expense
1992-12-29 PA Department of Revenue -
1992 Estiamted Personal Income
Tax
1992-12-29 Patrice Weber - Nursin9 Care
1992-12-29 zembo Temple - Membership dues
1992-12-30 A Z Ritzman Associates, Inc. -
Physician service expense
1992-12-31 Cumberland Crossing Retirement
Community - Convalescent Home
Expense
912.00
120 . 00
414.80
14.00
2.07
159.87
1993-01-05 Doris Fields - Nursing Care
1993-01-05 Patrice Weber - Nursing Care
1993-01-06 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-01-07 CoreStates Baok of Delaware -
Balance due on Mastercard
386.00
370.00
1,031.12
68.20
1993-01-11 Holy Trinity Lutheran - Gift
payment
1993-01-11 Patrice Weber - Nursing Care
1993-01-11 Whitemarsh Memorial Park - 3
wreaths
25.00
3'/0.00
78.75
1993-01-12 Doris Fields - Nursing Care
1993-01-12 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-01-13 Camp Hill Presbyterian Church
- Gift payment
1993-01-15 Cumberland Crossing Retirement
Community - Convalescent Home
Expense
1993-01-19 Patrice Weber - Nursing Care
1993-01-21 Doris Fields - Nursing Care
1993-01-21 Grace United Methodist Church
- Gift payment
550.00
838.00
100.00
3,855.10
370.00
5~2. 00
25.00
6~
","-..'".., _nJ""'fl!
:..-
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L
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,;
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1993-01-21 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-01-25 Patrice Weber - Nursing Care
1993-01-26 Doris Fields - Nursing Care
1993-01-27 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-01-29 Thomas L. Filip, DMD -
Physician ssrvice axpanse
1993-02-01 Brooks Brothers - Balance due
76~.00
370.00
~87.75
818.25
26.00
,
"
t
1993-02-01 Cumberland Crossin9 Retirement
Community - Convalescent Home
Expense
1993-02-01 Camp Hill Presbyterian Church
- Gift payment
1993-02-01 Patrice Weber - Nursing Care
1993-02-02 Doris Fields - Nursing Care
1993-02-03 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-02-05 CoreStates Bank of Delaware -
Service fee
1993-02-08 Patrice Weber - Nursing Care
1993-02-08 RKI Group Plans - Insurance
Premium
~8.00
150.~1.
~:
':;
~
80.00
370.00
561.75
752.25
15.94
370.00
21. 75
1993-02-09 Doris Fields - Nursing Care
1993-02-10 Cumberland Crossing Retirement
Community - Convalescent Home
Expense
1993-02-10 Henshaw Health Center -
Physician service expense
1993-02-10 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-02-10 Outreach Memorial - Gift
payment
1993-02-11 cumberland Cros~ing Retirement
Communl~y - Convalescent Home
Exp"!lIse
460.00
112.95
27.68
846.00
25.00
3,531.59
1993-02-\6 Patrice Weber - Nursing Care
1993-02-18 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-02-18 zembo Temple - Gift payment
1993-02-22 Patrice Weber - Nursing Care
370.00
713.50
15.00
370.00
65
'..~r'
. "
1993-02-23 Doris Fields - Nursing Care
1993-02-23 Doris Fields - Nursing Care
1993-02-23 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-02-26 Adams-Cumberland Medical
Center, Inc. - Medical Expense
1993-02-26 Tamdot!Homecare of Harrisburg
- Medical expense
1993-03-01 Camp Hill Presbyterian Church
- Gift payment
1993-03-01 Easter Seal Society - Gift
payment
1993-03-01 National Multiple Sclerosis
Society - Gift payment
1993-03-01 Patrice Weber - Nursing Care
1993-03-02 Doris Fields - Nursing Care
1993-03-02 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-03-04 CoreStates Bank of Delaware
Balance due on Mastercard
1993-03-04 St. Paul's Lutheran Church -
Gift payment
1993-03-08 Adams-Cumberland Medical
Center, Inc. - Medicel Expense
592.50
542.00
764.00
8.84
24.20
80.00
10.00
10.00
397.75
592.00
713.50
6.00
40.00
20.21
1993-03-08 Patrice Weber - Nursing Care
1993-03-09 Doris Fields - Nursing Care
1993-03-09 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-03-09 Penn Mutual Life Insurance
Company - Insurance premium
1993-03-11 American Lung Association -
Gift payment
1993-03-11 Brooks Brothers - Balance due
1993-03-11 Cumberland Crossing Retirement
Community - Convalescent Home
Expeose
370.00
552.50
662.25
21.15
10.00
178.92
3,749.26
1993-03-11 Camp Hill Presbyterian Church
- Gift payment
1993-03-15 Patrice Weber - Nursing Care
1993-03-16 Doris Fields - Nursing Care
25.00
407.00
658.50
66
"' ~ ~."' . '., ~
"':'".",1',,-.
1993-03-17 Care Apothecary -
Preacriptions delivered
1993-03-17 Nureing Match Nursing Registry
Inc. - Nursing Care Expense
1993-03-22 Patient Accounting Service,
Inc. - Physician service
expense
219.99
637.00
9.87
1993-03-22 Patrice Weber - Nursing Care
1993-03-23 Doris Fields - Nursing Care
1993-03-24 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-03-24 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-03-26 Brooks Brothers - Balance due
2,000.00
342.75
949 . 38
92.25
1993-03-26 Pilgrim Commandery - Gift
payment
1993-03-29 Patrice Weber - Nursiog Care
1993-03-30 Doris Fields - Nursing Care
1993-03-31 Nursing Match Nursiog Registry
Ioc. - Nursing Care Expense
20.00
265.06
1993-03-26 Dauphin Deposit Bank and Trust
Co. - Commission
1,104.58
444.00
296.50
954.00
1993-04-02 Walter H. Fry Jr., CPA - 1992
Tax Preparation Fee
1993-04-02 Care Apothecary -
Prescriptions delivered
1993-04-05 Patrice Weber - Nursing Care
1993-04-06 Doris Fields - Nursing Care
1993-04-06 Metropolitan Life - Insurance
Premium
135.00
150.97
370.00
602.75
7.20
1993-04-07 Camp Hill Presbyterian Church
- Gift payment
1993-04-08 Nursing Match Nursing Register
Inc. - Nursing Care Expense
80.00
777 . 25
1993-04-09 Adams-Cumberland Medical
Center, Inc. - Medical Expense
23.75
1993-04-09 PA Department of Revenue -
1993 Estimated Personal Income
Tax
124.00
1993-04-09 Stephen M. Rydesky Jr., DMD -
Physician service expense
180.00
67
1993-04-12 Cumberland Crossing Retirement
Community - Convalescent Home
Expense
3,648.61
1993-04-12 Doris Fields - Nursing Care
1993-04-12 Harrisburg TV & Appliance -
Balance due
397.75
42.40
1993-04-13 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-04-14 Pealer's Flower Shop - Balance
due
1993-04-15 Brooks Brothers - Balance due
1,031.42
114 .96
1993-04-15 Camp Hill Presbyterian Church
- Gift payment
1993-04-15 Patrice Weber - Nursing Care
1993-04-19 Doris Fields - Nursing Care
1993-04-19 Patrice Weber - Nursing Care
1993-04-21 Charles J. Rife, MD -
Physician service expense
91. 08
15.00
370.00
592.50
370.00
11. 28
1993-04-21 Nursing Match Nuraing Registry
Inc. - Nursing Care Expense
1993-04-22 Dauphin Deposit Bank and Trust
Co. - Safe Deposit Rental
1993-04-26 Patrice Weber - Nursing Care
1993-04-27 Doris Fields - Nuraing Care
1993-04-27 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
713.50
77 .55
370.00
592.50
713.50
1993-04-29 Camp Hill Presbyterian Church
- Gift payment
1993-05-03 March of Dimes - Gift payment
1993-05-03 Patrice Weber - Nursing Care
1993-05-04 Care Apothecary -
Prescriptions delivered
1993-05-04 Doris Fields - Nursing Care
1993-05-04 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-05-06 Bon Ton - Balance due
1993-05-10 Patrice Weber - Nursing Care
100.00
10.00
370.00
86.40
510.50
795.50
80.00
370.00
68
1993-05-11 Ancient Accepted Scottish Rite
Club - Gift payment
1993-05-11 Doris Fields - Nursing Care
1993-05-11 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
40.00
592.50
713.50
1993-05-11 RKI Group Plans - Insurance
Premium
21.75
1993-05-12 Cumberland Crossing Retirement
Community - Convalescent Home
Expense
1993-05-14 PA Department of Revenue -
Balaoce due on 1992 Personal
Income Tax
2,011.42
16.72
1993-05-17 Patrice Weber - Nursing Care
1993-05-18 Doris Fields - Nursing Care
1993-05-18 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
370.00
592.50
713.50
1993-05-18 Stephen M. Rydesky Jr., DMD -
Physician service expense
1993-05-21 Brooks Brothers - Balance due
1993-05-24 Patrice Weber - Nursing Care
1993-05-25 Dauphin Deposit Bank and Trust
Co. - 1992 Fiduciary Tax
Preparation Fee
1993-05-25 Doris Fields - Nursing Care
1993-05-25 Nursiog Match Nursiog Registry
Inc. - Nursing Care Expense
1993-06-01 Patrice Weber - Nursing Care
1993-06-02 Doris Fields - Nursing Care
1993-06-04 CoreStates Bank of Delaware -
S~rvice fee
39.00
385.50
370.00
95.00
592.50
I.j,.J.50
370.00
851.~4
6.00
1993-06-04 Easter Seal Society - Gift
payment
1993-06-07 Care Apothecary -
Prescriptions delivered
1993-06-07 Camp Hill Presbyterian Church
- Gift payment
1993-06-07 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-06-07 Patrice Weber - Nursing Care
10.00
103.19
80.00
898.54
434.71
69
1993-06-08 NUL'sing Match Nuruing Registry
Inc. - Nursing Care Expense
1993-06-08 PA Department of Revenue -
1993 Estimated PeL'eonal Income
Tax
1993-06-09 The Patriot News -
Subscription fee
1993-06-10 cumberland Crossing Retirement
Community - Convalescent Home
Expense
1993-06-11 National Multiple Sclerosis
Society - Gift payment
1993-06-14 Doris Fielda - Nursing Care
1993-06-14 Patrice Weber - Nursing Care
1993-06-16 Nursing Match Nursing Registry
Inc. - Nuraing Care Expense
1993-06-21 Patrice Weber - Nursing Care
1993-06-22 Brooks Brothera - Balance due
1993-06-22 Doris Fields - Nursing Care
1993-06-22 Howard Burkett, DPM -
Physician service
1993-06-22 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-06-28 Dauphin Deposit Baok and Trust
Co. - Commission
1993-06-29 Caroline Powell - Gift payment
1993-06-29 Doris Fields - Nursing Care
1993-06-29 Patrice Weber - Nursing Care
1993-06-30 Cumberland Crossing Retirement
Community - Convalescent Home
Expense
1993-06-30 Nursing Match Nursiog Registry
Inc. - Nursiog Care Expeose
1993-07-02 Adams-Cumberland Medical
Center, Inc. - Medical Expense
1993-07-08 Care Apothecary -
Prescriptions delivered
1993-07-08 Camp lIill Presbyterian Church
- Gift payment
1993-07-08 Grand Encampment of Knights
Templar - Gift payment
7Q
I.
1,052.88
124.00
75.90
2,236.89
10.00
748.50
370.00
557.50
370.00
324.00
444.50
23.75
861. 50
1,159.55
50.00
666.50
14 8.00
100.00
778.25
4.75
66.33
80.00
15.00
1993-07-08 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-07-14 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-07-19 Cumberland Crossing Retirement
Community - Convalescent Home
Expense
1993-07-20 Nursiog Match Nursing Registry
Inc. - Nursing Care Expense
1993-07-21 Holy Spirit Hospital - Gift
payment
1993-07-23 Easter Seal Society - Gift
payment
1993-07-26 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-07-27 Memorial Sloan-Kettering
Cancer Ceoter - Gift payment
1993-07-30 Care Apothecary _
Prescriptions delivered
1993-07-30 Care Apothecary _
Prescriptions delivered
1993-08-02 Caroline Powell - Gift payment
1993-08-03 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-08-04 Camp Hill Presbyterian Church
- Gift payment
1993-08-05 Byers/Basciano P T & Rehab _
Balance due
1993-08-10 Ancipnt Accepted Scottish Rite
Club - Gift payment
1993-08-11 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-08-13 Cumberland crossing Retirement
Community - Patient Cash Fund
1993-08-16 Cumberland Crossing Retirement
Community - Convalescent Home
Expense
1993-08-18 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-08-18 RKI Group Plans - Insurance
Premi um
1993-08-24 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
71
.
1,724.57
1,602.00
2,499.56
1,602.00
35.00
10.00
1,602.00
10.00
122.48
23.44
50.00
1,602.00
100.00
94.64
5.00
1,602.00
100.00
2,401.26
1,602.00
21. 75
1,602.00
I
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.
,
'.
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1993-08-27 American Diabetes Association
- Gift payment
1993-09-01 Caroline Powell - Gift payment
1993-09-02 Adams-Cumberland Medical
Center, Inc. - Medical Expense
1993-09-02 Care Apothecary -
Prescriptions delivered
1993-09-02 Care Apothecary -
Prescriptions delivered
1993-09-02 Camp Hill Presbyterian Church
- Gift payment
1993-09-02 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-09-07 CoreStates Bank of Delaware -
Balance due on Mastercard
1993-09-07 PA Department of Revenue -
1993 Estimated Personal Income
Tax
l
'i:,
~
:):
~.
,~
'f.
.
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j.
'f;"
,
::-
~
f
1993-09-08 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-09-15 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-09-17 Cumberland Crossing Retirement
Community - Convalescent Home
Expense
1993-09-22 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-09-27 Cumberland Crossiog Retirement
Community - Convalescent Home
Expense
1993-09-28 Dauphin Deposit Bank and Trust
Co. - Commission
1993-09-28 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-10-01 Care Apothecary -
Prescriptions delivered
1993-10-01 Camp Hill Presbyterian Church
- Gift payment
1993-10-01 Caroline Powell - Gift payment
1993-10-04 Marine Corp. Reserve Toys -
Gift payment
1993-10-06 Lowther Manor Lodge #781 -
Membership dues
72
10.00
50.00
4.75
22.16
53,60
80,00
1,602.00
6.00
124.00
1,639.04
1,746.08
2,352.28
1,602.00
100.00
1,064.11
1,602.00
53.43
100.00
50.00
10.00
50.00
'~
1993-10-06 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1,602.00
1993-10-08 Cumberland Crossing Retirement
Community - Convalescent Home
Expense
2,595.32
1993-10-13 Nursing Mhtch Nursing Registry
Inc. - Nursing Care Expense
1993-10-14 Guiding Eyes for the Blind -
Gift payment
1993-10-14 National Multiple Sclerosis
Society - Gift payment
1993-10-20 Cumberland Crossing Shrine
Club - Membership dues
1993-10-20 Nuraing Match Nursing Registry
Inc. - Nursing Care Expense
1,602.00
10.00
10.00
5.00
1,602.00
1993-10-20 National Multiple Sclerosis
Society - Gift payment
1993-10-27 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
10.00
1,602.00
1993-10-28 Care Apothecary -
Prescriptions delivered
1993-10-28 Care Apothecary -
Prescriptions delivered
1993-10-29 Salvation Army . Gift payment
1993-11-01 Camp Hill Presbyterian Church
- Gift payment
1993-11-01 Caroline Powell - Gift payment
1993-11-03 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-11-05 Carlisle Community Ambulance
Service - Ambulance membership
1993-11-08 Cumberland Crossing Retirement
community - Convalescent Home
Expense
1993-11-10 Ala South Central Pennsylvania
- Gift payment
1993-11-10 CoreStates Bank of Delaware -
Service fee
178.87
8.16
10.00
80.00
50.00
1,591.44
40.00
2,622.59
10.00
60.84
1993-11-10 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-11-10 RKI Group Plans - Insurance
Premium
1,602.00
43.00
73
<,
1993-11-15 Carlialo Hospital - Physician
service expense
72.60
1993-11-16 Nursing Match Nursing ROglatl'y
Inc. - Nursing Care Expeoso
1,602.00
1993-11-17 Centl'al Pennsylvania Chapter
Gift payment
1993-11-17 Disabled American Veterans -
Gift payment
1993-11-17 March of Dimes - Gift payment
1993-11-17 Evelyn Summers - Gift payment
1993-11-18 Camp Hill Presbyterian Church
- Gift payment
1993-11-18 Zembo Temple - Gift payment
1993-11-26 American Institute for Cancer
Reaearch - Gift payment
1993-11-26 Masonic Charities - Gift
payment
1993-11-26 Nursiog Match Nursing Registry
Inc. - Nursing Care Expense
1993-11-30 Cumberland Crossing Retirement
Community - Patient Cash Fuod
1993-12-01 Camp Hill Presbyterian Church
- Gift payment
1993-12-01 Caroline Powell - Gift payment
1993-12-01 Easter Seal Society - Gift
payment
1993-12-01 National Multiple Sclerosis
Society - Gift payment
1993-12-01 Special Olympics - Gift
payment
1993-12-02 Ancient Accepted Scottieh Rite
Club - Gift payment
1993-12-02 Care Apothecary -
Prescriptions delivered
1993-12-02 Nursing Match Nursing Registry
Ioc. - Nursing Care Expense
10.00
10.00
10.00
50.00
100.00
50.00
5.00
25.00
1,602.00
100.00
80.00
,
~
,
50.00
10.00
it
~
I
10.00
I
10.00
25.00
187.21
r
,
I
'.
1,713.12
1993-12-02 American Red Cross - Gift
payment
1993-12-08 Adams-Cumberland Medical
Center, Inc. - Medical Expeose
10.00
4.75
'. .
74
.
-,./n
",i,....".
- ,,,. ,,\
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1993-12-08 Cumberlaod Crossing Retirement
Community - Convalescent Homo
Expense
1993-12-08 Camp Hill Presbyterian Church
- Gift payment
1993-12-09 American Diabetes Association
- Gift payment
1993-12-09 American Heart Association -
Gift payment
1993-12-09 Camp Hill Presbyterian Church
- Gift payment
1993-12-09 Nursing Match Nursing Registry
Inc. - Nursing Care Expeose
1993-12-09 Perseverance Royal Arch
Chapter #21 - Gift payment
1993-12-09 Salvation Army - Gift payment
1993-12-09 Stephen M. Rydesky Jr., DMD -
Physician service expense
1993-12-09 Volunteers of America - Gift
payment
1993-12-14 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-12-17 American Cancer Society - Gift
payment
1993-12-17 The Patriot News -
Subscription fee
1993-12-21 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1993-12-23 PA Department of Revenue -
1993 Estimated Personal Income
Tax
1993-12-28 Dauphin Deposit Bank and Trust
Co. - Commission
1993-12-28 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-01-03 Camp Hill Presbyterian Church
- Gift payment
1994-01-03 Caroline Powell - Gift payment
1994-01-04 Care Apothecary -
Prescriptions delivered
1994-01-04 Easter Seal Society - Gift
payment
75
2,393.81
100.00
10.00
10.00
25.00
1,602.00
28.00
10.00
22.90
10.00
1,602.00
10.00
85.80
1,560.38
124.00
1,256.87
1,720.50
100.00
50.00
139.49
10.00
1994-01-04 Nursing Match Nursing Registry
Inc. - Nursing Core Expense
1994-01-10 Penn Mutual Life Insurance -
Insurance premium
1994-01-10 Penn Mutual Life Insurance
Insurance Premium
1994-01-11 Cumberlaod Crosaing Retirement
Community - Convaleacent Home
Expense
1994-01-11 Carlisle Hospital - PhYSician
service expense
1994-01-11 Whitemarsh Memorial Park - 3
Wreaths
1994-01-18 Alzheimer's Disease & Related
Disorders Association - Gift
payment
1994-01-18 Grand Encampment of Knights
Templar - Gift payment
1994-01-19 Cumberland Croasing Retirement
Community - Patient Cash Fund
1994-01-19 Camp Hill presbyterian Church
- Gift payment
1994-01-20 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-01-20 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-01-21 Ala South Central Pennsylvania
- Gift payment
1994-01-25 Salvation Army - Gift payment
1994-01-26 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-01-27 Brooks Brothers - Balance due
1994-01-31 Asian Relief, Inc. - Gift
payment
1994-01-31 Convenant House - Gift payment
1994-02-01 Camp Hill Presbyterian Church
- Gift payment
1994-02-01 Caroline Powell - Gift payment
1994-02-01 Easter Seal Society - Gift
payment
1994-02-01 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
"
1.725.12
21.15
21.15
2,521.88
85.00
82.50
10.00
20.00
100.00
100.00
1,602.00
1,602.00
10.00
10.00
1,602.00
260.00
12.00
10.00
80.00
50.00
10.00
1,597.38
76
1994-02-02 Care Apothecary -
Prescriptions delivered
1994-02-03 Adarna-Cumberland Medical
Center, Inc. - Medical Expense
1994-02-04 American Diabeted Association
- Gift payment
1994-02-04 Arthritis Foundation - Gift
payment
1994-02-07 American Institute for Cancer
Research - Gift payment
1994-02-07 National Wildlife Federation -
Gift payment
1994-02-08 Cumberland Crossing Retirement
community - Convalescent Home
Expense
1994-02-08 Charles J. Rife, MD -
Physician service expense
1994-02-09 Nursing Match Nursing Registry
Inc. - Nursing Care Expel.de
1994-02-14 Carlisle Hospital - Physician
service expense
1994-02-14 Guiding Eyes for the Blind -
Gift payment
1994-02-15 Camp Hill Presbyterian Church
- Gift payment
1994-02-15 Nursing Match Nursing Registry
Inc. - Nursiog Care Expense
1994-02-17 Zembo Temple - Gift payment
1994-02-18 Hope School - Gift payment
1994-02-18 St. Joseph's Indian School -
Gift payment
1994-02-18 Special Olympics - Gift
payment
1994-02-23 American Cancer Society - Gift
payment
1994-02-23 cumberland Crossing Retirement
Community - Patient Cash Fund
1994-02-23 Easter Seal Society - Gift
payment
1994-02-23 March of Dimes - Gift payment
1994-02-23 Nursing Match Nursing Regiatry
Inc. - Nursing Care Expense
77
"
94.59
11.88
10.00
10.00
10.00
10.00
2,737.16
4.30
1.602.00
11.40
10.00
100.00
1,602.00
15.00
10.00
10.00
10.00
10.00
100.00
10.00
10.00
1,602.00
1994-02-23 National Multiple Scleronin
Society - Oift payment
1994-02-25 Nursing Match Nursing Ilegistry
Inc. - Nursing Cal'e Expenue
1994-02-28 Waltel' II. FLY Jl"" CPA - 1993
Tax Prsparation Fee
1994-02-28 NLEOMF - Oift payment
1994-03-01 Camp Hill Pl'esbyterian Church
- Oift payment
1994-03-01 Caroline Powell - Oift payment
1994 -03-01 Nuruing Match Nursing Registry
Inc. - Nursing Care Expense
1994-03-09 Care Apothecary -
Prescriptions dslivered
1994-03-10 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-03-11 Cumberland Crosaing Retirement
Community - Convalescent Home
Expense
1994-03-15 Camp Hill Presbyterian Church
- Oift payment
1994-03-15 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-03-28 Dauphin Deposit Bank and Trust
Co. - Commission
10.00
t ,602,00
135,00
10.00
80,00
50.00
1,602.00
140,21
1,520.00
2,375.98
100.00
1,592.75
1,258.64
1994-03-29 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1,595.06
1994-04-01 Camp Hill Presbyterian Church
- Oift payment
1994-04-01 Caroline Powell - Gift payment
1994-04-04 Care Apothecary -
Prescriptiono dslivered
1994-04-04 Care Apothecary -
Prescriptions delivered
1994-04-05 Nursing Match Nursiog Registry
Inc. - Nursing Care Expenne
1994-04-07 Cumberlaod Crossing Retirement
Community - Conva lescent Home
Expense
1994-04-08 Penn Mutual Life Insurance
Company - Insurance Premium
1994-04-13 Nursing Match Nursing Ilegistry
Inc. - Nursing Care Expense
80.00
50.00
70.20
111.74
1,709.74
4,584.91
1.27
1,602.00
78
1994-04-15 Camp 11111 Pl'enbyterian Church
- Gift peyment
1994-04-20 Beckley & Madden, Enquire -
Attorney fee
1994-04-20 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-04-25 Dauphin Depoeit Bank and Trust
Co. - Safe Depoait Rental
1994-04-26 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-05-02 Camp Hill Presbyterian Church
- Gift payment
1994-05-02 Caroline Powell - Gift paymeot
1994-05-04 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-05-05 Adams-Cumberland Medical
Center, Inc. - Medical Expense
1994-05-05 Cumberland Crossing Retirement
Community - Convalescent Home
Expense
1994-05-10 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-05-10 RKI Group Plans - Insurance
Premium
1994-05-17 Camp Hill presbyterian Church
- Gift payment
1994-05-19 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-05-25 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-06-01 Caroline Powell - Gift payment
1994-06-02 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-06-02 Vera Chase - Gift payment
1994-06-03 Camp Hill presbyterian Church
- Gift payment
1994-06-03 Camp Hill Presbyteriao Church
- Gift paymeot
1994-06-07 cumberland Crossing Retirement
Community - Convalescent Home
Expense
79
"
100.00
483.31
1,574.25
77 .55
1,500.25
100.00
50.00
1,602.00
38.12
4,249.03
1,602.00
43.00
100.00
1,595.07
1,595.07
50.00
1.639.04
150.00
80.00
100.00
4,346.83
1994-06-07 NUl'sing Match Nursing Ilegilltry
Inc. - Nursing Care Expense
1994-06-07 PA Department of Revenue -
1994 Estimated Personal Income
Tax
1994-06-08 Cumberland Crossing Retirement
Community - Patient Cash Fund
1994-06-08 Cumberland Crossing Retirement
Community - Convalescent Home
Expense
19~4-06-14 Care Apothecary -
prescriptions delivered
1994-06-14 Care Apothecary -
Prescriptions delivered
1994-06-14 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-06-15 Camp Hill Presbyterian Church
- Gift payment
1994-06-21 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-06-24 The Patriot News -
Subscription fee
1994-06-27 Dauphin Deposit Bank and Trust
Co. - Commission
1994-06-27 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-07-01 Care Apothecary -
Prescriptions delivered
1994-07-01 Camp Hill Presbyterian Church
- Gift payment
1994-07-01 Caroline Powell - Gift payment
1994-07-05 ATS Medical Services, Inc.
Physician service
1994-07-05 ATS Medical Services, Inc. -
Physician service
1994-07-06 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-07-12 Nursing Match Nursing Registry
loco - Nursing Care Expense
1994-07-15 Camp Hill Presbyterian Church
- Gift payment
1994-07-18 Stephen M. Rydesky Jr., DMD -
Physician service expense
80
"
1,665.83
48.00
100.00
4,346.83
38.32
305.61
1,602.00
100.00
1,602.00
89.10
1,184.57
1,602.00
185.53
100.00
50.00
67.22
27.93
1,639.04
1,676.08
100.00
45.00
1994-07-19 Cumberland Crossing Retirement
Community - Convalescent Home
Expense
1994-07-19 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-07-20 March of Dimes - Gift payment
1994-07-26 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-07-26 Smith's Appliance & Electronic
- Balence due
1994-07-27 Alzheimer's Disease & Related
Disorders Association - Gift
payment
1994-07-27 American Diabetes Association
- Gift payment
1994-07-27 American Heart Association -
Gift payment
1994-07-27 Guiding Eyes for the Blind -
Gift payment
1994-07-27 National Foundation for Cancer
- Gift payment
1994-07-27 National Multiple Sclerosis
Society - Gift payment
1994-07-27 Patient Accounting Service,
Inc. - Physician service
expense
1994-08-01 Caroline Powell - Gift payment
1994-08-02 Camp Hill Presbyterian Church
- Gift payment
1994-08-02 Nur.sing Match Nursing Registry
Inc. - Nursing Care Expense
1994-08-03 Care Apothecary -
Prescriptioos delivered
1994-08-08 Thomas L. Filip, DMD -
Physician service expense
1994-08-12 CUmberland Crossiog Retirement
Community - Convalescent Home
Expense
1994-08-12 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-08-16 Camp Hill Presbyterian Church
- Gift payment
81
'.
222.27
1,602.00
5.00
1,551.13
444.14
25.00
10.00
10.00
15.00
10.00
25.00
25.73
50.00
80.00
1,602.00
178.32
16.00
4,467.32
1,597.37
100.00
1994-08-17 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-08-24 Habitat for Humanity
International - Gift payment
1994-08-26 Carlisle Imaging Associates
Physician service expense
1994-08-26 Medical Equipment Co. -
Medical expense
1994-08-26 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-08-31 Care Apothecary -
Prescriptions delivered
1994-08-31 Nursing Match Nursing Registry
Inc. . Nursing Care E~pense
1994-09-01 Camp Hill Presbyterian Church
. Gift payment
1994-09-01 Caroline Powell - Gift payment
1994-09-06 American Diabetes Association
- Gift payment
1994-09-06 Cumberland Crossing Retirement
Community - Coovalescent Home
Expense
1994-09-06 PA Department of Revenue -
1994 Estimated Personal Income
Tax
1994-09-09 Nursing Match Nursing Registry
Inc. . Nursing Care Expense
1994-09-13 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-09-21 Camp Hill Presbyterian Church
- Gift payment
1994-09-21 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-09-27 Dauphin Deposit Bank and Trust
Co. - Commission
1994-09-28 Carlisle Imaging Associates -
Physician service expense
1994-09-28 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-09-28 RWC Emergency Physicians -
Physician service expense
1994-09-30 Care Apothecary -
Prescriptions delivered
82
1,538.25
20.00
1. 94
2,232.00
1,612.25
293.11
1,591.75
80.00
50.00
10.00
4,048.73
90.00
1,639.04
1,504.71
100.00
1,602.00
1,134.45
5.82
1,550.75
8.54
87.47
1994-10-03 Camp Hill Pl'esbyterian Church
- Gift payment
1994-10-03 Caroline Powell - Gift payment
1994-10-05 Cumberland Crossing Retirement
Community - Convalescent Home
Expense
1994-10-05 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1994-10-06 Adams-Cumberland Medical
Center, Inc. - Medical Expense
1994-10-17 Transfer to Principal -
Accumulated income to date of
death
1995-01-04 Dauphin Deposit Bank and Trust
Co. - Commission
1995-03-28 Dauphin Deposit Bank and Trust
Co. - Commission
1995-06-27 Dauphin Deposit Bank and Trust
Co. - Commission
1995-09-26 Dauphin Deposit Bank and Trust
Co. - Commission
1995-12-26 Dauphin Deposit Bank and Trust
Total Disbursements of Income
"
100.00
50.00
4,541.40
1,602.00
76.11
9,003.26
739.18
746.88
707.89
703.52
705.40
------------- 484,559.85
484,559.85
.............
83
"
DISTRIBUTIONS OF INCOME TO BENEFICIARIES
1989-12-29 Walter J. Summers Income 4,612.36
Distribution
1990-03-30 Wslter J. Summers - Income 5,766.38
Distribution
1990-06-11 Walter J. Summers Income 100.00
Distribution
1990-08-14 Walter J. Summers - Income 50.00
Distribution
1990-08-31 Walter J. Summers - Income 75.00
Distribution
1990-10-09 Walter J. Summers - Income 75.00
Distribution
1992-09-24 Walter J. Summers - Income 300.00
Distribution
1992-09-29 Walter J. Summers - Income 300.00
Distribution
1992-10-09 Walter J. Summers - Income 300.00
Distribution
1992-11-27 Walter J. Summers - Income 500.00
Distribution
1992-12-23 Walter J. Summers - Income 700.00
Distribution
1992-12-30 Walter J. Summers - Income 500.00
Distribution
1993-01-14 Walter J. Summers - Income 700.00
Distribution
1993-02-03 Walter J. Summers - Income 700.00
Distribution
1993-02-18 Walter J. Summers - Income 700.00
Distributioo
1993-04-02 Walter J. Summers - Income 700.00
Distribution
1993-04-09 Walter J. Summers - Income 500.00
Distribution
1993-05-07 Walter J. Summers - Income 700.00
Distribution
1993-06-07 Walter J. Summers - Income 600.00
Distribution
1993-06-11 Walter J. Summers - Income 400.00
Distribution
84
I'C.?;~f.' ,~, '
"
1993-06-18 Walter J, Summers - Income
Distribution
300.00
1993-06-18 Walter J. Summers - Income
Distribution
200.00
18,778.74
Total Distributions of Income
18,778.74
.............
85
I
i
I
i
~.
,
I
PRINCIPAL
Receipts. Balance of Prior Account
Thin Account
Net Oain (or Loss) on Salea or Other Disposition/Principal
0.00
703,235.53
16,360.90
Page
3-6
7-8
719,596.43
Less. Oeneral Disbursements
Fses
Balance before Diatributiooa
Distrib. to Beneficiaries
325,750.35
10,800.00
336,550.35
9-11
383,046.08
177,777.78
12
Principal Balance on Hand 205,268.30 13
For Information.
Investments Made 14
Changes in Investment Holdings 14
INCOME
Receipts. Balancs of Prior Account
This Account
Net Oain (or Loss) on Sales or Other Disposition/Income
0.00
516,177.76
15-34
0.00
Less: Disbursements
Balance Before Distribution
Distributions to Benaficiaries
516,177.76
484,559;85
35-83
31,617.91
18,778.74
Income Balance on Hand
For Information.
Investments Made
Changes in Inveatment Holdings
Combined Balancd on Hand 218,107.47
12,839.17
84-85
86
.............
2
............~~..,_~'_....................,_.....v"'f~'''.~'''''''-,',..,.... ..
RECEIPTS OF PRINCIPAL
Descr ipt ion
Uoder Agreement dated 08/02/83
Amended 11/26/84
1989-12-05 Walter J. Summere Trust -
Temp Fund Muni Fund
1989-12-05 Walter J. Summers Trust.
Cash
1989-12-05 300 shares American Telephone
& Telegraph Co.
1989-12-05 20 ehares Bell Atlantic Corp.
1989-12-05 45 shares BellSouth Corp.
1989-12-05 996 units Fixed Income
Collective Investment Fund
1989-12-05 900 shares General Motors
Corp.
1989-12-05 18,598 units Municipal Bond
Fund
1989-12-05 40 shares Pacific Telesis
Group
1989-12-05 300 shares SCE Corp.
1989-12-05 20 shares U.S. West Inc.
1989-12-05 600 shares Exxon Corp.
Cash,
1989-12-27 profeasional Abstract Inc.
Proceeds on sale of Real
Estate
1990-04-12 Walter J. Summers - Addition
to Trust from Checking account
1990-06-29 Vera A. Summers Trust B .
Distribution
1990-09-28
Vera A. Summers Trust B -
Distribution
Vera A. Summers Trust B -
Distribution
Vera A. Summers Trust B .
Distribution
1990-12-n
1991-03-29
, .
.,
Fiduciary
Acquisition
Value
16,600.00
60.02
6,750.00
930.00
410.00
10,392.20
30,434.23
195,770.67
776.25
7,725.00
803.75
15,675.00
.....-------- 286,327.12
143,206.64
34,000.00
2,969.43
2,854.24
2,975.41
2,968.56
3
't
'V
1991-06-28 Vel'a A, Summel's Tl'uSt n - 2,937.72
Diatribution
1991-09-30 Vera A. Summers Trust n - 2,809.73
Distribution
1991-12-31 Vera A. Summel's Tl'US t n - 2,921.34
Distl'ibution
1992-03-31 Vel'a A. Summel's Tl'uSt n - 2,890.80
Distribution
1992-06-30 Vera A. Summers Trust n - 2,830.91
Distribution
1992-08-20 Walter J. Summere - Addition 105,842.91
to Trust
1992-09-30 Vera A. Summers Trust B - 2,650.00
Distribution
1992 -12-11 Walter J. Summers - Addition 500.00
to Trust from Checking account
1992-12-31 Vera A. Summera Trust B - 2,700.44
Distribution
1993-03-31 Vera A. Summers Trust B - 2,677.52
Distribution
.
~ 1993-06-02 Walter J. Summers - Addition 5,000.00
. to Trust from Checking account
;
1993-06-29 Walter J. Summers - Addition 1,181.95
to Trust from Checking account
1993-06-30 Vera A. Summers Trust B - 2,503.01
Distribution
199~-09-30 Vera A. Summers Trust B - 2,607.29
Distribution
1993-12-08 Walter J. Summers - Addition 2,924.02
to Trust from Checking account
1993-12-31 Vera A. Summers Trust B - 2,479.30
Distribution
1994-03-31 Vera A. Summers Trust B - 2,441.63
Distribution
1994-06-30 Vera A. Summers Trust B - 2,426.03
Distribution
1994-09-30 Vera A. Summers Trust B - 2,344.20
Distribution
1994-10-17 Transfer from Income - 9,003.26
Accumulated income to date of
death
1994-10-18 Transfer from Income Accrued 99.00
interest on American Telephone
& Telegraph Co.
4
.\It''':_J-....;~..;n>jtf'''',..~..~.r--___"''',"..- =L""'.-"'-:"C'"
~,. ,.,+';.."'-.'i....;~'""""'#.,.."".,~......^"'..,.-'~' ~ .,~', '~.-',.", ,
'\
1994-10-18 Transferred from Income Accrued ;>.1.80
Interest on Pacific Telesis
Group
1994-10-18 Transferred from Income Accrued 150,00
Interest on SCIl Corp.
1994-11-08 Transferred from Income Accrued 565.88
Interest on Fixed Income
Collective Investment Fund
1994-11-08 Transferred from Income Accrued 15.40
Interest on Navigator Fund
1994-11-08 Transferred from Income Accrued 861.99
Interest on Municipal Bood Fund --....................... 352,360,41
Stocks/Listed,
1993-01-15 6 shares American Water Works
Inc. Cumulative Preference
114 .00
-....--....--........
114.00
Adjustment to Carrying Value
to date of death,
1994-10-18 Airtouch Communications
786.54
1994-10-18 American Telephone & Telegraph
Co.
8,850.00
1994-10-18 Bell Atlantic Corp.
1994-10-18 BellSouth Corp.
1994-10-18 General Motors Corp.
1994-10-18 Pacific Telesis Group
1994-10-18 SCIl Corp.
1994-10-18 U.S. West Inc.
1994-10-18 Ilxxon Corp.
1,140.10
2,045.43
9,447.02
767.21
150.00
713.75
19,162.50
--......................
43,062.55
Adjustment to Carrying Value
for Distribution (1/25/96),
American Telephone & Telegraph
Co.
2,006.25
BellSouth Corp.
Ilxxon Corp.
1,324.57
13,837.50
General Motors Corp.
1,378.13
5
~~g;~~J.;.~,~.r,t"'>H*-"",:';:~~~,#,~,';" '"
;,
,r::'.","
:-;,,~""-.:;..-
,.<;. - ,,-.;,;.., .-~-. ~7h
,
. . ~
Pacific Telesis Group
SCE Corp.
(25.00)
2.850.00
21,371.45
Total Receipts of Principal
703.235.53
.............
6
I
I
~
"',.,
"
GAINS AND LOSSllS ON SALES OR OTIIER DISPOSITIONS/PRINCIPAL
Gain Loss
1993-04-05 1,139 units Fixed Income
Collective Investment Fund
Net Proceeds 12,501. 27
Fid. Acq. Value 11,028.73 1,472.54 0.00
1993-04-05 1,090 units Municipal Bond
Fund
Net proceede 12,507.39
Fid. Acq. Value 11,693.54 813.85 0.00
1993-10-06 855 units Municipel Bond Fund
Net proceedo 10,003.87
Fid. Acq. Value 9,172.45 831.42 0.00
1993-11-02 2,138 units Municipal Bond
Fund
Net Proceeds 25,006.53
Fid. Acq, Value 22,936.50 2,070.03 0.00
1994-03-02 2,197 units Municipal Bond
Fund
Net Proceeds 25,000.83
Fid. Acq. Value 23,569.45 1,431.38 0.00
1994-06-03 2,243 units Municipal Bond
Fund
Net Proceeds 25,003.03
Fid. Acq. Value 24,062.94 940,09 0.00
1994-08-26 6 shares American Water Works
Inc. Cumulative Preference
Net Proceeds 115.64
Fid. Acq. Value 114.00 1.64 0.00
1994 -10-04 2,259 units Municipal Bond
Fund
Net Proceeds 25,007.90
Fid. Acq. Value 24,234.59 773.31 0.00
1994-11-03 10,261 units Fixed Income
Collective Investment Fund
Net Proceeds 103,233.36
Fid. Acq. Value 99,355.43 3,877.93 0.00
7
1994-11-03 17,717 units Municipal Bond
Fund
Net Proceeds 195,024.79
Fid. Acq. Value 190,06B .26 4,956.53 0,00
1995-03-07 40 shares Airtouch
Communications
Net Proceeds 1,062.96
Fid. Acq. Value 1,110.00 0.00 47.04
1995-03-07 150 shares American Telephone
& Telegraph Co.
Net Proceeds 7,713.49
Fid. Acq. Value 7,800.00 0.00 86.51
1995-03-07 40 shares Bell Atlantic Corp.
Net Proceeds 2,117.92
Fid. Acq. Value 2,070.10 47.82 0.00
1995-03-07 450 shares General Motors
Corp.
Net Proceeds 19,203.10
Fid. Acq. Value 19,940.63 0.00 737.53
1995-03-07 40 shares u.s. West Inc.
Net Proceeds 1,532.94
Fid. Acq. Value 1,517.50 15.44 0.00
Total Gains and Losses/Principal 17,231,98 871.08
Less Loss 871.08
--------..-...--
Net Gain 16,360.90
.............
I
,
l
!
8
i
I
".-~;.<,.~_,,; ,....,_.w.,
DISBURSEMENTS OF PRINCIPAL
Oeneral Disbursements.
1990-04-11 Beckley & Madden, Esqu h'e 1,432.50
At tOl'ney fee
1990-06-26 Transfer to Income 5,000.00
1990-07-18 Transfer to Income 500,00
1990-07-20 Transfer to Income 1,000.00
1990-07-24 Transfer to Income 2,000.00
1990-07-27 Tranefer to Income 5,000,00
1990-08-28 Transfer to Income 5,000.00
1990-10-15 Transfer to Income 1,000.00
1990-10-25 Transfer to Income 5,000,00
1991-03-04 Transfer to Income 1,000.00
1991-04-11 Transfer to Income 5,000.00
1991-11-01 Transfer to Income 5,000,00
1992-02-28 Transfer to Income 10,000.00
1992-04-28 Dauphin Deposit Bank and Trust 8.00
Co. - Notary fee
1992-07-17 Transfer to Income 5,000:00
1992-08-26 Transfer to Income 5,000.00
1992-09-25 Beckley & Madden. Esquire - 102.00
Attorney fee
1992-09-25 Beckley & Madden, Esquire - 158,25
Attorney fee
1992-10-01 Transfer to Income 10,000.00
1992-11-17 Transfer to Income 10,000.00
1992-12-17 Transfer to Income 10,000,00
1993-01-15 Transfer to Income 5,000,00
1993-01-22 Transfer to Income 10,000,00
1993-02-24 Transfer to Income 5,000.00
1993-03-17 Transfer to Income 10,000,00
1993-04-13 Transfer to Income 20,000.00
1993-06-30 Transfer to Income 5,000,00
1993-07-21 Transfer to Income 5,000,00
9
~'... ",.... ,.,,--
"
"
1993-08-19 Transfer to Income 5,000.00
1993-09-20 Transfer to Income 5,000.00
1993-09-30 Transfer to Income 2,000,00
1993-10-21 Transfer to Income 5,000.00
1993-11-09 Transfer to Income 5,000.00
1993-11-30 Transfer to Income 2,000.00
1993-12-10 Transfer to Income 5,000.00
1993-12-29 Transfer to Income 2,000.00
1994-01-05 Transfer to Income 5,000.00
1994-01-11 Beckley & Madden. Esquire - 145.00
Attorney fee
1994-01-27 Transfer to Income 5,000.00
1994-03-0B Transfer to Income 10,000.00
1994-04-08 Transfer to Income 5,000.00
1994-04-29 Transfer to Income 5,000.00
1994-05-20 Transfer to Income 10,000,00
1994-06-09 Transfer to Income 2,000.00
1994-06-15 Transfer to Income 10,000.00
1994-08-15 Transfer to Income 10,000.00
1994-09-07 Transfer to Income 10,000,00
1994-09-22 Beckley & Madden, Esquire - 341.61
Attorney fee
1994-10-06 Transfer to Income 10,000,00
1995-01-04 Dauphin Deposit Bank and Trust 268.99
Co. - Commission to 10/07/94
1995-01-09 Walter J. Summers Estate - 52,000,00
Advance Distribution
1995-03-24 Internal Revenue Service - 182.00
1994 Fiducisry Income Tax
1995-09-07 PA Department of Revenue - 12,00
1994 Fiduciary Income Tax
1995-12-15 Beckley & Madden - Advance 12,600.00
of Fees and Expenses pertaining
to Walter J, Summers Estate
........----....---- 325,750.35
10
t
,.
~
;
t
,
Ii
,
,
. .1
Reserves.
Dauphin Deposit Bank and Trust
Co. - Termination fee
1,000.00
Cost of filing First and 500.00
Pinal Accounting
Thomas A. Beckley, Esquire - 8,800.00
Pee for Estate related matters
Thomas A. Beckley, Esquire - 500.00
Attorney's fee for Summers Trust -------------
10,800.00
Total Disbursements of Principal
336,550.35
.............
"
11
~~:"':'hi'i'.~5-~"~~c"",;";",''''""",,,,+,,'';,-_-' ~..,,,,_..-,-"'
'.
'.
I
!
DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES
John Robel't Summers -
Advanced Distribution
Cash
150 shares AT & T Co.
300 shares Exxon C01'p.
450 shal'es Oenel'al Motors Corp.
24,537.50
9,806.25
24,337.50
21.318.75
80,000.00
.r"
Mary Jane Derby -
Advancod Diotribution
Cooh
90 shares BollSouth Corp.
300 shores Exxon Corp,
40 shores Pacific Telesis Group
600 shares SCE Corp.
39,962.50
3,780.00
24,337.50
1,195.00
10,725.00
80,000.00
Shrinors Hospital for Crippled
Children - Advsnced Distribution
Cash
8,888.89
Camp Hill United presbyterian
Church Foundation - Advanced
Distribution
Caoh
8,888.89
177,777 .n
Total Distributions of Principal
177,777.78
.............
12
Ori'
PRINCIPAL BALANCE ON HAND
Current
Value
01/25/96
Piduciary
Acquisition
Value
Cash.
Uninvested
Navigator Pund
68.30
205,200.00
68.30
205,200.00
205,268.30 205,268.30
............ ............
'.
'.
INFORMATION SCHEDULES--PRINCIPAL
Investments Madel
1990-01-04 2,311 units Municipal Bond
Fund
1990-02-02 2,317 units Municipal Bond
Fund
1990-03-05 2,582 units Fixed Income
Collective Investment Fund
24,997.04
24,990.82
24,998.77
1990-04-03 2,596 unita Fixed Income
Collective Investment Fund
24,998.74
1990-05-04 2,635 units Fixed Incomo
Collective Investment Fund
24,995.76
1990-06-05 2,591 units Fixed Income
Collective Inveotment Fund
24,998.69
1992-09-03
1,758 units Municipal Bond
Fund
877 units Municipal Bond Fund
883 units Municipal Bond Fund
878 units Municipal Bond Fund
877 unito Municipal Bond Fund
19,997,15
1992-10-02
1992-11-03
1992-12-02
1993-01-06
9,991.41
9,995.44
9,997.82
9,997,38
Changes in Investment Holdings,
1990-05-08 20 shores Bell Atlantic Corp. -
2 for 1 stock split
1990-05-11 20 shares U. S. West Inc. -
2 for 1 stock split
1993-06-21 300 shares SCE Corp. - 2 for 1
stock split
1994-04-14 40 shares Airtouch Communications
_ Spinoff from Pacific Telesis
Group
1995-11-08 45 shares Bellsouth Corp. -
2 for 1 stock split
0.00
0.00
0.00
323.46
0,00
14
. ," '.',.. \'" '\1."~;. "'0<"
RECEIPTS OF INCOME
Dividendsl
1989-12-12 General Motors Corp.
1989-12-12 Exxon Corp,
1990-02-01 SCE Corp.
1990-02-02 American Telephone & Telegraph
Co.
675.00
360.00
192.00
90.00
1990-02-02 Bell Atlantic Corp.
1990-02-02 BellSouth Corp.
1990-02-02 Pacific Telesis Group
1990-02-02 U.S. West Inc.
1990-03-13 General Motors Corp.
1990-03-14 Exxon Corp.
1990-05-01 SCE Corp.
1990-05-02 American Telephone & Telegraph
Co.
22.00
28.35
18.80
18.80
675.00
360.00
192.00
99.00
1990-05-02 Bell Atlantic Corp.
1990-05-02 BellSouth Corp.
1990-05-02 Pacific Telesis Group
1990-05-10 U,S. West Inc.
23.60
30.15
20.20
20.00
675.00
360.00
1990-06-11 General Motors Corp.
1990-06-12 Exxon Corp.
1990-06-13 American Water Works Inc.
Cumulative Preference
1.88
1990-08-01 SCE Corp.
1990-08-02 American Telephone & Telegraph
Co.
198.00
99.00
1990-08-02 Bell Atlantic Corp.
1990-08-02 BellSouth Corp.
1990-08-02 Pacific Telesis Group
1990-08-02 U.S. West Inc.
23.60
30,15
20,20
20,00
1.88
1990-09-05 American Water Works Inc.
Cumulative Preference
1990-09-11 General Motors Corp.
1990-09-11 Exxon Corp.
675.00
360.00
15
"''':';''';.\<:''1 ~"'I'~<""',.,h",,';';',;_~_ ,
.
1990-11-01 SCE Corp.
1990-11-02 American Telephone ~ Telogroph
Co.
198.00
99.00
1990-11-02 Bell Atlantic Corp.
1990-11-02 BellSouth Corp.
1990-11-02 Pacific Telesis Group
1990-11-02 U.S. West Inc.
1990-12-05 Americen Water Works Inc.
Cumulative Preference
23.60
30.15
20.20
20.00
1.88
1990-12-11 General Motors Corp.
1990-12-11 Exxon Corp.
1991-02-01 SCE Corp.
1991-02-04 American Telephone & Telegraph
Co.
1991-02-04 Bell Atlantic Corp.
1991-02-04 BellSouth Corp.
1991-02-04 Pacific Telesis Group
1991-02-04 U.S. West Inc.
1991-03-05 American Water Works Inc.
Cumulative Preference
675.00
402.00
198.00
99.00
23.60
30.15
20,20
20.00
1.88
1991-03-11 General Motors Corp.
1991-03-11 Exxon Corp.
1991-04-30 SCE Corp.
1991-05-01 American Telephone & Telegraph
Co.
360.00
402.00
198.00
99.00
1991-05-01 Boll Atlantic Corp.
1991-05-01 BollSouth Corp.
1991-05-01 Pacific Telesis Group
1991-05-01 U.S. West Inc.
25.20
31. 05
21.40
20.80
1.88
1991-06-04 American Water Works Inc.
Cumulative Preference
1991-06-10 General Motors Corp.
1991-06-10 Exxon Corp.
1991-07-31 SCE Corp.
360.00
402.00
204 .00
16
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"~;"C;::~';~;;";~.."i'-_t~f'7,~""H4".JLc
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,
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"
:';'. 1991-08-01 Amel'ican Telephone" Telegraph 99.00
Co.
1991-08-01 Bell Atlantic C01'p. 25.20
1991-08-01 BellSouth Corp. 31. 05
1991-08-01 Pacific Telesis Gl'OUp 21.40
1991-08-01 U,S. Wast Inc. 20.80
1991-09-04 American Water Works Inc. 1.88
i Cumulstive Preference
!
'1 1991-09-10 General Motors Corp. 360.00
i'
1991-09-10 Exxon Corp. 402.00
1991-10-31 SCE Corp. 204.00
1991-11-01 American Telephone & Telegraph 99.00
Co.
1991-11-01 Boll Atlantic Corp. 25.20
1991-11-01 BellSouth Corp. 31.05
1991-11-01 Pacif ic Telesis Group 21.40
1991-11-01 U.S. West Inc. 20.80
1991-12-10 General Motors Corp. 360.00
1991-12-10 Exxon Corp. 402.00
1991-12-12 American Water Works Inc. 1.88
Cumulative Preference
1992-01-31 SCE Corp. 204.00
1992-02-03 American Telephone & Telegraph 99.00
Co.
1992-02-03 Bell Atlantic Corp. 25.20
1992-02-03 BellSouth Corp. 31. 05
1992-02-03 Pacific Telesis Group 21.40
1992-02-03 U.S. West Inc, 20.80
1992-03-04 American Water Works Inc. 1.88
Cumulative Preference
1992-03-10 General Motors Corp. 360.00
1992-03-10 Exxon Corp. 402.00
1992-04-30 SCE Corp. 204.00
1992-05-01 American Telephone & Telegraph 99.00
Co.
1992-05-01 Bell Atlantic Corp, 26.00
17
"'''''':.~.:'''-'
. .
"
,
, 1992-05-01 BellSouth Corp. 31. 05
.
" 1992-05-01 Pacific Telesitl Group 21.80
"
l-
t 1992-05-01 U.S. West Inc. 21.20
i'
~. 1992-06-02 American Water Works Inc. 1.88
, Cumulative Prefel'ence
&
f 1992-06-10 General Motors Corp. 360.00
~.
.
t 1992-06-10 Exxon Corp. 432.00
,
~
1992-07-31 SCE Corp. 210.00
1992-08-03 American Telephone & Telegraph 99.00
Co.
1992-08-03 Bell Atlantic Corp. 26.00
1992-08-03 BellSouth Corp. 31. 05
1992-08-03 Pacific Telesis Group 21.80
1992-08-03 U.S. West Inc. 21. 20
1992-09-04 American Water Works Inc. 1.88
Cumulative Preference
1992-09-10 General Motors Corp. 360.00
1992-09-10 Exxon Corp. 432.00
1992-11-02 American Telephone & Telegraph 99.00
Co.
1992-11-02 Bell Atlantic Corp. 26,00
1992-11-02 BellSouth Corp. 31. 05
1992-11-02 Pacific Telesis Group 21. 80
1992-11-02 SCE Corp. 210.00
1992-11-02 U.S. West Inc. 21. 20
1992-12-04 American Water Works Inc. 1.88
Cumulative Preference
1992-12-10 General Motors Corp. 180.00
1992-12-10 Exxon Corp, 432,00
1993-02-01 BellSouth Corp. 31. 05
1993-02-01 Pacific Telesis Group 21. 80
1993-02-01 SCE Corp. 210.00
1993-02-01 U.S. West Inc. 21. 20
1993-02-04 American Telephone & Telegraph 99.00
Co,
18
~.-
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~f...... ".
, .
1993-02-04 Bell Atlantic Corp.
1993-03-02 American Water Works Inc.
Cumulative Preference
26.00
1.88
1993-03-10 General Motors Corp.
1993-03-10 Exxon Corp.
1993-04-30 SCE Corp.
1993-05-03 Bell Atlantic Corp.
1993-05-03 BellSouth Corp.
1993-05-03 Pacific Telesis Group
1993-05-03 U.S. West Inc.
1993-05-04 American Telephone & Telegraph
Co.
180.00
432.00
210.00
26,80
31.05
21.80
21.40
99.00
1993-06-01 Americen Water Works Inc.
Cumulative Preference
1.88
1993-06-10 Exxon Corp.
1993-06-16 General Motors Corp.
1993-08-02 American Telephone & Telegraph
Co.
432.00
180.00
99.00
1993-08-02 Bell Atlantic Corp.
1993-08-02 Pacific Telesis Group
1993-08-02 SCE Corp.
1993-08-02 U,S, West Inc.
1993-08-03 BellSouth Corp,
1993-09-01 American Water Works Inc.
Cumulative Preference
26,80
21. 80
213,00
21.40
31. 05
1.88
1993-09-10 General Motors Corp.
1993-09-10 Exxon Corp.
1993-11-01 Bell Atlantic Corp.
1993-11-01 BellSouth Corp.
1993-11-01 SCE Corp.
1993-11-01 U.S. West Inc.
180.00
432.00
26.80
31.05
213.00
21.40
99.00
1993-11-02 American Telephone & Telegraph
Co.
1993-11-02 Pacific Telesis Group
21. 80
19
"
..,
1993-12-01 American Water Works Inc.
Cumulative Preference
1.8B
1993-12-10 General Motors Corp.
1993-12-10 Exxon Corp.
1994-01-31 SCE Corp.
1994-02-01 Bell Atlantic Corp.
1994-02-01 U.S. West Inc.
1994-02-02 American Telephone & Telegraph
Co.
180.00
432.00
213.00
26.80
21.40
99.00
1994-02-02 BellSouth Corp.
1994-02-02 Pacific Telesis Group
1994-03-01 American Water Works Inc,
Cumulative Preference
1994-03-10 General Motors Corp.
1994-03-10 Exxon Corp,
1994-05-02 BellSouth Corp.
1994-05-02 Pacific Telesis Group
1994-05-02 SCE Corp.
1994-05-02 U.S. West Inc.
1994-05-04 Bell Atlantic Corp.
1994-05-06 American Telephone & Telegraph
Co.
1994-06-01 American Water Works Inc.
Cumulative preference
31. 05
21. 80
1.88
180.00
432.00
31.05
21. 80
213.00
21.40
27,60
99.00
1.88
1994-06-10 General Motors Corp.
1994-06-10 Exxon Corp.
1994-08-01 American Telephone & Telegl'aph
Co.
1994-08-01 Bell Atlantic Corp.
1994-08-01 BellSouth Corp.
1994-08-01 Pacific Telesis Group
1994-08-01 SCE Corp.
1994-08-01 U,S. West Inc.
180.00
432.00
99.00
1994-09-01 American Water Works Inc.
Cumulative Preference
27.60
31.05
21.80
150,00
21.40
1.88
1994-09-12 General Motors Corp.
180,00
20
'.
1994-09-12 Exxon Corp. 432.00
1994-11-01 Amorican Telephone & Te lograph 99.00
Co.
1994-11-01 Bell Atlantic Corp. 27.60
1994-11-01 BellSouth Corp. 31. 05
1994-11-01 U.S. West Inc. 21.40
1994-12-12 General Motors Corp. 180.00
1994-12-12 Exxon Corp. 450.00
1995-01-31 SCE Corp, 150.00
1995-02-01 Bell Atlantic Corp. 27,60
1995-02-01 BellSouth Corp. 31. 05
1995-02-01 Pacific Telesis Group 21.80
1995-02-01 U.S. West Inc, 21.40
1995-03-10 General Motors Corp. 180.00
1995-03-10 Exxon Corp. 4~0.00
1995-05-01 SCE Corp. 150.00
1995-05-01 BellSouth Corp. 31. 05
1995-05-01 Pacific Telesis Group 21.80
1995-05-01 AT & T Corp. 49.50
1995-06-12 General Motors Corp. 135.00
1995-06-12 Exxon Corp. 450.00
1995-07-31 SCE Corp. 150.00
1995-08-01 BellSouth Corp, 31. 05
1995-08-01 Pacific Telesis Group 21.80
1995-08-01 AT & T Corp. 49.50
1995-09-11 General Motors Corp. 135.00
1995-09-11 Exxon Corp. 450.00
1995-10-31 SCE Corp. 150.00
1995-11-01 BellSouth Corp. 32.40
1995-11-01 Pacific Telesis Group 21. 80
1995-11-01 AT & T Corp. 49.50
1995-12-11 General Motors Corp, 135,00
21
,
. ,....~-"w-.-.....-.._... .. ........... -- .
. _.....r'
... ....--~
~-.. "';..:,
.
_.-....~".__.--~_.-.,' ".'.'
-.
, .
1995-12-11 Exxon Corp, 450.00
--..........--.. 27,316.79
Interest.
1989-12-05 Temp Fund Muni Fund 3,900.00
1989-12-12 Walter J. Summers Trust - 1.64
Closing Interest
1990-01-04 Tamp Fund Muni Fund 102.36
1990-02-05 Temp Fund Muni Fund 608.18
1990-03-02 Temp Fund Muni Fund 460.68
1990-04-04 Temp Fund Muni Fund 422.19
1990-05-02 Temp pund Muni Fund 363,56
1990-06-04 Temp pund Muni Fund 355,48
1990-07-03 Temp Fund Muni Fund 212.22
1990-08-03 Temp Fund Muni Fund 182.54
1990-09-06 Temp Fund Muni Fund 149.97
1990-10-04 Temp Fund Muni Fund 142.72
1990-11-02 Temp Fund Muni Fund 135.69
1990-12-05 Temp Fund Muni Fund 119.12
1991-01-03 Temp Fund Muni Fund 126.70
1991-02-04 Temp Fund Muni Fund 107.51
1991-03-04 Temp Fund Muni Fund 86.06
1991-04-02 Temp Fund Muni Fund 95.09
1991-05-01 Temp Fund Muni Fund 97.45
1991-06-04 Temp Fund Muni Fund 103.30
1991-07-02 Temp Fund Muni Fund 89.46
1991-08-02 Temp Fund Muni Fund 95.13
1991-09-04 Temp Fund Muni Fund 101. 69
1991-10-01 Temp Fund Muni Fund 103.39
1991-11-01 Temp Fund Muni Fund 104.87
1991-12-02 Temp Fund Muni Fund 85.60
1992-01-03 Temp Fund Muni Fund 88.03
1992-02-03 Temp Fund Muni Fund 68.75
1992-03-03 Temp Fund Muni Fund 58.38
,
22 r
,
r,
~_c 't.<~_
'.
1992-04-01 Temp Fund Muni Fund 54.25
1992-05-04 Temp Fund Mun i Fund 62.14
1992-06-01 Temp Fund Muni Fund 62.90
1992-07-02 Temp Fund Muni Fund 46.67
1992-08-03 Temp Fund Muni Fund 39.32
1992-09-01 Temp Fund Muni Fund 106.03
1992-10-01 Temp Fund Muni Fund 209.84
1992-11-02 Temp Fund Muni Fund 173.51
1992-12-01 Temp Fund Muni Fund 131.50
1993-01-04 Temp Fund Muni Fund 97.30
1993-01-05 Navigator Fund 6.60
1993-02-01 Navigator Fund 60.75
1993-03-01 Navigator Fund 35.47
1993-04-02 Navigator Fund 24.46
1993-05-03 Navigator Fund 45.16
1993-06-01 Navigator Fund 44.50
1993-07-01 Navigator Fund 35.30
1993-08-03 Navigator Fund 28.54
1993-09-02 Navigator Fund 20.60
1993-10-04 Navigator Fund 10.19
1993-11-02 Navigator Fund 14.49
1993-12-02 Navigator Fund 47.17
1994-01-04 Navigator Fund 43.64
1994-02-02 Navigator Fund 35.14
1994-03-02 Navigator Fund 23.55
1994-04-04 Navigator Fund 56.76
1994-05-03 Navigator Fund 48.35
1994-06-02 Navigator Fund 41.41
1994-07-01 Navigator Fund 55.14
1994-08-01 Navigator Fund 54.55
1994-09-01 Navigator Fund 50.92
1994-10-03 NaVigator Fund 28.03
23
.
'~E"
',.'.~.:.-..,--~
'.
'.
1994-11-08 Navigator Fund 52.90
1994-12-01 Novigatol' Fund 757.19
1995-01-03 Navigstor Fund 978.75
1995-02-01 Navigator Fund 780.99
1995-03-01 Navigator Fund 745.03
1995-04-03 Navigator Fund 888.66
1995-05-01 Navigator Fund 925.89
1995-06-01 Navigator Fund 997.63
1995-07-05 Navigator Fund 871.14
1995-08-01 Navigator Fund 813.02
1995-09-01 Navigator Fund 857.03
1995-10-02 Navigator Fund 870.80
1995-11-01 Navigator Fund 883.92
1995-12-01 Navigator Fund 869.27
1996-01-03 Navigator Fund 945.52
....------........... 22,599.68
Other,
1989-12-05 Walter J. Summers Trust - 78.23
Income Balance
1990-01-04 Municipal Bond Fund 1,122,77
1990-01-05 Fixed Income Collective 63.06
Investment Fund
1990-02-02 Municipal Bond Fund 1,258.36
1990-02-05 Fixed Income Collective 67.04
Investment Fund
1990-03-02 Municipal Bond Fund 1,395.89
1990-03-05 Fixed Income Collective 63.83
Investment Fund
1990-04-03 Fixed Income Collective 245.33
Investment Fund
1990-04-03 Municipal Bond Fund 1,403,77
1990-05-02 Municipal Bond Fund 1,384,41
1990-05-04 Fixed Income Collective 410.91 l
Investment Fund I
I
I
24 i
!'
.
. .
1990-05-08 General Motors Corp. .
Retirement payment
1990-05-10 Capital Blue Cross/Blue Shield
- Claim payment
1990-05-17 PA Department of Revonue
1989 Personal Tax Refund
1990-06-04 Municipal Bond Fund
1990-06-04 Capital Blue Cross/Blue Shield
- Claim payment
1990-06-05 Bell of pennoylvania - Rofund
on Account
1990-06-05 Fixed Income Collective
Investment Fund
1990-06-06 General Motors Corp. -
Retirement payment
1990-06-26 Transfer from Principal
1990-07-03 Municipal Bond Fund
1990-07-05 Fixed Income Collective
Investment Fund
1990-07-05 General Motors corp. -
Retirement payment
1990-07-18 Transfer from principal
1990-07-20 Transfer from principal
1990-07-24 Transfer from principal
1990-07-27 Transfer from principal
1990-08-02 Municipal Bond Fund
1990-08-03 Fixed Income Collective
Investment Fund
;,
1990-08-07 General Motors Corp. -
Retirement payment
1990-08-14 CoreStates Bank of Delaware -
Reimbursement on Account
,
c'
,
;
e
.
1990-08-28 Transfer from Principal
1990-09-04 General Motors Corp.
Retirement payment
1990-09-05 Municipal Bond Fund
1990-09-06 Fixed Income Collective
Investment Fund
g:
;:...
(,
~
1990-10-02 Municipal Bond Fund
?
~
~
'i
1,141.33
59.95
3,767.00
1,386.18
215.74
10.33
601.68
1,141.33
5,000.00
1,390.86
754.05
1,141.33
500,00
1,000.00
2,000.00
5,000.00
1,393.31
775.55
1,141. 33
21. 37
5,000.00
1,141.33
1,390.42
772.65
1,402.25
25
'!
1990-10-03 Pixed Income Collectivo 753.35 I
Investment Fund
1990-10-15 Transfer from Principal 1,000.00
1990-10-16 General Motors Corp. - 1,141.33
Retirement payment
1990-10-25 Tranofer from Principal 5,000.00
1990-11-02 Municipal Bond Fund 1,385.90
1990-11-05 Fixed Income Collective 770.33
Investment Fund
1990-11-06 General Motors Corp. - 1,141.33
Retirement payment
". 1990-12-04 Municipal Bond Fund 1,387.33
1990-12-05 Fixed Income Collective 750.29
Investment Fund
1990-12-06 General Motors Corp. - 1,141.33
Retirement payment
1991-01-03 Municipal Bond Fund 1,393.27
1991-01-04 Fixed Income Collective 773.00
Investment Fund
1991-01-08 General Motors Corp, - 1,141.33
Retirement payment
1991-01-15 PA Department of Revenue - 59.00
1989 Personal Tax Refund
1991-02-04 General Motors Corp. - 1,141.33
Retirement payment
1991-02-04 Municipal Bond Fund 1,389.02
1991-02-05 Fixed Income Collective 771. 98
Investment Fund
1991-03-04 Municipal Bond Fund 1,381.93
1991-03-04 Transfer from Principal 1,000.00
1991-03-05 Fixed Income Collective 705,87
Investment Fund
1991-03-05 General Motors Corp. - 1,141.33
Retirement payment
1991-04-02 Municipal Bond Fund 1,383.77
1991-04-03 Fixed Income Collective 769,26
Investment Fund
1991-04-03 General Motors Corp. - 1,141.33
Retirement payment
1991-04-11 Transfer from Principal 5,000.00
26
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y'.l:
),.,'.
1991-04-12 General Motors Corp. _
Retirement payment
1991-05-01 PA Department of Revenue _
1990 Personal Tax Refund
1,384.92
1,835.00
1991-05-02 Fixed Income Collective
Invostment Fund
734.92
1991-05-02 General Motors Corp. _
Retirement payment
1991-05-02 Municipal Bond Fund
1991-06-04 Fixed Income Collective
Investment Fund
1991-06-04 General Motors Corp. _
Retirement payment
1991-06-04 Municipal Bond Fund
1991-07-02 Fixed Income Collective
Investment Fund
1,339.99
1,376.51
801.22
1,339,99
1,369.62
758.73
1991-07-02 Municipal Bond Fund
1991-07-05 General Motors Corp. _
Retirement payment
1991-08-02 Fixed Income Collective
Investment Fund
1,367.03
1,339.99
776.49
1991-08-02 General Motors Corp. -
Retirement payment
1991-08-02 Municipal Bond Fund
1991-09-04 Fixed Income Collective
Investment Fund
1,339.99
1,376.80
771.57
1991-09-04 Municipal Bond Fund
1991-09-06 General Motors Corp. -
Retirement payment
1991-10-02 General Motors Corp. -
Retirement payment
1991-10-03 Fixed Income Collective
Investment Fund
1,379.38
1,339.99
1,339.99
749.23
1991-10-03 Municipal Bond Fund
1991-10-28 Metropolitan Life - Claim
payment
1991-11-01 Metropolitan Life - Claim
payment
1991-11-01 Transfer from Principal
1991-11-04 Municipal Bond Fund
1,377.55
113.21
11. 04
5,000.00
1,368.28
27
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1991-11-04 Metropolitan Life - Claim 47.05
payment
1991-11-05 Fixed Income Collective 767.01
Investment Fund
1991-11-05 General Motors Corp. - 1,339.99
Retirement payment
1991-11-12 Metropolitan Life - Claim 106.95
payment
1991-12-04 Fixed Income Collective 747.27
Investment Fund
1991-12-04 Municipal Bond Fund 1;361.36
1991-12-05 General Motors Corp. - 1,339.99
Retirement payment
1991-12-10 Metropolitan Life - Claim 34.98
payment
1991-12-12 Metropolitan Life - Claim 101.04
payment
1991-12-23 Metropolitan Life - Claim 13.00
payment
1992-01-03 Municipal Bond Fund 1,365.32
1992-01-06 Fixed Income Collective 767.68
Investment Fund
1992-01-09 General Motors Corp. - 1,340.29
Retirement payment
1992-01-16 Metropolitan Life - Claim 630.00
payment
1992-02-05 Fixed Income Collective 771.11
Investment Fund
1992-02-05 General Motors Corp. - 1,341.09
Retirement payment
1992-02-05 Municipal Bond Fund 1,351.88
1992-02-12 A Z Ritzman Associates, Inc. . 75.00
Refund on Account
1992-02-28 Transfer from Principal 10,000.00
1992-03-03 General Motors Corp. . 1,341.09
Retirement payment
1992-03-04 Fixed Income Collective 728.33
Investment Fund
1992-03-04 Municip"" Bond Fund 1,341.12
1992-04-02 Fixed Income Collective 767.64
Investment Fund
28
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1992-04-02 General Motors Corp, -
Retirement payment
1992-04-02 Municipal Bond Fund
1992-04-14 Polyclinic Medical Center
Refund on Account
1,341.09
1,329.17
13.36
1992-05-04 General Motors Corp. -
Retirement payment
1992-05-04 Municipal Bond Fund
1992-05-05 Fixed Income Collective
Investment Fund
1,341.09
1,330,73
738.82
1992-06-03 Fixed Income Collective
Investment Fund
753.08
1992-06-03 Municipal Bond Fund
1992-06-04 General Motors Corp. -
Retirement payment
1992-06-05 Metropolitan Life - Claim
payment
1992-06-29 Metropolitan Life - Claim
payment
1992-07-02 General Motors Corp. -
Retirement payment
1992-07-03 Fixed Income Collective
Investment Fund
1,315.28
1,341.09
73.64
67.00
1,341.09
735.50
1992-07-03 Municipal Bond Fund
1992-07-17 Transfer from Principal
1992-08-04 General Motors Corp. -
Retirement payment
1992-08-04 Municipal Bond Fund
1992-08-05 Fixed Income Collective
Investment Fund
1,344.42
5,000.00
1,341.09
1,258.12
748.01
1992-08-26 Transfer from Principal
1992-09-02 General Motors Corp. -
Retirement payment
1992-09-03 Fixed Income Collective
Investment Fund
5,000.00
1,341.09
743.04
1992-09-03 Municipal Bond Fund
1992-09-15 Country Meadows of West Shore
- Refund on Account
1,280.39
2,069,55
1992-10-01 Transfer from Principal
10,000.00
29
;W~~':""""'~_~-~
"
1992-10-02 Fixed Income Collective
Investment Fund
726.74
1992-10-02 General Motors Corp. _
Retirement payment
1992-10-02 Municipal Bond Fund
1992-10-13 Sammons Communication Inc. _
Refund on Account
1,341.09
1,365.89
15.68
1992-11-03 Fixed Income Collective
Investment Fund
743.09
1992-11-03 General Motors Corp. _
Retirement payment
1992-11-03 Municipal Bond Fund
1992-11-17 Transfer from Principal
1992-12-01 General Motors Corp. _
Retirement payment
1992-12-02 Fixed Income Collective
Investment Fund
1,341.09
1,387.42
10,000.00
1,341.09
713.31
1992-12-02 Municipal Bond Fund
1992-12-17 Transfer from Principal
1992-12-18 General Motors Corp. _
Retirement payment
1993-01-05 Fixed Income Collective
Investment Fund
1,444.01
10,000.00
630.00
726.23
1993-01-05 General Motors Corp. _
Retirement payment
1993-01-06 Municipal Bond Fund
1993-01-15 Transfer from Principal
1993-01-22 Transfer from Principal
1993-02-02 Genoral Motors Corp. _
Retirement poymont
1993-02-03 Fixed Income Collective
Investment Fund
1,345.89
1.489.65
5,000,00
10,000.00
1,345.89
727.02
1993-02-03 Municipal Bond Fund
1993-02-12 Metropolitan Life - Claim
payment
1993-02-24 Transfer from Principal
1993-03-02 Fixed Income COllective
Investment Fund
1,530.94
165.90
5,000.00
675.48
1993-03-02 General Motors Corp. _
Retirement payment
1,345.89
30
',,,., i<.'....".~
1993-03-02 Municipal Bond Fund 1,517.27
1993-03-17 Transfer from Principal 10,000.00
1993-04-05 Fixed Income Collective 721. 44
Investment Fund
1993-04-05 General Motors Corp. - 1,345.89
Retirement payment
1993-04-05 Municipal Bond Fund 1,504.92
1993-04-13 Transfer from Principal 20,000.00
1993-05-04 Municipal Bond Fund 1,457.12
1993-05-05 Fixed Income Collective 630.07
Investment Fund
1993-05-05 General Motors Corp. - 1,345.89
Rotirement payment
1993-05-06 PA Department of Revenue _ 1,609.00
1992 Personal Tax Refund
1993-06-03 Fixed Income Collective 639.60
Investment Fund
1993-06-03 Municipal Bond Fund 1,457.59
1993-06-08 General Motors Corp. - 1,345.89
Retirement payment
1993-06-30 Transfer from Principal 5,000.00
1993-07-02 Municipal Bond Fund 1,441.47
1993-07-06 Fixed Income Collective 619.89
Investment Fund
1993-07-08 General Motors Corp, - 1,345.89
Retirement payment
1993-07-14 Metropolitan Life - Claim 23.24
payment
1993-07-21 Transfer from Principal 5,000.00
1993-08-04 Fixed Income Collective 641.09
Investment Fund
1993-08-04 Municipal Bond Fund 1,425.63
1993-08-06 General Motors Corp. - 1,345.89
Retirement payment
1993-08-19 Transfer from Principal 5,000.00
1993-09-02 Fixed Income Collective 633.02
Investment Fund
1993-09-02 Municipal Bond Fund 1,420.21
31
"
1993-09-07 General Motors Corp. . 1,345.89
Retirement paymont
1993-09-20 Transfer from Pl"inc1pa 1 5,000.00
1993-09-30 Transfer fl'om Pl"inc1pa 1 2,000.00
1993-10-05 Fixed Income Collective 622.61
Investment Fund
1993-10-06 Municipal Bond Fund 1,403.36
1993-10-07 General Motors Corp. - 1,345.89
Retirement payment
1993-10-21 Transfer from Principal 5,000.00
1993-11-02 General Motors Corp. - 1,345.89
Retirement psyment
1993-11-02 Municipal Bond Fund 1,360.63
1993-11-03 Fixed Income Collective 628.30
Investment Fund
1993-11-04 Social Security Benefits 734,00
1993-11-09 Transfer from Pl"incipal 5,000.00
1993-11-30 Transfer from Principal 2,000.00
1993-12-02 Fixed Income Collective 609.38
Investment Fund
1993-12-02 General Motors Corp. - 1,351.09
Retirement payment
1993-12-02 Municipal Bond Fund 1,232,77
1993-12-06 Social Security Benefits 734.00
1993-12-10 Transfer from Princi pa 1 5,000,00
1993-12-29 Transfer from principal 2,000.00
1994-01-04 Municipal Bond Fund 1,219.68
1994-01-05 Fixed Income Collective 616.82
Investment Fund
1994-01-05 General Motors Corp, - 1,345.89
Retirement payment
1994-01-05 Social Security Benefits 749.00
1994-01-05 Transfer from Principal 5,000.00
1994-01-27 Transfer from Principal 5,000.00
1994-02-02 General Motors Corp, - 1,541.14
Retirement payment
1994-02-03 Fixed Income Collective 623.16
Investment Fund
32
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1994-02-03 Municipal Bond Fund
1994-02-08 Social Security Benefits
1994-03-02 Fixed Incomo Collective
Inveotment Fund
1,218.05
749.00
584.32
1994-03-02 Municipal Bond Fund
1994-03-04 Genersl Motors Corp.
Retirement ;.ayment
1,215.62
1,387.64
1994-03-08 Social Security Benefito
1994-03-08 Transfer from Principal
1994-04-05 Fixed Income Collective
Investment Fund
1994-04-05 General Motors Corp. -
Retirement payment
1994-04-05 Municipal Bond Fund
1994-04-06 Social Security Benefits
1994-04-08 Transfer from Principal
1994-04-29 Transfer from Principal
1994-05-03 Fixed Income Collective
Investment Fund
749.00
10,000.00
608.70
1,387.64
1,097.94
749.00
5,000.00
5,000.00
585.28
1994-05-03 Municipal Bond Fund
1994-05-04 General Motors Corp. -
Retirement payment
1994-05-05 Social Security Benefits
1994-05-20 Transfer from Principal
1994-06-03 Fixed Income Collective
Investmont Fund
1,094.69
1,387,04
749.00
10,000.00
598.04
1994-06-03 General Motors Corp.
Retirement payment
1994-06-03 Municipal Bond Fund
1994-06-07 Social Security Benefits
1994-06-09 Transfer from Principal
1994-06-15 Transfer from Principal
1994-07-05 Fixed Income Collective
Investment Fund
1,387.01
1,098.50
749.00
2,000,00
10,000.00
582.45
1994-07-05 Municipal Bond Fund
1994-07-06 General Motors Corp. -
Retirement payment
989.58
1,387.04
33
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1994-07-06 Social Security Benefits 749.00
1994-08-02 Municipal Bond Fund 982,41
1994-08-03 Fixed Income Collective 582.57
Investment pund
1994-08-03 General Motoro Corp. - 1,387.04
Retirement payment
1994-08-05 Social Security Benefits 749.00
1994-08-15 Transfer from Principal 10,000.00
1994-09-02 Fixed Income Collective 572.43
Investment pund
1994-09-02 General Motors Corp. - 1,387.04
Retirement payment
1994-09-02 Municipal Bond Fund 978.30
1994-09-07 Social Security Benef.its 749.00
1994-09-07 Transfer from Principal 10,000.00
1994-10-04 Fixed Income Collective 560.25
Investment Fund
1994-10-04 Municipal Bond Fund 968.35
1994-10-06 Social Security Benefits 749.00
1994-10-06 General Motors Corp. - 1,387.04
Retirement payment
1994-10-06 Transfer. from Principal 10,000.00
-.......--.....----- 466,261. 29
..............................
Total Receipts of Income 516,177,76
.............
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DISBURSEMENTS OF INCOME
1989-12-27 Dauphin Deposit Bank and Truut
Co. " Commission
402.51
t"
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,-
i
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1990-03-27 Dauphin Deposit Bank and Trust
Co. - Commission
780.74
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1990-04-11 Walter H. Fry Jr., CPA - 1989
Tax Preparation Fee
1990-04-11 Camp Hill Madical Associates -
Physician service expense
1990-04-11 Mary Kramer - Gift payment
1990-04-11 PA Department of Revenue -
1989 Estimated Personal Income
Tax
135.00
78.88
100.00
98.00
1990-04-11 Sammons Communicetion Inc. -
Cable service
15.50
1990-04-16 Bell of Pennsylvania -
Telephone Expense
1990-04-17 A.T. & T. - Telephone Expense
1990-04-17 Beane & Associates - Physician
service expense
14.92
17.17
4.40
1990-04-17 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1990-04-24 Dauphin Deposit Bank and Trust
Co. - Safe Deposit Rental
1990-04-24 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1990-04-26 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
312.00
72.00
575.04
148,00
1990-04-27 Cowley Associates - Physician
service expense
1990-04-27 Sammons Communication Inc. -
Cable servico
112.00
13.50
1990-05-09 Ancient Accepted Scottish Rite
Club - Memborship dues
1990-05-10 Bell uf Pennsylvania -
Telephone Expense
1990-05-10 CoreStates Bank of Delaware -
Balance due on Mastercard
34.00
1990-05-10 Nursing Match Nursing Registry
Inc, - Nursing Care Expense
12.63
6.50
1,306.00
1990-05-10 Waste Management of
Pennsylvania - Utility expense
10.66
35
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,
,
1990-05-11 Country Meadows of West Shore
- Convalescent Care
1,996.08
1990-05-11 Marsh & McLennan Group
Associates - Insurance Premium
16.20
1990-05-17 A.T. & T. - Telephone Expense
1990-05-17 Camp Hill Medical Associates _
Physician service expense
1990-05-17 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1990-05-18 Cowley Associates - Physician
service expense
1990-05-23 A Z Ritzman Associates, Inc. _
Physician service expense
1990-05-24 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
17.17
22.20
600.00
320.00
75.00
974.25
1990-05-25 Ancient Accepted Scottish Rite
Club - Gift payment
1990-05-29 Sammons Communication Inc, _
Cable service
5.00
13.50
1990-06-01 Nursing Match Nursing Registry
Inc, - Nursing Care Expense
1990-06-07 Country Meadows of West Shore
- Convalescent Care
1,134.00
2,232.00
1990-06-07 Internal Revenue Service _
1990 Personal Income Tax
734.00
1990-06-07 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
994.00
1990-06-07 PA Department of Revenue _
1990 Estimated Personal Income
Tax
100,00
1990-06-13 A.T. & T. - Telephone Expense
1990-06-13 Bell of Pennsylvania _
Telephone Expense
1990-06-13 Nursing Match Nursing Registry
Inc, - Nursing Core Expense
1990-06-15 American Express - Membership
dues
17.17
1.16
1,054,13
I? ~O
1990-06-15 Rehab Medical Associates _
Physician service expense
1990-06-15 Renova - Physician service
expense
16.40
42.48
I
l
I
1990-06-19 Rehab Medical Associates _
Physician service expense
25.60
36
1990-06-21 Kaspar POdiatric Surgical
Associates - Balance due
1990-06-21 Personal Time Savers, Inc. _
Balance due
1990-06-25 EKG Associates - Physician
service expense
1990-06-25 Nursing Match Nursing Registry
Inc. - Nursing Caro Expense
1990-06-26 Camp Hill Presbyterian Church
1990-06-2;; Dauphin Deposit Bank and Trust
Co. - Commission
1990-06-27 Sammons Communication Inc, _
Cable service
1990-07-02 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1990-07-05 Country Meadows of West Shore
- Convalescent Care
1990-07-06 Pennsylvania Neurological
Associates - Physician service
expense
1990-07-10 Hampden Township Ambulance
Association - Balance due
1990-07-12 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1990-07-16 Rehab Medical Associates _
Physician service expense
1990-07-17 A.T. & T. - Telephone Expense
1990-07-17 Bell of Pennsylvania _
Telephone Expense
1990-07-17 Bell of Pennsylvania _
Telephone Expense
1990-07-17 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1990-07-19 MIC Associates - Physician
service expense
1990-07-19 Renova - Physician service
expense
1990-07-20 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1990-07-23 Rehab Medical Associates _
Physician service expense
37
50.00
342.62
11.04
994.00
200.00
1,149.55
13.50
1,306.00
2,082.90
34.98
100.00
1,713.12
9.60
17.17
2.33
60.00
1,591.75
106.95
37.17
1,602.00
25,60
.'""I'"""""'~-"j"x~.;to-;...;,q,-,~~><-,~",,_,,, -,:,f'~_.""...,,,.._....,_...,..~.__
1990-07-26 NU1'sing Match NU1'sing Registry
Inc. - Nursing Care Expense
1990-08-01 J. E. Caldwoll h Company -
Balance due
1990-08-01 Nursing Match NU1'sing Registry
Inc. - Nursing Care Expense
1990-08-02 Camp Hill presbytel'ian Church
- Gift payment
1990-08-02 Vara Chase - Gift payment
1990-08-08 Country Meadows of West Shore
- Convalescent Care
1990-08-08 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1990-08-13 Bell of pennsylvania -
Tolephone Expense
1990-08-14 Camp Hill Medical Associates -
Physician service expense
1990-08-14 Caroline Powell - Gift payment
1990-08-16 Nursing Match Nursing Registry
Inc, - Nursing Care Expense
1990-08-16 Sammons Communication Inc. -
Cable service
1990-08-17 A.T, & T. - Telephone Expense
1990-08-21 Hampden Township Ambulance
Association - Balance due
1990-08-21 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1990-08-28 Camp Hill presbyterian Church
- Gift payment
1990-08-28 Christian LJ.fe Assembly - Gift
paymont
1990-08-28 Personal Time Savers, Inc. -
Balance due
1990-08-28 Renova - Physician service
expense
1990-08-31 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1990-09-04 Country Meadows of West Shore
- Convalescent Care
"
1990-09-06 CoreStates Bank of Delaware -
Balance due on Mastercard
t
l
,
!
1,602.00
137.80
1.602.00
200.00
100.00
2,247.15
1,611.25
26.18
30.00
25.00
1,574.25
58.84
17.17
30.00
1,602.00
120.00
50.00
109.01
518.00
921. 25
2,173.87
90.81
38
~x
1990-09-06 Nursing Match Nursing RegistlY
Inc. - Nursing Care Expense
1990-09-07 Intornal Revenue Service -
1990 Personal Income Tax
801.00
367.00
1990-09-07 PA Department of Revenue
1990 Estimated Personal Incomo
Tax
100.00
1990-09-13 Bethesda Mission - Gift
payment
1990-09-13 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1990-09-14 A.T. & T. - Telephone Expense
1990-09-14 Bell of Pennsylvania -
Telephone Expense
1990-09-20 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1990-09-24 The Patriot News -
subscription fee
1990-09-25 Dauphin Deposit Bank and Trust
Co. - 19B9 Fiduciary Tax
Preparation Fee
1990-09-26 Dauphin Deposit Bank and Trust
Co. - Commission
1990-10-02 CoreStates Bank of Delaware -
Balance due on Mastercard
25.00
659.56
17.17
20.04
659.56
9.00
95.00
1,023.17
90.81
1990-10-02 Country Mesdows of West Shore
- Convalescent Care
2,257.46
1990-10-04 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1990-10-05 Camp Hill Presbyterian Church
- Gift payment
1990-10-05 Diabetes Foundation of Greater
Harrisburg - Gift payment
1990-10-05 Lowther Manor Lodge #781 -
Membership dues
1990-10-09 Camp Hill Medical Associates
Physician service expense
1990-10-10 Charles J. Rife, MD -
Physician service expense
1990-10-12 Caroline Powell - Gift payment
1990-10-12 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
534.00
120.00
25.00
35.00
82.26
5.00
25.00
534.00
39
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1990-10-15 Boll of Pennsylvania -
Telephone Expense
1990-10-15 CoreStates Bank of Delaware -
Balance duo on Maotercard
17.28
141.09
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1990-10-15 Media IIealthcare - Balance duo
1990-10-16 A.T. & T. - Telephone Expense
1990-10-19 Zambo Temple - Membership dues
50.52
r
i
1990-10-23 Pealel"s Flower Shop
due
Balance
17.17
40.00
21.20
i.
!
i.
1990-10-24 Holy Spirit Hospital - Gift
payment
1990-10-24 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1990-10-24 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1990-10-24 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1990-11-01 Sammons Communication Inc. -
Cable service
1990-11-02 Country Meadows of West Shore
- Convalescent Care
50.00
l\
!/
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534.00
534.00
534.00
17.50
!
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,
2,161,94
[
1990-11-02 Nursing Match Nursing Registry
Inc. - Nursing Care Expenoe
1990-11-02 The Patriot News -
Subscription fee
1990-11-05 Telamon Corp. - Balance due
1990-11-07 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
534 .00
~T
~
1
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19.50
24.95
534.00
1990-11-14 Camp Hill Presbyterian Church
- Gift payment
1990-11-15 A.T. & T. - Telephone Expense
1990-11-15 Bell of Pennsylvania -
Telephone Expense
1990-11-15 Nursing Match Nursing Registry
Inc. - Nursing Care Expenoe
120.00
17.17
16.80
534 .00
1990-11-21 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1990-11-28 A Z Ritzman Associates, Inc. -
Physician service expense
1990-11-28 Community Physicians, Inc. -
Physician service expense
534.00
29.08
2,45
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40
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...~<~;
.
1990-11-28 Nursing Match NU1'slng Registry
Inc. - Nuroing Care Expense
1990-12-03 Sommons Communication Inc. -
Coble sel'vice
571. 04
12.65
1990-12-05 Country Meodows of West Shore
- Convolescent Care
2,258.05
1990-12-05 Nursing Motch Nursing Registry
Inc. - Nursing Care Expense
1990-12-11 A.T. & T. - Telophone Expense
1990-12-11 Bon Ton - Balonce due
1990-12-11 Csmp Hill Presbyterion Church
- Gift payment
1990-12-11 Pealer's Flower Shop - Balonce
due
1990-12-13 Nursing Match Nursing Registry
Inc, - Nursing Care Expense
1990-12-14 Comp Hill Presbyterion Church
- Gift poymont
1990-12-18 Bell of Pennsylvania -
Telephone Expense
1990-12-19 Beone & Associates - Physicion
service expense
534,00
17.17
109.64
120.00
27.03
534.00
100,00
18.90
15.92
1990-12-19 Mediq Heolthcore - Bolonce due
1990-12-19 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
33.68
534.00
1990-12-21 Polyclinic Medical Center -
Balance due
16.70
1990-12-21 The Patriot News -
Subscription feo
1990-12-26 Salvation Army - Gift payment
1990-12-27 Dauphin Deposit Bank and Trust
Co, - Commission
1990-12-27 Internal Revenue Service -
1990 Personol Income Tax
1990-12-27 PA Department of Revenue -
1990 Estimated Personal Income
Tox
1990-12-27 Pealer's Flower Shop - Balonce
due
39.00
25.00
1,012.03
367.00
100.00
62.02
,
1991-01-03 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
534.00
H
1991-01-04 Country Moadows of West Shoro
- Convalescent Caro
2,232.13
1991-01-04 Nunlng Match NUl-sing Registry
Inc. - Nursing Care Expenso
1991-01-04 Sammons Communication Inc. -
Cable sel'vice
571 . 04
17.50
1991-01-10 Nursing Match Nursing Registl'y
Inc. - Nursing Care Expense
1991-01-10 Penn Mutual Life InSUloance
Company - Insurance premium
1991-01-10 Penn Mutual Life Insurance
Company - Insurance premium
1991-01-10 Pealer's Flower Shop - Balance
due
571 .04
21.15
21.15
37.37
1991-01-10 Whitemarsh Memorial Park -
Wreath for grave
1991-01-11 A.T. & T. - Telephone Expense
1991-01-11 Bell of Pennsylvania -
Telephone Expense
1991-01-15 Bon Ton - Balance due
1991-01-18 Camp Hill Presbyterian Church
- Gift payment
1991-01-18 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1991-01-25 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1991-01-30 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1991-01-30 Sammons Communication Inc. -
Cable service
96.00
17.17
16.98
17.29
80.00
534.00
534.00
534.00
18.50
1991-01-31 Camp Hill Medical Associates -
Physician service expense
1991-02-05 Bon Ton - Balance due
1991-02-05 Country Meadows of West Shore
- Convalescent Care
21.60
34.50
1,458.00
1991-02-07 Nursing Match Nursing Registry
Inc, - Nursing Care Expense
1991-02-13 American Telephone & Telegraph
Co.
534.00
17.17
1991-02-13 Camp Hill Presbyterian Church
- Gift payment
60.00
42
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1991-02-13 Camp Hill Presbyterian ChUl'ch
- Gift payment
1991-02-13 Nursing Match Nursing Rogistl'Y
Inc. - Nursing Care Expense
1991-02-15 Bell of Pennsylvania _
Telephono Expense
1991-02-21 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1991-02-21 Physician Support Systoms,
Inc. - Balance due
100.00
534 .00
56.02
534.00
8.94
1991-02-28 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1991-03-04 Sammons Communication Inc, _
Cable service
534 .00
15.53
1991-03-05 Country Meadows of West Shore
- Convalescent Care
1,677 .66
1991-03-05 William H. Save Jr., MD _
Physician service expense
1991-03-06 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1991-03-08 Camp Hill Presbyterian Church
- Gift payment
1991-03-11 A.T. & T. - Telephone Expenso
1991-03-14 Bell of Pennsylvania _
Telephone Expense
1991-03-14 Pilgrim Commandery - Gift
payment
1991-03-15 Mediq Healthcare - Balance due
1991-03-15 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1991-03-19 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1991-03-26 Dauphin Deposit Bank and Trust
Co. - Commiss ion
18.47
534.00
125.00
17.17
19.87
20.00
34.30
534.00
534.00
1,003.09
1991-03-26 PA Department of Revenue _
1990 Estimated Personal Income
Tax
18.00
1991-03-28 Walter H. Fry Jr., CPA - 1990
Tax Preparation Fee
1991-03-28 Claremont Auxiliary - Gift
payment
1991-03-28 Harrisburg Healthcare _
Balance due
135.00
10.00
53.17
43
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1991-03-28 Nursing Match Nursing Registry
Inc, - Nursing Care Expense
1991-03-28 RKI Group Plans - Insurance
Premium
1991-03-29 Sammons Communication Inc. -
Cable service
1991-03-30 Patrice Weber - Nursing Care
1991-04-03 Country Meadows of West Shore
- Convslescent Care
386.00
19.25
18.50
296.00
1,602.74
1991-04-03 J. E. Caldwell & Company -
Balence due
25.00
1991-04-03 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1991-04-08 Brooks Brothers - Balance due
370.00
120.93
25.00
1991-04-08 Charles J. Rife, MD -
Physician service expense
1991-04-08 Harrisburg TV & Appliance -
Balance due
61.48
1991-04-10 A.T. & T. - Telephone Expense
1991-04-10 Camp Hill Presbyterian Church
- Gift payment
1991-04-10 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1991-04-10 Salvation Army - Gift payment
1991-04-11 Bell of Pennsylvania -
Telephone Expense
1991-04-11 PA Department of Revenue -
1991 Estimated Personal Income
Tax
1991-04-17 Harrisburg Healthcare -
Balance due
17.17
100.00
534.00
10.00
16.12
100.00
37.74
1991-04-19 Juanita Blankenship - Nursing
care
148.00
1991-04-19 Patrice Weber - Nursing Care
1991-04-23 Patrice Weber - Nursing Care
1991-04-24 Juanita Blankenship - Nursing
care
386.00
386.00
148.00
1991-04-26 Brooks Brothers . Balance due
60.75
75.25
1991-04-26 Dauphin Deposit Bank and Trust
Co. - Safe Deposit Box Rental
44
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1991-04-29 Juanita Blankenship - Nursing
cal'e
312.00
1991-04-29 Patrice Webor - Nursing Care
1991-05-01 Ancient Accepted Scottish Rite
Club - Gift payment
1991-05-01 Sammons Communication Inc. -
Cable service
1991-05-03 Country Meadows of West Shore
- Convalescent Care
222.00
35.00
18.50
1,726.00
1991-05-08 Bon Ton - Balance due
39.99
80.00
1991-05-08 Camp Hill Presbyterian Church
- Gift payment
1991-05-08 Patrice Weber - Nursing Core
1991-05-09 A.T. & T. - Telephone Expense
1991-05-13 Bell of Pennsylvania -
Telephone Expense
1991-05-13 Patrice Weber - Nursing Care
1991-05-13 RKI Group Plans - Insurance
Premium
534.00
17.17
16.07
386.00
19.25
1991-05-15 Juanita Blankenship - Nursing
care
148.00
1991-05-17 Patrice Weber - Nursing Care
1991-05-22 Brooks Brothers - Balanco due
304.00
43.75
230.00
1991-05-22 Juanita Blankenship - Nursing
care
1991-05-24 Internists of Central
Pennsylvania - Physician
service expense
47.05
1991-05-28 Pealer's Flower Shop - Balance
due
1991-05-28 Patrice Weber - Nursing Care
1991-05-28 Salvation Army - Gift payment
19Q1-05-30 Juanita Blankenship - Nursing
care
49.56
460.00
10.00
230.00
1991-05-31 Patrice Weber - Nursing Care
1991-05-31 Sammons Communication Inc. -
Cable service
386.00
18.50
1991-06-03 Juanita Blankenship - Nursing
care
259.00
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1991-06-05 Camp lUll p,oesbyteloian Church
- Gift payment
1991-06-05 Country Meadows of West Shore
- Convalescent Care
100.00
1.713.15
'':'',
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if
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1991-06-05 Pilgrim Commandery . Gift
payment
1991-06-07 Patrice Weber - Nursing Care
1991-06-10 PA Department of Revenue -
1991 Estimated Personal Income
Tax
10.00
370.00
100.00
'1
f.
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1991-06-11 A.T. & T. - Telephone Expense
1991-06-11 Bell of Pennsylvania -
Telephone Expense
1991-06-11 Juanita Blankenship - Nursing
care
17.17
16.24
164.00
1991-06-13 Camp Hill Presbyterian Church
- Gift payment
1991-06-18 Patrice Weber - Nursing Care
1991-06-20 Dorothy Uffnar - Nursing care
1991-06-24 Patrice Weber - Nursing Care
1991-06-26 Dauphin Deposit Bank and Trust
Co. - Commission
100.00
370.00
164.00
370.00
1,174.39
1991-06-27 Dorothy Uffner - Nursing caro
1991-07-02 Grand Encampment of Knights
Templar - Gift payment
1991-07-02 The Patriot News -
Subscription fee
1991-07-02 Patrice Weber - Nursing Care
1991-07-03 Dorothy Uffner - Nursing care
1991-07-03 Sammons Communication Inc. -
Cable service
1991-07-05 Country Meadows of West Shore
- Convalescent Care
164,00
20.00
72.75
370.00
164,00
18.50
1,713.12
1991-07-10 A.T. & T. - Telephone Expense
1991-07-10 Bon Ton - Balance due
1991-07-10 Camp Hill Presbyterian Church
- Gift payment
1991-07-12 Bell of Pennsylvania -
Telephone Expense
1991-07-12 Patrice Weber - Nursing Care
17 .17
7.35
80.00
15.76
296.00
46
1991-07-12 Patrice Weber - Nursing Care
1991-07-16 Nursing Match NU1'sing Registry
Inc. - Nursing Core Expense
1991-07-18 Patrice Weber - Nursing Caro
1991-07-19 Harrisburg Uealthcare _
Balance due
496.00
164.00
370.00
4.05
1991-07-26 Dorothy Uffner - Nursing care
1991-07-29 A Z Ritzman Associates, Inc. _
Physician service expense
1991-07-29 Brooks Brothers - Balance due
1991-07-29 Patrice Weber - Nursing Care
1991-07-31 Dorothy Uffner - Nursing care
1991-08-02 Cathy Koss - Nursing care
1991-08-02 Sammons Communication Inc. _
Csble service
164.00
8.75
57.86
370.00
164.00
14 8.00
18.50
1991-08-06 Dauphin Deposit Bank and Trust
Co. - 1990 Fiduciary Tax
Preparation Pee
1991-08-06 Bon Ton - Balance due
1991-08-06 Camp Hill Presbyterian Church
- Gift payment
1991-08-06 Country Meadows of West Shore
- Convalescent Care
95.00
64.89
80.00
1,723.28
1991-08-06 Pet rice Weber - Nursing Care
1991-08-08 Susan Beers - Nursing care
1991-08-09 A.T. & T. - Telephone Expense
1991-08-09 Patrice Weber - Nursing Care
1991-08-12 Bell of Pennsylvania _
Telephone Expense
1991-08-14 Dorothy Uffner - Nursing care
1991-08-14 RKI Group Plans - Insurance
Premium
370.00
164.00
17.17
370.00
14 ,60
164.00
38.00
1991-08-16 Patrice Weber - Nursing Care
1991-08-19 PA Department of Revenue _
1990 Estimated Personal Income
Tax
370.00
107.67
1991-08-21 Dorothy Uffner - Nursing care
1991-08-22 Patrice Weber - Nursing Care
82.00
452.00
47
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1991-08-23 II Z Ritzman IIsuoc!atell, Inc. -
Physician service oxpenue
1991-08-23 Pealel"ll Flowel' Shop - Balance
due
1991-08-28 Sammons Communication Inc.
Cable service
1991-08-29 Susan Beers - Nursing core
1991-08-30 Patrice Weber - Nursing Cafe
1991-09-04 Bon Ton - Balanco due
1991-09-04 Camp Hill presbyterian Church
- Gift payment
1991-09-04 Country Meadows of West Shore
- Convalescent Care
2.80
32.60
18.50
164.00
370.00
31.65
100.00
1,719.75
1991-09-06 Dorothy Uffner - Nursing care
1991-09-06 PA Department of Revenue -
1991 Estimated Personal Income
Tax
164.00
100.00
1991-09-10 A.T. & T, - Telephone Expense
1991-09-10 Boll of Pennsylvania -
Telephone Expense
1991-09-10 Community Physicians, Inc. -
Physician service expense
1991-09-10 Patrice Weber - Nursing Core
1991-09-13 Patrice Weber - Nursing Care
1991-09-18 Dorothy Uffner - Nursing care
1991-09-20 Masonic Charities - Gift
payment
1991-09-24 Dorothy Uffnor - Nursing care
1991-09-24 Patrice Weber - Nursing Cafe
1991-09-26 Dauphin Deposit Bonk and Trust
Co. - Commission
17.17
15.75
5.02
489 . 00
370.00
164,00
25.00
164.00
370.00
1,043.95
1991-09-30 Sammons Communication Inc. -
Cable service
18,50
1991-10-01 Patrice Weber - Nursing Core
1991-10-02 Country Meadows of West Shore
- Convalescent Care
370.00
1,725.64
1991-10-03 Camp Hill Presbyterian Church
- Gift payment
1991-10-03 Dorothy Uffner - Nursing care
80.00
82.00
48
1991-10-08 A.T. "T. - Telephone Expense
1991-10-08 Patrice Weber - Nursing Core
1991-10-09 Pealer's Flowel' Shop - Balance
due
17.17
370.00
45.05
1991-10-16 Bell of Pennsylvania -
Telephone Expense
1991-10-16 Patrice Weber - Nursing Caro
1991-10-17 Dorothy Uffner - Nursing care
1991-10-18 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1991-10-21 Charles J. Rife, MD -
Physician service expense
1991-10-21 Dorothy Uffner - Nursing care
1991-10-21 Harrisburg Healthcore -
Balance due
13.94
370.00
164.00
624.00
7.00
268.25
38.51
1991-10-21 Lowther Manor Lodge #781 -
Membership dues
1991-10-22 Patrice Weber - Nursing Core
1991-10-22 Zembo Temple - Gift payment
1991-10-28 Easter Seal Society - Gift
payment
1991-10-28 Optical Reflections -
Eyeglasses
1991-10-28 Patrice Weber - Nursing Care
1991-10-29 Dorothy Uffner - Nursing core
1991-10-29 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1991-10-29 Sammons Communication Inc. -
Cable service
40.00
370.00
45.00
10.00
164.00
370.00
337.75
809.00
18.74
1991-10-31 Charles J, Rife, MD -
Physician service expense
25.00
1991-10-31 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1991-10-31 Perseverance Royal Arch
Chapter #21 - Gift payment
1991-11-04 Country Meadows of West Shore
- Convalescent Care
802.00
20.00
1,708.16
1991-11-04 Harrisburg Healthcare -
Balance due
10.00
49
1991-11-04 Nut"slng Match NUl'sing Ilegistry
Inc. - Nursing Care Expense
1991-11-04 Patrice Webe,' - Nuruing Care
1991-11-05 Beane Eo Associates - I'hysiclan
service expense
410.00
370.00
7.00
1991-11- 05 Camp lUll Presbyterian Chut'ch
- Gift payment
1991-11-05 Dorothy Uffner - Nursing care
1991-11-06 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1991-11-08 A.T. & T. - Telephone Expense
1991-11-13 Bell of Pennsylvania -
Telephone Expense
1991-11-13 Dorothy Uffner - Nursing care
1991-11-13 Patrice Weber - Nursing Care
1991-11-14 National Wildlife Federation -
Gift payment
1991-11-15 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1991-11-15 Patrice Weber - Nursing Care
1991-11-19 American Red Cross - Gift
payment
1991-11-20 Hampden Township Ambulance
Association - Membership dues
1991-11-20 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
80.00
317.25
111.00
17.17
20.83
386.75
370.00
10.00
30.00
111,00
370.00
15.00
267.00
1991-11-26 Dorothy Uffner - Nursing care
1991-11-26 Patrice Weber - Nursing Care
1991-11-26 Sammons Communication Inc. -
Cable service
164.00
370.00
18.74
1991-12-02 cumberland Clinic - Physician
service expense
19.84
1991-12-02 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
267.00
1991-12-03 Country Meadows of West Shore
- Convalescent Care
1,715.82
1991-12-03 Nursing Match Nursing Registry
Inc, - Nursing Care Expense
1991-12-04 American Heart Association -
Gift payment
407.00
10.00
50
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1991-12-04 Camp Hill Pl'esbytel'ian Chul"ch
- Gift payment
1991-12-04 Volunteers of America - Gift
payment
1991-12-09 Patrice Weber - Nursing Care
1991-12-10 A.T. & T. - Telephone Expense
1991-12-10 Bon Ton - Balance due
1991-12-10 Holmes O.K. Letterehop -
Christmas cards
100.00
10.00
370.00
17.17
63.25
108.51
1991-12-10 Imperial Shrine of American
North - Gift payment
1991-12-10 Salvation Army - Gift payment
1991-12-11 Bethesda Mission - Gift
payment
1991-12-11 Dorothy Uffner - Nursing care
1991-12-11 Pilgrim Commandery -
Mombership dues
1991-12-13 Bell of Pennsylvania -
Telephone Expense
1991-12-13 Charles J. Rife, MD -
Physician service expense
1991-12-13 Pealer'S Flower Shop - Balanco
due
1991-12-17 Patrice Weber - Nursing Care
1991-12-18 Camp Hill Presbyterian Church
- Gift payment
1991-12-24 Nursing Match NUl'sing Registry
Inc. - Nursing Care Expense
1991-12-24 The Patriot News -
Subscription feo
1991-12-24 Patrice Weber - Nursing Care
1991-12-26 Community Physiciens, Inc. -
Physician service expense
25.00
15.00
16.00
164.00
20.00
22,96
5.00
67.05
370.00
100.00
328.00
79.30
370.00
15.24
1991-12-26 EKG Associates - Physician
service expense
1991-12-26 Pealer's Flower Shop - Balance
due
2.68
32.25
1991-12-27 Dauphin Deposit Bank end Trust
Co. - Commission
1,049.61
51
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1991-12-27 PA Department of Revenue -
1991 Estimated Porsonal Income
Tax
100.00
1991-12-31 Patrice Weber - Nursing Care
1991-12-31 Sammons Communication Inc. -
Cable sorvice
408.00
18.74
1992-01-06 Camp Hill Pl"esbytel"ian Church
- Gift payment
1992-01-06 Patrice Weber - Nursing Care
1992-01-07 Country Meadows of West Shore
- Convalescent Care
80.00
406.96
1,720.01
1992-01-07 Holy Spirit Hospital - Bslance
due
166.96
1992-01-07 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-01-09 Bon Ton - Balance due
1992-01-09 Penn Mutual Life Insurance
Company - Insurance premium
164,00
86,56
21.15
1992-01-09 Penn Mutual Life Insurance
Company - Insurance premium
21.15
1992-01-09 Whitemarsh Memorial Park - 3
wreaths
87.00
1992-01-10 A.T. & T. - Telephone Expense
1992-01-10 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-01-14 Bell of Pennsylvania -
Telephone Expense
1992-01-14 Patrice Weber - Nursing Care
1992-01-15 Stephen M. Rydesky Jr., DMD -
Physician service expenso
1992-01-17 Patrice Weber - Nursing Care
1992-01-22 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-01-22 Pealer's Flower Shop - Balance
due
1992-01-28 Patrice Weber - Nursing Care
1992-01-28 Sammons Communication Inc. -
Cable service
20.28
164.00
18.89
370,00
15.50
370.00
164.00
30.83
370.00
20.24
1992-02-04 Camp Hill Presbyterian Church
- Gift payment
80.00
52
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1992-02-04 Ilanisburg TV & Appliance -
Balance due
33.92
1992-02-04 Patl'ice Webel' - NU1"sing Cal'e
1992-02-05 Country Meadows of West ShOl"e
- Convalescent Care
296.00
1,708.90
1992-02-05 J. E. Caldwell & Company -
Balance due
25.00
1992-02-10 Camp Hill Presbyterian ChUl'ch
- Gift payment
1992-02-10 Patrice Weber - Nursing Care
1992-02-11 A.T. & T. - Telephone Expense
1992-02-11 Doris Fields - Nursing Care
1992-02-11 Pealer's Flower Shop - Balance
due
100.00
370.00
20.28
238.00
29.42
1992-02-11 Zembo Temple - Gift payment
1992-02-12 Bell of Pennsylvania -
Telephone Expense
1992-02-12 Kathleen Sellitti - Nursing
care
15.00
18.18
656.00
1992-02-18 Patrice Weber - Nursing Care
1992-02-19 Easter Seal Society - Gift
paymont
1992-02-20 Doris Fields - Nursing Care
1992-02-21 Brooks Brothers. Balance due
1992-02-25 Patrice Weber - Nursing Care
1992-02-27 Walter H. Fry Jr., CPA - 1991
Tax P~eparation Fee
1992-02-27 Internal Revenue Service _
1991 Personal Income Tax
1992-02-27 RKI Group Plans - Insurance
Premium
1992-02-27 Sammons Communication Inc. -
Cablo service
370.00
10.00
164.00
87.50
370.00
135.00
1.609.00
19.25
20.24
1992-02-28 Guiding Eyes for the Blind -
Gift payment
1992-03-02 Patrice Weber - Nursing Care
1992-03-03 Camp Hill Presbyterian Church
- Gift payment
1992-03-04 Country Meadows of West Shore
. Convalescent Care
10,00
370.00
100.00
1,724.59
53
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1992-03-04 Holy Spirit Hospital - Balance
due
10.55
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1992-03-05 PA Department of Revenuo -
1991 Estimated Peroonal Income
Tax
30,00
1992-03-09 Disabled American Voterans -
Gift payment
1992-03-09 Doris pields - Nursing Care
1992-03-09 Pilgrim Commandery - Gift
payment
1992-03-11 A.T. & T. - Telephone Expense
1992-03-11 Patrice Weber - Nursing Care
1992-03-12 J. E. Caldwell & Company -
Balance due
10.00
348.50
20.00
20.28
454.00
50,07
1992-03-16 Bell of pennsylvania -
Telephone Expense
1992-03-16 Camp Hill presbyterian Church
- Gift payment
1992-03-16 Patrice Weber - Nursing Care
1992-03-18 Doris Fields - Nursing Care
199~-03-24 Patrice Weber - Nursing Care
1992-03-26 Dauphin Deposit Bank and Trust
Co. - Commission
18.06
25.00
370.00
410.00
296.00
1,062.67
1992-03-26 Pealer's Flower Shop - Balance
due
10.00
63,59
1992-03-26 Eileen B. Packer - Patron dues
fT'
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1992-03-27 Easter Seal Society - Gift
payment
1992-03-27 Sammons Communication Inc. -
Coble service
10.00
20.24
i;.i
'Fif
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1992-03-31 Doris Fields - Nursing Care
1992-03-31 Guiding Eyes for the Blind -
Gift payment
1992-03-31 Patrice Weber - Nursing Care
1992-04-06 Bon Ton - Balance due
1992-04-06 Patrice Weber - Nursing Care
1992-04-07 Country Meadows of West Shore
_ Convalescent Care
476.00
10.00
74.00
93.11
370.00
1,727.56
1992-04-09 A.T. & T. - Telephone Expense
20.28
54
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1992-04-09 Camp 11111 Presbytel'ian ChUl'ch
- Gift payment
1992-04-09 Doris Fields - Nursing Care
1992-04-10 Charles J. Rife, MD -
Physician service expense
1992-04-10 Internal Revenue Service -
1992 Personal Income Tax
80.00
238.00
35,00
402.00
1992-04-10 PA Department of Revenue -
1992 Estimated Personal Income
Tax
120.00
,
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1992-04-13 Bell of Pennsylvania -
Telephone Expense
1992-04-13 Holmes O.K. Lettershop - Thank
you cards
1992-04-13 Patrice Weber - Nursing Care
25.70
44.48
~
1992-04-15 Mayo Clinic Health -
Subscription fee
1992-04-15 whitemsrsh Memorial Park -
Bouquet of flowers
1992-04-21 Doris Fields - Nursing Care
1992-04-21 Patrice Weber - Nursing Care
1992-04-23 Pealer's Plower Shop - Balance
due
1992-04-24 Patrice Weber - Nursing Care
1992-04-28 Brooks Brothers - Balance due
370.00
24.00
'i
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18.55
369.04
370.00
81.63
1992-04-28 Dauphin Deposit Bank and Trust
Co. - Safe Deposit Rental
1992-04-28 Sammons Communication Inc. -
Cable service
370.00
136.50
77.55
20.24
1992-04-29 Doris Fields - Nursing Care
1992-04-30 Edward A. Rosbochil, DPM -
Physician service expenoe
1992-04-30 Henshaw Health Center -
Physician service expense
1992-05-01 Patrice Weber - Nursing Care
1992-05-06 Bon Ton - Balance due
238.00
38.00
45.30
370,00
40.42
1992-05-06 Camp Hill PreSbyterian Church
- Gift payment
1992-05-07 Country Meadows of West Shore
- Convalescent Care
100.00
1,812.57
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55
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1992-05-07 Nursing Match NU1'Iling Registl'Y
Inc. - Nursing Cora ExponRo
1992-05-08 RKI Group Plans - Insurance
Premium
82.00
19.25
1992-05-11 Patrice Weber . Nursing Care
1992-05-12 Whitemarsh Memorial Park .
Bouquet of flowers
1992-05-13 A.T. & T. - Telephone Expense
1992-05-13 Bell of Pennsylvania -
Telephone Expense
1992-05-14 Ancient Accepted Scottish Rite
Club - Gift payment
1992-05-14 Doris Fields - Nursing Care
1992-05-18 Patrice Weber - Nursing Care
1992-05-26 Patrice Weber - Nursing Care
1992-05-27 Brooks Brothers - Balance due
1992-05-27 Country Meadows of West Shore
- Convalescent Care
3'/0.00
17.50
20.28
16.92
40.00
246.00
370.00
370.00
104.50
1,812.57
1992-05-27 Harrisburg Healthcare -
Balance due
15.93
1992-05-27 Holy Spirit Hospital - Gift
payment
1992-05-27 Pealer's Flower Shop - Balance
due
50.00
33.92
1992-05-27 Sammons Communication Inc. -
Cable servtce
20.24
1992-05-29 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
82.00
1992-06-01 Optical Reflections -
Eyeglasses
1992-06-02 Patrice Weber - Nursing Care
1992-06-04 Melissa Wray - Companion
service expense
1992-06-04 Susanne Range - Companion
service expense
195.00
370.00
222.00
248.52
1992-06-08 A.T. & T. - Telephone Expense
1992-06-08 Camp Hill Presbytel'ian Church
- Gift payment
1992-06-08 Patrice Weber - Nursing Care
20.28
80.00
370.00
56
"C..-'A>ic:
1992-06-09 Internal Revenue Service
1992 Parsonal Income Tax
1992-06-09 PA Dopartment of Revenue -
1992 Estimated Personal Income
Tax
402.00
120.00
1992-06-10 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-06-12 Bell of Pennsylvania -
Telephone Expense
1992-06-12 Melissa Wray - Companion
service expense
1992-06-12 Susanne Range - Companion
service expense
82.00
17.16
129.50
193.00
1992-06-15 Patrice Weber - Nursing Care
1992-06-16 Fluorescent Supply Company -
Purchase of reading light
1992-06-18 Camp Hill Presbyterian Church
- Gift payment
1992-06-18 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
370.00
104.90
50.00
37.00
1992-06-18 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-06-18 Susanne Range - companion
service expense
74.00
230.00
1992-06-19 Holy Spirit Hospital - Balance
due
159.74
1992-06-22 Patrice Weber - Nursing Care
1992-06-25 Byers/Basciano P T & Rehab -
Balance due
370.00
69.68
1992-06-25 Dauphin Deposit Bank and Trust
Co. - Commission
1,043.64
1992-06-25 Melissa Wray - Companion
service expense
1992-06-25 Susanne Range - Companion
service expense
1992-06-29 Brooks Brothers - Balance due
115.00
189.00
141.75
1992-06-29 Doris Fields - Nursing Care
1992-06-29 Patrice Weber - Nursing Care
1992-06-29 Sammons Communication Inc. -
Cable service
492.00
370,00
20,24
1992-06-30 Doris Fields - Nursing Care
574.00
57
, .
1992-0G-30 Grand Encampment of Knights
Templar - Gift payment
1992-0G-30 The Patriot Nows -
Subscription fee
1992-07-01 Henshaw Health Center -
Physician sel'vice expense
1992-07-03 Camp Ifill Pl'esbyterian Church
- Gift payment
1992-07-03 Country Meadows of Wast Shore
- Convalescent Care
1992-07-03 Susanne Range - Companion
service expense
10.00
79.30
24.82
80.00
1,795.26
230.00
1992-07-06 Patrice Weber - Nursing Care
1992-07-10 Doris Fields - Nursing Care
1992-07-10 Susanne Range - Companion
service expense
370.00
234.04
250.52
1992-07-13 A.T. & T. - Telephone Expense
1992-07-13 Patrice Weber - Nursing Care
1992-07-15 Bell of Pennsylvania -
Telephone Expense
1992-07-15 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
20.28
370.00
20.81
"
111.00
1992-07-15 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-07-15 Susanne Range - Companion
service expense
1992-07-17 Byers/Basciano P T & Rehab -
Balance due
1992-07-20 Patrice Weber - Nursing Care
1992-07-22 Susanne Range - Companion
service expense
82.00
239.25
175.76
370.00
230.00
1992-07-23 Brooks Brothers - Balance due
21.82
95.00
1992-07-27 Dauphin Deposit Bank and Trust
Co. - 1991 Fiduciary Tax
Preparation Fee
1992-07-28 Doris Fields - Nursing Care
1992-07-28 Patrice Weber - Nursing Care
1992-07-28 Susanne Range - Companion
service expense
492.00
370.00
189,00
1992-07-29 Camp Hill Presbyterian Church
- Gift payment
25.00
58
\
1992-07-29 NurRing Match NU1'sing Registl"y
Inc. - Nursing Care Expense
1992-07-29 Sammons Communication Inc. .
Cable service
1992-08-01 Ancient Acceptod Scottish Rite
Club - Membership dues
1992-08-01 Bell of Ponnsylvania -
Telephone Expense
1992-08-03 Patrice Weber - Nursing Care
1992-08-05 Country Meadows of West Shore
- Convalescent Care
189.00
20.24
10.00
25.51
370.00
1,824.51
1992-08-05 NursinG Match Nursing Registry
Inc. - Nursing Care Expense
1992-08-05 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-08-05 Susanne Range - companion
service expense
41. 00
37.00
198.25
1992-08-06 Camp Hill Presbyterian Church
- Gift payment
1992-08-07 RKI Group Plans - Insurance
Premium
100.00
21.75
1992-08-11 A.T. & T. - Telephone Expense
1992-08-11 Doris Fields - Nursing Care
1992-08-11 Patrice Weber - Nursing Care
1992-08-13 Susanne Range - Companion
service expense
20.28
522.00
370.00
198,25
1992-08-17 Patrice Weber - Nursing Core
1992-08-18 Doris Fields - Nursing Care
1992-08-19 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
370.00
468.00
838.00
1992-08-19 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-08-20 Brooks Brothers - Balance due
386.00
1992-08-20 Pealer's Flower Shop - Balance
due
125.25
29,63
1992-08-25 Patrice Weber - Nursing Care
1992-08-27 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-08-27 Sammons Communication Inc. -
Cable service
370.00
1,060.00
20,24
59
1992-08-28 Doris Fields - Nursing Care
1992-08-31 Nationwido Insurance - Auto
Insurance premium
1992-08-31 Patrice Weber - Nursing Care
1992-09-02 Henshaw Health Cent or -
Physician service expense
1992-09-02 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-09-08 Camp Hill Presbyterian Church
- Gift payment
1992-09-08 Internal Revenue Service -
1992 Personal Income Tax
1992-09-08 PA Department of Revenue -
1992 Estimated Personal Income
Tax
1992-09-08 Patrice Weber - Nursing Care
1992-09-09 RKI Group Plans - Insurance
Premium
1992-09-10 A.T. & T. - Telephone Expense
1992-09-14 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-09-14 Patrice Weber - Nursing Care
1992-09-15 Doris Fields - Nursing Care
1992-09-17 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-09-18 Bell of Pennsylvania -
Telephone Expense
1992-09-18 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-09-22 Doris Fields - Nursing Care
1992-09-24 Patrice Weber - Nursing Care
1992-09-25 Dauphin Deposit Bank and Trust
Co. - Commission
1992-09-25 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-09-28 Patrice Weber - Nursing Care
1992-09-30 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-10-02 CoreStates Bank of Delaware -
Service fee
60
. .
542.00
7.20
370.00
13.59
791.75
80.00
402.00
120.00
370.00
21.75
20.28
1,104.96
370.00
925.25
795.35
11.99
74.00
475.85
370.00
1,207.60
1,126.13
370.00
1.004.50
6.00
1992-10-02 Doris Fieldo - Nursing Caro
1992-10-02 Dobbio Giboon - companion
service expenoe
1992-10-06 Doris FieldS - Nursing Core
1992-10-07 Adams-cumberland Medical
Center, Inc. - Medical Expense
1992-10-07 Byers/BaoCiano P T & Rehab -
Balance due
1992-10-07 Byers/Basciano P T & Rehab -
Balance due
1992-10-07 Debbie Gibson - Companion
service expense
1992-10-07 Lowther Manor Lodge "781 -
Membership dues
1992-10-07 Pilgrim Commandery - Gift
payment
1992-10-09 A.T. & T. - Telephone Expense
1992-10-09 Camp Hill presbyterian Church
_ Gift payment
1992-10-09 J. E. Caldwell & Company -
Balance due
1992-10-09 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-10-13 Doris Fields - Nursing Care
1992-10-13 Patrice Weber - Nursing Care
1992-10-13 SHCC - Gift payment
1992-10-13 Zembo Tomplo - Membership dues
1992-10-15 Debbie Gibson - Companion
service expense
1992-10-19 Cumberland Crossing Retirement
Community - Convalescent Home
Expense
1992-10-19 Cumberland Crossing Shrine
Club - Membership dues
1992-10-19 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-10-19 patrice Weber - Nursing Caro
1992-10-20 Doris FieldS - Nursing Care
1992-10-21 Nursing Match Nursing Registry
Inc, - Nursing Care Expense
61
-'r.
370.00
101.50
539.75
7.52
69.G8
40.56
116.00
40.00
10.00
20.28
80.00
117.01
838.00
412.50
570.00
10.00
45.00
58.00
1.222.50
5.00
819.50
570.00
477 . 25
838.00
f^'
: ,_...,..,,,,
1992-10-22 Bl'ooks Brothers - Balance due
128.75
370.00
479.88
866.50
1992-10-26 Patrice Weber - Nursing Care
1992-10-28 Doris Fields - Nursing Care
1992-10-28 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-10-29 cumberland Crossing Retirement
Community - Convalescent Home
1992-11-02 Patrice Weber - Nursing Care
1992-11-03 Cumberland crossing Retirement
Community - Convalescent Home
Expense
277.40
370.00
55,00
1992-11-03 Camp Hill Presbyterian Church
- Gift payment
1992-11-03 Doris Fields - Nursing Core
1992-11-04 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-11-09 Doris Fields - Nursing Care
1992-11-09 Perseverance Royal Arch
Chapter #21 - Membership dues
1992-11-09 Patrice Weber - Nursing Care
1992-11-10 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-11-13 Henshaw Health Center -
Physician service expense
1992-11-16 Cumberland Crossing Retirement
Community - Convalescent Home
Expense
100.00
460.00
846.00
477.25
20.00
370.00
912.00
8.17
7,232.77
1992-11-16 Harrisburg Healthcore -
Balance due
1992-11-16 Patrice Weber - Nursing Care
1992-11-17 Doris Fields - Nursing Care
1992-11-17 Nursing Match Nursing Registry
Inc, - Nursing Care Expense
1992-11-23 Doris Fields - Nursing Care
1992-11-23 Doris Fields - Nursing Care
1992-11-24 Nursing Match Nursing Registry
Inc. - Nursing Care Expense
1992-12-01 Doris Fields - Nursing Care
1992-12-01 Patrice Weber - Nursing Care
15,93
370.00
486.50
819.50
394.00
370.00
958,25
312.00
408,00
62
.
, .
l'
.
.
LA'1r WILL AND ~
OF
WlWl$:R J. StME:AS
I, W1\IIlU J, StHItRS, ot CU\ltle.t'land CCKmty, Psnnsylwnia,
being of sound and disposinq mind and IIBIDIY, cb 1IlIIlce, publish an:!
declue this to be my UIBt Will and 'l'estmII!ftt, h<<t;eby %8\IOkinI; all
Wills and CcdicilB by llIl at any tillIllllllde.
I'l'I!M I I 'l!AXI!:S. I direct that all inherit.an:le aft! estate
taXes l:leoc2ninq due by reason of my dIurth, wbirt:hel: INCh t:axe8 may be
payBble by my Es1:at:a or by m1Y :recipient ot any ~, llhall be
paid by my Executor cut of the ~~ pu'~ =er this Will, Wich
ill not specifically bequeathed or devised, as an expense and cost of
administration of my Estate. H.Y l!llceCUtar IIhall have h:l du1:y or
obliqation to obt:ain re~t for any llUCh tax plIid by my
Ex.eC:utor, even tixugh on t'..._......:lll of insurance or other prcper1:y not:
passing undar thia Will.
ITEM n: PERSQOO. PCSSESSICNS. :t hereby givw and bequeath
all of my household furniture and furnishings, ~, booQ,
pictures, jewelJ:y, c:I1.W, linen, sil~, W8II.ri:J; apparal an:! other
artdc:les of household or perBOIUll WlO and aa......._,l;. in equal &hues,
to my nepheW, JOlIN ~ 5tMl!:RS, and my ni.ec;lo, ~ .:mlE DERBY.
Paqa 1 of 6 pages
~,
l
I'1'!M In I JlESI:DtIMY pNJl"U<,I,'!{, I d1reot that all of IIrf
pz~, rul, penonal and 1IIbec1, not &.,.....Ja3 of in the ~..c-"~""il
~CIIIII elf tIW Will (including ulMlt8 Cl\/E 1lIhich I JU.Y hava . pcMW
.
of appointment) W11 be diIIt.rib1~ U fol.lcwwl
(a) FIVE PER CI!NltM (S') to the SHRINEIlS' IIJ6PrrAtS FOR
CRXPPLED CRIIDlU!N (Phlladelphia unit), . .....)lOJ:aticn,
for the use and bBnefit of the hoBpitll1ll owned,
operated and IIIlIintained by said .......___.t.i.on,
(b) FIVE PER CENl'tJol (S') to the Cl\MP JmoL 0Nrl'!D
~ O'IOJOI l!'ClIJNDM'ICN if it i. then in
exist.enee or, if it 1& not, to the Cl\MP RIIL 0Nrl'!D
~ 0iURCH, ClIlIp Hill, P8nn8Ylvania,
(e) FORTY-FIVE: PER c:2mU'I (45\) to ll'\Y I~-, Jt1lN ~
5IJlfoIERS, of Lan ."h., e, Penrwylvania, if he II\lXV1ves IllI
or, if he does not, per .uxpea to such elf his is_ u
&W:Viw mel and
(b) FOllft-FIVE: pJ:':R cmttJM (45') to my nieCe, M1II<< J7INE
DERBY, of Clevelard, HislJissi;:pi, if lIha surviwa -
or, if she does not, per n.i::pea to INCh of her i.-
as llUrVive me.
Page ~ of 6 Pages
"
,.
..
i
I'1DI IV, ~IS 1i'lH!:RS. In the ~t of my
EstAte, my Elc8cutor ahall passas, am:zng ot:hen, the toJ.lcl.rinq lXlWBnl
(a) 'Ib sell either at: public or privata sale and upca SUch
tel:ms and CClllditions sa my !1xecut:ar may &!en
advantagecua to my Estate, any or llll real or perllClnAl
estate or interest: th8rein, wh8t:har owned by 101
&everlllly or in con:lunct:icn with other persons or
~ after my death by my 2K8c:utor and to
COllS\mnate &aid sale or 8ales by sufficient: deeds or
ot:har ~ to the ~ or pw:chaaen,
ClOl1\I8yiJlg 1\ fee Sllrple tJ.t.le, free an4 clear of all
t:nIst and without liability of the ~ or
p.Irchasers to see to the application of the ~
money or to l1liIke inqu.i%y into the validity of said sale
or salelll 1Il1lO, to make, execute, ac:kmwll!dqe and
deliver any and All deeds, 1UII1igment:s, cpt:.iClrl.ll or
other writinqll Wich !My be fleOe""y or c!esinble in
eanyinq out any of the pc:lWl!n ClClnfcnd upon my
Elceeutor in th.UJ paragraph or elsewhere in my Will.
lbl 'l'o pay all costs, taxas, expanses and ehargesin
ccnnect:im with t:he administ:rat:ion of my Est:ate.
Page 3 of 6 Pages
,1...-......_~ ".
I.
\
,
-
','
"
Ie) 'l'o diftribut:e lIlY Estate in ldnci 0;1;' in money. In the
....m: aNts 11%11I ~ in kiDd, auch aatei:a shall
be diatnbutec.'l at t:heir VIIlua(B) en the ~ve
data(lI) of their diatriWtion.
IcJ) 'l'o do all other IICta in the :iw'"jII~ .L of flr;/ Executo1-
necea8lU:y or deairable for the prcper ani! ~
Il\IlZUlq1llnBnt, invellt:llwlnt ana diRrlbuticn of '111;/ Estate.
ITEM VI S~ DEM'fI. Any pElX'BCIlW;, IIhalJ. have died
Ill: !:he same t.1Jre as me or in a ................. dilUtel:' wit:h _ or \IIIder auch
circumstances ~t: .it .is clifficuJ.t or Urposlible to det:etmine who c!i4d
firllt, shall be " ~,~ t:c have Pl....'~"ec11ll!l.
ITEM VI: GOMDI1INSKJJ>. If lit lU'Iy tine any minor chil4
shall be 8Iltitled to receive any assets hereunder, DAUPHIN DEPOsIT
BANK 1\ND 'mIlST CXJolPANY, hAvinq offiCIIs in IInCl llZOIlnli Hanisbuv,
PennsylVllnia, shall act: as W4rdian of the uaeta payable to such
child. Said Qlard1an may receive IIl'C ac1minister Illl uset:s authorized
by law and shall have full IlUthc:d ty to uee BUCh 1IBset:s, both
principal and incane, in any mmner said Guardian shall deem advi8llble
for !:he best: 1nt:erest:s ot such c:hlld, includin;J c:cllege, un.iversity,
poBt-qr&iuAtc or ot:her educations, without 1RlClUring' CQJrt order. ScUd
QIardian shall have all the rights and privileges as to the
~
,
I
. '
p...- 4 of 6 PlI9U
~(.) am tM ....1:1 thereof AI an Mrein gnnt:lld to lIlY
Ex8cI1t:Clr AI to lIlY Eltat. ~ the AlIMIta tlwt.in.
1'l'I!M VIII zxrx:tnOR. I ~ ncminat.e, c:aw1:1tut.e and
appoint 'nDIM A. mx:Itt.!l'i, of QIql Hill, NnnIylwn1a, u lIlY :!xecu1:cr.
In thll wont of tho aeath, ~c:aticn, nai9Mt1an, refusal Cl1'
inability of '1K1WI A. B!'.CICt.Er to IC'VII AI II\Y ElCeC:Ut.oI:, I naD1nata,
oonatitut:e lInd lIp5lOint DlWPH]N DI!:l'CISI'r MNJt JlR) TJIlDS1' lXIG'Ml!' to IC'VII
.. my Exel:utor. !\' BxecutCIr lInd Quardian ~fl4..."y are reu..v.d
frail the duty Cl1' obligation of filinq arry band = othc -=urity.
1'''11 5 of 6 paqaa
"
IN W1'DlESS ~, I haw hm:&mto II8t my hand am seal to
thill, my Lut WW and Te8tIlIIInt, ocnsiatiD; of w.. and the pr~
five IS) pIIgM, at: the sn1 of lNld\ peg. of 1lh1d1 :z: haw a180 Bet: my
.
initials far cp:eAtosr securi.ty lInl! bet:ter id8ntificati.cn thia ;/JJ.cJ
dAy of 1r~ ,1993. I
Page 6 of 6 Pages
(SI!'AL)
.,~,. ..
:J
""\
We, the lDSeraipld, bea:tiby O8l't.S.fy tbat tbe b:e;c1nlJ '"~
waa signed, _.'<<1, pubU8he4 and deolare4 by the IIb::Jn J...cl Testator _
as and for hi:8 Last: Will and~, .in the pre.no& of u., who, at:
his request ana .in his pruenI:I8 ana in the i-" IInCe of esch ether,
have hereunto let cur hands ana -a the day and ~ abava wrlt1:4ln,
and we, cari:i.fy that. at the t.iJDB of the eaoecut:J.cIft tbareof, the IIldd
Testa r ana c1i5poG!tlg mind and IIlSllOl.y.
!J '
: / (sm.) ~141n; at: 3"33 J ~rpf 5j~
~J' 1M!" ~ "
Residing" ~) Apf-4 ~# ~
,/. ~ '
,I' Lj~ c(~ ' - i';f.-/
(SEAL)
1GEAI.)
(b ~p IJJ.O) 'PA
Jla&idinjJ at
AFFIDAVIT
ComorJo1ealth of Pennsylvanial
ccunty ot ~l
BSI
We, the UIdersigned 'l'eat:.ator and witzws..., respect:ively,
whollO TIll:lleIl are siqned to the IlttacMd or fongoinr:J instr\In8nt, !:llWlq
duly qualified llCCOrdinq to lllW, do "'et'C'M and eeelAte to the
W'lderaigned aut:harity thetl
1. '1'he 'l'eIItator siqnecl lIIld executed the ~t aa the
Testator's Lu1; WU1.
2. '1'he 'l'ea1:lltor signed IUIl3 --=ut8d the will ~1Y' ..
the Telltator' & frM and voluntary act for tho ~& therein
expressed.
3. Each of the WitneUOI, in the ~ and heIlrinq ot
the Testator, lIiqned the Will as witnesses.
4. TO the best of the 1cnCMlec5ge of eaeh of the umaraigned,
the Testator WllJ! at the t:im!! 18 years of age or older, of ~ mine.!
arrl under no constraint. or undue influence.
K. (1
/1~t:;-
;;~~ ~, k~pjv
an
("Witness")
Sworn ~ affimed and subscribed to before lie by the
8bove-~ 'l'e1l1:at:or and Witl'lesses, this ;2,'ft) day of '-Il~l
t"\.
199'.
,
-1h
Nor A'l1"\' SEA\.
MAR" V, DAVIS, No..ry Pubhc
o 01 HllnSl1\lTQ, pauP"'" County (
I
Page 7 of 5 Pages