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Home My WebLink About95-00940 ,< <,i'':; .<,w,"_,; ~. ;., ,,' .,,' .,' .:",' ,c. 1':",~';"", , ,,' .', ". . .t;b!/~!\ ..; , , . ' , t.>;,'.,. "":'~l.' :,/,~", .,. .,' ;,t:. ',.. . ";:~ ,:, '. '. ... ... ",;': . ,\ ~ " . '. .' , . L' " ,.,. ' ,:::.' :', "", ",,' . ,,' ,< ~:' " ..', : :., ::. "<. '...' ,'.'-" ' ".," "c;. .,."'.::', ;':,: . ' .: ''''''. :t '.~': :,,:, .' . . ".:', ":;:' .::.",,~ .. , d.: .;: . "C" . '., '. ',. ..,'... ,',"" '. ..':':.:' '. ",,, :,,;, ;;';.' .,-C '~,,, ,..., ." ,~".,.' ;::,:,'".'",',~":"'; ,j" ,"; "{:':'Y;<}:'~:;J'~:";<}fi\:':';:,'}F, I~; c;.",'. ,;;:: ~;;~,:'" /:A\:~' ~:':':)~,':', " T;"~ '".;;> ,'" ." ".,,:,";{.: ,:,;,,;,:.:.;<;" ",'e::'. ...,,( .,; !';:', '".; ",:. " ": ,', ( ::i ...: '.' ,'.,,"i' .....':;.:::, ...~:; ; ,... f:, t;:::,.' ;: ,., :; '0':" ";: l;,~, ;,.,:.i;; .:: \., ,~' :;;. ,:,: :::;. \ :\'.;: ~, : ;"~';: ",: ";", : ',~: .. ,,:, C" ''0 ;;;'; ,f., ::': " ,:' ~; " ;:....,:" . ,::,:.:.."",,;'.' " , ;~, " l>~ '," -, .,<'..'1 _'-',oi. 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", <,,';, ;:,:,:~.;; ;;,~:,!".';;:,,'.~ " :>'iJ.,',t ....::;~' I . .... .".3j,c~ .' ,,::.} ,:: ,(:,0 ., ;', ,., ....... ,,": ,. ;:':;:'( " '.~';,: ?,...:::\)'.'<: '~/o' .......:';:\J: ~}:f;:"'/ ,I'" .. '. . ,'..' ';, ,'~' .' ,;' , ,:>.:> , !,~. t ,'d . ft.",' .' .>;': " : ",..' ,,1! :.1);~ ':~I ,,'... . ' a ' .. ,. . ." ," ., , ' ' 'i'! f~Y:';~; 0, ..... . · ",'.:': "'~"\-'~:""'.' ;Y:',::;".::,.., {'.~1>\;\:C;:-:'~,".:: ..,. ..>',,'.,:~~,~:.ti [if;;? ,.' ,;". Z ' ., tn! .';~<.. '.', , ' . . i, " \ 'LLI ..' ",' , ' . ..' :., '.' 'oj -, ' . -. ., -' ~;, ,,-., ':'\ r:/,' .. .'." (.\' '.',' :'. '" '{ :,:';" . .. ".' ';: 'i::, ,<h . ',~:~ '.~ ,.~~ ,::~ . , . . . , '- IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY NO. 95- 910 ORPHANS' COURT ESTATE OF HELEN L. KUHN PETITION PURSUANT TO SECTION 5511 OF THE PROBATE, ESTATES AND FIDUCIARY CODE TO ADJUDICATE HELEN L. KUHN TO BE INCAPACITATED AND TO APPOINT A GUARDIAN FOR HER PERSON AND HER ESTATE I i PRELIMINARY DECREE I AND NOW. this L3~ay of ~, r t..,y)",.J,~, 1995, upon consideration of the annexed I Petition, it is ORDERED AND DECREED that a hearing on this malter is set for the /J..-t:Aday of ; G .iJ!!.uA~y' , 19rID In Court Room No,.L ,at /.~ () /' .M. at the Cumberland County i Courthouse, 1 Courthouse Square, Carlisle, Pennsylvania, and that a Citation be issued to Helen L. Kuhn commanding her to show cause why she cannot appear at the aforementioned hearing pursuant to the Petition of Holy Spirit Hospital to have Helen L. Kuhn adjudicated an incapacitated person and to have a II plenary guardian appointed for her person and her estate. Notice of the hearing shall be given to Helen, L. Kuhn by counsel for the Petitioner in accordance with 20 P,S, ~ 5511 (a) not less than twenty (201 days' prior to the hearing. j I BY THE COURT, ~k4~ .~~/-. J, ," 'f..._ , [, )F :>'1' ~t.~t) II vo~6f" · ~t:~J. :1:i'l~~' ''''';;l.i:r..;'\''~ '.;<. \".' !..;.., ','-,; "'~ ).1,_ '}\::f,-q . ',;' ," " >J~~~ - . "\' - . ,~~"{ 1! _, .. '. ..", .. ~ 1. , l,;~~1>:~f1';": .'~f.oI~",'~.":- < , .:t;-,:.~:q~L';''''~*j~j~~~.~V,,/' - ,-," j! ,~-., 1 i!.t~;1";~" JOIIN.,lett'S",,1 .', 0' ! ~ , i~+~-K~-;P, O,BC"c'.10~f-f2;\ _" ',_ ,._j~\,-. < ~' "'~:1;' J;oIllCiJII!i,P~yl.~nl~'i704~09;':~. i, . -t "..._.l.....~_"-_,~ ._., ...- ~-""..h-_.,,,.~-..t.,. ;' . ',.. i.AwOmc:Es. .' JOHNSON. DOPFIll; STBWART '(/, WEIDNER: :F:~)~-;f~:-;~:..i '" ~,~-;-~.:;{.~. "":"~ ~ ,_Y;' .-.~;:.,.L~,: ';:<;:<:;., '. .'.:'~c..t'DEC"O'8'lg9 ;"',::'" ,,',";'~ '~_; "I: ,J.,>- _ ',,~, - -,:'-i. :; " , ,1..;-, , _ _ - c .";~ ~{:'-~t_:.'~-~,':Y_~::~:.ili~~:~!';;:r~.t>}J~:>_;.~-':~~ /" l'./~'" ~:-r ',.'t"'_' , .. ,_,_ C'.', :'0'" _ ::'~~~~~r: .:;: - _~F':~' 5(' : ,~~; ~,), ,,' ,Td;ph.no QI7i1d'i~;40/,':: ,T.I.e.pl.r (717) 7dl~0I5 ~;~. ,','- .,j "':c:i :.'i': ,_.1 , -:,. '. ~374.00000IN"..,""cr 22, 199'IDWD/MIlI469~9 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY NO. 95- ORPHANS' COURT ESTATE OF HELEN L. KUHN PETITION PURSUANT TO SECTION 5511 OF THE PROBATE. ESTATES AND FIDUCIARY CODE TO ADJUDICATE HELEN L. KUHN TO BE INCAPACITATED AND TO APPOINT A GUARDIAN FOR HER PERSON AND HER ESTATE TO THE HONORABLE, THE JUDGES OF SAID COURT: The Petition of Holy Spirit Hospital respectfully represents that: 1. Your Petitioner. Holy Spirit Hospital of the Sistars of Christian Charity ("Holy Spirit Hospital") is an ecute cere hospital located at 503 North 21 st Street. Camp Hill, Cumberland County, Pennsylvania 17011-2288. 2. Helen L, Kuhn is a sixty-three (63) year old incapacitated female, born on February II, 1932. Helen L. Kuhn has never been married and has no issue. It Is believed that her only living siblings are Betty Jane Hose. Mary Ellen Reese, Wiliiam Thomas Kuhn, and a foster sister, Myra Trimmer. Ms. Hose and Ms. Reese reside in Maryland and Mr, Kuhn resides in Texas, Mrs, Trimmer resides in Carlisle. Pennsylvanle, 3. Helen L. Kuhn's residence since 1989 has been in a group home operated by Keystone Service Systems located at 111 Sliver Spring Road, Mechanicsburg, Cumberland County, Pennsylvania. Prior to that she resided with her foster mother for nearly all her life, 4, Helen L, Kuhn is mentally retarded and is bolieved to have an I.Q, of 59, " 1 c. ...~ .-. .. \. \!00374,OOOOOIN.IVcmhcr ZZ, 1995/DWO/M1lf4694,9 5, Helen L, Kuhn was admitted to Holy Spirit Hospital on August 4, 1995. She has been at Holy Spirit Hospital since that date and during this period of time has suffDred two (2) cardiac arrests end is now on a ventilator. Attampts to wean her from the ventiletor have bean unsuccassful, 6. Halan L, Kuhn has been unconscious since a cardiac arrest on or about August 29. 1995, is not responslva and raqulres total care, An EEG test reveals that she has a severely abnormal eEG with periods of electrocerebral silence and only some electrical discharges, 7. Helen L, Kuhn's treating physician, Lisa Torp, M,D. of Susquehanna Surgeons, Inc., has given the opinion that Helan L, Kuhn Is not able to take care of her health care needs nor her activities of daily living, Is unable to understand her rights and responsibilities due to her prasant medical condition, and is unabla to manage har own affairs, 8, Halen L. Kuhn is an Incapacitated adult person who needs a court appointed guardian of her person and her proparty, 9, It is balievad that Halen L. Kuhn doas not own any assets and her sole source of Income is a monthly SSI check of $340.10 which has bean paid to her group home. Her medical bills are paid by Madicare, 10. It is believed that Helen L. Kuhn has never executed a Will. 11, Your Petitioner, Holy Spirit Hospital, is a creditor of Helen L, Kuhn, and has standing to bring this action, I I I " , I I 12. Holy Spirit Hospital is presently attempting to placa Helen L, Kuhn In a nursing home which will accept a ventilator dependent patient and has determined that a guardian Is necessary since no attorney-in. fact is known to be In affect. " qooJ74.00000/N''''<l11hcr ~~, 1995/DIVD/MII/46949 13, All of Helon Kuhn's siblings, es sot forth in Paragraph 2. hevo docllned to act as guardian for their sister, and no county agency was willing to accopt guardianship. 14, Capitol Public Guardianship Agoncy, P,O. Box 1113, Camp Hill, Pennsylvania, operated by Ann Thorek, has agreed to act as guardian 01 tho porson and property of Helen L. Kuhn, Attached horoto as Exhibit "A" Is a statament by Capitol Public Guardianship Agency showing Its willingness to act as guardian of the person and property of tho alleged Incapacitated person, WHEREFORE. your Petitioner prays that a Citation be issued to Helen L, Kuhn to show cause why she should not be adjudged to be Incapacitated and plenary guardian for her estate and her person be appointed. and that the Court schedule a hearing on this Petition. JOHNSON. DUFFIE, STEWART & WEIDNER ,. ./ , , Date: Ill) 7 /rll~' ( I By: , , )' '-~'!;' ~ :' ." ,~ /,/ I . ,,-" '/1' /" . - /./., - '/1,.. _ _' ",-.._ _ L__---.-- David W. DeLucir Attorney 1.0. No, 41687 301 Market Street P.O. Box 109 Lemoyne, PA 17043-0109 Telephone (717) 761-4540 Attorneys for Holy Spirit Hospital . ?OOl74.00000INu,oll1ho, ~~, 1995IDWD/MII/46949 VERIFICA TION J, Sister Romaine Niemeyer, S.C.C., President 01 Holy Spirit Hospital 01 the Sisters of Christian Charity, verify thet the statements made In the foregoing Petition ere true and correct to the best of my knowledge, Information and belief. J understend that lalse stetements herein are made subject to the penalties of 18 Pa,C,S. ~4904 relating to unsworn lelsilocation to authorities. Date: ./ /.- "" ' "I" t oJ' , . ,- .' ...... .). .I..i:..., _ I".~_j~ J.L........:,,/.lI.... .'.i:"t:.' Sister Romaine Niemeyer, S.C..c. President, Holy Spirit Hospital p00374.00000INIlvcmh.,22, 1995IOWOIMIII46949 ,; IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY NO. 95. ORPHANS'COURT ESTATE OF HELEN L, KUHN ACCEPTANCE BY PROPOSED GUARDIAN Capitol Public Guardianship Agency, hereby agrees to accapt the appointmant of plenary guardian of the person and estate of Halen L. Kuhn, if she is adjudged to ba an incapacitated person by the Cumbarland County Orphans' Court. CAPITOL PUBLIC GUARDIANSHIP AGENCY Date: ; ~I:'" /.:..., BY'. ..', /: / ., .,., I Ann Tl10rek 000374-OO60111Pebruary 23, 19961DWD/MII/50123 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY NO. 96.940 ORPHANS' COURT ESTATE OF HELEN L, KUHN AFFIDA vir OF SERVICE I, David W. DeLuce, hereby certify that on December 21, 1996, I served a true and correct copy of tha Petition to Adjudicata Helen L. Kuhn to be Incapacitated and to appoint a guardian for her porson and har estate, and the Preliminary Decree scheduling a hearing, upon Myre S. Trimmer, 1611 Trlndle Road, Carlisle, pennsylvania 17013. Attached hereto end made a part hereof as Exhibit "A" Is a true and correct copy of the certified mall, return receipt card signed by Myra S. Trimmer. JOHNSO ,.. UFFIE, SJE7T 8< W~ER 11M \~(,L avid W. eLuce . Attorney 1.0. No. 41687 301 Market Street P.O. Box 109 Lemoyne, PA 17043.0109 Telephone (717) 761.4640 Attorneys for Holy Spirit Hospital I olIO wlsh to recelv. Ihe following IIlVIe.. (for an .xtra I..): 1. CI Add,.u.... Addr.u 2. CI R..t~c1ed O.lIvery Consult postma.t.r lor I... 4.. Ar1Id. Number Z 402 538 109 4b. S.Mc. Type CI R.gl.t.red o Exp,e.. M.II 0 In.ured o R.lum RecelpllOl Merchanclsa 0 COO 7. O.te 01 O.lIvery 01 r- -;1.... - I) a. Add'....... Add'... (Only II roquested and I.. Is paid) I I... . ',-II .<<;ompI..~ 11nCi'ot2'0IIdlJt6on11Mrkt,. 'I 'ComPIetl HIfN 3. .1. and 4b. J': I 'Pr1nI ~,..,.. Md addrn, on Iht m.,.. 01'" fonn 10 INt"" car'I rM..,. iii, CII1IIO~. -AnKh IhIa fonn IOthI h'onl: of IhtlNllplecre, Of on ,he bac:l" IpIC1I doeI not ,:!I! .=ir...., R_ /Ioqwotod'on Iho ""'_ bolow Iho 0I1ld0...-. 'ti 'The AlCum Receipt w1llhowto 'Whom IhI artld. WlI dtliveted andtht date 'ii _011. : J 3. ArlIcI. Addrelled 10' if ~Yra S. Trimmer 1611 Trindle Road ar1isle, PA 17013 ~i" Domeot c Return Rece pt l I f a:. '" .Ii !l .!! r r ,...,"'a. t'-';i: ;~~\;;( C~{\\(>- '. ~!;;. I 30i l-t,"lcIlISmst . .. . P. 0, Doli 109' :~ r . I.e",.'''', p..."r,lv."t. 1704).0109 LAW OPPleBs JOHNSON. DUFPIB,STE.WART & WEIDNER .' .........t.:....~~ ,"Ii;.; 'I" .,,;" ,.. T.I.ph~". (1I7)761~540' T.ltc.pte, (7\7)761.3015 . IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY NO. 95.940 ORPHANS' COURT ESTATE OF HELEN L. KUHN ~FFIDAVIT OF SHERRI L. KENNEDY. SOCIAL WORKER COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND :88: Sherrl L. Kennedy. being duly oworn according to law. upon her oath. deposes and say: 1. I am a Social Worker et Holy Spirit Hospital. 2, On the 5 day of I . '99~. I read to Helen L, Kuhn the Petition to adjudicate her to be Incom etent and to eppolnt a guardian for her estate, the Preliminary Decree, and the Citation Issued pursuant thereto, f}j;IM.l..~ j/{ // /!.N:~ She L. Kennedy Sworn to and Subscribed .r b~fore me this .:'.)111. ....) nf\Ll f"tR.. ~( .;iIZ tI~i1 '.Ii. (('iJiI') r Notary I" day of .1996. My Commission Expires: -0' I' Ncliil1a\511:JI \ M:vyL Cl"VJn. NO\>1fY~IIt;~ \ E~,.tP, .,tlc~'"("1I0 \....r.' ,ellfl t;." '\;h.~u:;tY , ..> . 1)- ~ ", I \(, II . , IJ/C,;i\,:i';'~-kJl\ .p>:'" _....1." . --,. -~-_.- ... ......--........ -........"--, .,,,.,,,. ,~. v--- HOMct A IOIlN~ON IERR Y R DUrnt RICIIARD W. ~TtWART C. ROY WfJDNfR. III toMUND G MYtR~ IAMU A. IOIlN~ON DAVID w. DtLUCE MlrH H. WRIGHT, IR. DAVID t. LAN1.A lo~trH L HITCHINGS t.AW OIrICf.~ JOHNSON, DUFFIE, STEWART & WEIDNER 301 MARKET S1l\EET r. O. BOX 109 LEMOYNE, rENNSYLVANIA 17043.0109 nt.EI'Il0NE 717.761.4140 nLEcorlEIl 717.761.JOII February 9.1996 The Honorable Harold E, Sheely Cumberland County Courthouse 1 Courthouse Square Carllsla. PA 170' 3-3387 Re: Eatate of Helen L, Kuhn Orphana' Court No, 95.940 Dear Judga Sheely: I represent the Petitioner In the above captioned guardian matter scheduled to be heard before you on January 12. 1996 at , :30 p.m, I am attaching hereto the deposition of Lisa Kim Torp, M.O,. regarding the medical condition of Helen L. Kuhn. At the hearing. I will request that this be made part of the racord as set forth In the Guardian Act. Very trulv yours, /':r'::!ilI;f{ · WElDN," \ !A~{~~ce ~ DWD:mh:50436 Enclosure -..- . ....-. OR\G\NAL o IN 'l'IIE COUIlT 01> COMMON PLEAS CUMBEIlLAND COUNTY, PENNSYLVANIA ESTA'I'E OF IIEJ,EN L. KUIIN I 1 I I I NO, 95-91\ 0 I OIlI'HANS' COUIl'I' DEPOSITION OFI LISA KIM TOIlP, M.D. TAKEN BYI COUNSEL FOil 1I0LY SPIRIT HOSPITAL BEFORE I MARIA N. O'DONNELL, RPR NOTARY PUBJ,IC DATE I JANUARY 25, 1996, 1100 P.M. PLACE I SUSQUEHANNA SURGEONS 532 NORTH FRONT STREET WORMLEYSBURG, PENNSYLVANIA .-..... " , APPEARANCES; JOHNSON, DUFFIE, S'l'EWART & WEIDNER BYI DAVID W, DELUCE, ESQUIRE FOR - HOLY SPIRIT HOSPITAL Ht:.\,;t:.IVED FE8 08 \996 Jl.ll1NSON, OUFFIE STEW~RT ^NO WEIONER -.' .....) Hushes, 7{/6risht, 'Foltz ir' Jlatale J?eporting Se,yile, 8nc. 115 PINE STREET' HARRISBURG. PA 17101 Ha"l.bu'g 717-232.5644 Fa. 717.232.9637 lanea.I.' 717.393.5101 .....) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 r,ISA 'l'OIlI', M,D., called I1S 11 witnoss, being dilly sworn, teRtified I1S follows: DIIlECT EXAMINATION BY MR. DELIICE: Q Doctor, my name is Davo Delllce. I represent Holy Spirit Hospital, and We filed a petition to have Helen Kuhn adjudicated to be an incapacitated perRon and a guardian appointed for her person and her eRtate. I am going to ask you a series of questions which will be taken down by the stenographer and presented to the judge at the hearing on February 12, 1996 in lieu of your personal appearance. If you have any questions at any time, just ask me as we go through. State your name for the record. A Lisa Kim Torp. Q And YOII are a physician? A Correct. Q Licensed in Pennsylvania? A Correct. Q And very briefly your education and residency broak down? A I went to -- I completed college and medical school at the University of Miami in Miami, Florida, my residency training at Hershey Medical Center in general 3 4 , , 1 surgery. 2 And you are now .1 member of a group practice in Q J Worm1eysburg, Pennsylvania? 4 A Yes, 5 Q 'I'hat practice is called? 6 A Susqllehllnna Snrgeons. 7 Q How long have you been with them? 8 A Seven months. 9 Q And you are, as you said, a licensed physician in 10 Pennsylvania, and your epecia1ty is surgery? 11 A Correct. 12 Q And you are on the staff of Holy Spirit Hospital? ..'" A Correct, 14 And is your group reaponsible for a patient by Q 15 the name of Holen L. Kuhn? 16 A Yoa, we are. 17 Q And could you briefly tell mo approximately when 10 she was a~"ittecl and the purpose of her admission to Holy 19 Spirit Hospital? 20 Yes. Helen is a sixty-three year old mentally A 21 retarded woman who was residing in a group home who has a 22 long history of problems with diarrhea for which ahe has 23 been treated by a number of physicians, but her admission on 24 August 4, 1995 was secondary to increased diarrhea, ......J 25 vomitting and abdominal pain. 1 Q WaB nlll> COllncJOlIA .,t tho Umo? 2 1\ YnR. 3 o 1\nd bRAlcally what happened in the next couple 4 weeks as she was a patient at Holy Spirit? 5 1\ It was determined that she had a bowel 6 obstruction whJr:h waB qlvinq her the symptoms that she had, 7 or it was felt that, 8 1\nd she underwent surgery to rule out the 9 possibility of bowel obstruction as well as to remove her 10 gallbladder which was also diseaeed. 11 She underwent that surgery and WRS fairly ill \ ) '........ 12 afterwards, but was improving. She underwent a second 13 operation on August 15th looking for a source of infection, 14 at which time one was found, but she recovered nicely from 15 that surgery and was actually improving and looking to come 16 off the ventilator and get out of the intensive care unit. 17 Q Wall sho conscious through this t.l.me? 18 A Sho had u depressed level of consciousness. But 19 part of it was felt to be due to illness, infection and 20 medications used to keep her sedated to keep -- to be able 21 to provide ventilation. 22 Q Could you communicate with her in any way? 23 1\ Yes, you could, She would seemingly respond, J 24 open her eyes, and she wasn't very good ut following 25 commands, but she never was even before surgery. 5 6 ....) 1 But you could commuulcnto Aomewhat with her and 2 thol:o waA l:nnpollAn ['-alii her thnt nhownd that thoro WlJA, 3 0 You montioned that thOl:o W,l" nomo trouble 4 communicating with hor be foro tho Aurgery. I bo1ieve she is 5 mentally rotarded? 6 ^ YeA. YOA. I had /lctu/ll1y met her prior to her 7 firet eurqery /lnd nhe her ment/l1 c/lpacity W/lS very o limited. And you could talk wlth her, but Ahe wouldn't 9 really c/lrry on conversations, all she would do ie ask for 10 something to drink, I want to a drink, I want a drlnk, I 11 want a drink. 12 She certainly couldn't, you know, grasp a medical 13 conversation, let alone, you know, do simple thinga like if 14 you ask her to get back in bed, she might or might not do it 15 and you never really were sure if she understood you or not. 16 0 So later on in the month of August, what happened 17 with her mcdlcal condition? 10 A Approximately summer, I think it was August of 19 19th the patient began having problems with seizure 20 activity, and a neurologist was consulted. 21 Sho wan found to have some impairment in her 22 electrical activ1ty in her brain. That was treated with 23 medicines and Bep-med to be undor control, 24 Thon ill the beginning of September she had 25 respiratory arrest, and a second one I think within a week 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 later, ^ftnr which Rho hnd hnd nppnrently lJuffered n bi1nternl brill n Iujury bnlJflll on tho l.aWlJ thnt we obtal.neel and had lit n point wlla very -- hlld very little reaponaiveneBA nouro10gical1y and didn't rOBpond at all to voice commllndB or Ilny kind of Btimu1ation other than deep Btimu1atIon, Q ^nd aince that time, hOB her condition woreened, gotten better or remained about the aame? A It'B woraened and really the 1aBt Bevera1 montha haa been atab1e, but ahe haa only very minimal level of reBponsivenoss. Q When you Bay a minimal level of reBponsiveneBe, in lay personB terms, iB she conBcious or unconscious? A She's unconBeioue. Q Her eyeB are closed? A Most of the time, yes. Q Certainly -- IB sho aWllre of any people around her? A No, she'a not aware, Q If a relative or friend came in, she wouldn't know them, would she? 22 A No, abBo1ute1y not. 23 Q Okay. And her current prognosis? 24 A Poor. J 25 Q Do you expect her to ever regain consciousness? "..," o 1 2 J 4 5 6 7 o 9 10 11 12 13 14 15 16 17 10 A No. o Now, J 11m going to hllnrl you whlll 1s h1ghl\.cJhlerl undor incllpllclt:lltod porson whIch is I'onnnylvllnia's definition of what: that meano, J would lIek thot you just review that. Based on your experience and training and as a 1icenaed physicIlln, do you belIeve that ahe ie an incapacitatod person? A Yea, I do, o She cannot participate in any decieions concerning herself, her healthcare, her treatment, et cetera, can she? A No, she can't. o And in your opinion, she's -- strike that. She's been at the hospital since early Auguet continuoue1y, correct? A Correct. o And what care does she now need after she loaves 19 the hospital? 20 A She will need management of her ventilator which 21 is what provides her breathing. 22 0 So ahe'a a ventilator dependent patient? 23 A Correct, so she needs airwllY care aa well liS 24 management of her feeding tubea, J 25 0 And would this be in a skilled nurJing home? , I 11 9 1 Skl11ed nun1Jng homo level, Jo that what it: would 2 be conoJdered? 3 A Yea, 4 Is thero nny 10S8 reotrJctivo nltornative to thnt Q 5 that ahe could live in? 6 A No. 7 Being on a ventilator, I would assume that it Q 8 would be ~npossib1e for her to appear at the court honrlng 9 scheduled for February 12th in Carlisle, Pennsylvania? 10 A Yes. MR. DELUCE: That's all. Thank you. 12 13 p.m. ) 14 15 16 17 18 19 20 21 22 23 :,; 24 25 (Whereupon, the deposition was concluded at 3109 , \ 3 4 5 G 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 ...J 25 ]0 -------_.- -~"._"_._-,-~--~-_._-- 1 COllN'I'Y OF D/\\JPIITN 2 : SS COM~10NWJl/\]}1'1I OF PlmNSY]N/\NI/\ I I, Morin N. O'Donnoll, 0 Notary PllhU.c, nllthod.?od to admlniator oathn wIthin ancl for tho Commonwoalth of Pennay1vania, do hereby certIfy that the foregoing ia the teatimony of ].IS/\ KIM TORI', M.D. I furthor certify that before the taking of aaid deposition, the witneaa waB duly swornl that the quoBtions and anawers were taken down stenographically by the said Reporter-Notary Public, and afterwarda reduced to typewriting under the direction of the said Reporter. I further certify that the said deposition waa taken at the time and place specified in the caption sheet hereof. I further certify that I am not a relative or employee or attorney or counBe1 to any of the parties, or a relative or employee of Buch attorney or counao1, or financially intereated directly or indirectly in thia action, I further certify that the said deposition conntitutes a true record of the testimony given by the said witnoea. IN WITNESS WHEREOF, I have hereunto set my hand t . .. RY 1996. . NOTARIAL SEAL .1,\RIA NATALE O'OONNELL, NUlJry Publ it It.lrrlsburg, Oauphln Cuu1lty My CO""llssfon E.ph.us Hay 13, .e _.~...- .._-1 \ '\ \IU.~ '().. ), 'O/~WJ. ~ O'Donnell, RPR Notary Public 000374-OO6411FcbNlI')' 12, 1996/DWD/MI/l5~96 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY NO, 95.940 ORPHANS' COURT ESTATE OF HELEN L. KUHN PETITION PURSUANT TO SECTION 651' OF THE PROBATE, ESTATES AND FIDUCIARY CODE TO ADJUDICATE HELEN L, KUHN TO BE INCAPACITATED AND TO APPOINT A GUARDIAN FOR HER PERSON AND HER ESTATE FINAL DECREE '\ H \_~. AND NOW, this ~ day of . c k\..\ CV/:' , 1996, upon consideration of the Petition of HolV Spirit Hospital and following a hearing, It Is OhDERED AND DECREED that Helen L. Kuhn Is adjudicated an Incapacitated person and Ann Thorek trading as Capitol Public Guardianship Agency Is hereby appointed plenary guardian of Helen L. Kuhn's estate and of her parson; and no bond shall be required: and that said person Is hereby authorlzad to make decisions on her behalf concerning her medical care and treatment Including admission to nursing homes and hospitals and other health care providers as well as to consent to medical treatment. BY THE COURT, IN Hr.1 IlELEN L,KUIlN I I 1 I I I IN Tim COUHT OF COMMON prJI~AS OF CUMBERLAND COUNTY, PBNNSYLVANIA OHPIlANS' COUltT OIVISION NO. 21-95-940 CITA'rION WE COMMAND, you that laying aBide all business and exr.uses whatsoever., you be and appear in your proper per.son before the Ilonor.,ble Judges of the common pleas Court, orphane' r.ourt Division at a session of the said Court there to be held, for. the county of Cumberland to show r.ause why she r.annot appear. at the aforementioned hearing pursuant to the petition of Holy sp\.rit Hosp\.ta1 to have Helen L,Kuhn adjudir.ated an \.nr.apac:itated person and to have a Plenary Guardian appointed for. her. person and her. estate. Not\.r.e of the hear\.ng shall be g\.ven to Helen L. Kuhn by r.ounse1 for. the pet\.tioner. in accordance w\.th 20 P.S. 5511 (a) not less than twenty (20) days pr.ior. to the hear.\.ng. witness my hand pennsylvania, th\.s and offic\.a1 seal of office 14th day of December., 1995. at Car.Hs1e, '~fl ~~ \,... U t . Mary -::Lawi s ClerK of or.phans' cour.t cumberland County carI1B1e,Prt. --.--.----.. .-.. J (L \ \. \1 \ I IN THE counT of COMMON PLEAS OF CUMDERLANO COUNTY NO. 95. 940 ORPHANS' COURT ESTATE OF HELEN L. KUHN II , co' " ORDIlR 'l . \ II I i l \- "NO NOW, thio' J ,,,'V of-=-::l \' .1996, upon conBtder~ .vll of tho petition, 1 t 10 ORDRRED AND ORCHREO that Ann Thorek. t.:. /... The capitol poblic GuardiauIlhlp Agency, the appointed plenary , gU8rrl1^n or "elen L. Kukn'o eotate and of her peroon, io hereby authorized to collect. a guardianohip fee in the a~ount or $35.nn per ",onth for oervice" rcud<:red. Said guardian uhall b~ required to pont an approved bond I the Court, nond am~unt oh~ be $10,000. The guardian of the pc. non and of the eotate appointed abuve Ahall rilc a report: per 20 P1. C.S.h, 551.1 (c) that ie an inlH~l report and uix,lIIonth repol' lurlng the first year ot the appo...~JI"mt, and at least annually th<:re~fter. il DY TIIB COURT Jb11-~' .\1L- "arold Po. Sheel-~Ide"t ,ludf,l" .' IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY NO. 95- 940 ORPHANS' COURT ESTATE OF HELEN L. KUHN March 04,1996 TO THE HONORABLE, THE JUDGES OF SAID COURT: The Petition of The Capitol Guardiansbip Agency re- spectfully reprsents that: 1. Your Petitioner, Ann M. Thorek TIBIA The Capitol Guardianship Agency is located at P.O. Box 1113, Camp Hill, Penna. 17001. Telephone: 717-975-2577 2. Ann M. Thorekl The Capitol Guardianship Agency, was appointed plenary guardian of Helen L. Kuhn's estate and of her person on February 12, 1996. 3. At the time of the Hearing and to the best of my knowledge, I believed Helen Kuhn had no income or assets, and that my service to her was without a guardianship fee. 4. Since the Hearing, I conducted an investigation of Helen Kuhn's life and discovered that she is the recipient . . of a Social Security benifit in the amount of $349.50 per month. 5. In light of this information, I feel a reasonable guardianship fee of $35 per month can be made for my services. 6. Since Helen Kuhn is a ilatient at the Laurel Nursing Center, Hamburg, Pa. and in a skilled level of care, all of her benifit must be applied toward her care and treatment costs. 7. Per Medicaid RegUlations 55 PA Code 181.71, in order for medicaid to exclude a part of Helen'S benefit for a guardianship fee, the fee must be court ordered. WHEREFORE, your petitioner prays that the Court vill permit the requested $35/month guardianship fee, and include it in the Decree. Date: March 3.1996 By: 1"/ I,'t-r- ;./.11 (~, Ann M. Thorek The Capitol Guardianship Agency - P.O.Box 1113 camp Hill, Pa.17001 Telephone: 975-2577 000374-0064llFcbNtry I~, 1996/DWDIMIl"~96 cc (g ~.l~~ ~, . " ( }. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY NO. 95.940 ORPHANS' COURT ESTATE OF HELEN L. KUHN PETITION PURSUANT TO SECTION 5511 OF THE PROBATE, ESTATES AND FIDUCIARY CODE TO ADJUDICATE HELEN L. KUHN TO BE INCAPACITATEO AND TO APPOINT A GUARDIAN FOR HER PERSON AND HER ESTATE FINAL DECREE AND NOW. this : ,i"l...day of h:-.\).. t\ Ci. .- \ I , '996. upon consideration 01 the Petition 01 I Holy Spirit Hospital and following a hearing, It Is ORDERED AND DECREED that Helen L, Kuhn Is adjudicated an Incapacitated person and Ann Thorek trading as Capitol Public Guardianship Agency Is hereby appointed plenary guardian 01 Helen L, Kuhn's estate and of her person: and no bond shall be required: and that said person Is hereby authorized to make decisions on her behalf concerning her medical care and treatment Including admission to nursing homes and hospitals and other health care providers as well as to consent to medical treatment. BY THE COURT, 5 \.. LLh iLl. d i \iLl...u....tl a old E. Sheely, Prasident Judge ~.:-.... ........ ". . , ......'...-:') . - ,~- . I...~fj I:f:~' ~~.: r:;.;,:;:' ,. '. i'll!l.J..l-L ~.~... . ~ b_. . 9j..r_ '\ '-1.l~\.LJL'.~~-~::~~~l!: )J~ULCG c...; :..~;: .....~ : I, tY . . ~ IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY NO. 95. 940 ORPHANS' COURT ESTATE OF HELEN L. KUHN COURT ORDER AND NOW, this II ( 1l+ r1 S ~ . day off: lrVl I ,1996, upon consideration of the petition, it is ORDERED AND DECREED that Ann Thorek, tibia The Capitol Guardianship Agency, the appointed plenary guardian of Helen L. Kuhn's estate and of her person, is hereby authorized to depose of the entire estate of her ward, Helen L. KUhn, now deceased, thereby ending guardianship responsibilities. , ~ " .," r:. 't. N ,::') ('] 0,.. BY THE COURT me,' C::"" ~,), 08 Harold E. Sheely, P esident Judge B) The Jlre~entllmoUIII lInd Mlurces o( income (or my wllrd lire: Source o( Income (Indicllre wherher monthly, ljuarterly, nnnually) Amount o( Income I. Social Security 2, 3, 4, 5, 6. $ 307.00/Plonth 9) TIie regular monthly expenses of my ward which I pay are: To Whom Paid Amount 1. nnnp =-1' pvru:lnr,:u:2 u~r~ fnptfi,,:.l :.n" I'fl""ked u[" 2. hy Nptff,,:lrp nr Man",,:.1 AaAfA~:ln,...a J. nn~f 1 .111"13 vhpn my v;lrtf "';fiR :lRRIUU:::u:uf ;11 "o-pay Fnr 4, Medical Assistance toward her care at Laurel Nursinq nOPle. 5, 6. 10) I have/have not (circle.une) petitioned the court for permission to invade principalro meet the needs o( my ward. dna (If applicable) TIle (ollowing expenses of my ward have heen paid from principal: To Whom Paid Purpose Amount I. 2. 3. 4. 5, 6, --- ,+- II) ~ I h,,\'t' 1111'" 11111 (elide IInr) 1'111.1 1I1~'.elf f~OItlI"'I1,,"11l11 fill 'Cf\'lce, I tl'l\llerrll n~ Illlnrdll1n. "_"_ .________ nl1ll wn, _______ prr we,'k/H11'iiiil\') (chell' .mrr- Thl' 1I1tl1l1tl1l Il'lIi.l 1I1\"df 1011111,..1 $._.~.Z5_... 00...__.. l"llkllll1led 111 Ihl' folll1wltllllllll" $ .___.35.00_4 12) Clrrle thl' COHect 1l"1'011'l' I1ml COltll'h'Ie, If 111'1'1 "I1r 1111 l'. ,/'1'I""l' will hl' 11011l'l'd fllll'xlrl1l1"llnnr~' l'xpel1dllllll" Oil hdUllf of my wlllllln Ihe next I\\'d\'l' (12) month,. Thl're will he II need for eXlrl1lllllil1l1ry l'xpenLlIIIlll" I1n hl'hnlf of my wlIld In Ihl' next Iwel\',' (12) Itlonlh, hecnme: 13) Circle Ihe correct respome nml complete, If nl'Prol'rlnle. A, My \Vnlll rece"'es mOll!hly Soclnl Security hellents directly. 6)1 nll1lhe de,lllnnted pnyee to receh'e my wnrd', Sodnl Security hellents. C. TIle deslllllnred pnyee of my wnrd's Sodnl Security henenu Is whose nLlLlres, is nl1llls/l, lUll (circle II"e) relnted to my wnrd IIS_ (lnso" ,01",III",hlp) (COMPLETE ON OTIIER SIDE) '.N THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY NO. 95- 940 ORPHANS' COURT ESTATE OF HELEN L. KUHN First and Final Accounting or Court Appointed Guardian or The Estate Of Helen L. Kuhn 1. Hay 10,1996, deposit of lump sum received from The Keystone Program, the previous payee for Helen Kuhn. Amount deposi ted. . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,240.09 2. June 3, 1996, dcpositcu lump sum received from the Social Security Administration. Amount deposited............................$ 614.00 3. July 3, 1996, deposited monthly social security check. Amount deposited............................$ ;307.00 4. Total deposits..............................$ 2,161.00 5. Debits to Checking Account: a. CheCk #1 - Ann Thorek/Guardianship Fee for February, Harch, April, and Hay ~ $35.00/month......$ 140.00 b. Check #2 - Ann Thorek/Guardianship Fee for the month of June.................................. $ 35.00 6. Tota 1 Debi t.o. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 175.00 7. Checking Account Dalance....................$ 1,986.09 .8. Savings Account Balance.....................$ 19.86 9. trrevocable Burial Reserve..................$ 1,651.45 10. Ward has no personal or real property. , III R", TIlE PERSON OF IN TIlE COURT OF Cl )MMUN PLEAS OF .CUHDERLAND_ COUNTY, PENNSYLVANIA (1JlPIIANS' COURT.DIVISIUN Helen L. Kuhn IlIellpllelllll"ll File Nil. 95-940 PERIODIC REPORT mOM_E'ebJ:WU:Y 17 ,199~_ TO .JU-l.~R OF TilE GUAlmlAN OHIIE PERSON , 199Q._ I) I 11m lhe Iimhed(plellllry (cirri. "n.) !lullnllllll of Ihe per~oll o( my WOld, nllmed IIhove, IIml my mldress, Inehnllnll zip code, is: PO n9~~-CamP-H~_Pa- 17n01 My lelephone numher III wnrk is {717 )--ll+5-2577 my telephone lIumber III home is (71 7) -9-15-6901 IInd 2) I WIIS IIppoimed gUllrdilln hy Order of Comt dilled _F.l!~il1:Y_12~-19.9jj--- which WIIS(WIIS not (clrcl. "n.) mOllified hy Cuml Order{s) dilled 3) \Vnrd'~ present IIlle: 64 IIml dllte of hlrrh, February 1.1.,-19.32. 4) Living IIrrllnllement: II. Current IIddress of my wnrd: _ .Laur.eLIDu.".Bing...cent.eL- 125 Holly Road, Hamburg, Pa. 19526 h. My wllrd's residellce is: Wllrd's own home(lIpnrrmenl Nurshlll Home Foster or hOllnllnll home x My hOlne(lIpnrtrnenl Ilospltnl or medlcnl (ndlhy Rellllive'~ home (r.lnrl"",hlp) c. My ward has heen residlnlllhere since February 26, 1996 (h,,"" .talc) I( movcd wilhin lhc pas I ycar, stalc (mm whcrc and Ihc reason (or Ihc chanlle: from Ualy Spirit Uoap...-4la-llilrd rQq~d-!!.8kJ.J...1.ad ~"n'" - transferred d. I mtc my ward's livinllarranllcment as: x Exccllcnt Dclnw Avcragc Avcl1lllc Explnin:~nmAn", 31wrtYR ~lr:!an ;Inti varCl RAPmR v~11 t!rlrptt f'nr. e. I believe my ward is, content Wilh the living situalion. unhappy Wilh the living situation, x unaware o( the living situ:uion. 5) Physical health a. My ward's current physical condition is: excellent good (air poor. x b. My ward's major physical health problems are as (allows: eufflired cardiac & respiratory F~il"r~ raal11~ing in ClprpnClpn~p nn R vpn~il~.nr.in R ~nM~ ain~e August,1995. Suffered from cancer and bowel c. Durinllthe past year, my ward's physical condition has: remained about the same. improved. Explain worsened. Explain obstruction. brain activitv was sliaht. deteriorization of of body function while in a coma. d. Durinllthe past year, my ward received the (allOWing medical treatment (Include check-ups and dental work): x Date Ailment Type o( Treatment Doctor's Name - ---' ._- - ~ -- "I Mentnlllenlth II. M\' wlIIll's cIlIIlIII inll is rxcdh'nt .__Ilnn,l _.Jt...-pnor. h. My wlIIll's IIlOlor melllnl henlth prnhlel1ls lIIe liS follows: _tlyffe.re.!LjDenta1 retardation since birth, brain activity very Slight while in ---------------.----- .- a coma. c. [)urin~ IIw pll~1 yellr. lilY wlIld's IIwnw! cmlllil ion hils x lelnllined "hl,"1 the sOIll!'. __ IInrr<lVe.!. Explllln - __ worsell!'l!. Explnin d. [)IIlhllllhe poSl yeor. Ilenllnenllll evnlllollon hy 0 psychllllrlsl. psychlllolllst or sodol wmker _._wos -x- wos not plovl<led. SlIch lllelltol henhh services me hrleOy <Icscllhed os, 71 Sndll! Actil'hles/Sell'lces o. My wnrd's curretlll'hyslcnl con<lltlon Is: folr y poor. excellent Roo<l b. Durlnll the past year. my wnrd's SOclll! condition has: x remnlne<lobout the same. - in a coma hnprove<l. Exp!oln worsened. Explllln c, [)nrhl~ the post yenr, my wllld hils I'arrlclpnted in the following activities: _ recreotlonal edncnllnnnl social occupatlonlll no octivltles IlvoUnhle my wllrd reCused to participate In Ilny octlvllles x lilY wonl wns ullnhle to pnrllclpote In IIny IIctlvltles --'-- --- -...- - ,--------- ~ - =----;;..---- 8) List of Visits a. Durinllthcpastycllr, I visit cd my ward as follows: 2/16/96.2/26/96. 4/'i/QfL '" /.,D.Ln6 I~ /n/'n6 I~I . I' , .. ) ~J' ,?,,,,,,,,, t / b. n,C avcragc nmount of time I spcnt on coch visit was 1/2 - 1 hour c, n,C lost time I visited with my word was nn 6/20/96 DalC 9) Actlvltlcs During thc post ycar, I performcd the followlnll activities nn behnlf of my word: set up hAnk acct. chAng~ n~ PAypPRhip. applira~inn ~nr N~. paid or resolved bills. met with medical staff, corresponded with providers of services and her family. I believe my word has the following unmet needs: increased burial reserve 10) II) The guardianship x should should not be continued without modification because: warn iR complP~p'y "n,..apa,.."~at:.p~ anrl nn n"h~r roapnnsih]Q r~r"y ~a a'r~iJablg or willing - 12) I ~ am _am not guardian of my ward's estate. If yes, my Report Is attached. (COMPLETE ON OTHER SIDE) CAPITOL. PUBUC GUARDIANSHIP AGENCY P.O. BOX 1113, CAMP BILL, PA.17001 August 5, 1996 Harold E. Sheely President Judge Courthouse 1 Courthouse Square Carlisle, Penna. 17013-3387 Dear Judge Sheely, Enclosed, please find the petition to settle the estate of Helen L. Kuhn, deceased ward of the Court. Attached, please find four (4) exhibits, 1. Death Cetificate 2. Verification of notice sent to relatives of the deceased 3. Copies of remaining bills to be paid 4. Verification of income In addition to the petition, I am also submitting the first and final report as Helen L. Kuhn's guardian of her estate and of her person. If you require any further information or if I need to complete other forms, please let me know. I can be reached at 717-975-2577. Thank you. Sincerely, Ann Thorek J.I!" '~ IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY NO. 95- 940 ORPHANS' COURT ESTATE OF HELEN L, KUHN PETITION TO SETTLE TilE ESTATE OF IIEL1~N I" KUIIN, TilE DECEASED WARD OF TilE COURT TO TilE 1I0NORADLE, TilE JUDGES OF SAID COURT: The petition of Ann Thorek, tibia The Capitol Guardian- ship Agency, respectfully represents that: 1. Your petitionel Agency, is located at Cumberland county. Ann Thorekl The capitol Guardianship PO Dox 1113, "illUp 11111, Pennsylvania, 2. petitioner vas appointed plenary guardian of the estate and of the person of Helen L. Kuhn, an incapacitated person, on February 12,1996, by Decree of the Court. 3. Helen L. Kuhn, dependent upon a ventilator, vas trans- ferred in a comotos state, from acute care at Holy Spirit Hospital, Camp Hill, pennsylvania. on Febrary 26, 1996 to skilled-care at Laurel Nursing and Rehabilitation Center 125 lIol1y Road, Hamburg, Pennsylvania, Derks County. 4. lIelen L. Kuhn remained in a coma and died on July 5, 1996 at Laurel Nursing and Rehabilitation Center. 5. petitioner has notified all relatives of the deceased through certified mail. 6. The gross value of the estate of lIelen L. Kuhn is $ 3.657.40 , consisting of: a.) Checking Account b.) Savings Account c.) Durial Reserve $1,986.09 $ 19.86 $1,651.45 '. .IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY NO.9S- 940 ORPHANS' COURT ESTATE OF HELEN L, KUHN 7. The outstanding liabilitieu Laurel Nursing IIome Funeral Expenue Attornuy Fee Guardianship Fee Filing Fee Total of IIelen L. Kuhn conuiut ofl $ 517.70 4,316.60 25.00 35.00 9.00 $4,903.30 . . a. ) b. ) c. ) d. ) e. ) B. Helen L. Kuhn had no real or personal property. 9. Helen Kuhn did not have a Will. 10. The Balance of the estate is - $1,245.00 11. Myra Trimmer and Paul stone, the fouter sister and brother of Helen L. KUhn had indicated their willingneus in writing, to pay the balance of funeral costs(i.e.) $1,245.00 11. petitioner requests permission from the Court to distribute the remaindng funds of IIelen L. Kuhn, and settle the estate, thereby endinq guardianship responsibilities, unless otherwise ordered by the Court. l'hior. j" 10 t tllIl) 111.11 till' tlltlll 111.11 11111 III It ~.'l\ I II I. I' II 'I I . h I "1"1 I /I, IIlI ,Ill \ if '.1.'1111 I 1 I t 11110 .lIl nl .It.lI h .Illlr I 11(" \\ II II 1111' .1' 1.1Il'.11 Hq-:I"Ir.1I Tlll- 1111~IIl.d II" lit h .111 \\ ill ht I... ',\ .11.1t ,I r" I h "'r lit \' n.d He . l'I ,I~ t IIllt I Ii II I" rlll.llIt III Idlll~: . WARNING, Ills IIlcgollo dUI)lIcolll this copy by pholoslat (lr photograph. Nil ~ ~,:.~~~~~~tlU~-t>-~ ru' fill' Ill!' 1IIIIth .Ilt. S! Oil 3G717fJO .u.. I b 1996 1l.lIl' EXIlInIT #1 ..,M.U....." COMMONWEALTH OF PfNNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECOADS CERTIFICATE OF OEATH ., . , - ''''IH,_,'' S<.It~~"c..."'t,~..tIt" " e 14 "..-., -" - - r _'11 ,"'_0.,_. ....~IUt_ "",.,...,.c._-.I "' t. Female lVot,fllIUiI .... _0 '19 - 50 19% .., " "_10101 '1[:1110"...._.., 64 ,. Cnrl1s1c, VA =".0 "'" . . : (.. Aerks Tilden Tw , .. " ~'hltc :,.::.:~:.e;:.::~;:r I've \.'orkf~rt . DlCftllHl''''4I'oOOIllCl''t"l$t'''~_/~c.... III SILvar Springs Rd. II Hechonicl'IburR, VA 17055 unol.................._I.' ........... ..- ---..- lllCltlt"'" .."... ".WlfHC.I --" .-- .._~ "-._....0 199& PA 1M -- Cumhorlond ::.:.:,. ".0 ::...-=.::::.. wot"'"........,........._..._ , I ... 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".. ...,... ,.........., '.......,.,...,..,... ...'.--,........,..,...........,.. . o ~'."""IIiOtI.~~........" , ''''\\~~~~~<1J ~ EXIlInIT# 2 P llb3 787 593 P llb3 787 592 .:} POSllO' PolliO' ( S '\ Cellllled FI' I CeI1lfi8d f e. I' : ~oal OeIMtty Fit I Speo" Delivery F~ _ ,.i. I Rellnded Deboery Fee , Rellnded Deht,., Fee..... - . .' ... '" ~ -. 81 RolumRec."'6hoWYlll'O RItlum ReceIpt Showlng to ... 'Mlom & Dill ee..,.red - 'M1om & Oil' Cen-ered a. """,Rec"'_"I"v.oo.. i -_&wnJ""""'. 0(.. O.lt,IMtftS"IA~"1 OI!t,IA,i)tsWt',Mteu 0 -- J~- g TOTAL P.....ll" &f... S ...., -.?' 0 TOTAL PomO' & F", S CO CO M PO'IITl.1tl or 0'1' M POIIITl.rk or Dill' ~ ~ Ie Ie P llb3 787 115 P 1163 787 591 US Poslal Servleo Receipt for Certified Mall No Insuranco Coverago ProVIded. 00 nol uso for InlernallOnal Mall Soo fDverseJ S 110 ~ .I P"$I.ge s _ " c,n.t.ed fe. Certified Fe. SpeOl1 Dell_ery Foe SpaOa! OolMlry Fee c Reslncted Oe.vII,.,. Fee '" m Relum Roctllpl ShOlW\1 tG ... 'Nhom A O..,e Oe~v'lell ~ a ~r..rnRt'Cf(lCSf'(Mn;~~'I'h:J'n. c( :~~f" kb'KlfU A:>>,", o ~ TOTAL Pallage A fees S M PcstrnaBOIO.'e E 5 ... ~I R.stncfect Dehe,., Fee ." m Retl#n "<<DlpI Sho*Y'l910 - "/horn & 0.,. Oeherecl '!! It """"~""'-"I~""'" . On' A.>>euff. ",",,,, o g TOTAL POII.ge & F... S ~ ~S... ~ M prJ,lmlln" Of Ua'l 8 u. lr r.7:; ,I- " P 463 ?8? 5'13 ROllridod Dehery Foe ~ "",um nee"". 6ho1Mg to Whom & Dale De~w,.,d 1:_""O('l_'ngO~"" :t o,Ie. & Mtfi$1H'" Mteu ~ TOTAL P....1l" &F.., $ M Postma!" 01' O.le j ~ ;;,;l- P 463 ?8? 5'12 US Poslal Servico Receipt for Certified Mail No Insuranco Covorago Provktod. Do nat \ISO lOf lnlornalionnl Mall S06 'o~'orstl ~IO t(~: . u Jl~ ,3 Postage Celtlf,oo Fee Acsllk.led Delverv foe ~ Relum Hfl(oipt ShowIng 10 ~ \\1lOOl & Dale OaIiV\)flld ~ """'''''''''''''''ngO\ll>om. c:( Oa!e,&MtmH'.MieS1 g TOTAL POlt89G & Fee. S CO C') Postma/\. 0' Dale ~ ~ '.? I> 463 787 5'11 :il \!! ",,"'" n"~,,, SIlo"'n ~ .____ Whom A OillA [).i,hfln!~ . j' a "",",P"'O('lSl'vwnJ-- .0{ OIIf.&MtN('I(!',Mun ~ TOTALPO$lag,&feel $ 'S ~ M PMlma'''-Ol'Oalo j lr . P 1163 ?87 115 o Spedill DclfV1)ry Fee Raslnctad Oeli.ery raG '" g; Helum f'etoifJt Sho'lt"Vlg 10 .... Whom ^ Dalo Oehefod a Rttum RP.;flPC Stv.-ng II) Wlm. .:( Dale.l Mliml/o(l" MiISI g lOTAL POliL1QO & Fe". CO M postmal\. Of Dahl E & 1Il a. .".-..~_/ s ';;:;S,;::J. CAPITOL - PUBUC GUARDIANSHIP AGENCY P.O. BOX 1113. CAMP BILL, PA.17001 July 20, 1996 Myra & Bobby Trimmer 1611 Trindle Road Carlisle, Pa. 17013 Paul & Millie stone 2041 Ritner Highway Carlisle, Fa. 17013 William Kuhn Rt. 2 Box 360 Poteet, Tx. 78065 Betty IIose 11 West Baltimore st. IIagerstown, Md. 21740 Mary Ellen Reese same as Betty IIose To all concerned; Helen Kuhn died on July 5,1996, while a patient at the Laurel Nursing and Rehab Center in IIamburg, Pa. The following information is being furnished to employ procedure for settling the estate of Helen Kuhn. Amount of Estate at death: Checking account Savings account Irrevocable burial reserve Total $ 1986.09 19.86 1651.45 $ 3657.40 Outstan~~ng 'Liabilities: Laurel Nursing IIome Attorney's fee Guardianship fee Filing fee Funeral -. Total $ 517.70 25.00 35.00 9.00 4316.60 $ 4903.30 $3657.40 4903.30 -$1245.90 Total Assets Total Liabilities Balance of Estate Real or Personal Property none Will none If you have any questions or concerns regarding this matter, please contact me in writing to the address listed above. Sincerely, /) " 1::;; LCi<tL (.J Ann Thorl!lc Guardian BlCllIBIT #3 .. 0 00 0 000 00 0\1'1 \1'1 0 00 0 00'" 1I'l0 "'~ ... . . , , . , , , , . , , II'l 1I'l0 0 000 M~ ",... \1'1 M ",1I'l '" Oll'l'" ... ...11'\ '" ... <Xl'" ,.. ..... ... ....'" '" M .... ~... M Ii) Ii) Ii) Ii) Ii) <It ... 0 0 ,.. .- a.... 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C7l C 0\ Cl". ......,.....................,........................ ---..-Il$I____$ (",,:t'""(""".-.Mft"IMMM(f" .............."................................., M :n C"": ,Yo 't;' 1,/'. ~... If'l If\ ..::. 1Q=C1t;;$C$$O~ ,~ r. II' C' :. . ... '- ,-, e:: :> ::l E cc c.. William Lewis Grubb Attorne)' at Law 3105 Old Gett)'shurll Road Camp 11111, I'ennsyh'aula 17011 Tel. (717) 763.5580 Fllx. (717) 763.6848 July 23, 1996 Ms. Ann Thorek Capitol Guardianship Agency P,O, Box 1113 Camp Hill, PA 17001 Dear Ms, Thorek, Attached is the billing statement for legal services rendered on behalf of your ward, Helen L, Kuhn, Service: Research issues regarding Guardianship Agencies and closing of insolvent estate. PBA Referral Total Fee ----------------------- $25,00 Very truly yours. LJ-ls lh_~ William L, Grubb EXHIBIT# 4 .. I. _\ C)?J a t.L-.6 .;Lu/ /9 'it c . ACi..eZV .')J).w .c..f4uA, . ...\:1 ;{;/vA<1-'_....12-~j"i.vv1~-'~ ./}}'"1 :!,~..~dc..v ~lLv_.!Yhct1......~~_... .__.... ;- . . --.-. - ~ :V,:t -.9 /tl~~w~ /? ""d.t. "~r~ 'lG ~Y' . V, ~-tc.rf,..'t- .6t! t!. :I L. .~L.J 1~"avL'-d~L-:;:) '~"I/,.) _,7/ /.j .1.(4,.I/.At- C-rL ~(,'-:'L,L~..-: /lc.M.:t I..... Cc..... J ., .. ." .. ~ (.? .,tj.U./,/ .A'-.l-,;{ ...><L?t"-C-1,.~' /t4.Cd l..o: i.;.~L-- A4...: -T. J., ,.. I ,. n ./Ui ;.(;,:(.IA:.- #.v' ~4,...d ~Ad,.L., ,Ztt.(...,.A.2- 'V , {'ef.-<<' U ./"t'a.k-." ~--: CC.I(..(..(.. r/Ju,'l.<- . tL'J..fu-,I.v.-vt.X,-c';f ,.} . d" J.. 'u. _, '~"1' ...--' _~tc{ (t; ,v .:rtta~ ~L.I~"c~..-.1 ;ft. ~~:~ ,~~~""- \ /&~J ~v<r.-(..-d. .:0--L ;:':''-1'...<~' .",'L- .".,...-du.. ,.;.C. /t~:''r...~<-~:J~v ./t..-L ~r~~'-"'_C(''-'''<:' /zet.<,.j-'l.i' ,/~o::....d.<-:,vA(, ./..h~-G,.. ~'-/l,."'~' tz/JA.t'r-.r - /)'~/"""k... .' '(,A--U/l.-' J,.:.;''l-t..i.'4'/)/.-d-->-./ I- '1CJ~/L..-~,..... (J((d~d-~ ;./:..r::.. ~;;' ':U;'6 ,~I ..a/I<'-' ..4~ ~j~..,:.?u..-? ~/t.G- ~ -d'v ./:.tL~~ tV .z/~ .r....' - ,/ ( :.'1nd-7:"-U-{.-,' .-';?uf -().-1.4--Ut..0 i't.....c' y./t,,:-.-- ~)....I..4.) ,J. ~Idi_/-:'t-""'-C:'~. .~~:.~.)(..~. s/.~.~, f'k. '-c..".{...-t.. ~c- ,.-a )",.1.. ",y, n:~L "".-:' :e'",.... ./)): < ~.... we..... ~...e''1 eL .yr<-. ~ ~"z.'-t'-<~l /{.(../~ -i, -t.,..'-' CAPITOL - PUBUC GUARDIANSHIP AGENCY P.o. BOX 1113. CAMP BILL, PA.17001 Harch 16,1996 Hyra & Dobby Trimmer 1611 Trindle Road carlisle, Pa. 17013 Paul & Hillie Stone 2041 Ritner IIighway Carlisle, Pa. 17013 William Kuhn Rt #2 Dox 360 poteet, Tx. 78065 Betty nose 11 W. Baltimore Street- Apt. 322 nagerstovn, Hd. 21740 Hary Ellen Reese same address as Betty Hose Dear Family Hembers of nelen Kuhn, On February 12, 1996, the Cumberland County Orphan's Court, appointed me plenary guardian of nelen Kuhn's person, and of her estate. I am the administrator of "The CapitOl Guardianship Agency", address- P.O. Box 1113, Camp nill, Pa. 17001; telephone - 717-975-2577. Presently. Helen is a patient in a skilled-care unit at "The Laurel Rehabilitation & Nursing Center", located at 125 nolly Road, Hamburg, Pa. 19526., Telephone - 610-562-2284. nelen's medical prognosis is poor; she remains in a coma since August 1995, and is on a ventilator. Her condition is expected to deteriorate, and ~~r the attending physician her life expectancy on the ventilator is approximately, two years. A DNR ( Do Not Resusitate ) order has been in effect. nelen's income source is a small benifit from Social Security, in the amount of $349.50!month, which is applied to her cost of care and treatment. A pre-arranged, irrevocable, burial fund was established and currently holds $1600. in reserve. . . . . I am providing the above information to you about IIelen and my agency in the event you would desire to contact me or to have knowledge of her medical status. It io aloo my hope that you would reopond in writing to the following within 30 days of thio letter. 1. Do you wioh to bp. contactt'd in the event of IIelen'o . deoth? If 00, pleaoe foward your current telephone number. 2. Doeo your family desire a religiouo service? If so, what denomination? 3. Are you financiully able or willing to contribute to the additional costs of burial? 4. Do you have any specific queotiono or com~ents regarding Helen ? If 00, please let me know. Thank you for your time and concern, I look foward to hearing from you. Sincerely, /oJ / J. C/.'/L U Ann Thorek Capitol Guardianship.Agency