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\', \,. I' , fOR DATES OfDEA1HAmR 12/31/91CHECKHIRE
.~,;~b'r. INHERITANCE TAX RETURN '~o~::~yugiDIT IS CLAIMED
'r;..~ RESIDENT DECEDENT !FILENUMBIR.....
COMMOt~WfAllHOf PENt,lhYtVANIA (TO BE FILtD IN DUPLICATE I
H::R~:31:1.';~;~:~:~~:, . . WITH REG;SrER OF WILLS) ,COU:T~CO~E YE~R()
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K}'.l. 01iglnal Return [] 2, Supplemental RO!lifn [J 3. RemaindIH Return
(lor d\1tes of death prior to 12.13.82)
[] 4. Limited Estale ~.l 40. Future InttlroU Compromise 0 5. fedarol Ellole Tal( Return Required
(for dotos of deoth oftor 12-12.62)
f] 6. Decedent Died TOIIOIO [J 7. Decodent Maintained 0 living Trull
(Altoch copy of Will) (AHach copy of Trust) ,
ALL CORRESPONDENCE AND CONFIDENTIAL TAX'.INFORMATION SHOULD BE OIRECTED TO.
-""AM!' IOMPlOf MAIliNG ADDRESS
_JS.eiJJl~-13re.!lL1.QnE\I) /.__l';BgU.if~_.. _ _ 44 W. Mai n StrWu
TElEPHONE NUMBf~ Mechunicsburg, \_~Pl\ 1'7055
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Real EUale (Schedule A)
St~ckt and 8ond, (Schedule B)
Closely Held Slack/Partnership lntorost (Schedule C)
MOrlgages and Noles Receivable (Schedule OJ
Cosh, 8ank Depo,ilS & Miscellaneous Personal PrlJperly
IS,h.dul. EI
Joinlly Owned Proporly (Schedulo f)
Tronslors (Schedulo OJ (Schedule lJ
Toto! Gran Auou (Iolnl lines 1.7J
Funeral Ell;pensos, Administrative CasU, Miscellaneous
Exponses (S~hedul& HI
Dobts, Morrgage Uabilities, Lien~ (Schedule I)
T otol Deductions (10101 lines 9 & 10)
Net Yolue of Euolu (line 8 minus line III
Charitable and Governmental BequesU (Schedule J)
Net YCllue Su.?iecI 10 Tax (line 12 minus li~~__
Spoulol Transfeu (for dates of death after 6.30.Q4)
See lnslrucllon' Inr Appllccble Percontage on Rever,e
Sidfl. (Include values from Schedule K or Schedule M.)
Amount of line 14 roxcble at 6% rale
(Indude valulJs from Schedule K or Schedule M,l
Amounl of Une 14 loxablfl 01 15% rale
(Indude valu,,, from Schedule K or Schedule M,l
Principal 10.... duo {Add lOll; from Unes 15, 16 clnd 17.}
Credits Spousol Poverty Crodil Prior Poymon1S
+
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06'JO
NUMkER
.0._ 8, Tolol Number of Sofo Deposit Bo....o\
(1)__21_O.QQJ.OlL
( 2 1 ._________.~_ ------
(31 ..__...._..__.________.__
(4) _._~_..____._.__.....m._
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18) ~_LMJ.98
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(10)
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(12)
(131
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(17) _..._._.._..____.___._..__..~." .15 .
(IB)
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If Uno 19 is greater than line 18, onlor Iho dlflfHooce on line 20,
m1i
Thil II ,h. OVERPAYMENT,
Chttdt hore I' you ore roquestlng a refund of YOUf overpayment.
(211
(2IA)
(2IB)
21 If linfl 18 is gre(ller thon lino 1r.). nnlor Iho diffe/cnc(I on Line 21 Thi1 is rhll TAX DUE.
A Enler the inlorelt on tho bal{ln~e dun on LillO 21A
:"0:'::.-
8, En!tH ,ho lolal 01 Lina 21 arId 21A on lino 21f\ Thii ii ,ho BALANCE DUE.
M_~k~~~~~_~.p..~_'(~~_l. to: Reghter of Wills, Agent
_m-'--';BE-SURETO ANSWER. ALL QUESTIONS ON REVERSeilDEANil TO RECHECK MATH ..(... __n.
Undor penalliel of peqvly. I declortl !h(;;Th~~\-;~~~;~.~T!f:I.~--;-;;-urn.,-~-~~il~.;-~~~;~lPO~yin9-;-h;ldulnl oncJ ~Iotemont\. ond to rhe be\! 01 my knowledge OI'Id beliol.
It I~ !ruo, corrncl nnd comploto I dncimo that nil rflnl flslCltn hm bfl(lrl Hlporlfd (It Irll(l mmkol vClI\lo_ Olldurolion 01 proporor other thon lho per\onol rOprtlSflntotlvfI 1\
baled on all IIllormo11on of wh,rh prflporflf hn~ orly ~llClwllldql'
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Schedule F - Jointly Owned property
Date of Death
Bond No. Face Va.lll.~ Jeeue Ow Value (8/6/96)
C73939885 $100.00 July 1984 113.08
C76574857 100.00 August 1984 113.08
C79169380 100.00 September 1984 110.84
C79175157 100.00 Ootober 1984 110.84
C81592524 100.00 November 1984 110.84
C81598527 100.00 Deoember 1984 110.84
C82771369 100.00 January 1985 110.84
C85852409 100.00 February 1985 110.84
C85857382 100.00 March 1985 108.68
C86960916 100.00 April 1985 108.68
C86966650 100.00 May 1985 108.68
C82656097 100.00 May 1985 108.68
C226745358 100.00 .January 1990 73.44
C226760697 100.00 February 1990 73.44
C226775861 100.00 Maroh 1990 71.32
C242897145 100.00 April 1990 71.32
C242912206 100.00 May 1990 71.32
C242927350 100.00 June 1990 71.32
C242943331 100.00 July 1990 71.32
C259465466 100.00 August 1990 71. 32
C26377B781 100.00 August 1990 71.32
C263797368 100.00 September 1990 69.24
C263819500 100.00 Ootober 1990 69.24
C263843741 100.00 November 1990 69.24
C276818793 100.00 Deoember 1990 69.24
C276843570 100.00 January 1991 69.24
C276869825 100.00 February 1991 69.24
C266947520 100.00 March 1991 67.20
C266972229 100.00 April 1991 67.20
C266996667 100.00 May 1991 67.20
C295247672 100.00 June 1991 67.20
C295278484 100.00 July 1991 67.20
C295289329 100.00 August 1991 67.20
C295320532 100.00 August 1991 67.20
C310346912 100.00 September 1991 64.56
C310370035 100.00 Ootober 1991 64.56
C310393733 100.00 November 1991 64.56
C330'777656 100.00 December 1991 64.56
C330797723 100.00 .Tanuary 1992 64.56
C330820343 100.00 February 1992 64.56
C330841262 100.00 March 1992 62.12
C342753242 100.00 April 1992 62.12
C342771810 100.00 May 1992 62.12
C342793479 100.00 June 1992 62.12
Sohedule F - Jointly Owned Property
Date of Death
Bond No. ~'ace Value Issue Date Y1!l.ue (8/6/96\
C360853704 100.00 July 1992 62.12
C360875720 100.00 July 1992 62.12
C360890641 100.00 August 1992 62.12
C360915584 100.00 September 1992 59.96
C367459763 100.00 Ootober 1992 59.96
C367485668 100.00 November 1992 59.96
C367510132 100.00 December 1992 59.96
C39462360B 100.00 January 1993 59.96
C394647413 100.00 February 1993 59.96
C394674006 100.00 March 1993 57.28
C410662455 100.00 April 1993 57.08
C410689272 100.00 May 1993 56.88
C410713683 100.00 June 1993 56.72
C410738232 100.00 July 1993 56.52
C425513097 100.00 July 1993 56.52
C425538646 100.00 August 1993 56.32
C425564488 100.00 September 1993 56.16
C437831550 100.00 October 1993 55.96
C437855922 100.00 November 1993 55.76
C437882473 100.00 December 1993 55.60
C437907458 100.00 January 1994 55.40
C437933344 100.00 February 1994 55.24
C437956014 100.00 March 1994 55.04
C437983482 100.00 April 1994 54.88
C467495841 100.00 May 1994 54.68
C467521043 100.00 June 1994 54.52
C467544703 100.00 July 1994 54.32
C467569368 100.00 July 1994 54.32
C467594370 100.00 August 1994 54.16
C485877282 100.00 September 1994 53.96
C485900717 100.00 Ootober 1994 53.80
C485927252 100.00 November 1994 53.60
C495169155 100.00 December 1994 53.44
C495195211 100.00 January 1995 53.24
C495220114 100.00 February 1995 53.08
C495245676 100.00 March 1995 52.92
C515406681 100.00 April 1995 52.72
C515432272 100.00 May 1995 52.52
C515455637 100.00 June 1995 52.52
C515479747 100.00 J'une 1995 52.52
C527319344 100.00 July 1995 52.52
Tota 1 : $5,790.04
Schedule G - Transfers
Date of Death
Bond No. Faoe Value Jssue Date Value (8/6/W
C527344352 $100.00 August 1995 52.52
C527369107 100.00 September 1995 51. 32
C527.394113 100.00 October 1995 51. 32
C527418639 100.00 November 1995 51.. 20
C510563416 100.00 December 1995 51,20
C510587506 100.00 January 1996 51.20
C539956293 100.00 February 1996 51. 20
Total: $359.96
. .""UlI f.. f'....
ATE OF
~
SCHEDULE H
FUNERAL EXPfNSES.
ADMINISTRAnVE com AND
MISCELLANEOUS EXPENSES
CQMMONWfAIJH or 'fNNmVANIA
INHfR"ANCI TAl< UTURN
OI"OINI OICIOfNT
.--"
P1_ Print or T
George h'. 13card
21 %-.0690
DESCRIPl'ION
ITEM
NUMBER
A. Funeral expenlel'
B.
4,
C.
1.
2.
3.
4,
S.
6.
7.
e,
----
1.
Noil Funeral Ilome, Inc.
1.
Admlniltratlve Colill
Penonal Representatlvtt Commlvslonl N / A
Sodal Security Number of Penonaf ReprelentatlVtlI
Year Commiuions paid
2.
Anorney Feel Snelbaker, Brenneman & Spilrc, P. C.
3.
Family exemplion
CaimanT Blanche M. Bpi'! ,-,1 Relationship
Addre.. of Claimant at decedent'l death
Street Addreu _.-Jl0 Beard Hnad
Cty _ Eno1a State PII
ZIp Cade 1711?r,
~DO\lF.B
Probate Feel to Hegister of Wills, Cumberland County
Mlleellaneoul ex"elllell
Advertise Letters of Administration - The Patriot News
Co.
Advertise Letters of Administration - Cumberland Law
Journal
Heserve for filing fees, miscellaneous oosts of
administration and notary fees
AMOUNT
. 5 ,130 . 00
1,500.00
2,000.00
57.00
63.40
60.00
1,000.00
TOTAL (AIIO enter on line 9, Recapltulationl Is 9,810.40
--
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
II:
Blanche M.Board
being duly .__sw_orn _ according to law, do poses and says that she. is__tho
Adm~n.i.stratrix of the Estate of _.G(;g;>r.g.\;lji-'-._~"IU::d..__ ._..~__
lalo of Silver Spring ~l'ownship _, Cumberland County, Pa" d.c....d and that th.
within is an inv.ntory mado by. BIanchc _M. .Beard _~, the said.A.dminis..tJ;.iaJ::rtl<
of the entiro .state of said dec.dent, conTisting of all th. personal prop.rty and real estate, exc.pt real .state outside
the Commonwealth of P.nnsylvonia, and that th. figures opposite .ach it.m of the Inv.ntory represent It's fair value
os of tho date of d.c.dent's death,
Sworn to
_ and subscribed before me,
r" " ~
.!.~.\~,)-~,Oc}- ,_~l~\.(t <..:._\.-~~_ \_~~_JA_~.:!....r,j).."..
Executor. Admlnlltrltor
_tb..i.P-1<:;( . _~ of ~_19_'t.7_
/j?.,;.- . () '-.! Ii
<...~:. t:U/UA::}~ 4:L..*. ~"L<i_< k.)
~ Nolarlal Seal
f'atrlCill J. n,omson, Notary PubIIe
MOOlo~Ic.'lburg Bom, Cumbart8nd CountY
My Commlssloo ExplrllS 000.81, TIlQ8
l_.~_~~
€itl1.__.^'1l9\Js:t:
DIY Month
8 0 1>0.a 1;-,1 g.o-,~~L
Enola, PA 17025
Add,."
Dote of D.ath .__n_
__._19~.6
Vur
INSTRUCTIONS
I. An inventory must be filed within thrao months after appointm.nt of p.rsonal r.presentatlve,
2. A supplem.nt inv.ntory must be filed within thirty days of discov.ry of additional o..ets.
3, Additional sh..ts may b. attach.d eT to p.rsonalfy or realty
4, S.. Articl. IV, Fiduciari.s Act of 1949.
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DUREAU OF INOIVIOUAL TAXES
IMlltRIIANCI: lAX BIVI!lION
IIrPT, 260601
fl^~RISnlJRO, PA 17128.0601
NOTICE or INHERITANCE TAX
API'RAISEMENT, ALLOWANCE OR OISALLOWANCE
OF OEOUCTIOtls AND ASSESSMlNT OF TAX
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
KEITH 0 BRENNEMAN ESQ
4(1 W MAIN ST
MECHANICSBURG PA 17055
09-29-97
BEARD
08-06-96
21 96-0690
CUMBERLAND
101
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'o)p!. .. ,t.
IH l~'" tllH lel"l
GEORGE
W
f --------------A.mounT Ra'i" i t -t 9d,-_u---'''--'j
__~_______________ ____n_n.._...___..n____.___
:~_...:~..~----' ---'--_:_:_::_~~_::_:: '_:_---=~:----~~--=-~
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
R 'Ev; 1547 - Elf -iiFP-- f 0:3"-- 97Y - NOYlcE - -oF nINHEiiI i' AN-CE- TAX - iippjl'iii S EiofENT -; -iii.i.:OWAtfcE- OR- - - - --- - --- - - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BEARD GEORGE W FILE NO. 21 96-0690 ACN 101 DATE 09"29-97
TAX RETURN WAS, I X) ACCEPTEtJ AS FILED
- , ~ .--.
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
- ._--~-,-~_.
APPRAIS~D VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real [statR lSch9dulo Al
2. stocks and Bonds (Sc:heduh B)
3, Closely Held stock/Partnership Interest (Schedule CI
4. Mortgages/Nohs RecBilJsbla (Schodllle D)
5. Ca5h/Bank Deposits/Misc. Personal Proper'ty (Schedule E)
6, Jointly Owned Property (Schedule f)
/. Transfers iSchedule G)
8. 1'otal Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
q. Funeral F.xpenses/Adm, Costs/Mise, Expenses (Schedule H)
10. Debt s/Mortga98 L iabili ties/L iens (Schedule 1)
11, Total Deductions
12. Net Value of TIP': Retut'n
13, Char i tabh/Govor'nNtontal llequftsts (Schedule J 1
14, Not Value of Estate Subject to Tax
If an assessment was issued previOUSly, lines
reflect figures that include the total of ill
ASSESSMENT OF TAX:
15, Amount of Line 14
16. Amo,mt 01 Line lf4
17, Amount of Line 14
18, Principal l'a>o: Due
NOTE:
at Spousal
taxable ilt
taxabh at
rate
Lineol/Class A rat.
Collateral/Class 8 rat.
TAX CREDITS:
~---------
PAYMENT
DATE
-...-".....--.--.--..
III
121
131
141
151
161
171
191
1101
1 CflANOED
.l,OOO,OO
,00
,00
,00
15,546,96
2,895,02
,00
181
9,810,40
10,528,32
1111
1121
1131
1141
NOTE: To insure proper
credit to your account I
submit ih. uppal' portion
of this form with your
tax payment.
20,441,98
20.338 72
103,26
,00
103,26
14, 15 and/or 16, 17 and 18 ~ill
returns assessed to date.
11E1
1161
1171
103,26 X ,00,
.00 X,06,
,DO x ,15,
1181
.00
,00
,00
,00
RECEIPT
NUMBER
I nn-orscoiiNT-i.;'" ......___._..n__.___.____
INTEREST/PEN PAID 1-) AMOUNT PAID
, "".'''..' .,..._.._. .__......-..._.... u._~.___._____. ......____.~_..._____._..._.~..____,_......
TO!~~_~A_~CRE~-XIf=-~ ~
BtNVEN~~E~:O:A:~~~t~:~ I .......... w_n~~::~~i:=:
IF TOTAL DUE IS LESS THAN II, NO PAYMENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED ^S A "CREon" ICRI, YOU HAY BE DUE
A REFUNO, SEE RlVERSl SIDF OF TlUS FORM FOR INSTRUCTIONS,)
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
,-'I
'I ,_.~
"j
RESERVATION I Eltahu of decadents dying or\ 01" bl'l~c)r. DeoellibGr H, 1982 *R 11 rtny futurG interest In thlll athte Is transferred
1n poslelsion or enjoyment t~ Cla's 8 (oollateral) benefloJarl.s of the daoedant aft.r the expiration of any ..tate for
life or for years, the CoMmonwealth hereby exprelll~ relerv.. the right to appraise enu ~".'s transfer InhGrltence Taxes
at the lawful Clas. 8 (collaterall rate on any suoh future Intere.t.
PURPOSE OF
NOnCE\
PAVMENTI
REFlIND CCR>1
OBJECTIONS I
ADMIN
ISTRATIlJE
CORPECTIONS\
DISCOUNT I
PENAL TV I
INrERE9Tl
To fulfill the requJrelllenh of Seotion 1140 of the Inheritance anti Estate Tnx AClt, Aot 21 of 1995. (72 P,S,
Seotlon 9140),
Dotach the top portion of this NotlQe and submit with your p8ymcmtto the Reglstor of 1011111 prlntod on the reverse sIde.
--Make cheak or lIIanll~ ardor paYflblo lOI REGISTER OF' HILLS J AGENT
A refund of 8 tex ct'edlt. whJchWa5 not r4lqululhd on thfl Tax Rohlfn, mllV be ("quested by completing IIn "App1Jo~tion
for Refund of Pannsvlv8nh Inherltanco end Esttlte Tux" lREV-1313l, Applications orll llvllllable at the Offioe
of the Ruglstlllr of WIlls, any of the 25 Revonue DIstrict OHlou, or by callJng the special 2'4"hour
answer1n" service nUMbers for forms ordering I In Pennsy!v8n18 l-aOOR562-Z050, outside PennsYlv8ni~ end
within looal Harrisburg llrAa (717) 767-8094, TOOl (7171 71?-ZZSZ (Heerlng IMpaired Only).
Any party In Interest not satil~18d with tho 8ppraIsement, allowance or dlsallow8Me of dlld\Ictlons, or UUUment
of t8~ (Including dlscount or Interost) flS shown on this NotIce mU$t objoct wIthIn slxtv (60) days of r.o~lpt of
thls NotiCe! bYI
--written protut to the PA Oel18rllllent of Rovllnue, Board of APPOllls, Oopt, 261021, Harrhburg, PA 17126-1021, OR
~-ol.otlon to have the metter dotmrlll1ned lit audit of the account of the personal represontlltIve, OR
--appeal to tho Orphllns' Court.
FactUlll errorl dIscovered on this assellment should bo llddrossed in writing tOI PA DoPftrtment of Revenue,
Bureau of IndIvldulll T8)(0I, ATTNI Post h'C1ssmont Rovlew Vnlt, Oept. 280601, HarrIsburg, PA 17128-0601
Phone (717) 787-6505. Soo pllgy S of tho booklot "Instruotlons for Inhorltance Tal< Return for 8 ResJdlh"lt
Oecadent" (REV-150ll for 6n explanatlon of l'Idftltnhtr!ltlvely torrClOtllble errors.
If any t8l< due h fluid withIn thrfl8 (3) ollhmd~r IIIllnthll after the decedent's doath, 1I five percent (Sin dhoount of
the tax patd Is allowed,
The 15% hlx alllnuty non-partJoIplltlon penlllty Ii comfHlhld on tho totnl of the tax and Intorast lIuUI.,d/ and not
patd before J8nuIlry 18/ 1996. the flrlt dfty 6ftor thfl end of tho hx Illllnutv per Jod, Thh non~P!lrtlclflatlon
penal ty h l'Ippeolllbh 11'1 the Sflme manner end In the the 5811I0 t IIl1e per lod fII you would appelll the tnx lInd Interut
that has bean ll..elled al Indlcllted on thIs notloa.
rntara5t Is charged hoglrmlng ~dth flrgt dAY of dellnquencv, or nlna (91 month. and ona (ll day frail the dati of
duth, to the date of pllyment. ToxllS which beC8IMe dellMlulllnt befol'a Jllnullrv 1; 1982 bur Intar..t at the rate of
Ih< (6%) percont per "'nnull calculatfld lIt n dslly "atll af .000164, All tlIXI. whIch beC81l1a delinquent on and nfter
Jan'J~ry I, 19&2101111 bear IntorlUt at 8 rftte whtch wtll vlIrv frQI\ cnlenclar yellr .to qalendar \lear with that rate
announced b~ the PA Oepllrtlllont of RevenulI. lhe nppl tctlble Intorut rattu for 1982 through 1997 arll
'!.!!! Inhtrest Rate Dolly Interest rllctor ~!!' Intorest RlIt~ Dally tntlrllt FlIGctor
1982 lOX .OO054e 1981 9% .000247
1983 16% .000458 1968-1991 11% .000301
1984 U% ,000301 1992 9% ,Oa0247
1985 13% ,000556 1993~ 1994 1% .000l9!
1986 10% ,000274 1995-1997 9% .000l41
--Interest h Clelculatad .. folloWl1
INTEREST = BALANCE DF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
.~An\l Notice luued 8fter the tftx be<loUt l1111nquent wHI reflect 8n Interlst calculfttlon to flf'.." (1S) daVI
blvnnd the dah of the tll'llll5,"cmt. If paV"'Clnt Is llIf1de lIftar thl lntorut oOlllpuhtlon dat. ShOilln on the
NOtlo.. addittonol IntGrlll MlIlt be lla!culatod,
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WARNING: It Is II10gnl 10 duplloalo this copy by phnll"'lnt 0' pl\(Jto~Jfnph.
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No.
Il'U~ ItJ H.. ~187
COMMONWeALTH Of PENNSYLVANIA' OEPA.RTMBIH O~ HEALTH' VITAL RECORDS
CERTIFICATE OF DEAHl
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