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OOMPETENOV AIJ~a$IJMEN"\INVaNTORV
POMMONwaA~ TH op,pa~Nav~vANIA'
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INSTITUTION
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IIII\MINIA
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INBTRUOTIONBITh. Idmlnlltratlon of the Competenoy'AIIQllment Inventory (CAI) ,lhoUldoonform Oerefully to the dlreotlonl
provld.d 1.'8reln, rhe Ititad qUOltlonl and talkl are d'llgnod 10 011011 r"pOnlll whloh will lie Ul4id In det.rmlnlng whe,lI1.r or nOI ·
relldontl, o,pableof f11aneglng hhp.rlonal PT\lperly andlor IIIUloopllbl. .toll1a daCOlP\lo~. ~f olh,n. (P.nnlylvanle ,~ullet.ln, (\prll1ll,
1976, Vlllum. 6, Number 17), \. . '.. '
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If ;ha rllld.nt'. r~IPonlelloorr.ot, plaoa Iha' aMaolnumPar of polnlll~ Ih. Iploe provldod. One ,polntwHl 'be given for .eoh oorreot
rllponle, eMOIpt Wh.re lndl9aled, ,Th. eMeinlnar thould provide Ih. rall,dent,./patlent'l nem., aga, end center/holpltal number If en
addrlllograph plaIa II not 'mil able, '
PART I ...BORBIl~ING QUUrlONB
BCORB
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Alk thelnd.lvldual to ltel' hll/har.full nam.; (Boore.one (l)polnt If fUll name 'II given).
l'trve th. Individual wrlle hll/h',r full name, '(Saore one (1) point If Ih. Indlvldua.1 wrlttlhll name 1Q0ur,tely),
. .' . f:.l--rt 1"\2 / ~J! /?JJ!1 / ,'\P)1~ -"'
, 0 IndiVich'lal'l Slg~t\fr.. - "
Alklhe'lndlvldual to.name the ourrent day, monlh, and year. (Soor. on, (1) point If the Individual IIIPondl
oorreotly to all tllIea) , , . "
A1~ Ihe Individual where hellvlI. (Saore one'l1) point If nef11eo('lnltltutlon 01 family .ddrlllll given),
Alk Ihelndlvldual to read the followlngl '
VFIVIl vt~N V/lIX , \"NINE '><NINE HUNDRED
VaN!! )<CHECK (<1'WENT.Y i:THIR'TY.ONE '><08P081T
~'TWO vaANK., '(POUR '~EIGHTE~N. ~8EVllNTY.SEVEN
(S\1oreona (.1) point for :1.6 wordloorraotrtwo (2) polntl for 6.10 words oorreotl and three (3) poln1l
'':l ' fat, 1", 600rreot).
_ (I, Culranoy Identlfloatlon -,Meterlalll Penny, nlokel, dim., quart.r, half. dolll!, Randomly place the oolnl In
~'*ti~~~'~i;, . :~ ~:~~:~~":~i"
. {\ (Soore two (2) pain" If, fout (Mar more ,relponl81 are Qorraotl,.. '
-U..-?, ',Mawlalll ana (1) twenty, toni. flye, two, llnd One,QOllarblll~o the bll111n ftont of Indlvldu.1 and IIkl
~l~1 '.~hi:~. ~lIlrl.ow,t~rd,d~~.,~armb~~II? X 1;1~:~~ ~~\~.t~l~el~~::::t~woun~?
i, ::klol Show melhe..t8fl doll.r bill . .
(80ore two(21~olntllf(~) or,more II,pOnI8l.are oorllot),
. a:rOPhera If the Indlvldual.hll a totalloore of ,1M (6) or 1811 point'. for It.mlline'(llthrough leven (7),
. MRTH in PINANCIAL MANAGeMeNT,
SCORB
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" 3,
~4.
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If V(1J wan lad to buy a redlo at ,the low8lt ptl!=l' (IellteMP.nllvo), and nw thtoe radial ,marked, $7000
$11,00. $8,00, whloh radio would you."leol?'(Sooro ona (II point If the $7,00 amount II ,eleoted).
Glv. th. h,dlvldual one dollar ($.1,001 In (nlxod ohange, ~nd Ilk: "
(al If you bOUght lomethlhg forB6 cenU, Ihow mo how m~oh ohllnge you would havo 10ft?
'. 'rlg~t .. V' wrong' ,
lbl If a pono.1I oOltl 26 oen1l, Ihow me how muoh monay you nOe.d, 1/
tight ,.L..-wrong
(a) If y.ou bought lomathlng far 8S oentl, how muoh ohingewould you havaJ-" '
, ' rlltlt wrong
(800'" .two,(2) polntllf ,"thr.. horn, eto a\1lWlred ootrootly),
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MR 22 7/77
IN REI
INSTITUTION GUAROIAN
APPOINTMENTS
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IN THE OOUR or OF OOM!ol)N, PLEAS' OF
CUMnjJJRLAND COUNT'(,. PftNNSYINANIA .
ORPlIANS' dollRTDIVtfllON
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.591 ORl'HANS 1979
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I' 2049
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ORDER OF COURT
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AND NOW, oec:emb.r,l8, ~979,'RICHARD W. ST~ART, E/lqu1..re, hav1..n&
c9mpll'l~ed tho duUes tel41ted to .\lie Auignn'ient 4lS m4\8tat' l..n thl!
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abc)v.Rcap~~On8dll\lltt.erll~nd having r$ndered 11 tie-port thereon I
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It is otdered ~nd d1..reate,d that, his opmpensatiq.n ~n both CAses
o.olle.l,1ti.v'ely 18 ,fbed in the amoUnt of $70.00 and, thf.l treasurer o~
cumberland CO\lnty is ,directed to'. ,make payment to him .in thHI a1Jl(),unt,
By the CQUrt,
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Richard .w. Stew4rt, 1i11lquir4ll
Tr4,.~rer, dumbetland coUnty
(cn~~ 0136R4~O-12)
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I' 1NTIIII. MA')."rItR OF
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I IN ~'II11 OOUR'l OF
, OF' Cumherland
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(JO~IMON l'LFoI\B
COUNTY, PIlNNSYINANIA
r'oar~ .~. 1l9P'J' .
AN I~C0t11'11rllN'r
OltPIIANlI t COUI\T InVISlON
,NO .51l1 OF' 19, 71.1
'AJjlW^'" I$I~POI\T 01.". OUARlllAN
'.. '~DIIl'a.lJL!1.....!lPYOl'.
Aocordan\ls wi t:h'liiwt . dOOR ijtnl:e all, foUo\~1I I
'1. I RI)1 1:/10 Bunrdilln of I:ho Oal:Rto, of 1'(l'lIl' I S.
havins' be,en Il~p.o'inted by ch1,$ lIohorliblo Court; hy Order of
t ,boing duly sworn il'l'
Ilon(ll'
Ualo F.. Shu.l!llrt
2. . At tha time (jf mY'QPpo~nl:mant there Wl1S consarvad
':l.n Peurl S , Ilonor . 's 1I00oUnt $ ~1!l:l7 J!2 '
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3, Silioe then I hriVl) recet'vec! in!:ho 'hamo of
,the follow-Lnll inooma I
Pollrl S, 1101101'
7/1/70-6/1/80
7/l/S0-3/1/81
II' '$ 58.30
b. $ 67.00
b. $ ?p.28
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II \'lnn(~h Crom Sodlll Socur1t~,
1\ month from Sooial Socurity
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froll1
. Interost
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4. On 6/20/80
(instit~tion)" $153S.95
o~~ng frOm 1~74 to ~av 1980
, month/year
" W11en roesona\110 8rounds to contest theso bills
lall!atiad, I hAVe'sought toaasert liuch gr\lunds before maldng plIymenttl.
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6,. 1>1';/-01' bo !11I\king a~l such llaym~nt, 1. have ~eceiv'~d
bhe availability of grounds to seek abatemenb, modificabion or
diBClha~sa, of these bills. '
1 llaid to Ilarrisburll Stata Hospital
(amo1Illt), for care ' and maintenan'ue
, ,7. .Sinca then I h~v~ pllida,totalof $........ 26:\.65
.ifot: ..cllrrent care and maintenance to llarrisbtirll State'Hospital
l'Urauant bO ~O l'. S, U 4501 l'lnd 4502, and reBulaHonB
,prqmulgsted tnereunder.
8. The.foreSCling i$ fUod in complianos with the .Ordor
of .CoUrb in Veochione V. Wbh11J/ilmubh, No. .73~162 (!l.D. Pa...Junl3, 3D,
' 1978) and nOb. in response to 'any Order qJ' this 'COUrt. [qr stnts, 8tabutla.
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(instiI:Ution) ,
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L,/..I'.:i,!,'_'__. ':1.''';,I~A''60
,,\() "'~QTA~Y:1~lC,/'
"Mr:;~I".t~~!,~llhil~~"U" .1"3
, III1.J';il';;\'t.,J." \ \ o?~hl!. C~.~IV
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. '. 'G~^RDIAN FICllR
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OOOK108 ~AOE 78i(
ARI 111
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.' TOT Al ACCOlJI1T OF Pearl Doner
1. Principal as of Decenlber, 18. 1979
2, 1ncolll0 sihce December 1 a . 1979
AS OF March 31. 1984
$1,919.42
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TOTAl
4,138,72
j6,068. '1,4
6,410,80
":"$ 647.34
3. ExpClnd1turos since December 18. 1979
, RE~'^INDER
STAWIENT or PRorclSED DISTIIIBUT10N
I, Nancy Sund~.L
t,heEstate"of Pearl Doner
, Court Appointed Guardian of
~ propose to turn Qver all
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~ssets of this Estt\te to the Fedol'al PaYQI' 20c1al Security'
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\~hO prOVided Pearl Doner
estate' aVailable fOl' d1str1hut1on is '
received from Social Security
So~1al Security Administration
\~1 th these benefits. The Tota 1
, All future benefits
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shall be returned to
" unopenecl,
lIespectfullY,subm1tted.
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Common\~eal th elf Pennsyl vania
Co un ty of
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Nancy ',Sunday
Pearl Doner
" Quard1an of the Estate of
, baing ,duly swornaceord1ng to law,'deposes
and says tha,t the above and foregoing account, "both as to items of charge
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and discharge. is just and true to the best 'of h3r kno\~lodge, ,information,
on' "'1.', ""0-,~.,"" c~-~
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