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HomeMy WebLinkAbout79-00746 'I'u IlH,.I'J~I~.9.J1 ~.. ~"I.,.M~,~,~x,~.", ,Qftl?~,~~ I' ,.""""",..;j II" ,', ",,,;, P"" ll'.""".,,, ,n' 1I II "" I'; NO, 21~79 PSTITION FOR !.ETTERS OF ADMINISTRATION IN '1'11I~ I~K'I,^,I'IIJ (II<' ",,,M.,~,r.k,,^lHlly:,t,,Rf;l,~~~J'),g,,,,,,,,,,,.',,,,,,,,,, llW'IMK1~1l, , " " .. " '''1 1," , i it I() lWJlI~tl;I' or WIIIH I'm' ,I hu ClIIllilY or CllIllh!II'IiIlIlI, 1111110 COlli IlIOII lI'ulIll h or PO;)IIH~'II'III1II1, '1'lw 1'(lllt'I(lII" u I' "J9.nl'!, ,,~I\r..1.f;l, "Rll~,IiJn9; ,: i"", ,,,,,,'''''' ",:,,, ,n:""" '''','',,'','',,'' ,'," ,,',,,,,i,,,,,,, ,,""'"'' """ ,,,,,,,, '" \'IlHIHlUI 1'1I11~' '~hulI'lil Ii I liol ,M/lr,~,,,~J.I)~,r.t,,Re,dd~n.III'''''''''''''''''''''''''''''''' IVIIH' nl'Q~lclOI\I iJI' '''''""",,,W9,r.I))]llY,~,~~,r.,g,,,,,,,,,,,,,,,,,,,~~~~~~1< , \,1\1\111, nlld " ()Itl~ol\ Ilf. Ullltud RllltllH,lIl1d dOllll1.tol!lliIH III'!' 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II Ht,,~".ll It'" .",,01111.1..1 ,ill COMMON\VT<1ALTH OI~ PJ']1'INSYLVANIA OOUNTY,OI~ CUMBFJTU.ANIl } AH: 01;;, !Ill , "" ....... .~.9. ~~, 'I~~'r.,~~." ~~'~,~,t~~.",,,,,, '/'''' II"'" ,It ",-, "i,,,,.,,,, it,.,,-,,.,,,,,,,,, ',',"" ,.."". ,j '!""'''''''''''' ,,,,,. j'"'''' It, nnmod tho fllotA sot '- ~/I{) In the ubovo uliplloutlon b\linl!' dilly "",:~W9.r.,1L,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ""00 1'(11 III!' to Ill\\', HII~' (hilI fo~th In tho IIhol'O .Ilppllol\t!ol\ lI'I'e'tPllo tot\)phllHI of ,,,,h~,r.,,,,, kllo\\'lodlto 1111(\1101101', ;",...u".....I~~.9,r..n,'II""""""'.;i;'''..''',. nnd HuhflCl'lhoc1 1 beforn mo, ~"1:'Il,O'~a~~,r~:"~;""i'"'''''''''' A, Il.. llJ",7,~,.. '~fj,{;V'I(l."Ii\k.:(Tii, ,: 'I,!t" ,(,;, ~ n.;."(o,,,~..,,,,,,,, ~.P.\l~y" -~- HogIHtOI' r''''.??''''''~''''':'~~'''''''''':''''''''''''''''''''~''''''"',,',"" "'~"I'l~~~~ead'~~'~'",'''''''''''''','''''\'::;''''''',,,' '."..",.""""""."""",....,,,,,,,..,,,.,,,,,''''',.1<'''1''''''''''10''''1'''' 1"11011: December 18; 19'19 "."""""."""",.,,,,,,,,,,,,,,,,,.,...,"""""'"" ",.,..""",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"""'"''''""""'~p Atl<lI'lIl'~': ""J,o,n .f,.",~af.~.v,a.r.",,,,,,,,,,,,,fa,,,,,,,,,, (o\'(w) IN~ POWER OF A TTORNEV INSURANCE COMPANY OF NORTH AMERICA PHILAD~LPHIA, PA. . Know all men by these presents, That INSURANC~COMPANV OF NORTH AM~RICA, a corpora lion of the Commonwealth o( Pennsylvania, havlna It I principal office In the City at Philadelphia, Pennsylvania. pursuant to the followlnB RelolUllon adopted by, the Board of Dlreclors 'of the said Company un May 28,1975,lo.wll: " "RlSO~VEO, l'UIIU.ollo AllldOl ],(. .nd 5,1 of Ihe, By.L.w" Ih. folloWloS Rlllel .h.1I snve," I,he ..eeUllon fOl Ihe Comp.ny of lIoodl. undemklnRI, roeosnluoeol..,onl,!eu.od alh.I wllllnR"lllhe n.llI,olho,eof, 111 Thlt Iho P,e,'d,"l. or .IIY Vle.,P'o,'dMI, A"hllO! vltl'P,olidonl, ROlldonl VI,,,,P'81ldoIlIO' AI\aloey:'o.Fllt, m.y o.ocUlo '01 lnd 10,b.h.1I of the Com'llnY,lny lndlll hOlldl, 1I0de,l.kloSI, teeosnlun'o" eon"acU .nd Olh81 wllllnRlln Iho nl\llfO Iho,.of,lh. lImo 10 ho .1I0110d wheo n.'oll.IY by !ho Seerell!)', In AUll!lnl Seero"!)' O! . Rtlldonl A""I.nIS.eloll'y .nd Iho 1.,1 0 Iho Comp.ny .Iflxod IhO,olo;.od Ih.llho Plolld.n! 01 .oy Vle.,r,o,'dolll m.y 'ppolnllnd IUlh",IIO R011do1l1 Vlco'Pr.,ld.nll, ROlld.nl A"lltlnl Soeroi,,'ol, .nd Alloln.YI.\n.F lei 10 '0 .xoeul. O! 11I01t 10 Iho ~..cul!on of .lIlUch w"llnS' on bohlll of Iho Cort1plny Ind 10 IIfl. Jho 10.1 of 11\0 Cort1plny !hololo, ' III Any .ueh WIl!lnS o.eeulod In ."",d.",o with tholo Rulo. .h,ll ho.. hlndlnS upon tho Company '" lnY wo U IhouRh IIRn.d ' hy IlIe P'.lldonllnd 11I..!od hy Iho Socrol.I\', :' I)) Th. IIRnAIU'" of tho Plelldonl 0' a VIIO,PI.,'donl .nd Iho .0.1 01 Iho Company m.y ho al(lx~d hy 'ICllmll. On .oy, pow., of .1I0rn.y, Rllnlod flUrlu.nl lolhll ROIOlullon, .nd !ho 'IMn.lII,o of I eerllfylnR offlco, and IlIe 'O~I of Iho Company rt1.V h. .ffIHtU by IWlmllo 10 any eOrllllca!e of any 'Ileh PIlWO', ,"d any .ll<h powo, "' ".,"fl"lu hOMlnK IIlCh 1~"'"I1I1" IIKn~lu,o ,.nd 1011.h.lI'b. vllld ,~nd hllldlnR on Ih. Company, , ' " 141 SlIeh ROlldon,\ Ol(i<olO .ndAllnrnoy,.ln.f;c\ .1I.llhIVo aUlhorllY 10 <.,lIly at v"lfy (oplO\ 01.1111' Ro,alulllln, Ihony.l.wl of Iho Cllmp.ny, and any Iffld.vll 01 ,ocord nf Ih. COlnpany n"'OIWY 10 Iho dl.<II<1MO nllholl dullo., ' iSI Th. Pill'80 of Ihll Ro'olullon doc< nol "vnko any oullN .ulhn,lly' S'~nlorl Iw ROlnlullon of Iho "oard nl Dlroclo/l on IUllo 9. 191)," ' , ' ' doos hereby nominate, ~Qnslltule and appoint MARSHAL. QUADE, of the Bllrough of Lelrtoyne, State of Pennsy1vania , , each Individually If, thore be more than one named, liS !rue ,and lawf~1 atlorney-In-fact, to r\lake, exeCl,lte, seal and deliver on Its behalli al1d as Its act and deed any and all bonds, undertakings, recognizances, 'conlractl and other wrltlngSlh the na,ture Ihereot, And the execution of illch writings In pursuance of these presents, shall be as binding upon said Company, ,as fully and amply as'l! they had bean duly oxocuted and acknowledBed by the regularly elected officers at the Company at lis principal office, ' IN WITNESS WHEREOF, tho said ..................Q.,..1Mtl,l>>],...))MJQt................................., Vlce.Presldent, has hereunto subscribed his name and afflx,ed the corporate seal at the said INSURANCE COMPANVOf NORTH AMERICA this ...,......~~,~,h..........,................... day of .............~".P,~,'Jll~.',1;...............:.. 19...7.7........... INSURANCE COMPANY OF NORTH AMERICA ISfAll by", ..'""" 9", !,P.N'I~H, "p'~)i; """"".." ,., """,..""", """", , , Vle..P,olldenl STArf OF PENNSYlVANI:" l ' COUNTY OFPHllADELPHIA (u. ; '" ' On 'lhls ....,...........:..,..,...1M;b......,.. day of .....,.....;,...,SA\Il~,I\\ll~,ln........, A, D, 19.U.........." bolor. mO,a Notity Public of Ihe Commonw.ollhof p.nrllylvanla, In and for Ihe county of.Phllad.lphla. cam' ...."..,......".............,.....'''''''''''' "..""""",."""""..", ..Q" ."Il~~1i:",. nl\A\(;:ll."...... j'" ,.,.. ,..'""""'...."",,, ..,'""..""""":",..""",, VI co.Pr., Iden I of I ho. INSURANCE ,COMPANY OF NORTH AMERICA to me pellon.lly known 19 be Ihe Individual andofflcel who oxocuted Iho preceding Inllrllm.nt, and ho acknowledg.d Ihatho ex.cut.d th. lam., lhatth. seal affixed 10 Iho pr.eodlng IIlllrum.nt II \h. corporale s.a! 0' said CompanY ilnat th,' said corporale s..!and his Sl8".lur. woro dulyaHIKed by'th. authority and direction ,of Ih. laid, corporation, and that R.solullon, ,.dopled by the Boarn of Directors o( said Company; r.ferred 10 10 the proc.dln8Instrurt1ont, II now In. (orc., ' , ," h' IN TESTIMONY WHEREOF, I havo hereunto 10,1 my hand arid affixed my offlclalloal at the City of Philadelphia, today and ye.r first above wiltlon, ' " """""'" "~V1\)1."l\lL,~!I);\II"',l< "" ,.." "".,. """,..,,',,,,,,.,,,.,.. , ", Not.!)' Public. COrt1mllllon expireS AURUSt 13 1979 " , ' . H underl18ned, Alslltarll s.eretarY allNSURANCE COMPANY OF NORTH AMERICA, do hereby certify thai iI OWER OF ATTORNEY, of which the (or'80In8 II a full. true and corro<t~IS In full 'foreo and \lH.ct, " .' r~~:~, ~~~:~~~:..~..~~,~,~..~~:~;:nt,~..~,~~~C~~Y.~f~,y..~~,~. ..~I, ~,~~,I.~t~nt..~,~,~~,~ta .., a, ..~,~~~od Ih. corporal. seal ~~--4& . . , ' .., J. . ,cfJ-(.k1A. f.aiJ:.: . ." ..(;{r.... "\.1",, """T" ",........,....... ......"".................. 11,10 7111 P,lOt'. 10 U,U, ( IIl1tallt seet."!)' ;:~R~~~}J.~TOJ; :~~~:y~v:~1~'" PINl'4'VLV~N'A INHEFiITANOE'A,NP' . . . it>' ,::;(i;,.!J;';\'/,Y\:i;,"',';",'i'."< '.:'-... " "'~'.'.'Y,<<!.-, ';,-'...'.~':;i.;;.II.'''''~,,~',.'''''-' .,.,"-." "'-"',~~..;;.,,_;;:';;'L:. .., ,_ '-""'.' '",;;";,....,',,.<1,;...... , . ~. - i RECEIVED --------..-____'.VIIY ~DlIln THla'WdlGHT---"- 51/100---- ---_.-.dAlW.t II ,ep,..onllno Ponntylvonla Inhqrllonto IJ, F 3 "II' f. 8- E'loln 10. <Juo from lho following n!lqle, 'om,_ ~' . '. 'V.x.__'1.____._c,_~_ .~__~..____ ,.. (RO"M'd. R.dcU.n;) 'Id,... 317 '1'''m''t~..~ . 2'k To. 011 $_-. $ ...w aU"''''''1'1.n4.a.-l1..~.:.l.'lQ1Jl____ Dote of Povmoot ,.ht'u.~ 4, lQWL_~_~ 6%1(",," $ $ 15't. In" 011 $---- $ fA, Tax on $ $- ..1010, To." ACI of May 1, 1927 $ i T01AL TAX CREDiT $ ne./UJ Lo.. flvo pO'tnnlVm of la' If paid wllhln Ihr.o mantl" of lor do In of dnOlh $ " PIli. Inlo'.~1 01 Iho ,ala of _'IH,om to $ TpTAl AMOUNT PAID $- 738.55 FII. No, 21-79-740, Dolo of Deolh.J~.J;3~_'l3_ Noma of Decodonl )!AJU( ~B.R'l' AlIlnnt~a__~_ COllnty Q~,:l.nd Remark!, "PAID O~ AClCOUNT" , ifOOHlP Ib~ @ru IY'[~ SEA L , NOTE, ThI',T'IPIIO"'" AI..'p, t. be re'"ln'" '0' .lId" PU',"'''' , " , , , /I,,' ( , , " Retolved by _~ NOTEl ,I~ Q(Upllng the Iron"., In~"llCin('. 1011 on h'lu,. ..Inlll, prlo, 10 !ht death (If 'he III, 'H .,', \In I,nanl or '.nanl fo, VIO,.. at ....ld.nc.d by Itlu r,ulpl, II I, undlltttuod that the, Commonwealth .hall .1', ,! nol be preclud.d or pr.....nl.d ", om her.oft., QUIUlng addUIOnqllnh.rHtfn~ela, J: Ollh,' d.at~ (If Ih. .. g:t .~.~ n~' IIf, .,no"lor I.nonllor Vlon wh.n.....r II apl1'UU thallUdl addlllohalloli,moy b. I.gally duo (ind " ,'TIll.):' c;oll.dlbll fo, any fl010n WhO'IQIy,r, .~--" ......-. w__'. _~.. "_~; T_"_' '~"'U .._...~ +_,n ._.._ _ .", ....1'-. "__T ~n '",,_ .~,....-,.......... ......_ _<__ \ "1 , " / f-/" i I f l' , ;'.'.'" ft- R~V"'49 (0.781 COMMONWE:Al.TH OF'l1ENNSYLV I\NIJ\ ' DI1,PARTMENT 011' rin:VENUlj: mnml\U OF' fi'l1\:l..DdPI~R^,,'IClNS *' tlPSIDSHT onCepUHT COUNYY OFC\,IIJ1PIJ.rlMl~L.. _.. _.;", ~~_'h~~"'~'~~t"',....."""".-..-.~~..",""",""""--",~"",,,.'~~~-#-'--- "',....~~......~._-~~:--,..~~.,~:....~ _..,f.~ IMPORT "HT, '1'111. 111\'"11 IIIIINI h. "'"11111,,1.,,1111 <1<'11111111111 ill"" III <1111'.111'111", willi 1111 III ""'II"tI , Willi 1111' HI'yl.I'" ,..I Will. cor III.. Ollunl>' ",'!l(.lfC lIHt!dllllt pJl~ldhll 1{\'~\.lIn IN "hlt' WllhlllllltU! 1Il1l111h~ IIrtlH dill(! ill ihlll\lh lllltOHH nil u"l.~nkl(l1l III ,~fnlltod hy tlw H~(\"t\liHY of I\rllOIllIl), (S{l{:fillil 70,1 II{ tlw Inlwrhlll\lJ1I nnt! Ht1~I\Il' 'I'IIM AI\llIr Il)fllll - , I-~- .. . 'r-'~"''''-~'.'-''':"'-'-7-''~--'''' -I"'-~'~ _..._.~~H"~----"':';":W-' ---r h W., ~ "ll'l.unr'! .. -. 'IN Till! MAT'I'lm Ill' Till! HS'I'!\'1'1! Ill' , } ^I'I'IIII\\'I'I' 1\1' ", u. IiXIWII'\'1I11, , '^"MINIS'I'H^TIII\ County ,_~.".."_~._ ~ar:ILAtb.e.r-t..Rll.lidj n~, ..,.. --nllAlt! f-'w,L. NAMr or pl:l:h1I1tNTf ~~t. 01 ___H.,9.l!m.b,W~oL" .,'~... ,U,' , Stat. .f ._,.p.~n n, ,5 YJ\llln~1IL-..-",-.~-~ _..m_~.} " ,,' ' ,.'1 County .f ~__Qun-,~1.~JL-c.--.-_'~_"~-' ^lImll1l MIII'I*r'1 X'~-";;; ih~-~~ ~;Q.;i~~;r;t~~;~~;~;~ 1d~~.d ;;;b; I;'~ 'rl~i;-,-;; ;;;, d ;;~;;-s'---'-~;r.-;;s-.,------_.__.~_._-_.__Il\ l('K>~I('X , ' .13,~_.. I'd..3.._ hr.)(ll(IO~l(~I4/<1l<,,~.x<l4l<Xll'l'l<lII~)I,J(l<l(IIoIIl\~l(lI.*l<~.) , It1AVf IYI,AIl-;"1...lnt..IJtICl ' .._-*~~frSI~~*efiqlt1nl_.,,~---~-_._--"------~ _,~Ne~LCUmberJll.n.d,,_.P.A_,J1DlO--,,_~--~,_._~"----_'_--~---". 'l'hlllllH HllohMlninjstrat.tilL-_dopoIlOllllo fl1mlllllr wilh Iho IIfflllrll'"f '"ld~.llIlo 1I1I;l.lho 1111'l'orty OOIlHIIIIlIII1U t l"!XllCU10fl.AIH.-IHflqt H^ TONI "Iho IIHHI'I. Ihoroof IIlld thdr flllr 1I1l11'kul VIIII1I'" , ' Thill nt Iho lime of dOli 111 IlIlIro WI1H 11(1 Hl1fo dOI,,,~iI h'lIx rouloloro\111I doo\\\lol1l'o Il1dlvllllll1l 11111110, or jollllly wll\"or 118 IIUI'IIt,)r dupllty [;1' 11110lhuI, (If III,dooodlll1l" lodlvidlllli 1"111\0., wilh rlulll of 110.00'0 hy nllnlher IIH lIuolIl nr dUl'llty, with Iho oxoopllollOf Iho .f<,lhHvlriU: - .' N~Ml!; AND ~ODIU~18 01' hANK OR onlf~r~ ItHHITLJ1ION IN WHIC!-i rH!cttOltNT RUN1'IW A sAftU DEPOSIT 00)( .;~~~,.,~...==-t"-f,fC"", ~~,~~~~.;::..-t.==.",...------=;=~,j;==~ -;:,~~ ~*- nus GAFf!. nUflO.!ilT flUX RUNTlW IN ~jhME Oil NAMl!9 OF ".--- nUl.^TIONBHIPOP' ,lQINt HOl.DUfl9 TO DUCEf)I!NT --- .............---.-----.--- ----------..-.--....--....-- -_.~_. ..-..-.-- ---~-,---...-.-......~-- -------- ..---., ..--.,..._.-----------.---~--~-_._. -...--. ~_..--.---..-...----....--_. - - ~-'-" ~~.r"".~.-= :r.:;:.".-~=~..~ Tlml lho cnnlool~ of ,Hu!d~'lIfl' dOl'nnl1 hox .or hoxeHII,e itomlzod IIl1der SohollllloH w.llh lho OAcopll.ollof tho follnwlng, fur,lho rO,rtllollO horoll1l1ftcr Hol forlh: ..of thlA rotllrn, 1'hnl Sohod% A uUllol,"d horoln Ulld mlldo pori hlllcof '0(' forlh fllll)' ulld III detail IIl1lho ronl prnperll' In lho.Commouweuilh ,of, l'uOIt'aylvuitlll ,(If whlel' dooodolll, dlod huvlng nil InlOroHI,lhnroll1,' 11 IIIHO 80tH f(Jrlhthe . .morlllllllO ooollmbrnno.H IlpOIl Ofleh I'llrool of 'feul 1'IOI'01lY ul Iho dolO IIf dOllth, Alvlng Iho umnllnt,Htll\ dllo III doulh" ORmO of morlQIIUoo, 'dIlIO', rulo of Inlorosl, nl1d hook ul1d I'IIUO of reoord Ihol(I(lf, II olHO HOtN fnrlh III Ihe onlln1\08 I'lovld\ld Ihorofuro Iho oHHu.Hed VUIIl<llllln of .noh .of ollld Il0roolH, Ihe 081111\nlod morkot vIIIIIO thoroof , ,-" ' UH of dnlo of doulll .of dooodol1l. Thnl Soh.do/o IJnlluohod horolo IInu modn I'un hOloof sulH fnrlh flllly undlo dollll\ 011 POrHMlI1 pruporly whor08ovor ol\u'"od ownod by ,tho deoodonl,lIl lho limoof delltln ulI moo~)" lofl, by Iho, deoodolll ollho 1111\0 .of doulh, whotho(\1l dooodolll'H 1110110.,111110 1'0"Ho"slon, "llIodloU In dooodolll',' orodlt In,bllnkH .of dopo.il, 811vlngH hUllkH, lrllHt oomplut!(,h, or r,lhur li'Hllhlllnll". wllOlhnrll1dlvldllllllY, or In 1111.1 fnr IIny olher porHon <Ir porllonA Ulvlog nlllOHollRrUloly the hoorllod li,t"reHI IhOl'oon, If uny, d01l'1I lolhe 111"1 l~toroHI day prim III dooodonl' 8 dealh In. tho ouoo of Illlvlnu. tHInk', IIl1d 10 Iho dlllo of doeodonl'H doulh In <III olhor 1,".0HI 111\ bnndH, 1'01l1l11 HIIVlngH, IrellHury ocnifloul"H or notos IInd nthor ovldU11\I. of IndcblOdl108H, of Iho Unlto,ll SIIII08 \O,lho do- oodellll 111\ obll811110nll, wholhor hy slllllllO '01 118[\\Umol1l Ihey I1ro dOHlgn~lud OH IIIK I'roo, of tho United Stololl, .or ony!IHtlllo, or pol\lIOIII slll,,\lvl.lolI Ihorllof, nr ,of IIny forolgn oOllnlt)', which IIro ownod fit Iho time of d011ll1\ 0\1 wonrlnu nl,pllrol, juw.lty, .i1vorwl\tO, 1'lollltl'O, hcook,. wfllkH or nrl, hnIlHohnldfurl1lturu. hurHoR, ollrrlllsoll, nl.tomob\1OH, bUiltH, Iwd II11Y IInd 11,11 olher 1'0rool1.1 ehllHIII. of WhlllHUuvar. kll1d or \In Iura , left 'by duoodonl, logotllor, with tho flllrly oHllmlllod II1l1rkM VII IUD Ihoroof; 11\1 hondll nnd lI\urlgflgoH hold by deuodool anrlnf 111\ ...Ialm. dllo nnd owluy dueedonl lit Ihll 1111\(\ uf dllllth, IInd 11\1 proml,o"I1' notos or olhor ItIHCrllmc'nlH III wrltlng for Ihu IIIIymo1l1 01' mlllloy of,whloh r\eoodol11 died 1'0'."RHod, of Wh.IRocvor 1\II111rO, with lI1turOIlI'thoroon,lf, nny, glvlnylh,' flloo vlIllIlI IIl1d eOllmnlod flllt mnrkol vnlun Ihoroof, IInd if Hlloh..lsllmlltod flllt 1I111rkel vllluo bo Iou tho 11 Iho fllOo vIIIIlC, it HUIH forlh hl'lnfly tho runMnoR for .Muoh dOI'loollI\lOI1 IIA tn oooh ltomlu\1 monoYH payablo to Iho o.R.llllo frnm .111'0 Insllrllnoo pl1l1oloH onrrled II)" rlooorlol11; IIlIlInnlllty nnd endowmont oon,lraotH lho proooedA nf,whloll worD IlllYllblo "11on Iho donlh of Iho dooodonl; nil IInd tho O[lrl'orole Atnoke IInddlvldondH due Ihoreon IInd onllllldnll 01' tho rllllU of donlb, hnl1dH and 1I0CIUOII InloroHI lhereon 10 lho dnlo .0f'dooudol1t'H dellth and nlhor InvoHtmonl soourltioH oWl1~d by thu d.oodont lit the limo of donth, with the mllrkel villue lhere- of 0 t .8110h limo, i!:' . !f , I , i" I lIntho d'ilHd of' H60ilrll,toM /If' ill/lo,o or f'!I,"II~' oortll'r/lI,.Il/nM, Wn "<<\11/111 l'UI'ort,,,I""n UH 'rAr U. 1'1I"01hl11 O"h.I.'"lt,tllt,,,,1 hy "111'"1010.\ "LlIl,f'""J1Ho Ilf,' thll ollrl"""/lt,IIIII., "h,IiI'IIIg f.11O II".,,,,. IIll,t Ililhiltth" IllIir,,,, I' ,i" "f' 1.110 II,,' I.u "f' '111/11,11" "h" ,M"h""" I 0 111./1 ""I,of'/I r,1./1 1.110 f.II 1,0 I'll. I. <\1'",10""'1011 I, . I. I,ho t,IPln ,0 t' ,lol1\,h h,l ',III~' oll-pllrtt",r.htp "I' h""'"",l., ,illll III ."pp"rt, I.f' '",,,, vllllw "f' .IIoh Jllt""""', Olnl'lI t. 1I11110X6d to II" ,<I """,,,1111 '" f'lIIIIIII~ lilt · t. 1.""1011 t. .h"w.l1I1l th" nnoill," '""1 11'lhll (I.' o. "f' ..Ii III 'ou-flllr tllol'.lIfp /lr 11U""I1;"", A """~' ,/II' till' """"lIrI.II"".hll' 11111''''',"''"1,. (I r 01'1111 II ,"I,"'I''''i'"l1t'.uI,t,tllll/:urt,1I UIO IIlItllro IIf' I,ll" IIgri,o,nollp IIIW,q,"", with II HIII,Oll'UIII ",q,I,IIIII f'''rth I,/IU ,'hlll'lwtn" iif' 1,IIu IIII"hlli.", 'I." 101'01,1"", /11111 "'In/\ ot.l,or I'""L. ", ,. """" I 1'0"1 III 1I1"!l to I.'''' 1."101110.. II" "illY h"'l'ortlllllllt 1'0" 1'/tll' ""II ,11m I, /l1',.rolll/it "f' 1,'"1 ,f/lOIl!lollt.18 11l1,or1l8t \111"'11 III !II"" t' 1111, ""11.11.\, t.,,,I. II. 8/111111 'I 01811 111'1. I'o''!,h 10 ",II!lIllO,1 f'"r,", 1'''II"I''llIr wi I,,, I,h" r,,'II' PJllrkll1. VII! !Ill 1.II,IIr/Ol'f', 1I1i~' /11,1101' 1lI'lIl'''rty l'w"",1 "I' IlIl111l1II'1.h1l1l hl' 1.110' 1I1111",f,,"1. Ill, t.llo lilll1l1 "f' ""/1011 l 'rllo Schf'dlll. C' III,to,olllf'1 hlll'ot" /11111 1111111" '111'1'1. '"11'001' ""1.11 rllrl,II II 1.1'"'' 11/18 WII I' 1,,, 11/111/\ JIlIlillry ',".'"1.1I111111,I,hol',,11 "'"llilthllll"811I1"tl'"'lIlf'II""fll'II,'oIH'rl,)', 1'''101 01' '1/1rIl0l1/.I, wlt.101l1 I,w" Y"or8 lit' dllUoIIII/ltt8 <111111,11, III """I.\ll./lIIII.l(II\ 11'1' ,1<'0''''0111'8 <111111,11, III' 1,111,11"'1011 1.11 to"" orf'olll. III 1"'"011.0.1011 or ,OIlJllymOIlL /II. 'or 11,/'1'''1' d/lOI,h, "'11111 1I011/l1l!l11l 11111.. f'/lI'I,/\ j,IIo IIlItlll'o '"ld'VIIIIIO 0" 8110h /lrll/l"I'f.y, t.1I who," l'I'"I1Hrclrrod, tlla 1"'1111.1011111111' 01' t.ho l,rnll",rol'III1I1 I." t.ho II0o'''lollf" 1,/\" "I'ol"lrl,II~II11t,o II/IIlro I'OoOIVlll1 hy Olloh t,rol!8r"roo olld ,1IL1 utllOr I'/lnt. of' /I /101'1,1110111, nlll,lIro r"lI/lrll/l11l 1111111 l,rll!!lIf"'rll. 111 1.11" 0/"''' "f' t.r'OIl8f'"rll tlll,Olldoll' to t.',lko 1,,'1'001. IU,"'.1I0.1I10Il,"I'UII,IIIYIII011l, Ill, 01' IIf'f,or ,I '''",h , 0'01'0 III lil.o 11/,1,"01111.1 1./1 t,ho "ohll!hilo II oOIlY of' I.IId do lid, 1.1'1181. nlll'OO,"OIlt. ur ot.iIl'rtll"tI'Il1l101l1. IIrOlll,I!I!! 1.10" I.rlllll,. 'rlmrll 18 /11"0 .01, f'or"'l III 80Jd "0/1/1111110 II 1/.1 of' 1111 I'roflflrtYI rOil I 11/111 ,"'r.(1I1/0I, wll.h Jt." vloIllu, whfoh 1","111111 /11, 'lollollo!II,I. tlooth hy vlrl"uo Ill' \h" 0'01'01,.0 hy douo,III',1I" 0'1>1111" trlll"Vllhllll1y, '(II',lnlntly wHh 'UlIIl.Ilnl', nr IIIIY flUwor of' /lppolnt. ,"01,'1. Villi 1,11,1 1" dO,llOllolll.j "' Umr ltullv.llhllllly 01' ,IIIlutly, lIytlw wU I, .111011, or ot.hlll' 11I8t.rll,"011.t or nnllt,hor, WHh 0 IIol'Y nr t.hu llllltrU,"ollt orll/lt.tnll "IIoh l'oworllt,t,II11h",1 1,0 (,ho '1OIII"hllo. ' , i ~ Tht.t StMd,'I. 0 III,f,1I0holl horol,o 1111/1 ,"",In r"rt, hllr!l!If' Hot. I'orl,h t.llu n~'"oll /lnl\ O'llIr"lIl1ns or nil, l'nr"lillII IU'II0f'lol"IlY . In 1-11 rOo 1.0<1 , 111 I,hfrl ORI,lIto lit: Mill 1,1,"" nf' 110011'1""1,'" 1'"0th, tho 1I"t.III'II or thlll.. ros- 11\11\1,11'0 tlltllroHtll'I,holrrOlnt.tollllhlP' 1." OilY, I,ll 1./\11 'Iooo<lllnt" I.lIllot.llor II-l.UI U", IIg01l Ill. t.ho ttma "I' .1000'1/111',';' dOlltlo or 1111 ,"Inorll, /1/11\1111.1101.11 111111 lIotlOr.1ol"rlo. rill' 111'0 tl"""r "ooOllont'8 Will, It 11180 Ollt,t/lltlR II ot"I,o,"IInt, "lIoWlng whloh or tho ho"nrJolllrlo" ,"illlO,1 I"UIO <looOlh"'II,',. WIlI,II' lillY, dloll prior 1.0 'IOOllII,,!,", HIli lI"tollor I,hotr ,IIIlIt,h, t.hlllr ,~itU", 10111 t,lI11 1"!,lnt,lou.htp Ill' .uoh III"Uo I.n 1,lIn honnrlolllry. 1'/\IIl. S,"h.dlll.. l' "!.toohll,1 hornt,o ""d ",11110 0 pllrl, '"11'001' Ollt" rurt.h /Ill l'ro"oHy, rool '",d pol'. "ollnl, nwuo<l lIy lho ilollodo"t. .Jointly wi t1, nilotllor '~I' 1I1,IIorll, IJ10Ilul!IIl\,IIII.0"lIfhlo, IItondlll/! In t,ha n"mo of' (.tm Ilooo'"ml. /llId Ol.horR,I'lu" 1.110 dot.o o\llII!'1ooo'of' rooc~rd or tnfttrUIIIIIIII,1I urrnotlnR t,lIo vOlltitllro or ro"l 'ellt.O,t:O 1111,1 I.ho doto or'IO'IIIlHHloh Qr l'Or8I1nll1t.y, plil. I,ho II rim", olldro"" 'Ilnllrclllt.1on8hlp, 1r /lily, or oo-ownorll to thn ctuoodon t. ' 'j'hllt. St/',dlll, r ott,nahod horlHo /lnd'III,,<lo 0 pori, /\oroor .ot,s Ibrl.h /'Illly 01111 In 'lot,011 nIl 1I0hts ~lll' \Ioltho tlons O.!oJ,"Od for Illldnn hollll.! r of' thl s ,Inolld"" I,t. OR tnl,II,lnol "'Ilng /'I'norlll OX)lOII.O;' )loJdl rll,"lly Oxo'"Ptloo, w"urllopplloll".!UI Oo.t." or '/'cl,"llIlolro't.Jun or I,hh O,"totOI oOllllsol foo., nnd /'Ildlolary's 0,lI11ll1hRluII8 pllld or t.o 1>0 )loldl oo"t, oX)lonllod rer hllr;\II1 t"II8t.8, tQiohst.on080r grllvomorkors, "nd roll- ~,toll. sorVlooH, in Oonllallllollno IIr 'I,/\q \Iooth nr t,ho ,looII,lontl II0ht." ,,"<1 ulol!'1" owJng 011,1 1101'''''1 01. Hmo nr dOlll.hl t,oXO" 1l00'r1'~\1 nhorgoohlo "or )lorlod prior 1,0 (tooo,lont'" do"tll ("XO")lt. tho.n /lUnwe\\ 1I11,Ior 800tJon ~~l or t/\O\lIlIllrli.t\fl~O 'Inll gH(,~tu Tox ^01.)1 t.Qlloq,or WHh II stllt,omont or olI11llturlll plo\lgo\llbr ohlll!/I_ (',juns, II' ,ohy. II. ,Is ogrocHI I.hllt thot,'lllllOlllI'y will prosont, )lroof or RIIJ.'I 01"t1l10l1 ~hHROtloll. "\1on,ro- '1'10.1., I./\ol)r I.hoamount aotuIIllY'IHI1d .In ",I\,tll1l11onl. ur/lny 1'011, nOmml""lol1 ordohl, 18, 1088 IhAn tho betlmlll.od O,"~lllltolltl'"lllg ""'\ ol1owolI, th/ll, th,. 110,"0 will 'ho ~o)lor,t,o<l t.o t,hll"llogtlll.or or .ll'1t'le, 'And I.hol. t.ho nmount or Lnx "SHORRatt ,on" :ho rottH8oRHfHt in llonorctlltlOO 1,IHH'owt till 1'II/1t I.hl1 t.nj,lIlo 01' 0", "p)lropl'lal.ooolo111111. .In SuholluloA 'A', '1\', 110', "~', "M .". M 111 reo I,ell , theroln, hll\-,(I hoon Ol~tirtert r(lrWfl~ct "unci proporly ,'ogtst,orod hi t.l1O !:hllntl1nry. Subsol'lbed and sworn to betore me this ""........"",,,,,,,...,,,,,, ...._..~ ot~7;:19a. ~. '~~~&;;;;;;r""-.".._. .........7 ... ,. &c;?:'~ .......,IZ.t.l?.M*;VU~;;:t"..........__". . ~l.C~~~I~I~"le::,~~~. ~~ld~. Pi~l~ .",WqrmJ.lly.$.P\i!:U:l"PA"... ,l.7.Q4~..".,..,..",,,,,,..,,.,,...,,,....,,,,,,,, "w CIImblr""'d, PA CU,"btlfll1d CoImIV (City or Town 11M St4u) Noml 1I0fnr" IIJglllnll orrtdAvlt. mokd """0 /Ill hlllllk .11/1/'0" 111 tho IIrrt'lol'lt. Otod, .ollolhlloo onnoXOd 01'0, I'IU"d In wlt.h dol.oils or t.I.. w/ll'll 'NoIIO', nn<l In o"so t,IIII 0'"0t,1I 1I10111do ri,ro O'H' unll..tod 80011rtt.los, 1I00Ilrf'\.Iu;1 of' Olo~lI. 01,' rllmUy o""porutlnlls or Oil lllL'''roRt 1'1 /llIl' on-)l"I.t.norsIiJp nr hllalMS8, thlll.th~ !Illtll 011I1 af,"t'"IIl0ntll ~r.''llllro!l ,,,,\lor t.ho P""llllr/l)!h ""eVil 1'0Illt.I,,!! 1,0 8"""d\l10 '11' nrfl, "tt.llol1o,l. Alao I11I\ko onrtnln t.hllt UlJ]tUT1n #ltn tho ft.BUntnRI1Y" hnR lJQOIl pl'flpt1rly oomp'lot.od Itfl,,1\hovo-IUN'Iototlt II " t~ :J ;i~ i ~.llB ..; f I., ' ii I 111 IlIl ~~ ~_.....,... ---~- I, l~ulIl "f(I11urIY l'ur~ulIlIl I'rupbrly. ---- Trll1\HrOr~ _-_.~--"" SlIMM^I\ Y (Suh. "^") (S"It, "11"1 (Suh, "C") ------ --. JlrUNH TII~llhlu UNtlllo -- - --==::::;:-.... .. I I 1l ! '" Il u " ~ Q ~ ~. ~~ ..' ~ ,~ a ~ I~ ~, >i. '" ,s, ~ '$ ~ ! Q ~ !S '" ~ ; 1 Q ~ ~ w 'l3 ~ 1i 'Q ~ '~ ~:g :i 'Q 1:' J " ~ I'~ 3 I.l I (I) (^H I\ollllrlotll o lB,8al.11 o $ $ $ $ $' $ ]6.eeQ7 $ $ ~ $ $ tI ti $ ;~ . , I,. (21 (^H \Iutull11luutll 'j ...l' i' ] <r. ~ .~ '~ ~ '!2'j ~ ~ j<I 'a Q u. ~ ~ ':i! 0 - ~ ~ ~ i' (-l .~ Cll:, ~ i!i ~ < <>. ~ ~ Cl.. u. '6 Q I""j' ~, oS ',~ 's '6 ';. ,^ ~ '6 j' ,~ 'a ~ ~ ~J J 0 u u ,," " 'urv.4li1 (6'.f8) OBI'AIITMSNT 01' 1I0VnNIJU lIul\fAU Of FIS~O OptllAnllNR P.ll.flOX ~"'/II HAfIRIRlllJRC/, l'tiNNA, 171m; 1:0MMONWEAL THOI' PENNRYLVANIAJ ',,' ,RESI D,IJNT INH,RAI'IANC1f<AX , ArPr~AIS6M"NT DAn .~brul\ry' 2lt 1980 cr.ll/NTY ClIntuurJ.nnd I'ILf, NO, ' 21-19-07M, Whoroo", Mark, Alburt Roddin!\ Iilto Df !1orntl.oyabllrg In tho CounlY9f ClImb(1rl.l\nd Cornrnol\wonlth of POflflllylval1lll, h"Wh\g dlnd on tho __ 13th' d~IY of Horel), 19 .ll., Hnly,ocl ondpO!IRoH!locl (If Ufl mltllto subJoot to Inhorhnnon 'I'ox undor tho Inw!I of tho COlllrnOflYlOlilth';)!' POllilfl'~lvllnlll; 'fhoroforo, I, _ Gloria J. Riohard ,lln i1pprnllllll' duly lIppolntllclltrJrJl1rdlng to lillY, hav!l19 boon rloHlgnntedto nlaKo n flill' nnt! oOIl!lolt)noblo"lppl'lliIlOnlOllt of tho'f1l1iclO!ll.nto, /lI1d to, i1H1I0HH <lnd fix tho ollHh valuo of all 111'1 rlulli09 and 111'0 081atoll, gl'0l'lh19 out of IIIlld ofllnlo, hl1loby 1'110 tho followlnu apprttl80mont; , III thu ovntH IIIAI AllY' flUmo lIltiltllH III Illh lIH.l\U Is t!llIIS/Clt,Otllll !lIIUliUHltlllI ntlJIIYllllllII 10 l:ollo,lIlr.11 tl!llln IIlltlll {hH:tllhlll1 ,111111 1110 u.:rHrltllflll 01 nn.,. alt4to for Ilfll or for Yl1l1tlj Ihll (){lflllllllI\Wll,lIl1lllllfllIlV U)(IHII,~ly rn~lllvn' Illll rhtlllll1llf1IHjJhfllliHII.hll'~ Ir,liltfiJ( Illho',HI1IWf) ({lAO, III thulilWh!1 GotlnltHul rata on AllY iu~1I fututo IntQ(OU, - ; "rmtllHrllJi\T IllHicHII'I'I('J1'l Of' l\fiGt'" V/~I_l f!fi Milito Of III lnrltil!lIU 'r,lI': f1iIlIlO\n\ Real PrQperty , ~, Nona " Personal Property , lB,BBl 17 , , Join~~Held Property None , , - , , Trsnaferll None , , , , TOTAl. 'ASSllTS 18.B81 17 , , , , , , - , " , , " " , , , , , , " , " , " , , ',' ' " , " , , , \ , , , , , ' , , , , , , , " , " ' , " , , , Have beonduly sworn looordlng 10 lawlI de) hereby oorttfy),hnl the abovo a Rrs{sement Is madoln oonformlty with the law on thlH 2 at 'aaY of ' ", " 19 .8.lL. , " ' , J .i 'I nr'/tAI,or - tt' (N,llfllbor MId stroot) narr1aburg {PoU {.'HII(;ul , Penna,