HomeMy WebLinkAbout09-07-78 (3)
Form RC C -10
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STATEMENT OF DEBTS
AND DEDUCTIONS
OFFICE OF THE
REGISTER OF WILLS
OF Cumber land COUNTY
AND AGENT OF THE COMMONWEALTH
ESTATE OF Carrie !lav Anderman
~ct 30/
DATE OF FILING APPRAISEMENT ~r'+- -=1--;' , q7 R
Borou h of Lemo'ne
.Tune 12. 1978
L..ATE OF
OAT&: OF DEATH
DEDUCTIONS AL..L..OWED IN
I
DATI!: NO. OF NAMIL OF PAYEE REMARKS AMOUNT
VOUCHE"
19 78
June 13 584 Holy Spirit Hospital Hospital Bill 24 90
ca.lVln c
June 30 1 13ettv !1. Umphred & Kauffman July Rent 165 ~o
.Tnn "" 30 2 Penna. Pm,ver & Liqht Co. Electric Service 4/11 to 6/9 8 42
short
Julv 5 103 Ro be rt D. O'Hara Reimbursement letters &cert 49 00
.Tulv 5 104 Bell Telephone of Pa. Final Telephone Bill 14 12
Julv 5 105 ~'lorT'1leysburq Fire Co. J\nbulance Service 15 ;11)
Julv 5 106 Ed~.tlard G. Dailev. N.D. Balance on Cataract Surqerv 138 40
Julv 5 107 'vincent F. Zeplin Balance on Cataract Lens 62 50
Radl0.logy 00
Julv 5 108 lIolv Spirit Hospital 1\ss. Radioloqv 95
Julv 5 109 f1usselnan Funeral Home Funeral Expenses 1. 861 46
Julv 5 110 Baker & Price Jewelrv Aporaisal 10 00
Jul'l 8 III Bureau of vital Statistics Death Cert. Chas Anderman 200
berger
Julv 17 112 Janes 0 & Eleanor Holfens- HitnesG Fees 20 rH)
Jlllv 20 113 Enlv Snirit Hosnital Bal. HadioloGv Exnense Q RO
Julv 26 114 Cumberland Law Journal Advertisinq Letters 18 ho
Julv 26 115 Pallas Publishinq Co. Advertisin<] Letters 20 J8 --
Julv 31 116 Penna. Power & Light Co. Final Bill 6)4
J\.Uq. 1 117 Kunnel Surqical Group Final Bill 12 00
Aug. 21 119 Holy Spirit Hospital Final Bill 155
-- -
Aug. 30 120 Gingrich HemorialG Letter Honument 36 ~O
J\Uq. 30 121 BureaU of Ili tal Statistics Death Cert. Char:> Anderman 2JO
July 21 Debi Dauphin Deposit 'l'rust Bank Charqe for Estate Check 9::>2
l"111ng lnventory det)ts and
Reqister of Hills rl -~ . innc:! ;nh~,...i t-"'..... 11 10,
J.'ostaqe, c~rtlt l.ect '~al.l,
Expense Allm,mnce ri 1 i lvr ~ rr"lc:!+c:! 7\-f"-f";:,n;:,,, 't-... 125 n
Pnhp-rt- D O'lIrlra F:x ' C! Fpp 3.335 10
Ilaurice E. Shaffer Attorney's Pee 3,335 ho
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Dauphin
I. Rohert D. 0' lIara
}..:
Total J\I"ount9,387.69
HEREBY CERTln'. THAT. TO THE BEaT OF
MY I<NOWL..EDGE AND BELIEF, THE FOREGOING IS A JUST AND TRU E srATEMENT OF DEBTS. FUNERAL EXPENSES AND EXPENSES OP'
ADMINISTRATION SUBMITTED TO THE ESTATE OF Carrie nav AnderF\an DECEASED, A. DEDUCTIONS FOR
JNHID'l!T,~NC:;: TAX PURPOSES,
G~:t~- 0-:Jktr--
(L, S,)
8WORN ANO SUBSCRIBED IlEFORE M(Z THIS to-d.
r~~t.e~}t;r ~ 1 78
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\ '
lINDA,1. sm, Notary Public
Han ',.co"C'), f)":!c.h:., Co.. Pa.
My Commission Expires March 9, 1981
DAY Of'
Robert D. O'Fara, Executor