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· I ~~ THS :L\TTE~ OF
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I:~ THF. COCi~T 0F rmr..\lO:j PLEAS (
or Cumberl and cou:r!"y 9 PE~"~:SYL\'Ar\IA
JEANETTE SHOPE
AN I:,;CO:'IPETENT
O~PP.AHS' COU~T DIVISION
NO. 490 OF 1978
ANrmAL REPORT OF GUARDIAN
Barale E. Royer
, being duly sworn in accordance
with law, does state as follows:
1. I am the guardian of the estate of Jeanette Sh,ooe
. > t;~ he.'\ri,ng been appointed by this Honorable C()urt ' b~l Order of Dale F. Shughart
2. In May 1979 , I filed a r~port with this Court.
month/year
3. Since my last report I have received in the nane of Jeanette Shope
the folm-ring income:
a. $ 1 52. 80 a month from Social Security Admini~tratior
be $ a month from
c~ $ a month from
4. Since my last report I have paid a total of $ 1524.49 for
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current care and maintenance to Ha'Y'r; c:nllY'g STiltp Hospita 1 .' . (institution), pur-
suant to 50 P. s. ~~ 4501 and 4502, and regtiiations promulgated thereuncte'r.
5. ~fuen reasonable grounds to contest these bills existed, I have
sought to assert such grounds before making payments.
6. Prior to making all such payments, I have reviewed the availa-
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bility of groHnds to seek abate~ent, modification or discharge of bills.
7. The foregoin~ is filed in conpliance with the Order of Court
in Vecchione v. t~vhlgemuth, No. 73-162 (E.D. ~a., June.30, 1978) and not in
respons~ to any Order of this Court or state statute.
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. CUk~DIAN ;~CER
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(llor.'.~.Y. SEAL). / /.
~//,)(ftb~~
NOTARY PUBUG ~.
~ ~ _<<PIres June 2J~ 1983
t!~rr;S~l!fJ, ~ . Dauphin Countv:
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9. The alleged inoc::rcpetent has incane consisting of:
(a) Maley due fran Soci a 1 Securi ty
in the anount of $ 138.80 per mo n th
(b) 1bley due fran
in the anount of $
(c)
per
(c)
12. The alleged incanpetent is incapable of handling her
financial affairs for the reasons set forth in the attached Affidavit
and Campetenqy Report, prepared by Joseph J. Fleishman, Ph. D.
marked as Exhibit A and made a part hereof.
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BOOK 105 P,~C[ 445
MI/l'IR 35-E-2 - 9-77
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