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Home My WebLink About05-09-08 --.J 15056051058 REV-1500 EX (0fH>5) PA Department of Revenue . Bureau of Individual Taxes PO BOX 28(0)1 Hanisburg, PI'. 17128-0601 ENTER DECEDENT INFORMAnON BELOW Social Security Number Date of Death INHERITANCE TAX RETURN RESIDENT DECeDENT OFFICIAL USE ONLY County Code Year File Number z\ Oe 6Sl1 Date of Birth 168-24-3572 0211212008 08/22/1930 Decedenfs Last Name Suffix Decedenfs First Name MI BOWSHIER BERTHA A (If Applicable) EntBr Surviving Spouse's Information Below Spouse's last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS REnJRN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~ 1. OrIgInal Return I:::::::;: 3. Rematnder Return (date of death prior to 12-13-82) CJ 48. Fmn Int8r8st Compromise (date of c::::; 5. federal EsIBte Tax Retum Required death after 12-12-82) CJ 7. Decedent MaIntaIned a UvIng Trust (Attach Copy of Trust) C.::) 10. Spousal PowKty Cndt (dale d deeCh c::] 11. ElectIon 10 tax Lnder See. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. 0) CORRESPONDENT - THIS SECTION IIJ8T BE COIIPLElED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORIIATION 8HOULD BE DIRECTED TO: Name Daytine Telephone Number C) 2. SuppiemerDI Return c::::;; 4. United Estate t.) 6. Decedent DIed Testate (Attach Copy of Will) 9. lIIgatIon Proceeds ReeeMId ... 8. Total Number d Safe Deposit So.. C:'::'] KATHRYN A. DePUY Arm Name (If Applicable) (717) 732-9814 ENOLA 17025 IrtEGfSTER OF WILLS USE O~ ('") c::::> So g ~,:':; :::0 :z t~,:::,v ",,"" L;..; :r: (") ~ ~c.:.:' ':t;. r- S., ~2: m , 20'3:0 \.0 1""'-, ^ ""-'C)Q C) (::> -n D~~iiED nn._n..m__ --..-~::9--f---.--.---. :::> ~~ ; 61 C) i (7:)0 j ~?:u : rr49 ! :j:J8 IC>O ;r::. ! -. n -on :x : .-- -'1 __~____._.i ~2; (~ . . t- r-T'1 Ul <./) a r'\) -T1 First line of address 9 EAST MANOR AVENUE Second line of address or Post Office State PA ZIP Code ComIspondenfs e-mail addr8ss: Under peMIIies of perjury. I d8c1are '* I haw uamined .. rekam. induding 1lW)o..p../Y'nlQ sch8du18s end .....,....... and to ... beet d my knowledge and belief, It is true. correct and com.... 0ecIaraIlan of P........ oIher th8n the personaf reprelI8nf8tlye is based on all information t7f which preparer has any knowledge. iiSIGNA RE OF PERSON ~PONSI8LE FOR FIl~ING DATE _~~ d Jllfl =----- '-?- 9--CJ ~ RESS~ .7 1 c rntL~~) a~J 6i-<--L~-.i!C-, /2,4 / 7CJ~.:J SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEA. U. ORIGINAL FORM ONLY Side 1 L 15056051058 15056051058 --I -.J 15056052059 REV-1500 EX D'ecedent's Social Decedenfs Name: RECAPITULATION BERTHA A BOWSHIER '168-24-3572 1. Real estate (Schedule A). ..... " . . . .. .. .. . .. ., .. ... .. .. .. . . . .. .. . . . .. 1. 2. Stocks and Bonds (Schedule B) . .. .. . . . .. .. . . .. . . . . . .. . . .. . . . .. .. . .. . . 8. Total Gross Assets (total Lines 1-7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. 3. 4. 5. 6. 7. 8. 9. 6,029.47 3. Closely Held Corporation, Partnership or SoIe-ProprietDrship (Schedule C) .. . . . 4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. Cash. Bank Oeposils & Miscellaneous Personal Property (Schedule E) . . . . . . . . 6. Jointly Owned Property (Schedule F) e=. Separate BIIing Requested . . . . . . . 7. Inter-VNOS Transfers & MisceIIaIl80US Non-Probate Property (Schedule G) c::::::) Separate BiIIng Requested. . . . . . . . 9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . . . 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) . . . . . . . . . . . . . . . . 10. 11. Total Deductions (total Lines 9 & 10). . .. . .. ... .. . . .. ... .. .. .. . . . .. .... . 11. 12. Net Value of Estate (Line 8 minus Une 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 13. Charitable and Governmental BequestslSec 9113 Trusts for which an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13. 14. Net Value Subject to Tax (Line 12 minua Line 13) .. . . . . . . . . . . . . . . . . . . . . . . 14. TAX COMPUTATION. SEE _TRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (aX1.2) X .0_ 15. 16. Amount of Line 14 taxable at lineal rate X.O _ 16. 17. Amount of Una 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 18. 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 0.00 20. FILL IN THE OVAL IF YOU ARE REQtESTlNG A REFUND OF AN OVERPAYMENT ..-.....) L 15056052059 Side 2 LS0560520S9 -I REV-1500 EX Page 3 Decedent's Complete Address: DECEDENTS NAME BERTHA A BOWSHIER STREET ADDRESS 7 EAST MANOR AVENUE f"tI~"" "V"-n" .,- -""_~'_"'.'",....,_._ ,_ _,.._,___~.,..,.,._ DECEDENTS SOCIAl.. SECURITY NUMBER 168-24-3572 CIlY ENOLA STATE PA ZIP 17025 Tax Payments and Credits: 1. Tax Due (Page 2 line 19) 2. CreditsJPayments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 0.00 Total Credits ( A + B + C ) (2) 3. InterestlPenally if applicable D. Interest E. Penalty TotallnterestlPenalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. FiJI in oval on Page 2, Una 20 to request a refund. (4) 5. If line 1 + line 3 is greater than line 2, enter the difference. This is the TAX DUE. B. Enter the total of line 5 + SA. This is the BAlANCE DUE. (5) (SA) (58) 0.00 A. Enter the interest on the tax due. 0.00 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; .......................................................................................... 0 [i] b. retain the right to designate who shall use the properly transferred or its income; ............................................ 0 [iJ c. retain a reversionary interest; or .......................................................................................................................... 0 [i] d. receive the promise for life of either payments, benefits or care? .......................................................".............. 0 [i] 2. If death occurred after December 12. 1982, did decedent transfer property within one year of death without receiving adequate consideration? ............. ........................ .................. ......... ........ ..... ................... .............. 0 [i] 3. Did decedent own an "in trust for- or payable upon death bank account or security at his or her death? .............. 0 [i] 4. Did decedent own an Individual RetirementAccoun~ annuity, or other non-probate property which contains a beneficiary designation? .. ............. ............ ............................ ........... ........... .......................... ................. 0 [i] IF THE ANSWER TO AMY OF TIE ABOVE QUESTIONS IS YES, YOU lUST COIPlETE SCIEOULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before January 1, 1995. the tax rate inposed 00 the net value of tra1sfers 10 or for the use of the surviving spouse is three (3) percent [72 P.S. fi9116 (a) (1.1) (ij). Far dates of death on or after January 1, 1995, the tax rate inposed on the net value of transfers to or ilr the use of the surviving spouse is zero (0) percent (72 P.S. S9116 (a) (1.1) (i)). The statute does not exen,pt a transfer to a surviving spouse from tax, and the statutory requirements br disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the onty beneficiary. For dates of death on or after July 1, 2000: The tax rate inposed on the net value of transfers from a deceased chid twenty-one years of age or younger at death 10 or for the use of a natural parent, an adoptive paren~ or a stepparent of the child is zero (0) percent [72 P.S. S9116(a)(1.2)). The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal benetil ies is bJr and one-haIf (4.5) percent, except as noted in 72 P.S. S9116(1.2) [72 P.S. fi9116(a)(1)). The tax rate imposed on the net value of transfers to orfor the use of the decedent's siblings is twelve (12) percent [72 P.S. S9116(a)(1.3)]. Asibting is defined, under Section 9102, as an individual who has at least one parent in common with the decedent whether by blood or adoptioo. REV-l508EX+_ .. COMMONVIEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT CECEDENT sa..," , I CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERlY ESTATE OF BERTHA A BOWSHIER fiLE NUMBER Include the PfOCIIds r:A litigatlan and the date the proceeds were receiY8d by the estate. All PNPMtY )01"- owned wfth rigN f:I survivonhlp ftIIIt be dIsaIoIed on SohIduIe F. ITEM VALUE AT ~Te NUMBER DESCRIPTION OF DEATH 1 1995 CHEVROLET CAPRICE ClASSIC AUTOMOBilE 2 UGI UTILITIES, INC 3 MUTUAL. OF OMAHA INSURANCE COMPANY ( PREMIUM REFUND) 4 MONUMENTAl LIFE INSURANCE COMPANY (PREMIUM REFUND) 5 EXPRESS SCRIPTS, INC. (pRESCRIPTION REFUND) 6 VERIZON (TElEPHONE REFUND) 7 CAPITAL. ADVANTAGE INSURANCE COMPANY (CAPITAL. BLUE CROSS)(PREMlUM REFUND) 8 TRAvelERS INSURANCE COLf>>ANY(AUTOMOBILE INSURANCE REFUND} lOYAL (AIeo enter on line 5, Recapitul8tion) . (If men space Is needed. insert addlticnaJ &he8Cs fA the same size) 582.34 REV-1509EX+ (""":" OOM~UH~P~N~~~~ INHERITANCE TAX RETURN RESIDENT CECEDENT sa........ F JOINJ1.Y-owNED PROPBn T. ESTATE OF BERTHA A. BOWSHIER ran nset.. .... joint wIhIn ...,..r fII the dl Dldl.lt". ..... fII...... . must be NpOrttd 011 SohecIuIe G. FILE NUMBER SURVIVING JOINT TENANT(S) NAME ~ RELATIONSHIP TO DECEDENT A KATHRYN A. DePUY 9 EAST MANOR AVENUE ENOLA, PA 17025 DAUGHTER B. c. JOINTLY.owNED PROPERTY: LETTER ITEM FOR .101fT NUMBER TENANT 1. A DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME Of fWANCW. ItS1TTllTlClN AND BMK ACCOUNT WIlBER OR SIIII.AR ID9mFVIHG NUIllER. ~ DEED FOR JOImV-HELD REAL ESTATE. 07JOM)1 PNC BANK ACCOUNT 16140006239 TOTAL (AI&o ...... on Ii1e 6, Recapitulation) (If men space is needed, insert additional sheets d the same size) flEV.'511 EX. (,MIl. COMMONWEALTH OF PENNSYLVANIA INHEflTANCE TAX RETURN RESIDENT DECEDENT SCNIDULI H FUNERAL EXPENSES & ~ISTRATIVE COSTS ESTATE OF BERTHA A. BOWSHIER FI.E NUIB!R Debts of ....... .... be reporIId on ScMduIIl ITEM NUMBER A DESCRIPTION AMOUNT 1. FUNERAl EXPENSES: RICHARDSON FUNERAl. HOME, ENOLA. PA ZION LUTHERAN CHURCH, ENOLA, PA 5,849.00 160.47 B. ADMINISTRATIVE COSTS: 1. Pel10nal RepresematMt's Commissions Name of Personal Rlpf888IIlBIiv8(S) Social Security Number(a)IEIN Number of Personal RepmenlBtIve(s) Street Address 2 City Year{s) Commission Peld: . StIt8 Zip 2. Attorney Fees 3. Mmily Exe~: (" decedent's address is n~ the I8I1II88 c1aimBnt's, atIach explanation) Claimant Str8et Address City Relationship of Clainllnt to Decedent SIBbt . Zip (If more space is needed, insert addilional shells rI the same size) 6,029.47 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. REV.1512 EX+('><I3) .. COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE UABlUTlES, & UENS ESTATE OF FILE NUMBER Report debts incurred by the decedent prior to death which remained unpaid as of the Ate of delth, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. VERIZON PA AMERICAN WATER COMPANY 2 3 4 TOTAL (Also en.. on line 10, RecapluIation) (If more space is needed. insert additional sheets of the same size) 573.72 RfV.1513ex._ . COMMONWEAlTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT sa..... , IENEFICIAIIES ESTATE OF BERTHA A BOWSHIER FILE NUMBER NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I TAXABlE DISTRIBUTIONS [",elude outright spousal di&tributions. and tl8n~ uoo. See. 9116 (a) (1.2)) 1 KATHRYN A. DePUY, 9 EAST MANOR AVENUE. ENOLA, PA 17025 RB..A.TIONSI-IP Te) DECEDENT Do Not lilt TNIt8I(I) DAUGHTER AMOUNT OR SHARE OF ESTATE ENTER DOLlAR AMOUNTS FOR DISTRIBUTIONS SHOWN AthVE ON LINES 15 THROUGH 18., AS APPROPRIATE. ON REV-1500 COVER SHEET n NON-TAXABLE DISTRIBUTIONS: A. SPOUtW. DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAl DISTRIBUTIONS TOTAL OF PART 11- ENTER roTAL NON-TAXABlE D1S1RI8UT1ONS ON LINE 13 OF REV-1500 COVER SHEET (If more space is needed. insert additional sheets of the same size) .. .. 11last mill null mrstamrut of BERTHA A. BOWSHIER REVISED.: APRIL 28, 2005 LAST WILL AND TEST AMENT BERTHA A. BOWSHIER "';~ . LAST WILL OF BERTHA A. BOWSHIER I, BERTHA A. BOWSHIER, of the Township of East Pennsboro, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any Will previously made by me. Item 1: I bequeath all the contents, the furniture of the residence and all the residue of my estate to my four (4) children, namely GEORGE A. GREEN II; KATHRYN A. DePUY; EDWARD B. GREEN, AND LARRY W. GREEN, share and share alike. In the event my children do not desire to receive any of my items of personal property, then I bequeath the contents be sold to defray any costs associated with my estate or the items may be donated to the Appalachian Trail. Item 2: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the administration of my estate. Item 3: I direct that all my legitimate final expenses be paid as soon as practical after my death. Item 4: I direct that my body be buried at the Indiantown Gap National Cemetery, Annville, Lebanon County, Pennsylvania, where my deceased spouse, Garland L. Bowshier is interned. Item 5: I direct that the cemetery plot located at the Harrisburg East Cemetery, Harrisburg, Dauphin County, Pennsylvania, where my lot is registered under my former name, BERTHA A. FRANK, be used, if needed, by one of my children or grandchildren. IN WITNESS WHEREOF, I have hereunto set my hand this :)8!Z:- da~of ~~ ,2005. ~t2--~ BERTHA A. BOWSHIER (Page 1) ~ . '", . Item 6: I appoint my daughter, KATHRYN A. DePUY, of 9 East Manor Avenue, Enola, East Pennsboro Township, Cumberland County, Pennsylvania, Executrix of this my Last Will; AND my son, GEORGE A. GREEN, II, of 18 South Road, Mechanicsburg, Borough of Mechanicsburg, Cumberland County, Pennsylvania, Executor of this my Last Will. Item 7: In the event, my daughter, KATHRYN A. DePUY, ceases to act as Executrix or my son, GEORGE A. GREEN ceases to act as Executor, I appoint my son LARRY W. GREEN of 16518 Purche Avenue, Torrance, California, to assume the duties as Executor. Item 8: I direct that my personal representative, or their successors, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this d?dayof ~ , 2005. ~ j7PJ?~~. RfHA A. BOWSHIER The preceding instrument, consisting of this and one (1) other typewritten page, each identified by the signature of the testatrix, BERTHA A. BOWSHIER, was on the day and date thereof signed, published and declared by BERTHA A. BOWSHIER, the Testatrix therein named, as and for her Last Will, in the presence of each other, have subscribed our names as witnesses hereto. Chr i !; toph er LA). De Pu-'.J residing at <1 {.,. fl ~.nor ~1I.e-, t \'\tJ I cA , County of C lA~ her Ic...r\. d. , State of -p -e.. n f\ ~ lj I v C,- r\ .. ""- R u ) 1 a l c1 '- 1< '< 'If /1 .5 and residing at I if ti h1 ~ ~ ",( /9 (; c.. C/ldl"-. , County of c.. Gvn 6 e"f !....VrLj , State of ;Cl l n 11 S '1 / V 0./1, t- I (Page 2) . . .. . .\, ..... ,,~,"... ',o..L""'"'~'''~'';'~'.''_,''''''lo..."..~.....;...~1Il1:o.;;.t.~,li.'':.::''4~::;,.t't~ ir;'::;O;j",J,~~""i.;~__tL~.u:if~l1'~:;tL;J.ll,Ci.~~-;.WI..~~,'j~~-';il"";;~~~1......,..;........."."""'"".;,.,._......,.._....."'.....:;;-""'-"" u.....,,;>i',.,.....-,,""..,~~""...;),,~..""~~U,2"~,~'f\w.~,~...~Il'l...~I._~..,~.... COMMONWEALTH OF PENNSYLVANIA) COUNTY OF CUMBERLAND ) ss We, BERTHAA. BOWSHIER, C hri S'tophe.r W. O~P&.t'y and 'J I\O/laLcl 1-. {(atv;rlr.J the Testatrix and the witnesses respectively whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of his or her knowledge the Testatrix was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. ~~ BERTHA A. BOWSHIER ~.M'W. 10e~ WITNESS . ( _././;7~.?;~:2,- WITNESS Subscribed, sworn and acknowledged before me, AlAtV'j t I(~AJS by BERTHA A. BOWSHIER, the Testatrix, and subscribed and sworn to before me by ChI'ISfo;Aer W. Wui and folV~e d L. /CLi. 1"'1) .S the witnesses, this c2tf~ day of ~ ,2005. e If~. ;1!tJTf)(d.tt I'IL4U G NO AR1AL SEAL NANCY C. KARNS, Notary Public Lower Allen Twp. Cumberland County My Commission Expires Mar. 11. 2007 age /... ~ (' , ;:~~~ .~.._:,:~Jt ~ ~.;~~~'\.}~' '..r,. 4to "h~~ .: ( "'Jr- / C.O 0\ ,\9~ -/ ~ ,,11\ ~ ~ ~o c "'O.~ 'fc#' ~. ~( ~ \ \ \ \ \ \ /\ \ \ \ ;IJl' - ...0' .~_. _. ._ __.______~. "XJ .,~~J,_-.--;~-~-~~-:,~:.--~.,.../..,::.>>:~:~,;; .... ... ~~,.:;j.;\ .c;:. . ~r,'::. .' '. .. .... .;,- . ,t,' .,;,' ; . ...".._~, ......,.'1;,; '~!f:;t"l ..' ~ ...:" ..' .'. ." . _ H4I ~~- .';6 .'Q.:; \ii.;,'\:,.<''''~'Y.:' i p~, ~~~.,-'_. ...i.....,:(.......i' ": ;':: .....:;::>=.__~~'. .,,:.;;::_F.'i:::!,~'_:l:!,t~,,:;;;,:~~;:,' .iJ')::X:&~.JJb,.~j;~ m...~..'.,.~~' . >f..... ...... .' .~'. "';T;'..' /,,' r "~i~:::~3~~i~~t~;'i~~;:_. ,~~~E;'!'~:"- ~Ul" Ie . ;i', i~~ .."..-," .......' .:';,:;f:.' .~?.:t~~;~~~l~~:.~,,~ ;'. ,,) ':r'~: ~ . ~~ ,. /' ,.,.-/ ,.r'''''' j" ~.. 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'L ~ "", If.41~t.s \.:' & Id ~ (717) .732.6969 EMERGENCY732-.3411 Check No. 20496078 Date 04/16/2008 BERTHAABOWSHIER9 E MANOR AVE.' ENOLAPA17025 INVOICE# PO NUMBER INV DATE GROSS DISCOUNT NETAMOUNT INVOICE # PO NUMBER INV DATE GROSS DISCOUNT NET AMOUNT AMOUNT AMOUNT PAID AMOUNT AMOUNT PAID 08041580253 04/15/08 73:45 REFUNDS2216144431167 EMAN RAVE 0.00 73.45 Direct Inquiries to: Accounts Payable Dept., PO Box 13578, Reading. PA19612-3578 TOTALS 73.45 0.00 73.45 REMOVE DOCUMENT ALONG THIS PERFORATION . ' ... ". .~> J_ ,1"'-.: i 0) II' ""'1." ' \'1," ..!~' ;....~~ l\ .;:;. 'It. ';: "'~' ,,~- :l. - ....'... ", ." 1.:-: .-' '>'f ~......' "1',' " ,.~.~.. It.[' ~,,~' ~ ~ ,{...~ ., h.~:::~~"(,( ~.4,.~~:~}':4. '~"/'-.~.L..r,'Ji-'.~ .:~r0:..~ ~~,~-r;..r-.\l~. ~'Y;::.' ..:.~.~ ~.~: ~.n.~~;~ :~.1. '~:...::~~~~..g.. :,'::";r.,1~.:~: '. ~.44~~~'~.. ':. .'.4"-':;~-~; i-" ~ . ~ . ...., '~~~" ~xJJ' ~.+ iV ~~. .~~*. 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"',:,!,"'~r' ;rt!: :-~~.~. &".1'-_ .' \.... .:t:.,----:: ~.~ : ';T.~. ~:~~-J1 ~~r~~y.... : C'~..::-~;~,: <,'''\r?~~.,tf.. f,.j,.;,. ~,\.~~- .' \. ~?!:t~~~'''J''~ p.'" ~~~'~..1' : ri~r .. ~n -,/,. ~ :\. 'y -~. . .~.. !;' '. '~'-" " . 7.. " iln ...:Y1 ~..~ ttJ.::g' t'.~ .-.~'L;;,..~ IS -~, . ~ ,:-" .,': . )1['1. '. I...: /'.,...... ..,.... .t~ .-t..:1..~.\: .:1"",. ., ,r". ..... \ \. .-, ..... ':: 'e. ",~ ,~. " . 'I ,..",.~ ur_ .\.. q ~~ ~ MUTUAL of OMAHA INSURANCE COMPANY Mutual of Omaha Plaza Omaha. NE 68175 68 402 342 7600 mutu alofomaha. com 0457 BERTHA BOWSHIER EST 7 E MANOR AVE ENOLA PA 17025 CHECK NO. CHECK DATE 0011595781 03/07/2008 PAYEE NO. PAYEE NAME 0000000009 BERTHA BOWSHIER EST CHECK AMOUNT $10.03 DESCRIPTION VOUCHER AMOUNT 298629-91 BERTHA BOWSHIER EST DECEASED INSURED 02567261 10.03 . PSMPS -----------------,-~~----~---~~-------------~-----------------_._._----~._----~------:--- €'\. -.....-.-.'.. \Ll ~ MuT1.'....t OfO"U.H^INSt'RANC;F\ COMPAKV Mutual of Omaha Piau Omilha,NE Mt7S 402]427600 mufualofoma.ba.com DATE 03/07/2008 CHECK NUMBER 0011595781 1~ lOt PAVASt.E THROUGH FIRST NATtONALBANKO!= OMAHA OMAHA. NE. 58102 FREMONTNA 1lONAL BANK & lRUST CO PAY: TEMAND 03/100 DOLLARS *****"ur***10 .03 Please Cash As Soon As Possible. c o c c c m ~ Ul .... C TOTHE BERTHA BOWSHIER EST ORDER OF ~a..~ 000178 ::::::i,::n?in:~~:..::.:.:.:......:. :::. ::.. ...: :::.e$PPNbiNQ~A~PPRi$.':itt.oUa#E!~t\{{ii:m{mi):i?H:m{tr\:m:t:::::::(tt(::t::?::mmmf\mmmmm))r:mi:m:i{:($AWON.~MATJpij::i::{):(@\::i:\(){:m:i}t:::@i?::::=jj}::r::{::!:j:::::::!::: MONUMENTAL LIFE INSURANCE COMPANY POLICY NUMBER: DD10879215 2 EAST CHASE STREET CLAIM NUMBER: 48024988000 MAIL STATION 12 PATIENT NAME: BERTHA A BOWSHIER BALTIMORE MD 21202 RELATIONSHIP: MEMBER TOLL FREE NUMBER: 1.-800-638-3080 CHECK NO: 1.410407819 CLAIMS EXAMINER: JUDY MARLOW DATE: 03 -10 - 2008 DISTRICT/AGENT: 2P REQUEST NO: 0'7080178 PATIENT ACCOUNT NO: INSURED NAME: B:e:RTHA A BOWSHIER KATHRYN A DEPUY 9 E MANOR AVE ENOLA PA 170252822 ili!~ :t::{:::tNNM::Qf.r~iR::rtnn .::::\\::::=up~m($.).::gfr$.i.aMQ~::i{:)t:n: ::H:t:miHt:::t:tl$iW9.l,it:::ummrit::/f:t\ t:$.Q_~t:~ffll.~$i:~ ::m:::t$..~fmr~IU):jn):fm \J;"~$.QN:/ DTH LAPSED 02-12 02-12-08 PREMIUM REFUND 3.88 3 88 ::ti::=:n:i:mmmn:/?tr::/}::rtmH:::mrr:t{?ttf::::}:n~~~~~U1~Pf$.$.::IX~t~tti$.rt:::t\::?tt:rtt?rmmtmm::::?i@@mmI):::r:i::rt:I:t//::t?:t:/:if::t:nt\t::r:tt\tm:ttj~~gltj$.o.MMAtttt::ji:{'/:::}=:t TOTAL BENEFIT: 3 88 OTHER INSUR ADJ: OTHER ADJ: PAYMENT: $3 88 ] AND TEAR HERE DETACH AND KEEP THIS STATEMENT PIlnD No. 1001 o HE RDER F Express Scripts. Inc. 1 Express Way ST LOUIS 63121 MO 314-770-1666 CHECK NO. 06013602 <:.:RE#.:.dE:~:n:: :i.::4ljY.()IC~: ".: ::<;::,:';:'AM()Uf!TT" . :)J1S.Cf),r,JN'f;.:.:/ ::,::-}f.lfI;:PHl!.Plf' .' :)J:.AK$!f..'}::-::'...... . :::<<::/Aj,(otfN't-: N07 00075167 MBRID-20048731 04.01.08 CDPAY REFUND ~l7. 00 0.00 37.00 lil..i!..1:1 ., ..:..:;.,......:.... .'. ...... '.' .......,........:. ..... .' (.: r:':,':::':::':::::::',:DAT.lf'::.:'::-'::. ':. .::..:::: ::::"AM'oUNT':'::'-:: . . ..:.:.:' " '-:.: .. :.... -. ...:.....:. :'.' .... : ..:.... .::.:,:,. ....<.:.. :'''::'::':':'04):Q2\~bg'.:::' .. . "$':~:A:~:~:~'A~:~:~3j:;~bo:.:" ..:,...,::.:/::.:-::....1 Aye ..THJRi,i$E~ENlJfllLAAs.ANlhOQ;.cE~TS . . . ..;. ';;51 .....-.1 "j . i .. .:..i :,,:; :>.";" t ENOLA PA 17025 :: .....:..:.:.:.::..:. "':"'::::K:' ::,.." :.,:. .::.::...... ....C.". ~. .,:r!i!jI{~;;(i!!tI~. "., :.~.;?l.:f.(::}):};~=::~i: . .. .... ..::..:,;,.....' ~~};Plt~~~~~~$i~~ji~k~~~~1(tI~f%u~~~~1 ) TIlE ~ER BERTHA BOWSHIER 7 E MANOR AVE 11101;0 . ~ 1;0 2111 1:0.. ~OO ~ ~ 51: I; 2880111 ;~ 4~ I I f ~ i i j 1 t I f ~ I f i ! t t! f DATE 03/06/08 CREDIT BALANCE REFUND TELEPHONE NUMBER 717 732-2069 TOTAL REFUND $6.58 { PA ::~:;~ ~~~~~-----_~,"'LS-"L===LL__ ~ -- -- ---.;.-~- - -- _L'~_= -- - ~~~;- - -- - - - -U~-~~~; 350 GRANITE ST. 2ND, FLR. V-- ',' ",' BRAINlREE. ,":A. 02184 II8I'izgo ~~~, i ,-/ U '~/ .'H METER ?0886~:. ~ / BERTHA A BOWSHIER KATHRYN DEPUY 9 E MANOR AV ENOLA PA CB 17025 A-SIAAi i7025 '...111., .111. , .,.," .'.'...'.1'" J ,.. jl.,. .1 JIll...',', J , J ,. II CAPITAL ADVANTAGE INSURANCE COMPANY 'j- t)", HARRISBURG, PENNSYLVANIA 17177 REMUTTANCEVOUCHER !Check Date: 19-MAR-2008 Invoice Number Invoice Date DescriptIOn Discount Paid Amount 800326883 11-MAR-08 B BOWSHIER 0.00 139.40 TOTAL 0.00 139.40 / p.tr f.~. ,l:- ~~ ,. ~ ~ o.~ f. y ~ . ~" t~ / iBOWSHIER c/o LARRV GREEN ,~URCHE AVE ~E CA 98504 REFUND DUE TO CANCELLATION .- DATE: CHECK NUMBER: AMOUNT : OFFICE: 818 ... Aa.-otJlfT: 03/19/08 883A 766551 .62.f** AGENT: OHH3 981U60U95-" 981060095 NAMED INSURED BERTHA BOWSHIER C/O LARRY GREEN AND ADDRESS 16518 PURCHE AVE TORRANCE CA 90504 *~ IF YOU HAVE ANY QUESTIONS, PLEASE CALL 1-877-87-. CHRISTIAN-BAIt ....")J~L;.'~~~~ ..1 .:t..,-"- t "<~.'l'i"';~~~ ___________ _ .".' '''''':''''':'~'''.''',", \ ~ ~ \ t I / ~O""... CANCELLATION REQUEST J POLICY RELEAS DATE (MMlDDIYY) 03/10/08 PROOllCER OP ID TK (AlC. No, ElCt): 717-761-4712 717-761-5810 COMPANY NAME A"D ADDRESS . HAle CODe 25658 Christian-Baker Company P.O. Box 158 Camp Hil~ PA 17001-0158 _Jane.t...t.a..J:t.-. Br@nner CCDE:OHH314 1 SU8COOE: ce~g~;~~~'BOWSHBl INSURED NAME AND ADDRESS Travelers P.O. Box 2026 5001 Louise Drive Mechanicsburq PA 17055 POLICY A ~ ob ' 1 Pl' TYPE U ...om 1. e C) l.CY CANCELLED POLICY fNFORMA TaON Bertha Bowshier c/o Larry Green 16518 Purche Ave Torrance CA 90504 :3~R 9810600951011 EFFECTIVE DA rE AND CANCELLATION DATE TIME ~?C~ AM __~OUR OF CAN~~_~~~~_ -_u-"-~F~~~~ ~~----- ._-~ ;~~;ONDA~!'~ 10/20/07 X i POUCY RELEASE (Complete Statement Section Belowl POLICY TERM 04/20/08 POLICY RELEASE STATEMENT The undersigned agrees that The above referenced policy is Io$t, de$\royed or being relained. No claims of any type win be made against the tnsurance Company. its agents or its Jepresen~atives. under this policy for tosses which OCQJr anerthe date of cancellation $hown above. Any premium adjustment will be made in accordance vlith the terms and conditions of Ihu polic;y. WITNESS DATE SIGNATURE OF NAMED INSURED DATE WITNESS DATE LIEN HOLDER .,,,.,,j MORTGAGEE LOSS PAYEE AUTHORIZED SIGNA TUftE TITLE OATE 1 USN HOLDER j MORTGAGEE I LOSS PAVEE FOR AGENCY/COMPANY USE REASON FOR CANCELLATION AUTHORIZED SIGNATURE TITLE DATE METHOD OF CANCELLATION ; NOT TAKEN X . REQUESTED SV lNSVREO ... .'- RE\\R1TTEN ._..."....:.if...ompiet. belowl ..."'~.~""..... .~. COMPANY OTHER (Identify} FLAT , SHORT RATE X; PRO RATA i FULL TERM l PREMIUM $ POLICY NUMBER PREMIUM CALCULATiON .~~~~.!.I~CT r.Q:/lt.m!T I. UNEARNED FACTOR 1............---...--.--..--..-- , RETURN PREMIUM -.---..j,------- $ EFF.ECTIVE DATe .- . -. ".".... ....... . .. --- ~..__...__._--~- REMARKS NeWYork Only: If you do not keep your auto insurance in force during the entfre registration period, your motor vehIcle registration will be suspended. If your vehicle is still uninsured after 90 days, your driver's license will be suspended. To avoid these penalties, you must surrender your registration certificate and plates before your insurance expires. By law, we must report the termination of auto insurance coverage to the Department of Motor Vehicles. lAME AND ADDRESS REQUEST/RELEASE DISTRIBUTION · X I INSURED --.-< lOSS PAYEE COMPANY 1-tEN I-iOLOEF: FINANCE COMP.IINY ~rtha Bowshier ,/ 0 Kathryn Depuy ~ East Manor Ave :nola .. 17025 -PI\. MOR1" GAG EE PRODUCER'S SIGNATURE ~ DATE .;ORD 35 (1197) Janetta R. Brenner @ ACORD CORPORATION 1988 " ....-... .iI o PNC13AN< The Thinking Behind The Money February 27,2008 Kathryn A Depuy 9 E Manor Ave Enola, PA 17025 RE: Bertha A Bowshier (Deceased) SSN: 168-24-3572 DOD: 02-12-2008 . Dear Ms. Depuy: In response to your request for Date of Death balances for the c.ustomer noted above, our records show the following: Checking Account Account # 5140006239 Established 07-06-2001 BERTHA A BOWSHIER KATHRYN A DEPUY DOD balance: $6,868.12 + 0.11 accrued interest Please note that this office only provides date of death balances for deposit accounts (IRAs, CDs, Checking and Savings accounts). We do not process any financial transactions or provide statements. If you need assistance with any of these items, please call1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch office. Sincerely, ~ ~ciw Colleen Crowder 1-800-762-1775 P7-PFSC-04-F 500 First Ave Pittsburgh, PA 15219 Member FDIC Page 1 of 1 ,'~ ~ ~ G I lID Qua lit)", Selection. S ovin9s. EYer)' DQY. Vh'U us on the Inhrnet ww,~ "GientFoodStores. COlli H~ 90al 1s to ensure ~our setisFectlof every tillle wou shop with us. If there is anything llIore I cen do to illlPrOVI your e~perienc. plee.e cellar write. RIck Warner, store Haneser Gient Food Store 1263 310 ee.t Penn Drive Enola. PA 17025 Store Telephone: (717) 909-7012 Phlrlllec~ Telephone: (717) 909-6950 02/19/08 v:J.J2AH THANK YOU UT2 CHIPS UTZ CHIPS GIANT COFFEE SC BONUSBUY SAVINGS Price YOU pey PARTY TRAY PARTY TRAY PARTY TRAY KAISER ROLLS KAISER ROLLS KAISER ROLLS KAISER ROLLS KAISER ROLLS KAISER ROLLS KAISER ROLLS TOTAL BEFORE SAVINGS YOUR TOTAL SAVINGS TOTAL AFTER SAVINGS TAX PAID II..TOTAL VF PERSONAL CHECK CHANGE 6.29 48001548SSJ' 3.19 F 3.19 r Be 6.99 F .70-F 42.99 F 42.99 F 42.99 F 2.69 F 2.69 F 2.69 F 2.69 F 2.69 F 2.69 F 2.69 F 161.17 .10 160.47 TOTAL NUMBER OF ITEMS SOLO = 13 2/19/08 9:35 AM 0263 12 0082 146 ****** BONUSCARD SAVINGS SUMMARY ***** BONUSCARD SAVINGS .70 TOTAL SAVINGS .70 cfRicharclson guneral fJ{ome, c!!nc. 29 SOUTH ENOLA DRIVE ENOLA, PA 17025 (717) 732-0587 MICHAEL G. MURRAY SUPERVISOR ft1j STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED Charges are only for those items that you selected or that are required. If we are required by law or by a cemetery or crematory to use any items, we will explain in writing below. . If you selected 2 funeral that may require embalming, such as a funeral with viewing, you may have to pay for embalming. You do not have to pay for embalming you did not approve if you selected arrangements such as a direct cr~mation or immediate burial. If we charged for embalming, we will Fxplain why below. . For the Service of ,S €' ; ~ ~ .A. .0 · (,.(/..$ IS . tII ~ Date of Death a L J ~ I () f Charge to: . 7 ~ ._-1' !b44-"" A v'-. E. ~ (... /'4 //():l1 Name Address City State A. CHARGE FOR SERVICES SELECTED: Other clothing 1. PROFESSIONAL SERVICES Services of Funeral Director/Staff. . .. S~c....,...- Embalming . . . . . . . . . . . . . . . . . . . . .. S~ c;..... Other preparation of body .- S_ Cremation urn . . . . . . . . . . . . . . . . . . . ._ (Description) OTHER .- .- .- TOTAL MERCHANDISE SELECTED.................. 8'_ C. SPECIAL CHARGES: Forwarding of remains ~o ................................- SUB-TOTAL OF PROFESSIONAL SERViCES......... Al ._ 2. FACILITIES AND SERVICES Use of facilities and services for viewing (VisitationlWake). . . . . . . .. if./J/ c:. Use of facilities and services for funeral ceremony . . .. . . . . . . .. ...r # ~ Use of facilities and services for Memorial Service ............... ._ Use of equipment and services for graveside service............. ._ Other use of facilities (Funeral Home) Receivipg of ~emain5 from .- s_ (Funeral Home) Immediate Burial. . . . . . . . . . . . . . . .. ._ Direct Cremation. . . . . . . . . . . . . . . . . ._ .- SUB-TOTAL OF SPECIAL CHARGES................ C'_ D. CA~~~~~ ~~:eD. . .. . .. .. . .. .. .... . ,# A Cemetery Equipment.............:._ Lot and Deed. -. . . . . . . . . . . . . . . . . .. S_ Newspaper Notices-Local ......... 1_ Newspaper Notices-Out-of-town. . .. S_ Telephone Be Telegrams ........... 1_ Airfare .. .. .. .. .. . .. .. .. .. .. .... . Clergy /Mass Offering. . . . ~ . . . . . . . . . ./ ~f, fiI ~ Pallbearers. . . . . . . . . . . . . . . . . . . . . . ._ '~ Certified CDpies o. f the Death.. if.'. h... _., " ~ C 'fi' g,~ " , ertllcate ...................... J~ Police Escort . . . . . . . . . . . . . . . . . . .. S_ Flowers ......................... ~ Vault Service Charge. . . . . . . . . . . . .. ~.~.;IJ .- S/Oo ~.., S_ '- .- S._ SUB-TOTAL OF ADVANCES. ...................... D'_ ................................- SUB-TOTAL 9F FACILlTIES!EQUIPMENT........... A2 1_ 3. AUTOMOTIVE EQUIPMENT Vehicle to transfer remains to Funeral Home. Local...........'................. ~~ Hearse (Casket Coach) Local. . . . . . . . . . . . . . . . . . . . . . . . . .. ~N '-"" Limousine Local. .......... .............. ...._ Fknily car . Local........................... ._ Flower car or floral disposition Local. . . . . . . . . . . . . . . . . . . . . . . . . . . iZ:..1V~ Lead car/clergy car Local...,....................... ._ Car for pallbearers Local........................... ._ Out of town transportation. . . . . . . .. I_ I_ S_ SUB-TOTAL OF AUTOMOTIVE EQUIPMENT. . . . . . .. A3 ._ TOTAL OF PROFESSIONAL SERVICES, FACILITIES AND AUTOMOTIVE EQUIPMENT ... .. . .. .. . . .. .. .. . . .. . .. . . .. .. . ... A (j~.~).. ~ ',-- "-1 .. ",,,", We charge you for our services in obtaining: (specify casb advances tbat are mar.ed-up) B. CHARGE FOR MERCHANDISE ~ELECTED: Casket.,,!;I.. .'4''''' .1/." Jill.-. . .. ./..!t!l.t. · Go (Description) 77 ~ <<J ... "I l- e 6 1Y"-~ ~ tJ.. G ~ 010 LJ ,. J~/. t'-/'. ~ ." ""'" . , Other Receptacle . . . . . . . . . . . . . . . .. S_ (Description) IJrlTo ..~.. SUMMARY OF CHARGES A. Professional Services, Facilities and Equipment, and Automotive . Equipment. . . . . . . . . . . . . . . . . . . . .. S~ .Iv B. Merchandise..................... S~ < .. - C. Special Charges . . . . . . . . . . . . . . . . .. S_ D. Cash Advances. . . . . . . . . . . . . . . . . .. .- fO ~ TOTAL OF ALL SECTIONS. . . . . . . . . . . 3- J. ~ . '/'..' ~-r-- PAID AT TIME OF OR PRIOR TO . ol {,/J fC04 II . ARRANGEMENTS.............. (JQ.I............. .~ BALANCE DUE.................. 'eIL-' .,u~. '61" s . '9.,cJ.-? REAS FOR E BALMING 1../ 1 I --0 - Outer burial container............. .~ (Description) If any law, ce cry, or cr: atory requirements have requi the purchase of any of the !!sJPs listed a.bove the law or requirement is explained below'J ~~ .J/ r- LC) ~~~~ <- · ~ c:'~ft- """'-' - ,,- I agree that I have examined the items of goods and services selected above and found them to be correct and according to the arrangements I have requested. I acknowledge receipt of a copy of this St2tement of Funeral Goods and Services Selected. I represent that ~ve sufficient funds available for payment of tht cash price for the goods and services selected. I also agree to make payment of../ within days. ragree to be jointly and severally liable.with.anyone else who signs below. A late charge of...;" per month amounting to. -- per year will be applied to the unpaid balance beginning "./ days from the date of this agreement. I will also pay to the Funeral Director aU reasonable costs paid by the Funeral Direttor to coUect amounts I owe ..der this agreement. Those coSts may include attorneys' fees, court costs and other costs. Any additional services or merchandise ordered or requested after the daro of this agreement will be considered pan of this agreement and the cost thereof will be reflected on the final bill or statement. (SaIl ;'/2,?( /. /U ~ 2 ~ ~tId ~ ~?; -- . ~./ ~ .) C; "v tI ure aser) _ /~ ate) (Seal) ~ ~- ~ ~ --- (Purchaser) ( icensed Funeral Director) ~ @ Pennsylvania Funeral Directors Association WHITE Funeral Director YELLOW Funeral Dlrecto~ form - 600 Revised 4/94 Acknowledgement cards ........... 1_ Register book(s) . .. . . .. . .. .. .. .. . . S:::::::t:- Memory folders .. . . . . . . . . . . . . . . .. ~ Prayer cards . . . . . . . . . . . . . . . . . . . .. S~ Temporary grave marker........... S~ Burial clothing . . . . . . . . . . . . . . . . . .. ._ At · H'lI PA 17011 . nd Street · Car:1p 1 I 28 North ThJrty-~eco. 717 975.3924jfax 717.97S.2840jvOIce . d Marysville, PA 17053 400 South State ~a. ;17 957.2316jfax 717.9573474jvOlce . W'lliam C. Dissinger t Attorney at Law .. '~ veriz20 BERTHA A BOWSHIER Account'Summary ~!~v!~~s Ch8!9~S ~~yment Received Jan 24. Thank You. Balance ~~~_~t:!tJ.!9~S Verizon (page 3) Y~!~~~n L~!1~~_pistance {page 5) Q!her !:rovi~~r.~Jp!g_~_ 5) !~!~__~!~ Charges Due Feb 28 Total Due Questions about your bill? Call 1 800 660-2215 See page 2 for all other Venzon contact information. Change of billing address? Go to verizon.com/billingaddress or see page 2. $ 36.07 - 36.07 $ .00 $ 25.32 8.19 16.03 $ 49.54 $ 49.54 Billing Date: 02/01/08 Page 1 of 6 Telephone Number: 717732-2069 Account Number: 717 732-2069 375 44Y MDving? Moving? 1.866.VZ.MOVES Across tile street or across the nation, one call can do it all. Caff us fe)r Internet, phone and entertainment in your new home. ..~I:t.. .... Get More Than an Extra Day This Month Get More time online downloading purchased videos, photos, music & games & less time waiting. Switch to Verizon High Speed Internet (up to 3M) and see. It's $31. 99/month for one year. Call 1-866-785-0968 to sign up. Sub). to I'est/1ctlons & tJvallabJllty. El s ShoTt Stot)' LOI/fI With Verizon Freedom Value, you can ta/!{ all you 'Nant for $41.99 a month, plus taxes and fees. Call 1-888-.301-8090 for details. Subf. to availability & res1l1ctfons. · I'"\.,tach & return payment slip with your check, payable to Verizon. -----------------------------------------~---- ~f-# I) GAS SERVICE Billing Summary for Service to: BERTHA A BOWSHltR 7 E MANOR AVE ENOLA PA 17025 Rate Classification: Residential Heating Billing Period: 01/31/200B to 02/25/2008 (25 days) Frnal Read Questions? Call 717-232-1811 or write to UGI at PO BOX 13009 Reading, PA 19612-3009 * Your current UGI charges include State taxes totaling $ 7.18. CPT 2216144431161 <; Past Bill Information - UGI Utility The account balance on your last bill was ................. Pa ymen ts ..................... ...... .... ............. ............ ".................... Your balance as of 02/27/200B (due now) ................ $ 251.B6 221 614 4431 16 C~~ Current BlIIlnformation - UGI Utility Custom er C ha rge ............................................ ................... Com modity Charge ( 151 CCF at $1.027fi2) ............. D i s tri b uti 0 n Cha rg es ........... ................. ............................. PA State Tax Surcharge ................................................... T ota I Current Charges - UGI Utility................................ UGI Utility charges owed this bill ............................... Total Amount Due by (03/20/2008\ 7.13 155.17 61.28 22.0 19.B 17.6 15.4 13.2 11.0 B.B 6.6 4.4 2.2 0.0 Average CCF Per Day I I I. _.1 FMAMJJASONDJF 2007 Months 2008 Average Last Year This Year CCF/day 17.5 Daily temperature 240F 6.0 330F tt.r.tf"" Meter Reading Information Meter Number Previous Reading 1319584 2074 (remote) Present Reading 2225 (final) CCF Used 151 Messages from UGI - Your current price to compare is $ 1.0276() ICCF. -Your total annual usage is 1,001 CCF. Your average monthly usage is 83 CCF. .Your final bill of $ 223.11 will be deducted from your checking account. Thank you for having used ABC. -Thank you for your business. You have maintained an excellent payment history with UGI. This bill may be used as a .credit reference 'for obtaining future utility service. - Help prevent pipeline damage, accidents and service disruptions. Call 811 before you dig. Keep this part for your records. Important information is on the back of this bill. UGI Utilities, Inc. PO Box 71203 Philadelphia, PA 19176 The amount due will be deducted from your checking account on March 20, 2008. CPT 221 6144431 161 RH 1.11111...111.....1.1.1.1...1.11..1.111.1111.111...,...1.1..11 *************AUTO**3-DIGIT 170 BERTHA A BOWSHIER 7 E MANOR AVE ENOLA PA 17025-2822 270 221b14443116D32D02DDD47497DDD594DDDDODDDDDOOOD00000007 PPLiEI'ectl"ic: Utilifies I I I .. , I I I ,\......, ~~:.....~.;.. ~ ppl .?~~~ ", '" Page I ;:;.;::;:;:::;::;:::iY'~f.aUl:~~~?N.ui;ijtfU:;:i:;r::i:;.;:i: 34340-74006 Electric Service Summary Page For: BERTHA A BOWSHIER 7EMANORAVE ENOLA PA ....)7025 Balance as ofFeb 15, 2008 $0.00 Char~s: TotafPPL ELECTRIC UTILITIES Charges $32.81 Total Charges $32.81 ~~....ij~:jQ,":j~.y_~~j~~.~r!:~J:1~~i.!:::r!:j.jj:j:j"j:i:j:!:!.j:l:!.ll.l.ilj:j:j:!:l.!:j:!:!:lj:j:j:j!:tj:j:rj:$).~~"ij Account Balance $32.81 Questions.aboat this bill? Please contact us by Mar ,4 at .1-80f)...342-5775 (1-800-DIAL-PPL) or write to: Customer Service 827 Hausman Rd_ AlIentoWD) P A 18104-9392 www.pple1ectric.com Electric Use KWH - Average Per Day Meter ReadiDg Information 36 6 - I . I II II. I ~eter #56021523 Feb ] 5 Actual Jan ] 8 Actual 28 Da s KWH Billed Average - Feb 2007 T emperatme 25F KW'H Per Day ] 3 Yearly Use: 1878] 18547 234 2008 31F 8 30 This 8!Clph shows your electric use over the last ] 3 months. 24 18 Types of Meter ReadiDp: Actual . Estimated IH:iY:U Customer D 12 Mar 2006 - Feb 2007 Mar 2007 - Feb 2008 T ota. Average Use Moothly 3977 331 4274 356 o FMAMJJASONDJF 2001 Months 2008 Other important information on back .. ------------------------------------------.-...------------------------------------------------------- 34340-74006 L::::J ;~;:~~i~;::~;1t.Y::~A@~.:~:i;:::~:~j~ :::::::~:~::\!y~~lJijt^~oo(~~~f:;:::;:{;~; Auto Pay AV 01 011567 761356 58 A..5DGT BERTHA A BOWSIDER 7EMANORAVE ENOLA PA 17025-2822 PPL ELECTRIC UfILITIES 2 NORTH 9TH STREET RPC-GENNI ALLENTOWN PA 18101-1115 1'1.111'1.1111111I111.1.1...1.11'11...1.11.1.111...11111.1.III 1 2200000328120000032815 3434074006 00024064476030000000000001640019 ~~, Penn.6ylvan..c.a krrl.lti.c.an t41a;telt. PO Box 371412 Pittsburgh, Pa. 15250-7412 24-0644760-3 AMOUNT DUE For Service To: 7 E Manor Ave DUE DATE 0185181 AV 0.3122518/18518/002518 064 1 PCE6WL '11I,11...11'.11""""'11I,.11..,...,.,..,.,11"""""11" BERTHA A BOWSHIER 7 E MANOR AVE ENOLA PA 17025-2822 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 1 Ei250-7412 1...11.1.1...1.1.1.1.11...1...1.1. H 1...11..1.1..11.1 O Please check here to add H2O-Help to Others contribution to your monthly bill ?c.....7;".m::.!!;8ha..'!.fJ..~lour address or telephone number, a.!!?"!!!!I}!_~nforma!t~~_'?'!.!..everse side. Messages to you from Pennsylvania American Water · Customers may use thBir credit card, debit card or par.. by electronic check only by calling toll free: 1-866-271-5522. Customers may also pay on-line at WWW.water.paymybill.com. A service fee will apply. It Approximately 4.20 percent or $.64, of State taxes are included in your current bill. It Effective November 30,2007, the State Tax Adjustment Surcharge (STAS) has been reset to 0%. · Save time and money by sIgnIng up for Pennsylvania American Waters au/omaNc payment program. Your bill will be paid directly from your checking or savings account. It Have you moved or changed your phone number? Please let us know, so that we can update our customer records. To update your information, call us toll-free, 24 hours a day at 800-565-7292. It A TrENT/ON LANDLORDS: Interested landlords can sign up for Pennsylvania American Water's landlord revert agreement program, whereby eveI}' time a tenant moves out of the rental property, the account automatically reverts back into the landlord's name. To participate, the landlord only pays the $30 activation fee one time. For more information, please contact our customer call center at 800-565-7'292.