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HomeMy WebLinkAbout01-29-10IN RE: ESTATE OF ROBERT W. SIPE, An Adjudged Incapacitated Person IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. 21-08-1118 AFFIDAVIT OF SERVICE I, Janelle Yuhas, being duly sworn according to law, depose and say that I served Robert W. Sipe with the annexed Petition for Review Hearing and Appointment of Successor Guardian and Preliminary Decree at his place of residence on the 28~ day of January, 2010. The UPS Proof of Delivery evidencing service is attached hereto as Exhibit „A „ Dated: ~ " 07 g ' , 2010 J lle Yuhas, Paral al Sworn to d Subscribed before me this day of ~ c-.: ~ ~~ ~_ , 2010. ~ ~~' , , r: ~ ' '. .a ~, ~ _, _ .~ r*' ~ ~ ::~ r _ `~ ' " ~ _ . otary Pub is = ~ rv _ =,> My Commission Expires: ~`" . _ .~ ~~ ; c~ -`~' COMMONWEALTH OF PENNSYLVANW Noiarfal Seal Jennihr K Vlk~odbid, Notary Public Cigr of FUnNOirp, Dwphin County CgmiMN011 16, 2012 ORIGINAL IN RE: ESTATE OF ROBERT W. SIPE, An Adjudged Incapacitated Person IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. 21-08-1118 PRELIMINARY DECREE AND NOW; this p~JC ~ day of ~'~~.`~~-~' 2010, upon consideration of the annexed Emergency Petition for Review Hearing and Appointment of Successor Guardian pursuant to § § 5512.2 and 5515 of the Probate, Estates and Fiduciaries Code, it is hereby ordered and decreed that: A hearing on the attached petition is scheduled for ~ °~~~at ,p.M in Courtroom No. ~- ,Cumberland County Courthouse, Carlisle, Pennsylvania 1 dl.3 . By the Court: 7 ~~ '-' m - ~G~ ~~^ r Q `- r_'~ C- r.a co C.... a:: N CJ7 ~' t~ - r~ _, `., i ~. _ 'i ~.._~ {~ t ''.-1 '"F_i - ` ri '-~l ORIGINAL 1 IN RE: ESTATE OF ROBERT W. SIPE, An Adjudged Incapacitated Person IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISIO~p ~; ?~' ~ ; , ~o-~ 21-08-1118 No ~ , . ~:_ ~.~ rv r t.J'; ry` ... J ,-~, .~ f ~ ... 1. ~ ~. ..k. 'l~r ~"~ ~ 1„f~ .. i ~i .., ~ ~. , f _ 1 , , _.. CJI . J `) Cd' _ ~1 EMERGENCY PETITION FOR REVIEW HEARING AND APPOINTMENT OF SUCCESSOR GUARDIAN PURSUANT TO SECTIONS 5512.2 & 5515 OF THE PROBATE, ESTATES AND FIDUCIARIES CODE To the Honorable Presiding Judge of Said Court: AND NOW, comes Petitioner, Guardian Elder Care Horne and Community Services, LLC d/b/a Forest Park Health Center ("Petitioner"), pursuant to 20 Pa. C.S.A. §§ 5512.2 and 5515, and respectfully represents that: 1. Petitioner, a domestic corporation licensed to do business in the Commonwealth of Pennsylvania, with its principal offices located at 1217 Slate Hill Road, Camp Hill, Pennsylvania 17011, operates a skilled nursing facility at which the incapacitated individual, Robert W. Sipe ("Ward"), is a resident. 2. On or about December 12, 2008, this Court adjudged the Ward to be a totally incapacitated person. See the Final Decree attached hereto as Exhibit "A." 3. On or about December 12, 2008, John Arthur Sipe, Sr. ("Guardian") was appointed as the Plenary Permanent Guardian of the Estate of the Ward. See Exhibit "A. COO P~7 4. The Guardian was asked to assist Petitioner in establishing Ward's eligibility for Medical Assistance benefits by effectuating a spend down of Ward's resources pursuant to his appointment as Guardian of the Estate of Ward, and in response to the Medical Assistance notice denying Medical Assistance benefits. See Cumberland County Assistance Office Notice of Denial, attached hereto as Exhibit "B:' 5. The Guardian has actively assisted in the partial spend down of Ward's excess resources; however, when verification of certain expenditures from Ward's M&T bank account was requested, the Guardian became increasingly uncooperative. 6. Since December 15, 2009, the Guardian has failed to answer or return telephone calls from, or communicate in any way with Petitioner's skilled nursing facility with regard to important information regarding Ward's missing financial resources, all of which were missing due to the Guardian's withdrawal of same. The Guardian has also failed to respond to written correspondence regarding the withdrawals. See the December 22, 2009 Correspondence to the Guardian and delivery confirmation, attached hereto as Exhibit "C." 7. The Guardian has failed to cooperate with Petitioner's request for assistance and verification in establishing Ward's Medical Assistance eligibility, and continues to withdraw funds from Ward's bank account without remitting payment for the skilled nursing care Petitioner has provided and continues to provide to Ward. 8. The Guardian has written checks for "cash" from Ward's M&T bank account since January, 2009, equaling Eleven Thousand, Seven Hundred Twenty-Five ($11,725.00) Dollars, with no explanation or receipts for the purchases and none of these funds were paid to Petitioner for services provided to the Ward. See Ward's M&T Bank Statement Withdrawals, attached hereto as Exhibit "D." 2 i t 9. Despite the Guardian's failure to communicate with the Petitioner's skilled nursing facility, Ward remains a resident of the facility and the balance due to Petitioner for services rendered to Ward is steadily increasing each month, to an amount in excess of Ninety- Two Thousand ($92,000.00) Dollars at present. See the Ward's Current Invoice, attached hereto as Exhibit "E." 10. To address the increasing balance due on the Ward's account, Petitioner needs to establish his eligibility for Medical Assistance benefits; however, Petitioner cannot do so without the Guardian's cooperation in the provision of certain information and verifications to the County Assistance Office, and proof of where the aforementioned Eleven Thousand, Seven Hundred Twenty-Five ($11,725.00) Dollars was spent. 11. As the Guardian is unwilling to cooperate in the Medical Assistance benefits application process, and may be misappropriating Ward's funds, Petitioner requests an Emergency Review Hearing pursuant to 20 Pa. C.S.A. § 5512.2. 12. A review hearing is warranted under 20 Pa. C.S.A. §5512.2 because the Plenary Permanent Guardian of the Estate of Ward, has failed to act in the best interests of the Ward and has withdrawn Eleven Thousand, Seven Hundred Twenty-Five ($11,725.00) Dollars in cash with no record of payment to Plaintifffor Ward's medical care or any other explanation. 13. The emergency nature of this petition is based on a Fair Hearing before the Bureau of Hearings and Appeals scheduled for January 25, 2010, wherein Ward's eligibility will be determined. Additionally, there is the ultimate concern that the Guardian will continue to misappropriate Ward's funds. 3 14. Petitioner requests a judicial determination that the Guardian has failed to act in the best interests of Ward by failing to respond to communications from Petitioner's skilled nursing facility with regard to important financial verifications needed to establish Ward's Medical Assistance benefits, including documentation regarding the withdrawals of Ward's funds in the amount of Eleven Thousand, Seven Hundred Twenty-Five ($11,725.00) Dollars. 15. The wasting or mismanaging of the estate is grounds for removal pursuant to 20 Pa.C.S. § 3182, and is applicable herein by and through 20 Pa.C.S. § 5515. 16. Additionally, the Guardian has failed to file an a report with the Clerk of the Orphans' Court containing Ward's assets, investments, receipts, and disbursements, as required in 20 Pa.C.S. § 5521(c). 17. Grounds for removal of a guardian include failing to perform any duty imposed bylaw. See 20 Pa.C.S. §§ 3182(1), 5515. 18. Petitioner further requests that the Guardian be compelled to provide an accounting for his fiduciary actions, especially with regard to the Eleven Thousand, Seven Hundred Twenty-Five ($11,725.00) Dollars that was withdrawn. 19. Additionally, Petitioner requests that this Court appoint Brian D. Brooks d/b/a Pennsylvania Guardianship Association, 117 S.W. End Avenue, P.O. Box 7295, Lancaster, Pennsylvania 17604, to replace the current Guardian of the Estate of Ward. 20. Brian D. Brooks d/b/a Pennsylvania Guardianship Association does not have any interests adverse to the Ward, and he is otherwise qualified to act as Guardian because he currently handles numerous guardianship matters similar to the one at hand. See Consent of the proposed Successor Plenary Guardian attached hereto as Exhibit "F." 4 r WHEREFORE, Petitioner prays your Honorable Court promptly schedule a review hearing to determine whether the existing Guardianship Order shall be modified to remove John A. Sipe, Sr. as Guardian of the Estate of Robert W. Sipe, and appoint as the Successor Guardian of the Estate, Brian D. Brooks d/b/a Pennsylvania Guardianship Association. Respectfully submitted, SCHUTJER SOGAR LLC Dated: By: is Sarah .Brown Attorney LD. No. 200614 (610) 727-3793 sbrown@schutj erbogar.com 1055 West Lakes Drive, STE 300 Berwyn, PA 19312 Chadwick O. Bogar Attorney I.D. No. 83755 (717) 909-5920 417 Walnut Street, 4~' Floor Harrisburg, PA 17101 Attorneys for Petitioner 5 EXHIBIT "A" (TO PETITIOl~ [ti Tt~._ t1\ 7'I-[E C:OLIi;'.I'C)ErCQ;'~°Iit~I()N PLL:~S CUI~~IBCR[,:~.I~1~COt1I*ITl~, i~rl~~IS~t~L~~~~NI:~ ~~. :~.n _Ltjehccl Inc.ljl.~cjt:ttctl E'cE-sttn : I~10. !~~ ~ ~,u ~~~ - C1RI'HAt~`S' Ct'>>t:Ii~'I" DIVI~It~)1 r~ rlr~fiL nrclter :.« ~~ ~~ ti'U~i', this ~~ day ol` , 2UGti. t]asctl t1jZUF7' ll7c 4~'iCI~I7L~ c-; ~ ' recuiti•c:d ~n7il the record. tl7i~ Court Fii7ds by cloar tfnd convinci t~+~ t:t~iclencc that C~C)f3LtZ~ t1".N ~-. S1['E is_ anc{ tlturC.lt;~r:. is :f~IlutJ~.:cd, a ta.tally in~apai;itated person. .. _, ~ . -~=i l'hu Ci>urt lif7cls Il7at R(.7I3LI:1' ~'V. S1l'I: sul7ers i'rom tlc17t~nti;7. «•hi:~l7 collc;.irl~u7 tuta(2~ - _ intl~;7irs l7iti capscit}' to rccc:ive at7d t:valutttc in[iirl7ltlt.iun el'fi:ctivrly and to --~7ak~ acrd ~' crn•nrlt.l[7fCfltC dGGI51UI75 Cpllta:rn1171` Lhl n1~173`C117CF1t Qfhts JltltlE7t:f~I uiTairs ar to erect t~sscntial ri:cjuircmLnts It~r Iris physicftl h~altrt and sftfi:.tp. 'j'heSC~Ul11CIaI i12ICCiI7in:1t1UI15 have taken into cnnsidcratit~n tl7r~ n7fttters rcyuirt:d by 2t) I'a. C.ti.;~. t~l'CSTI'Clllt~l}': r....+ J ~ . U pi~L ~~'~~'~~ ~ r; is hereby t1ppOllllcil C3Ut7rdl.111 ul tiTi: 1=state o; I~.t) [3t~=.RT ~l': SII'f: al7d shtttl havz atttlloriiy and respf~nsibilit}• to rnana~.c and use t17c incapacitated I?erson's property far his benr:Iit in aceordsttcc ~~-i-h ?0 I'.~. C:.S.~1.. 5~3[7(~1. TI7~ Guardian of the Esttue of ItUI31:;127' ~~J. SiPh; shall takf' cal7trt7l ral' the incapacitated j)Eri[111 5 jirilpcny and ttssttrc that it is adequately protecti:d aptiinst Ittss; shrill in4'ust `said pr~~pcrt}~ in inVC:Sti77l'Ilts Suftt7ble l@ lI7C Eltt~ilptlGlti:tt[:d pL'rsl~n'S t:lrcutt7titr7rtCC~; slltfll pLarsUt: lilt: It7C:3p~ICllatcCl j?crsc~ns's outst.lt7tllll!! Claims; shaFl iI'17ecessat-}~ §c.ck ttn accour.~in~ frut77 such i)I1C rn• n7orc {?crso:ls as I1tiVC t;C'1}trt7ited the 117Cf-pflCllf7iCd I}r ra'ClI]'4 pfojlt:il}": il7:flI cst.lhlish a bud~~el altcl shall tF{~ a report with the C:lirk t~I`tt1t: Court abotll assets. itTVCStmtr:_s. rcci:ipts nrd disbut'scm.:nts, :Is rcquir~d h}• ?t) I'a. C.S.i1. y ~S? l ( e}, within ttveavc months t~f this Ui:i:ree rktul al7i7llilll4 thcrcatter. "t'hc Guartli:fn slialr C[c ;tn inventory with tl7t: Court ;;~ accurcJan=~e ~ti•ith 30 Pu. C.S.\. y+~»2I clpl't SI~i' u~itltin thl-ci: montlTS ofthis Dt:crec. tlcctTrdil~~, Eu _'ti I'zt. t.:.~.;~. y;i:~C,(a} thi: Guardian ui` the Irtittttc of ItOI3~R'1' ~~•'. SIl'C is ;:lutlttari~r:d to spcna 111C:U171C I',lr tl7c :trl7rCS:tid 17ttrpi7sCS wilhUU[ ll7e C()UI't'5 tullttcn aplal-clval. `j~I1C Guardian? ~.i the Fstutc elf RC}Iil?l~l" VI•`. tiIPF shall ntlt be rt:cjuire~l to post a bond. .any u~istin~~ ~encral ptlwer of attorne.•,1it71itcd power elf ttlturncy at7dlor health care pcl~cer uFatti~r-7ey ~xccutecl by the said ItC)I31/R7 Z'~. SIPL is llrreby speciiicall}' rcvul:ea_I Anil rc:nder~d null ~fnd void. Thu stfid R.013ER7' ~V. SiI'E has the rir~l7t to ttj7peal this Dr;cree to tl7e Superior Ciaurt of Pct;cTS~~i~'ania ~viU'~in E17irt}+ (3A) da}°ti of thiti .I~ecrcc. 'CEtG :t Fiartmctttirsstcd •iur,licittl ClcfL'Cittk[tilllUriS hisri: Gtt:~ii inici rostsidcritti~tn tlt~ nt:ut~rs rc•:;saircc{ b~• ?U 1'~t. t.~_,\. 5~ 1?. l . "1'!sc rnclist~~ti ctf• fart ~sstci ~:~nciuaiotts of la~~~ h~s~ c bc~n macfL• al•ri:•cc~rcl at tEtc ~vi~rntiar~~ ltearin~. l3Y'1"ill: C(:)C'l~"[": ~~~. .~~:= ,\ ' J. EXHIBIT "B" (TO PETITION) ^ ASSISTANCE CHECK ^ MEDICAL ASSISTANCE © FOOD STAMPS NAME SSE NPS I ASST. ISERVti:F 1 Nn NAME ,,,,r„ YOUR TOTAL RESOURCES ON 1111108 EXCEED THE RESOURCE LIMIT FOR MEDICAID LONG TERM CARE. TOTAL RESOURCES ARE $31,765.69 AS OF 1111/013. • ~ ~ a . -, c0 ~F.00~: STAMI?5 ; _'=~: ~ ~:: "_- t _;;Niiintier:ofPe~ns <i' ., ,.. ...- - - - - - Name RNE ' $• .. Name UN Eo $ TOTAL GROSS MONTHLY INCOME • $ GROSS MONTHLY DEPENDENT CARE COSTS $ GROSS MEDICAL COSTS $ Telephone WafadSawags Electric Garbag8lFrash Gas Utility Installation Oil Other GROSS UTILITY COSTSNTILITY STANDARD" $ RENTlMORTGAGE $ TAXES ~ INSURANCE COST ON HOME $ TOTAL SHELTER COST $ CO F2ECORDNUMBER CAT CTRDIG DtST 21 123638 PAN p r SCHUTJER BOGAR 1055 VVEST LAKES DRIVE SUITE 300 BERWYN PA 19312 ATTN: SARAH BROWN ".1 L J lfyo,...oirof.,. derstandourdecfs7on.orhaveagygrJesftons contacfyourworker. ^ CLIENT ^ APPEAL COPY NOTICE TQ APPLICANT j _. CUMBERLA,. CAO 33 WESTMINSTER DRIVE PO BOX 599 CARLI5LE, PA 17613-0599 (717) 240-2700 After the first check which may be a special amount you wig receive 5 ^ Tvvice.a Month ^ Once a Month ^ in tfie MaiE ^ At the Bank ^ You fiave a patient pay liability of $ for the period beginning and endEng C7 Effective Date You will receive $ for the month(s) of then you will receive food stamps in the amount of $ a month from to ^ In the Maii ^ At the Bank Level of care authorized you are expected W pay $ a month inward your care. E::~:` ...::..........:..:.r~c~AUrttt.N IS AVAILABLE ATi?;~< c.• ~ r •.':?::: ~.1 LEGAL SERVICES INC. S IRVINE ROW CARLISLE, PA 17013-0000 (717) 243-9400 tJ l:ASt tiECORD COPY PA/FS ifi2 9108 EXHIBIT "C" (TO PETITION) ,` .`, Email: sbrownQscbutjerbogar.com Direct Dial: (610} 727-3793 December 22, 2009 VlA Oventight Mail Mr. Jolu-~ A. Sipe, Sr. 90 Salem Church Road Lot 506 Mechanicsburg, PA 17050 RE: Robert W. Sipe Dear John: ~~~i~~:~~r opj:at ~ ~ ~u;o 3G0 Fax (6i 0) 727-4345 www_schutj erbogarcorn ~ ~~~v On December 11, 2009, we spoke on the phone and I explained that the County Assistance Office needed receipts for all the purchases made with file cash withdrawals you made from Robert Sipe's M&T bank account in October, 2009. You indicated to me that you would take receipts for such purchases to Forest Park Health Care Center, our client, on Saturday, December 12, 2009. To date, Forest Park has not received any receipts from you. I have since spoken to the County, and in addition to the expenditures from October, 2009, the County also requires receipts for all purchases made with checks written from Robert`s checking account from January 2009 through July 2009. The checks written during that time period are in excess of $15,000.00. If you fail to provide the requested receipts to prove the cash withdrawals and expenditures were spent for Robert's benefit and/ or his medical care, we will pursue civil litigation against you wherein a judge will require proof of exactly how Robert's money was spent. Should you have any questions or concerns regarding my request for the payment receipts or anything in tIus regard, please do not hesitate to contact me directly ak (610} 727-3793. Sincerely, SCHUTJER BQGAR LLC Sarah J. Brown, Esquire i--F-.ri~.156~_-_ ~.C PEitLn.-ct ,-;-ilh. ~.4 ~--c~:iF..ai-i. ~. 3c ;,.Y'... r:: C~~LJ~~..2 ±:'. C?~ ?FIB we-~~7i, ..~ . S:.!TiFJ.;tc=. ~."v .,..-t~ is+„rC~F .. C%.L! ~ i -.. ,. - .._/~ - _ _ _ 4 rJ . United States Jomie Brca:n ! i.agaut Search SuhmlKQuery 69y UPS Shipplr=g Tracking Freight Locations Support Business Solutions Tracking Track Shipments Zack S~~r L4fltg . .. ' .. - - Track Packages 8 Freight : Quantum Vlew.: Fiex Global View Sr.~-r..,~-._•; .rte .. .__ a.... .. ~... ,. ,~ t ;Tracking Detail ... - -- .....-----..- ... ..._ ..--.... ...--.__...-. .......-._._ . 'rrnl n r=_Ip gig i-a- Acca=~ f.~E~ G~c:<I_uE;: Your package has been delivered. To view Proof of Delivery, please select the Bnk. I:^.iSC.'bti: T:uCi:i^.r 1aa=5 V~°d==n:m<r,,a Tracking Number. 12Y99V53d193398668_rSavo -~-- -------- `-------- Status: pelivered u Prpot ai-+~g'!z'ery F1 Heed to send a-mall nottficatlorrsT Search Support Delivered On: 12/23l200910:09A.M. Location: FRONT DOOR ~ Use UPS Quantum View Enter a keyword: Delivered To: 90 SALEM CHURCH RD No6fy~ to send delivery or 506 exception notifications, MECHANICSBURG, PA, US 17050 i:.maii r.atiiicati~ns ~='~' ShlppedBllted 4n: t212?12009 Reference Number{s): SBLLC, GE-FP-005 ~_~ .' -------. ---------•-= Intreduting onlFne printing ;Type: Package Need to make a claim? at The UPS Stole ;Service: NEXT DAY AtR .. ,. - .., ~ Report lost or damaged shipments, or an uncollected !~' ~...~- - ~ C.O.D. _ --- - -- _ °<Rc , s claim Sr~~~•t ~ackeQt: firogrs=s UPS [.ampus:Shrp NOTICE: UPS authorizes you to use UPS tracking systems solely to track shipments tendered by or for you to UPS for delivery and far no other purpose. Any other use of UPS tracking systems and information is strictly prohi bited. EmpoworyourvrorMorsa. ba[~; to Shippina lirstory! Fxieble shipping bnm muttlpk . beslions. MaiNain cerdral control. 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Ext. 865 Phone 1-888-880-7090 L•'ax 1-814-265-1377 Email djordan@guardianeldercare.net JOHN SIPS 90 SALEM CHURCH ROAD LOT 506 MECHANICSBURG PA 17050 Please Aetach and Return with your payment Resident#~ Resident Discharge Date Statement Date Payments Posted Through PAGE Z 22725 SzPE ROBERT tai 12/31/2009 12/31/2009 1-888-880-7090 @ EXT 865 USE MASTGRCARO/VISA/DISCOVER PAYMENT ENCLOSED L DATE DESCRIPTION UNITS REFERENCE AMOUNT BALANCE PREVIOUS BALANCE 89,925.05 89,925.05 12/19/2009 TAUST FUND PAYMENT CHECK ~f1283 -1,368.26 83,556.79 12/03/2009 BEAUTY/BARBER 1 11.00 83,567,79 12/31/2009 LAUNDRY 96.50 83,619.29 12/31/2009 INCONTINENCE 31 263.50 63,877.79 01/01/2020 Ro029 & BOARD- JANUARY 31 @267.00 B, 277.00 92,159.79 ................ -------- -----92 159 .7 9 ........... ENDING"~HALANCE .... _ ..---- - -- ... _. -----•- ----- -- YOUR PAYMENT OC 92,154.79 YS DUE IIPON RECEIPT Forest Park Health Cent 1-888-860-7090 SIPS ROBERT W 22725 EXHIBIT "F" (TO PETITION) ~,'~Fdf~'AIY~„O~ FROPOS6D MAC '1I~' PI~~NARY GUA~~AN OF TAE ESTATE r &ian ll. Brooks dlbla Pennsylvania Guardianship Assacistion, the permanent plettary guardian of the estate proposed in the foregoirfg Emergzncy Petition Review Hearing and AppuinttneAt of Succcssa~ Guardiaq agrees to accept the appointment as pertnaaent plenary gttazxliatt of the estate and avers that ha is not a fiduciary of an estate is which the i~acapscitatrxl peracn has an interest, and the permanent plenary gvatndian of the eatate of Rabcrt W. Sipe has na interests adverse to him. Hated: , ti ~~ `L Brian l~. Bmalts dtb/ee I'cansylvanie Guardiantship Assvcia#ion I9 39Cd 055b dIH5Nt7IQ~(Cfl9 bd 9b9566ZLIL Zb:bT 0I0Z/0Z/Z9 VERSFICATIt~N CERTIFICATE OF SERVICE I hereby certify that a true and correct copy of the foregoing Petition for Emergency Review Hearing Pursuant to Sections SS12.2 & SSI S of the Probate, Estates and Fiduciaries Code, 20 Pa. C.S.A. ~~ 5512.2, & SSI S, was served via U.S. Postal Service, First Class mail, upon the following: Robert Sipe c/o Forest Park Health Center 1217 Slate Hill Road Camp Hill, PA 17101 John A. Sipe 90 Salem Church Road, Lot 56 Mechanicsburg, PA 17050 Dated: ' ~ a- ~ ~ 1 ~ By: -' Ja 11eYuhas, Paraleg UPS: Tracking Information ~__ ;. Proof of Delivery Dear Customer, This notice serves as proof of delivery for the shipment listed below. Tracking Number: Reference Number(s) Service: ShippedlBilled On: Delivered On: Delivered To: Signed By: Location: 1ZY99V530196499999 GE-FP-005 NEXT DAY AIR 01 /27/2010 01/28/2010 9:37 A.AA. 700 WALNUT BOTTOM RD CARLISLE, PA, US 17013 LOGUE RECEIVER Thank you for giving us this opportunity to serve you. Sincerely, UPS Tracking results provided by UPS: 01/28/2010 10:17 A.M. ET Page 1 of 1 httns://wwwanns.uns.com/WebTracking/processPOD?lineData=HARRISBURG%SEKB %... 1 /28/2010