Loading...
HomeMy WebLinkAbout01-29-10 (2)IN RE: ESTATE OF ROBERT W. SIPE, An Adjudged Incapacitated Person IN THE COURT OF COMMON FLEAS 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 Brian D. Brooks, Proposed Successor Guardian, with the annexed Petition for Review Hearing and Appointment of Successor Guardian and Preliminary Decree at his place of business on the 28~ day of January, 2010. The UPS Proof of Delivery evidencing service is attached hereto as Exhibit „A ., Dated:. ~ " o~ 2010 J elle Yuhas, Par gal Sworn to~~nd Subscribed before me this OZ day of '~ , 2010. v }a,,j ' T tary Pu c Ir ; T-, ~.,, My Commission Expires: ~ - ~' ,. `° _ ` -=' _ ~ } _ ~ -. - C . ~_~ tv -_ _ i COMMONWEALTHCOMMONWEALTH OF YCVANIA ~`> .r - , ,. _? NotaAai tied ~ O JennMsr K Wbodlbrd, Notary Pubaic Ciq-d~Mburp. Dauphin ~Y COnM~iNpn ftT, 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~s ~~ 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 01.3 By the Court: r.a f `~=n ~' ~ -~~ CJ'I - - _. ~ CJ) ~. ~~-, , `C~ ~ o~~GlNA~ IN RE: ESTATE OF ROBERT W. SIPE, An Adjudged Incapacitated Person IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISIQ~~ ~ ,~ ~ -_ l . ,, ;~:~ 21-08-1118 No _ =~= , . ~-. ,~.~ :-i ~ .. - ` Cry ~ i 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. C~Op~? 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 1 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 BOGAR LLC Dated: _ - By: ~~ 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 PETITION) Iti T(r:. Ilr 'I~1-rr c~>:-I:'.~ oI~ CQ1~Il1'IOI~i PLI;~S CUl~~g13GR1,A1~1, COtl3~1"r'1', r'rl'~~1;;~4'I..\l.~Ni:1. \`f . '" :1.rt :Lliehet] inc-arricit:ttccl i`cF-san : ~1U• ~I " ~-~~ ~~~ t)RPNAi4S' C(}LiI~'f' Dl~~l~lt:}~ r~ rll~+:~L 1)I;C3t)rL ~ :~ NU«'. this !~ dil\~ Or rA`~ " Y L/ , ~UU~. hc'1SL'tl EFr(?f]' t1TC 4'Vicf~ij~ c~ ~ . received snd rite cecnrd. this Court !`itt~3s b}+ clear and eom'inei n~~ c~'itlt:nce Mutt CtnI3]~iZ~ ~1'.~ ~ :. tili'lr is_ :tnd titc;rc.Carc is atflutl~~cd, a ta.tally inc:tpacitatc:d person. - ,.~ ~ ~ . l'h~ C:aurt lincls that RC)BLR"1' ~'V. S11'Ir supers from tlc.nt~ntin. ~~•hi:~h con~dirRrn tcttaR~? -• c~ intpairs lti~ cul~acity to rccc:ivc and evaluate inli~rmat.itm el'i~cctivrly and to r_~ako ztnd ,._ . earnrtut}ieatc dccisi~ms eonccrnin~; ttte mttna`~L111C'Flt oi~hts l llltli7i:lal tti~tairs car to most essential rccluircm~nts li7r ttis physirnl izc:aitfi and stit'tt}•. 'r'I-lese judicjal determinations have talon into cctn,idcr:llic~n the matters rec]uir~d by?0~1'a. C.S.:~_ taccnrtlin~l}': U ~l,.~t, ~~'~~'~~ r; is hereby al~point~d Guardian t~f the 1=slate o; 1~(~f3L l:T ~~': S11'land shlttl havz nud~tariiy and respt3nsibilit~~ to t7tancigt: and use die incztpncitated 1?crson's propel-t~~ iqr his betit:lit in acet~rdance ~~-iih 3i) I'a. C.5.t~. 5~3(~(:i). The Guardian e~f the Estate uF r(O}3I:1t7' ~~~. S3P); shall take cunlral ~}l' tl~e inca~acitate~i per5ittl`s liropcrty and asSLtrc tllLit it. tti adCt]llalCly ~rotl'.(:tl.d apalnst loss; sht+ll in~'cst `.said prc~pcrt~• in in~'estn~t:uts suitable tc~ the inctip=tcittttod person's circuntstances; sh:~il pursue the incapac"stated pcrsans's autstanditt~! elatms; shah{ il~ necessar}~ seek :jn accoucttin~ E'ram such etlic nr more rcrso,is as have ccntrnllecl the il7c:-pllcitriteci persan~s IlroPert}-: ,h:tlI cst:lblish a bttd~et any! shall lily s r4port with the Clerk eal't:ltr:• Coup about assc[s, in~.cstm~r:.s. receipts and disbursern~:nts, as rcqui,~d h}• 211 I'a. C_5.11. y ~;? l (c), ~vitltin t«'~r,~c ntcznths t7f this Decree and annually thcrc:~fter•. '1'lir tJUardian shall life an iii~~entury with the Court :n acca~rdan,.e with 3Q 1'':t_ l.'.~.1\. y+~a2l turd S1 ~1? u~tthrtt tltrCL I17oI1t17S of thts r7ecrC:c. laGC()rlltli~~ to ~ti 1':i. C:.~.i~. y;~:~G(a} the Guard'san t~l' the l~titate ni` [t013LI2'i' 1~~'. S[l'C is :tutluirized to spcuJ incum~ lift the aFores:titt ~nerp~7ses without dte Ccxu't's written :tppraval. `I'3-te C~u:trclian oa the Estate afl:C}l3t_l~l-u'. SII'F shall nut tie rcclu'sred to post a band. An}• uxistin+~~ ~cncrat pc-tiver of attarne.•, litniied po~4'er ctf attorney attJlur health Dare pa«cr of att~irney e~ccutetl by the said ILUI3ERT Z'~'. S1I'L-: is hereby speciiicall}~ revai:ed and rcnder~ti Intll :lnd void. '('ltc ~ttid R.OI3ElZ~' ~,V. S3P)/ ha.s the right to appeal this Decree to tine Superior Cuurl of Pct;ns~~t~•ania ~vitliin tltirty (a4) days oClltis .pecrec. •Chc:tFiarLmc~ttic}~tcd,jutlicial ~IiaCi'ilti[lilllUR5 itilV.l ta~:at iitlci ronsid~ritiun the m:ut~r:; rr~tr:rccl It}• ?ti i'.~• t.~-~\. 5> 1?. i . '1'!i~ ~nciiri~,s af't""act astd c.,stciuians o! I.z~~r Ila1 ~ t)Ccll ma~it• oi~~~e~~cn•tf a1 the cviilcntian= hearing. +' yG~~ ~ ,* :~~ 1 ` 1. EXHIBIT "B" (TO PETITION) NOTICE TO APPLICANT f,. CUMBERLE,. CAO 33 WESTMINSTER aRIVE • • , • + - PO BOX 599 ~ +' • CARLISLE, PA 17013-0599 BENEFIT tztE lON' (717} 240-2700 ^ ASSISTANGE Afler the first check which may be a special amount yeu wig receive $ CHECK ^ Tw€ce,a Month ^ Once a Month ^ in the Maii ^ At the Bank ^ MEDICAL ^ You have a patient pay liability of $ A5S15TANCE far the period beginning and ending D Et€ecEive Date ^ FOOD You will receive $ for the month(s) of then you will receive food stamps in the amount of $ STAMPS a month tram to ^ In the Mall ^ At the Bank ~ NLIRSpVG HOtvIE / Level of care authorized you are expelled to pay $ a month toward your care. ^ SERVICES ^ Spac 71-iE.FQLLOWING PERSONS', 4RE INCLUD ED:<-;:;::::; :~ ::.`:•.:. ~, :: : °r~<•.c; .::'::: >:-:~:::, ~ ,~:; ~.:.:-.,•. _.- :,: ~ ..:: :.... ~ :.:.::.................. ... NAME PS A 7 CE N NAME P ~. 41 ROBERT SIPE ~ ~ ' • ' ' ° 6g~ACODEi,e., o7aS0"c0d8 YOUR TOTAL RESOURCES ON 11/i/48 EXCEED THE RESOURCE LIMIT FOR MEDICAID LONG TERM CARE. TOTAL RESOURCES ARE $31,765.fi9 AS OF 11/1/08. ~ • ~ ~ s t ~ ~ • • ~ ' ~s: ~.O'FOOD: STi4M1?S:~;-:'''-:':';''~' ~:_: _Numbe~:oFpe~_sons __ ~- _ ~ :..:. ..... -.-..... , . _ . =.;•DASSISTANCE=:CF;(ECIC~ ~='_~_`_;~=Niiintiarptt?ersiiris~~' Name RNEDr COME Name EAR DIN oME $ $ ~ . r~ ~ $ ~ .. $ Name UNEARN DtNCOME Narne UN RNE N ME $ $ $ / $ TOTAL GROSS MONTHLY INCOME $ TOTAL GROSS MONTHLY INCOME $ GROSS MONTHLY DEPENDENT CARE COSTS $ GROSS MONTHLY DEPENDENT CARE COST5 $ GROSS MEDCAL COSTS $ _ - - - --_ -- - - - _ _. - - `- - - - - - - - -~ _ - Telephone Wale Sewa d g8 ~ - _ '--'L~ MEDICALASSISTANCE~~: _= '=:NumberofPerso.~;;_ -. ~ .: - . - . :- Electric Garbage/Trash Name o Y Gas Utility Installation $ Oit ~ Other $ GROSS UTELITY COSTSNTfLITY STANDARD• $ $ RENTJMORTGAGE $ Narne LY TAXES $ $ INSURANCE COST ON HOME $ $ TOTAL SHELTER COST $ $ TOTAL GROSS MONTHLY INCOME ~ NET MONTHLY 1NCOMEINET SEMI-ANNUAL INCOME $ - . .. .INCOME L1MiT $ CD RECORD NUMBER CAT CFft D1G D18T t ~ .. .. .. ~ 21 12363$ PAN 4 KELLY WRITTEN ~j1 7/34/2009 240-274$ workers slg~aiure Malling Dats 7eteohone Numr,~r SCHUTJER BOGAR ~ 1055 WEST LAKES DRIVE SUITE 300 BERWYN PA 19312 ATTN: SARAH BROWN L J Jfyou, do nof,understand our decision."orhaveaity.questiorrs; confacf yqur worker, ^ CLfENT ^ APPEAL COPY --- .. _ •,::.:: ~ :.::..:- . ; 'LEGAL HELP IS AVAILABLE AT ~;i: •;. ~: ; ~:'':`.:: . LEGAL SERVICES INC. 8 IRVINE ROW CARLISLE, PA 17013-0000 (717} 243-9400 tJ l:A~t tiECORD COPY PA/FS 162 9/OB EXHIBIT "C" (TO PETITION) ~v ~x Email: sbrownQscbutjerbogar.com Direct Dial: (610) 727-3793 December 22, 2009 VIA Oroerttight Mail Mr. John A. Sipe, Sr. 90 Salem Chuxch Road Lot 506 Mechanicsburg, PA 1,7050 RE: Robert W. Sipe Dear john: _~!-~a~;~r cso~ ar ! LG ;,v L'Jes{a!-:mss Dri~'= Su; ~ 3GI~ Fax (610} 727-4345 www_schutj erbogarcorn ~ ~~p~ 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 the 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 requixe proof of exactly how Robert's money was spent. Should you have any questions or concerns regarding my request for the payment receipts or anytl-ung in this regard, please do not hesitate to contact me directly at (610) 727-3793. Sincerely, SCHUTJER BOGAR LLC Sarah J. Brown, Esquire -f=.i-i~l°E'_.._. P.S ~ FFiil r.GE' -rIIP. F'r. a ,-.3c:!F..aii. r. r S~ ±,.'r'i.. 7=:. ^ C'~LU78 ±°, G'i-~ .-'rl~ ti=-~Ci, ... • 5:.l1if•: :fir'=. ~."~/ ..ri!I=.: Gi .. ~%,L!? -.. ~ .. .T_._ ~.!t[i~. -- iJltiiGd CJt2te;6 a Jamie 13rcwn ; Loy-o~t Search Suhmt-Query FRy UPS Shfpping Tracking Freight Locations Support Business Solutions Tracking Track Shipments Track $hEomants - Track Packages & Freight : Quantum View.: Fiez Global View 5.. - - .^ucnTrec:,r•, rlumeaa Trackin Qetail 9 Prrrt II yelp ac=?.`` Fse~ ~ c;~r.Vrer: Your package has been delivered. To view Proof of Delivery, please select the Link. v~°, _ ='~i4^~~ rte Tracking Number: 12Y99V53o193398fi68 '=1 Sava V-- -------- ----~ -- Status: Delivered ~ i?ruot ot-aei~ery >7 Need to send a-mall noUfications7 Search Support Delivered On: t2/23l2009 t0:D9A.M. Location: FRDNT DOOR Use UPS Quantum View Enter a keyword: Depvered To: 90 SALEM CHURCH RD NotifyQil to send delivery or 506 exception notifications. _ MECHANICSBURG, PA, US 17050 E-mail hotiticati~ns ~_~? Shipped18111edOn: t2/22/2009 Reference Number(s): SBLLC, GE-FP-005 --- .' ------. ----------.- Introducing online printing ;Type: Package Need to make a claim? at The UPS Store ;Service: NEXT DAY AIR .~~~ • Report lost or damaged shipments, or an uncollected ~` ~..~- - ~ C.O.D. _ S r~ti•~ ~ack.ege Frggre~s uPS t.ampus5hip NOTICE: UPS authorizes you to use UPS tracking systems solely to trade shipments tendered by or for you to UPS for delivery and for no other purpose. Any other use of UPS ttadcing systems and information is strictly prohibited. Empuwaryourvrorktorsa. Sacra to Shippjno yrstor~ Snebie shipping hum muidpla , bealions. MafNain cemral contrd. :4l`kl DEfaa ___ _. Gening started How.7.a.Re9isteGlor_MkUP.,S tiv.W~vS2.ggaaA.9s~nl Hqw Ta snio How T.a. Track j DeiiYeriestU PS.Inf~Ngtke ln~u§1ALSolud°ns Healthcare High Tech Mole.,, Suhsorihp to Small ups-gqm ModirxE_mail.P.retergnsea Mr_IIP~ G Ya€w-i:~mples Adctfess.Book Q >ii~iglz~g Track_g Freight Locations $uppon 6usfn e.55,>S_git(tjons ;iite_Guide t1P5 Gtob SupRS1rt O.thar_5pos Ecmail UPS SIP_„S_$bPRI~C11hin_ o t' S CgrgaU UPS UP_S-Express Cri{ic~l F_usLSurcha-raQ UP~apiial P1Jyacy PoGcv iJES_M_ai1 Inno~l'Irons y$ebsjl~TSmIS of.l1.SS t.ll5lOmeLS.gtutlons T.1?t~Rt2rL': l1PS Loajsyics Technolonjes UP~_TarilFlTerms,arrit Cond'piorls uP_s-Pressroo9t gj.,~ervice UPS InvQgtpr Relationg Mgf.B__ A@qut_IJPS H19hIlghts iJ.P_SSeraerg Copyright ®1994-2010 Untied Parcel Service of America, Ina AI[ rights reserved. https:/Iwwwapps.ups.cum/WebTracking/processRequest 1/13/2010 EXHIBIT "D" (TO PETITION) ~ L i- • ROBEPT W H1PE ."n °L .216 . t~iwnbBTE46ay& , G1gLt{ -w iiCpd071 bad ~ ~$,~ .,,~ g ~Q r.r-. _o~,.e -.f~.r L2 _ .0 - L,a~ e ~ ~a1M&TI3anIc _ ".~:DdL3DE455: • _9845? D&?p0 Lt6' _ • ' r .. S • .. r. • s' _ 'i. ; -- ~ sSla~E -- - a~'301 l13 ` cuaBiE PA ti0q.+cn e-i+i / l ~ •- n 3 rnrtaas • ~~s~ • I ~, c?C.SJ ~1P O/~.~ tg ~ ! LZ r • ~ (~M&TBea~C - .. . S M~w.a~ _ .+:03130~455r •• 4845? 06?q'Oii; f - - _ •RVeExr w smE • - ~ 1i2 . • flMWO;E91FF Oaf ~' •"• autusiS-n »ooivri ~ ~ 1-/r-D4 •acara~v~ ~ IE ~~, .. {-~D3iB0d955~: 9845?L~wp1i2 G ~ ~~ ~- 21i wNW4E87m60fb. - CN14taC aw rmf?foTl ca•- t~ ~~ ~ ~_ ! ~.I ~ ~ ~ ~ ~~Ri ~ ~ ~" ~ • i /~ ~ ~ / °T - w.4a/ ~x - ' -- c~.~L ~ ~1M8cTA~L7k vows 8 c, - . wv •~:0313D2955~: 4845 67aDiil - • , . GRtIBIE, PA 176tPA i76+?~'~ am.l~ 2 - a er • • i, . ~ -L_ .l h"~> ~ / ~ y ~j l w~-l c'S aOLLl24 ~ - _y eeee °a~~nn ~~ /~ 1f~" w w`~e J ~L~`y~p~ ~~ J it ~ raa _ - ~~~-. r ; ~ ~.~:0313D2455~: •-' !3845? ~ i.~U6?a'D11O _ __ 1 • ~ ,~ i - '° '' 'i'• i • •. wu.- .^Q • ••~ ;a ~ _ .., Q, , ~. g, :;~ ~ • .. • • • a i, t SL ; K _ ; ~~ 1 ~2 • - a ~ n • ..._ - ~ ; -O •l r~ F ^ C ~ -. t ~ '`' j • G I •~ 3 ~ ^ ~. . ..~... - .. ~ r • .: ~. • ;, ' - •~ 1 http://canarc~x-Olweb~ew/inquiry/servle~/inquiry 1/5/2010 irv. LLV f. J i~ W ~4 ~ CJW37lC.>'~ tmalprt an~ 2 h ay ~.~-~m~ ~ ~~- ~ s aso4~ t ~c s '^'~°' t:03i3R2955+: 48457 67~O1LL ~ aoemr w srr~ ;o + is 7 ,a awoRS,ea cam tXPI,'RC rR rl0rsioT+ ~ as f,' •Z?'G i rmnv i-~'~ q ~~ r ~... rQ3i9Ct2455r 98573 ~b?+~0~7 f-~i5000d F zie ~4 or ttmsrvt ~ ..1C.,2 efd S . ~ evtetm~t ~/\T ~~ ~ nd _ , • _ I $ ~ - ~ pc ~ ~Q ~r4 . n . +. . ~r w L~ 71 , w~ . D ~ * ypp /\MC • ~j/tT •• J •j ~ :+:03i30245St:• 9H45T 67~Oii$ ~ R 3 1 ..~~ _.... ^ f + ' ~~ r .;?j ;~ t .~ •'~ ~ t, s~~ 1~ • .jr'tJ~i !L ~~k • .t C ~ e t~ • ^: :FF~ s~ ~` I • ~6•i ?!' •~ •Y ~~'~~ O ~ + C - PMf ~ ~ '~ `v~ `' N ~ - e 1 ti7 -~~-•'•- s F~ 3 • .a i • ' •. c •~:it ~ . ~a r. .r ~~. .{ .c1 • ~ n _ T ~' -,_- of ~_ ~D.2?0 P. 4 • Aos~rrw sloe ,~•--s 32 k . tJ NWCM4ia OLf6, G~6.F PA f1P7s~m1 _ 4 `aaim.~ ~ ~.tV S~~ 1 ~- ' ~._ ..~ ~u~ Y~ ~. uor.u>ss ffi ~~ .CO3i3p2R5SG `. 48457~c'a641•ptc'!. r • .~a+.,w~srWor~m~.6 +~~ • 22$ id6 JM 77MS•M77 Y - ~. . ~1 ~r~Q 4'7'" ~r~..~ ~` ~ ~M&T73ank • ~ ;'~~.o-=' nrnewss t9 :r:p3i3D24S5ti : 98454i2D ~DL23 :.: ~ . a• i . a p ~ ^ \ . .e. ~_ r - •; ~ r, _ + F ti •: _r :. i? t ' ~~ t ; ~• is cY .. ..._.~~~ 6 . ~ ' .'- i ' ?+ S • , 1f •~ ~~ 1 . ~ :, _ .s -~~ ; 'n 1 ° ~~ • a +C it ; s p A ;;•3 ~ Aa ~ Y ~ ~ +o~+ImaEATra~~a ~' ~ 22~ CW[ilE n~ ~Y~Wt am ~ - c S ".~"--° ~_L~~~.- _ r s coo '^'•'s~+nrT~/a14~ -ter. ~~ G~ ... Wt2~R9 ~ ~~ aw~+.-+...~ ~...- .. ~ . r:O3-3pP45S+: 88657 67rO12i tp0DOO1OO4O~' ...1 • Rn~ •~„_ i22 . SPA 17QiS1W1 41Q •T"6 ~ rso• ~~p , s r~~•~ ~~ ~~` e ~ t ~~ . .. .r.D313OZ955+; 9gt57i pOi2d - - ~. ri,rY~s+sa ~ ~°" 12 0 ~ rA it~.91071 L F ... !LS ~ ~,~~ Qom( ~~OlY~1 I !~1{•~lO'1 P~ ~. •~ ~ ~ ~.. ~~ ~ .-.r.~~J bl ~QFt 8` ~r n.ws...ou. MWI .~ ~ ,~~~~ +:ri3L3O2455~:~ 4865212 67c•~ ~IppOOnippOQd -_ . ~ ` ~ 2 '~,~t 4 ~: .~ ~ 'pa a a ~ ~ o R~,:q v' -~ ~~ of _ jy ~ ~yC:~= •O ~' ~i A4 ; ' ~ b .S ~, i ~ i m B. ' a~ x+71. ~~r' ee) yl •t~ k i•~ € .c Y ~ i 7 n t t ' ' . L +: -, ~s " ;~ . s :~~ ;; :: s , i :.~ ; ,s .;, }, . ~.. . •~ t; E~ . . ~a . - - ~`r'.~ =~ . •'~ ~ ~ •~ f ~ V+`;C t L~ P C ~•{~ V CC~ ~~~~ Z: • ~ i ~L• f tL Jk . ~ ~pk~ f .~: ~~~' . .v ~ . t';S a ir4~ti~3frifr .•: i•...5~'•:fl7~~ 8 €• ~ Ti • `- E http://coznrcwOlwebvi~w/inouixy/s~rvle~nQUiry 1/5/2010 ftoeext wsfPE ,5'~°' i26 r~xuinl~t T _ (~ ~'.oy~ H'P~~. ~~V 11 T ~g/C1lC~n1P•g--1L~F4t~.9~-IC4f L~:I.. IXS~, ~- A~1 ~FS~~b ,~1tL1. ow.wls H ~_ ~f Ban2t . _:.,,r..~ . o wo O' RUZi30B955. 98L57L2D `OiE6 • rioararrwslae; - - • ~O° -- 130 to wlolE6rt~e»,s Cu~IEM nplywn . .. '1~l Rio ~. • nir ...~-rte. _ _ _ ro~2302955-. g8C57 7Nbi30 ~+ Aoe~7 W SIPE w °i` 12 5 IS wnC~ctiy 1 fpkS C~Al18Ll. oa Yqt}IQII l~+b ~ ySZ-CSR. ' :m~w~Hm LIfAt~t3-..~tmL~ S.._. ~ 123 05 (/~~SSE_N.t1NCt~.B.~'L~t~~ ©5 '-=dC+tuRS $1 113~M&TAdIItC wf~>I. ~:03L30d955~: 48L471Z '7+'DliS J'DOOOOL"a3gSZ' j . • FiQIIERT W BfPE ~ ~`i'-01l .. ' , , ~ 12 9 ~ 79 MR101l81FA 9010 ~ . fJYfl191E.aA tfpLblW7 ~ C+.LiI Z~~J ~` libq •- ~. ~.~.o3Laoz9s~r_-- aa~s~L 7roti aq- -.. -, - . = . . AtjeeRrw sips . • ~°' • • . 128 tf MM1JC51Cl IIOpf: . OIRUSNi.F>l not~m 7/"j•'?°O `T • . ~ 1Vj&FIiaztk - . 1lDd • +~ ,D3i3aZ945r= • - 98457 SappLdB- http://eomrcw0lwebview/inquiry/servletlinouiry '. r ~ • i ~ \ .~ t, , .~ •: ..~...-• -r~~IIOS-*~azci: ... as.f~~~.Z:~3a.~.'vF ~~ =c.7 ° ~ ~ :ti•+ r' ~ ' -~ .3 3., : . . 4 i` • _ 3 - t 4 = . , , .r .l .r :` •i =Y ~ ~ . = psi^1N - ~ ii g O k n t. ?•i c+R1T ~ RIbPIF f f ~ •,r .c .Q ~~ r L. . ~ 7 as t~ S . cs .s s { , . _"t .}•a :+ i T qq "a ° ~a 3~'4 ~_ .. .. . .. _ -~ ~* ~ .o n f • •~ • F z . • t •~ s ~ y T. i x ~ _... 3 vs~ao~a ' anei:xrwswe - •. ~ sat .. . ,- t~.a9• ~,,. ~~_ : - • _~• _ Via.=mil MQ3f3Qc~g55~.~ •5iSL57i 4t"O3Lf • pOBFRt' W 51PE ~ ' Ils6 . 1 • • pICM 1 NU 'Z ~ ~Cq Ei J/~ n ~ e. ~~J7rl[7.1i _ • ~ .x_033802455+r' 4845412 "mil ~rQ2LL • • Aonaasws~ - '? ~ _ lbg ' +sw.+arsraow~a •' rJJitF1.E.PA +7o+s+~ _~ ~. //-0"i - T~st11'rtB~TIiank ,~~. + a3130245~+: 4$L57fe06 ~'~ Oi43 ' srr +>ou.,on, _ cwau ~ aw 3_ ~t - 0 4 .. / a ~i2 ~ vmad li 4 - ~~ $.0200.7 ._ ,~,p_ s ~~ ~L~J9G ASP • - • . • • me +~03f302955+: g8457i2 '- MO.24D ' .. RoCCRrwStPE ~ ~ ~ -• 24Z ' ~a~oc~b- ~1.~~~/S~i..' l S S'Z7 p~~ -x03230 ~455~ ' 484571 20 7~ . • .-• ~;~ • ~ ~ ~~ ~ :. ~ ~ ~ ~ j _ i A ' ~. .. T. ~3 • i .; _ • ' ~~ ~- i .r • z .. = . . ! l~ . r ~A ~ •• '~'` L~ 1n 3 <3 - ~_: ~ .: : .: .r` . L ... .. . - .~ .-... ~•.. r . . ~' 3 7 • ' f~. ,~ Y ' •- f4 _ ~C • C F• t i~~ ' f , ~ t - - •• .i ~ ~_! .s w • ° '3 a ••S ~i M . •~ ' ~ ; 1i , - i • ' f , • + •' . .+; - • . :. • i' ~ ~b - n+Mga~cvr. . GAl~.4 Pw f7Cw11Pll ~a :] ~2f+••6 R p !~ WA . rrsar ~•~ ~S03i3D2955l: '_ 98.5?l2DSr'!u'Di69 • . .. ri • ~n • .. ~ ~ - - . :i ~ ~ '~ -- ~ ~E Ems......»......w ~ C ~~ f • - %? ; Y ` _£ ~T S •. . •`.: 3 • ..~ ~( d 4. . rt - • • 1 ~' f ~•: r l t ~ _ e ' ~ ... IR • - eos~[r w swE ~ ~ ~ ~ 147 ' ~~ 9~ O nm 07-~ ~ie~~-=fir ^'/"' r~e~l~s ~ Sr ~~,~~ .i . Mr4 ~ 16HV ~ -l:o313D295S: 48.57; 64wgi4? . Aoaegt w SSE °a°OM • ~ - 146 ' • grNiGC.-'rco WlG .... . ~ ..... cww~svr na+r+w+ , ~ un 3... /9 ~ 09 . ~mn - - ~ .40313D2R55l: ". 98~.571P ~Dit.6 '_ - ~ AOBEiCf W S~PE 't~`1-.ON, '• ' i45 ~ rrmma ~.}lC~ ~ ~ 1 $. !0O o~r: ~~~ ~~.n. n ~.~~ `~ POLLiS B• l:O3i3D2455l: 9H457i2 +~D1L5 ' .w ~ \1 i 1 ~i ;• ._'~ \~ - - ~~ "• .f i .- s• '_ :r • `" ? Ct J . ~ .. .. . . ..... ....... . ................ ~ j ... .. . ~: .., . .•:.. '= _ • ' ; €~ n • •~ :~ ~ v 2. • -~i •.Y ~. , ~ i ~ .~ _ http://camrcw4lweb~iewli~nqu~y/servletlinquiry 1/x/201 a POHERT'W SIPS ivy.. isz ~ -~1M&TBaztk ~ ~ . _r03i3o29551:.:• , 4845?i-2c~?rQi,s2 - • RoeEATYY SWE -_ ,~~0" _ _ . 152 . S 'q.m'nc ~~C S C ~~ ~ / ~.a' a ~.+'' aco~Q l=` ~•--•~``cc ootuss 6 i smi M$eTI38A1C - ~ ~w~-tea. ~. '' - , •_.'03L3D24551:• 9845?320 rB? Q15~^ ~ ,~oDCarwsms ;'-•- 150. yvroloie68+6~ f ~ .WWWi.o. pvIS707t. MR ;~,~(~Of lip . .4031302Z$5~.. 98ti5?Lr' rDi5rII _ : ,~ ;7 ~' '~ _ . , • ,: ~ 1 'n e • ~ a..;:;,.. _ ; ~~ ~ t _ 4.~_ ~. ~ . - ; z c': _: ~ _ } •: •1 . ~ i~ 2~ ~ [ :: ~'' ~ :';• :~. :. - ;F i~; . :. _ .. ~j i~ T: s ~ `. - ~ - T: ~ '~ ; ~ :~ ` , ~: ~ F. ~~` , sa ` . r 1 }- ~ i• - ~ ~ - •L .r ;. - ~Y _ , p096~eSIPm ~ '. ~~aw •. =49' . C~CY.1t.~~ t7Dt3q~071 Gntf .. y ~°' a.o. I~StMEiTI3ank . .:03i302955V «96454L2D *D:49 ' • ~•~+ .153 .. ~ ' eeasitr w sroe _ „. ' . ~P d ~~ ,AJ s toe~r_ :r-~ 2 - "° ~ ~-- ~ID4srTiiank _ . ' ~ .. .~...~. _ 03i302955r •4Hk5?12fl, rQ353 ~.tto JI comrcw4 l webview/zuquiry/servl etlzn~uiry . •. _ •, -:'~ , 1 ~1. . .....~. r...~~. ` .. - _ __ E v w y • i .. .. . ._ .: • ~ -: .. ~ : ~ ~~ . .. -~ • ..,:= :; . •r ;_ }. •i .,•{ ]. ~o S u ~5~201 ca~ ~~ ~w~ ..158 n ~.rlasm o ~ ~ iDOLLARS •~ ~ 1. 1~M$tT$8C1Zc .. ~ I wma .~:03i3Q295Si: 98457 6?dDi58 , aoaspsw9lvE _~ _. 156 n~w~ ~ ~ ~ 4'`x/0•-0 9 _ /~ o ~~ G4 C cwt .r-l~~LtAIS ill ~.=- .....~d. • , .. ... . . lmo ~ - ~, •1:03 130 2955: 984591 ~ 7*015b ' . • ~ RppQgrx91PE ~ ~~. ~ 1ST . 19 amrC1t~U0iv9 •. . ~~ C+Ifa6CE. V•• 170111D11' ~J~Lr ~ C L S~ '9 ~s MseTB~It 'GY l ~-- - -~rao ~ r .>;:p3i3Q$45S1: • - 98w5712 r0157 ' ROe~rtvslpe~l ~0~2-078;-~ " ~ 154 r..iuuE"`~"o~,o-~im P!A eun Y-"1- e 2 ,, e~ ~- mQ~`sT. ~~9 I ~a mCL~inS 8 E~ ., g313aag55~: Y 98LS7i~ ?~015L - - http ;//comrcw0l webvie~w/inquiry/servle~linquiry ._..~ . o : ° - • , `,` ~- ~ i _ ~ _ •.~ ~ .: , ~ a :. . . .». '~t - .. E'- ,... _ -~- - f~ ^a t :; _ _~. a _. .~ ~ !. ': i- -- •^_• 1 : 3 ~t s . 1 a • »i C~ ;. •,:S • ~. _~.; - ::i • I » _ a• ° :1°~ ` ._ ... •• fi'r' .. .. .. T ' ` ~ . i 's » i ~ fi i 1 _ ~~ F ' ~~ ' z ~ ..,,'.:.~ iq N _~ ! : 1/512010 Aaom~* w ~~ ~°" "• i6 2 +awmaea~etrs I • C~+C PA 1T0~ltGrr { 2 t~ ~ /~ nRb ~~y~ ~_ 1. ev..t .no ~ ~~ 1~'I~1tLaA ifMa•. ' ~ Y.~/~. - rcao .-S03i3fl2aS5-: 9B-.S?L2 b7rR16d , - •ISAao I ' -~arw swE " IMO ~sy - ~~"" i I~yMNplr!!LS£1{ Odr9~ • • - GIYEIE M 1101J.M1'1 • ~ ~ ~~ ~ p' ~i L Fo ~ 1,~MS~Bsnk . • - raao •~-03i30Z955-C .. = 984541 = f" 2 6ar0i6~ .' poaEarwslPe ,~• s8o raae~c M~rgra}CLj &~ • ' m.~L r I ."O P ~w s 4 ~ s'roQ_.l~ ~ ~/n~p ...`~ floeLAY6 8 ~BII~C - . D3 Y30 2955-: 98457 67x0 i69 ~r~ , O -- - A062AT WSIPS . ~..:.: ~"'4°M....... I5 $ . . ~.. ... T~MMICI4~QOME. ~, ~ .. ~.,.. ... ~ o ....... _...-'-----..._..----._....t...__._..._._~ . .. . ~. . aanm wowo~ ~ ~~r- --Sa31302955-. •, 98457Sa'~ o'ai59".' . -. Y (j s • } + .~ a '~ 4 _ :( ~ ~ + •{ • ~ 1• ~ .C ~. ~_ a ~~ r'•~ G i ' n• ww. i (w~~~r~r.~~ ~' R . ~ .J • ~ ~ Q • ~ ~ Y 1 '~ n " { ~e .~ - ~ P_,,. ,,._ ~ ' _. - fie. s _ t s ~ t, T ~ . s~ ~2 ~ 4 r • \ = A ; ~ . , _. ._, ~ ~ .. ~- . ,. • ;~ * . . .: r~ .. - R • t, .7 5. : +~ F ' _. ._ _ PaeEfiT w ~P@ ~°' 15 S isuu~~~1CR~WNIC~".. `~~dnlXlc I ~~I'isn3tian..__ _ .. rx~I.uuA 6 rroro. .` ~_ r Y•10. ZI"I~H _..~~ .. •• r,0 3 1 30 29 55~: ~g6457Et067.`O155 J`00 D004098r htCp://comrcwOlwebvier~v/inquiry/servletlinQuirY _ g ~ f •• ~ :~ a • r. ~ ~ ~ ~ 19x01~'t `1 f1 -,,, _ ~ ~~~~a F 31 ~ r '? f , .. r•~ ~' • 1/5/2014 r h:~'~ ~ ~. .. ,y i c K . ~. • f ~~ - 2 t • ~ ~• 'r. • r` .S v J ` +y ~_ •= y i. ~: ~+ ~_ o ~ ~, _._ i s C% f ~ iq r ' :, ~ • ~ ~ Y ~ `•• ~.f A . ~t ~ SS 3C i • z:• s .' •+ , _ ~~ ~ a s ' it ' °~` 16 3 ROB6AS W 9~~E n"O" u+r~0lSYlil EE++~ . ~ ~pu~^o~ +~ors~aar ~• a .~ +:Q3 i30 2955+l, .'• • 4945Yi R+'ai63 ~ ... - ~: j 1 • - ~ £ r~ _ s tt r-: 3; •`` • `~ U f= .. ic«n~ n - - AOEERTktStPE ~° '-' •169 c.~ssr ` ~1M&TBank 1 .-... O3L302955C. 48C5712D •~"~364~~ - ~ aoumY W S~6 » - ~ i6$ ~ ~~ .~ =r.031302955~: 98L54L2D r0ii6______• .. ~~. - A'~ 7.67 lm0 - - .~;03i30~955r.•.• •985732 X0364• = - • R0~6iT W SIVE ~ ~`m'~Op 16fi . c~reira n caca~i, ~_ ~ _ ........ Q ..... ................................. ... :.... '.iJ~ fSG ~r' ... .._... .................................... _............_.......8........... .. ....._._.__....__..... aouass° .zs. --°--- r.rn,:_~:...::::. .................... .r .......................... _~.D333D2955r ,•9845TL 7p0ib6 . . • HnBERT w StPE . ~su'°" , 17I L• wMP~FBrg{ 6SK9. ~~ -~~- 8b DVLiNV 8~'~. ~t 1~?11~&TBank . ,ro ,,.. .r:Q3L302955~ 98l.57L~ 67aD37i :', ~ -... .. http:!/camrcw0l webview/inquiry/servle~/iuquizy' '" o n • .:z l . +• ,w • .: .. ' :.;_ -- ._._ ._ ~ ~ L i • .~{' ?;- ~~ fc - ;~. _ i~ f ` ~ • it+~ . a ` • • • ~ ~' ' v : T - ~ G = :i~t • 4 ! ,~~ .~ ~ c i _ r ~ • • ' £ • ........T, ...._. .~ . . .. - -.. .. . ~ ........_............_. ' ... cr ' :: - ~ ~.~: 'i 1= . ~ ~i +. ~, •• 1. ~ f : y. ~ ~c - ' . -_ r ~. O ... .. .. . _ I' • - ~ w -~ $ ... - •~ C - .ti: ~! :~ r` r3 =" U 1/5/2010 t f ~ : L~~ nvaNC~+G~sitaaQts EMtMtE PA 1:msaws e.n 8 ~.,.,n,,. -GSA S~i..• ~ '' ~ ~,~ .r!: ;~ _ . _;Q3i3a2~55~= 4657 67r01P2;.•• - ,~ _ - ~~a ~.F~4 ~:FL a;J P ro-sw _ J~'r i~ ~ o~ • ~ BS"S . _~ . ' ~ ao~a 2q foot _ .~ r,0313oa955C 4$4b?12a x0140 fC00Qtl855o8r . • •i ~~ • .. '~c :f ~:;-. 'f i ~;; ~ ~ . s ~. S. r _K S Ei ^a216b47.82382 2814:9 2Q5$8 e81S~ ' ~ §~-02-~3a3 VJ _ 4 L 1G4 n'~~ - ~ Y=r~; ' t .. ....... ROBER* w emE ~'"~"` ' .: 1T 7' uwr~a~87Fa ctoH9, v~/mu.~a-t wm.le`3G'a ? er~gy!i "~'~a d ski I $ 1(oaf.~ ... i I~~IMarTBanlc . ~wc •~:031302RSS~S .9Bl.5412 4r•`O17i ,., f~pBERT W S{PL* au'a~ ~ 176 is •nNp~EBSQn a0r~ ' ~ e+ - o ~D3130 2955+: ; 984571tQ rD ~?S _ '' ' aosERt W SIPS ~ ~m ° ~ IT 5 c nmm~ul ~ onn ~r ~ d-a7 1 mil' ~....~., =f _ ~~ vows a ;3r g (~s1Mae'fBanlc ~ _ 40313Q 2955: _48L5712 ?ND i?5 " ' -i~~or r, C -3 ' ~. - . .- !i ..k ay 4 .. ~n ;i G .~...~-.~ ~ h . r-~ • . 'r .. . •+ 4 ' ~ r .i s ~ S, . ~ V . 1 .5 k ao `'^~. . ~ p . :~ '~' . -•.. _ r . '.~ s :~ ~ 's ', ~~ .- - ..._...-.. -.. ~ R ' ~ c Q - E, T . .. .. i k. ...... u.,....:.~::::::::' ::::::::..... .:.:... • ...... W smE ........... ............................................... ... ...... ....... R06ERr _.........:....~: .. .............. ........... ':: .:.:. 3 .. ............. ti00H8. , . ~ z .... .. . CJW6t.L Ow fmrmn - ---- - -- -- - --- - - -- - - - "~----....._. ....: ..................................................... _ ..................... y:: .... .. . o~UOr .._-. ...... ........ 9 g~ ;~ ~ ~~~ - • . ~ ~ -fi03i30~955~` _ 98~57i ~4rQ>j7~-• ~, ~_ a I _ •. . r Ro6ERT W SIRE »~ - 27 9 TaMnG1EU~A GOB ' CwUSIC f- fia6tOn oav GY~'Oq ' y ~ ~ nrx,.~ Q ~ ~ ~iM~Banic . - - . _ _ .. . -~.~.~ _ _ ~~ ~' .t'03i308955~~ . ' '9865?i2D6 X173 '• • :a ~ - a' (: ~ ' _ . i .I .P -. 1 .':I 7: ~~ http://coz~rcwOlwebview/inquiry/servletlinquiry l~sizolo _ ~ ifl2'" RQ8PJ3'~ W SIP6 . GM7$E7~m1YTQTt ~rt 7~/T'd• - wrio~ra ~~/~'' ~j!"~, .. - $ ADO/ ~^.. 1c~a1M&T~C - . aim .' • - - - r :~0313D2956D_.: 8845712 rale2:'. .'- . - _ --.,~- ' ' j-ea11s-.~-. , . ' 19 i . 4v SiPE RI?BF3n _ ~M *Q ~ t ,r.~q . nas f G , ~ SC~J !",~': ~ • pp 9DL..oe L'7 .~D3i302455+~ ~ •98657 S7rpifl4 _ __. Rws~ SBO 'gym _ .OS~ J S as0~ _~ ~"'~....~ fr....~c.d.. - oOtlAe4 6 ~- 1~itNf&T]32IIk . Caro ,~03i30d445~C' 'gaLS?~ . liogeai'w SIPS ~ - ~°i i78 . e w s a a,ad„ ~ - 179' P ar - rtoH ' b MI~L^ ~6 • . - _ r mVC ^ • ~ 5~ ' ~ ~O! , S w.r . ~. ~ ~ o~v .~ . ~ . ~ ,~,~ ~ ~~~~ ~ . ~.r .~.--s 8 -00[LRS ~ ~~~r~ I~ UflEi~ ~ ~ _ . .~ _ - • ~ ' Imo r,Q~13D zgssr; 981.57 i 7ra 179 - ' ' *' ' '.. ~ r ' s= - _ .~.. 'f•eit~ F ~ ~ ~ 6..r ~ _ ..._., € I .: ~ ' ,: t• ¢: , ,,'~~ - ' 'a . R. - ~~. • S'~ _ -~~ t :~~:: ~~ s • •_~~ ~. ~ = y ~ , M , . ,rs f . , ~ • ; , :e^ .i _e i f '- R ~ .1~. ; F;, .. ., .. ...................... ......................... . ... .......................... ........ : . . . .. ...... .... ............................ . .....:. _ . j .... .... . . . ,. . .... ......... .. ..~ ~ . • •---. -. ..... . . .. .._ r-i.::...... F L ................_~'.:L.~..~......__..................._ ................ . ..._ _......._.._..._.........r.___..--'.._..__ f;_ . ~ . ~ ~ ~: _ ; .. o ~... ~ ; , _~ ~~ S Page 2 of 2 ~:aaznonoi6~:..' '' .. oo~s'~~ httn•//rnmrnrxrfl] ~~vghcriPrx+'/inrnsirv'/aPSZ~IPt/inm~;rv b ADF3Ep7 W RIPE N'~ 16 7 1~ WINLItGTTC400N6. C4AuStG PEA tlot1t07, twr ~~.-~ Y• s 4 ~ ~n a ~-/x S't 1 $ 3 00 ~~ ~ ~~~a~x =~:03L302455t: 984571 7''0187 , • . RODPrrr w SIPE - u~~"'i " ~ ~ 18 6 ' tow+mr,E87EA Cv~ ~+watE Pa t7ott~mt •9- 09 asc.~ ~ ~ .rim ~i4S ~,c~• _~.,,,_ ~ $ ~O% :' ~ /~MBeTBan1C ~ V~,wweti . . _ _ _ .+:g3i3D2955-:. _4Bt57i2D tP0i86~• Rdeem W SIPS ~~ ~w °'~ 166 » w~ryEgrElt ac.:a C~uate, ea +7p.asOn u~2t lOr-$~ o S -~~~` . . . ,~ ~, •CA3i302955~: 48~+57i2 ?e+0LB5 ' ..._ RdeEarwStPE .. ...:.~'°" ....................:.•:283 :: .....,. ...... .. ..................--- .., .................- - --~-------aa.wtroF..ssenoa,~.---- uture~E.a-rmtaton - ... t .. ... . ~,,,~ - .M03i30Tg55: 98.573 7a0i83 ' eoeERr w sloe , ~ 18 4 ' +9 Y+erpY,67gt 6pNp, ~ oacu~rjw~ ttatstm+ ~~ ~s-~ -09 3 "vat's ~-.~ .`~'` • ~ ~ S 3oq/. `~_ _' .m+o .7:p333D29S5+: 98457E ?+'pi81, , Page i of 2 • ; . _ _i /\ f •5'3~f~'~~ ,4 ~\ 11 . .r. , \/ ~i.t - ~ o~ ' , ' 'e ._ ,t .•', , . L: 'P •f F r -i i a L^ .~ s i •` + 3- ~ ~ • r ~: 0 3 ;: • . ,. -s /yt/' . 4 s 'N~ _~ r :. ~ ': \a . l~T 8~i1'JE~L~T23'~~D~ _ 5300835655 751 a. •: • ~ -@ - - ~ - - ~ f }74"rTl'//rnmrrar/l 1 ~:rsl.r,; 0.~,1:....,r:....1.,...-...t _~ r....__ .. rage t or L ip e. 19 5 R~BERC W 61PE to yy~~~gljA OCHx. ~~uQpRCW~t. ow tt`ots.tmt ~„ ! r.~ ~` O'7 ~•g~ • 1 nou+oat~ (.1~ ~] fi t ~s•:jo~Mr°~_ a 't In1VI&'tl3allEG - - . t +.arwo.. .:03t30~955~i 98457E • _~ _ _'. -,.-......~~,.r. m~su.. 19 2 g09P.AT W StPE n AnnUtssren 6oni ~e fwr A•Inf ~~~ `I - __~ ~ ~OO M Y ~WpY~~f- M~~~~ w- -~M8iLDtutis ww-a- !r~^r ..PCB r:fl3t3d2g55~= 98457 6?~'OiRZ FaaOOQindd~.~' <• ., f...•... ....._ i .~~ ,f • S ~' : - ~ t - ~ 5 i~i' is =z~i t., • ~~~ z t` f •~. A 5itl8fRT W 61PE u wwc~sTen aars _~'~~GG~ ~a~l9.g w tm~simt nuf~ :~J~:F- ~! fwr a~fr[ ~A jej A M Mft~i a~ C-~"_~.--- I $ ~~ "a tAa•~ar ' ~-- ~ wOQltnRi S ~-= %~Banlc ~ - ~.~.. ~'^3L3©ZR55~= 98454124 ?u~0iB8 f~D00D008731;n' .~~4 .r~ ..~.~.0.1 Yw". `~ il~~ ~. ' ~! i ~•i~jt. f` ` ~3 3 ~ _ ~I~ S° ~}II _.- pit . ~ ;[[_ .' ~tl a~ , ;~ p1 _ - r ,Q~_.. _ 191 ' - • ' ~ ~w,mttu..-_S~~¢ SL ~ 1 $.200 !~"_ ~t:032~p2955~: ," 98457L~' 7~'D19- ~ _~ _. t.u..., .r/,,,,.,,,,.,.nrrf(1T,<xrPl+xriarv/innttiiru/eP.rit~ P.t~lnl1i11tV _ ;. •3 ~~ a S c'". o f ~ ~ ' ~ a~ f.1- _ t ~ipCT ~ ^ ~~~ ~ ~ W'~ ~'~N SR ~:'~:1 ~'~PS N ¢ ~~ ~ ~.s~ TT ~~ L~ ~ ~ ~'4.. :g - ~ • ~ • $ ~ ~S~ e4 •~ o-e u p~ . A ~ .g ~Pj3 a ~u ~7~i, ~ 4 ~ PNl 1 ~ryp~r.7 e~ ~ ~ as `` ~~ J~ • \ y~ e •r \\,\\\\~\\V _. _• 1 ~~ 1 ~Z~QQ EXHIBIT `B" (TO PETITION) 00004871 Foxest Park Healt~x Centax 700 Walnut Battom Road Carlisle,PA 1701.3 Questions Concerning This Invoice? Biller Name Davin J. Ext. 865 Phone 1-868-880-7090 Fax 1-814-265-1377 Email djordan@guardianeldercare.net JOHN SIPS 90 SALEM CHURCH ROAD I,OT 506 MECHANICSBURG PA 17050 PJ.ease Aetach and Return with your payment Resident#~ Resident Discharge Date Statement Date Payments Posted Through PAGE 1 22725 SIPS ROBERT Ud 12/31/2009 12/31/2009 1-888-880-7090 @ EXT 865 MASTERCARO/VISAIDISCOVER PAYMENT ENCI,OSEQ DATE DE$CRIPfiION UNTT3 REL'EEtEtICE AMOUNT BALANCE PRL~VIOUS BALANCE B9, 925.05 B9, 925.05 12/19/2009 TRUST FUND PAYMENT CHECK ~k1283 -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 3I 263.50 83,877.79 O1/01/2010 ROOD & BOARD-- JANUARY 31 @267.00 8,277.00 92,159.79 ...................... _ -------- --92 15 9 .7 9 ............ ENDING~BAI,ANCL~.~.::.:.::.:.::_.::-::::_.:.:..::__ -~------....-.. ----_.~.._..~------- YOUR PA7CMENT OL•' 92,154.79 ZS DUE IIBON RECEIPT Forest Park Health Cent 1-888-880-7090 SIPS ROBERT W 22725 EXHIBIT "F" (TO PETITION) _~ANCE OF P~OPO~D ~M ~ ~'[T OF ~,~ ESTA7E &ian D. Brooks dlbla Pennsyivania Cruardienship Association, the permanent pleaery guardian of the estate proposed in the foregrsing Etr-srgency Petition Review ~Iearing and Appainhaent of Successa~ Cn~aadia~a, agrees to accept the a~pr:intment es perma~nt ptenaty gu~udian of the a and avzrs that ba is not a fiduciary of an estate itt which the incapacitated pet~n Lao an intea~est, and the pcrman-ent ptenary getntdian ref the aerate of Robert W. Sipe tree uo intrrests adverse to- hzm. ,/ j~~ Brian. D. Bmoks dlbJee Pmnsylvaaie C,uardieaship A~asvciation I9 39tld OSStl dIFiSMt1IQ2itlfl9 rid 0b5S66ZLiL Zb:bT 0I0Z/0Z/Z0 'VERZFJ.CATIO~V The undersigned 1~.ereby verifies That the sfateinercts of fact in the foregoing CERTIFICATE OF SERVICE I hereby certify that a true and correct copy of the foregoing Petition for Emergency Review Hearing Pursuant to Sections 5512.2 & S51 S of the Probate, Estates and Fiduciaries Code, 20 Pa. C.S.A. ~~ 5512.2, & SSl 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-I - ~~ 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: Shipped/Billed On: Delivered On: Delivered To: Signed By: Location: 1ZY99V530197206034 GE-FP-005 NEXT DAY AIR 01 /27/2010 01/28/2010 9:43 A.M. 117 S WEST END AVE LANCASTER, PA, US 17603 MCGILLIGAN RECEIVER Thank you for giving us this opportunity to serve you. Sincerely, UPS Tracking results provided by UPS: 01 /28/2010 10:19 A.M. ET Page 1 of 1 ... „_____.___~ ,,,.~ ,.,.,,,~wPhTracking/processPOD?IineData=EAST+PETERSBURG%... 1/28/2010