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Home My WebLink About11-18-10a 1sos6D7121 REV-1500 ~ ~.~, o~.uaeolaY PA O~pi~ntdtirrwaa Count Code Yaar IjM Ihr~bai P0~90tt~2•o10~1 Tam ~` Mr1HERlTAIi1CE TA7( RETURN tl.ardw.w-ta<ts~o~ot RLRD~1't' DEt~DBit 2 1 1 0 d G S' / t~rs~oec~IltFCt~tnon t~aaw t;«~.I tte~.lh- t~Nar~b.r pats d tbalh of a t~ 3 0 3 1 2 3 6 6 8 0 2 1 9 2 0 1 0 O b 0 7 1 9 2 0 ', Daoadant's laat !time &dlbc I~oedad's F"intt hlpnls '' trNN G I A M A R I D THE 0 D O R E ' T pf AppreabM) tints s~rvhrNp ><pou~ae'a tdormattoe e.bw spouee~ last Nnhe Shcbc spo~..`a Fht h~ MI J THIS RE'i1JRN IIllaT ~ RLED IN WlPUCATE MATH RECii8TER ~ WILLS Fat. w APP~OPIIMT~ a~r~,s tow ^ t. ~ Rean~ ^ 2. suppMms~Nal ReaKn ^ s. Remid.r ria prior b 12-13a ^ ~. UrrrMed Edale ^ 4a. Fulwr, MMernt Ccmprorrie (did ^ 5. Fad~ral EaNh dadh Mot 12-12-~ ^ 6.Oaaderk C#ed Tio1Mo ^ 7. t)ao~ler~t M~MdaYred ~ UuUq Tnuet 8. To1el hl~m~bar ~ (Mlech Cepl- dMtl~ (~11Mch Copl- dTruat) ^ ~. 6r10a6or- Prooeeele iieoewed ^ 10. tipareN Poweyr cn,et {di d dwh ^ 11. t7ecllon b me taelrrein 12,111 and 1-1~ (Mach Bch. C -TiYtt2C110N rltT Ef~LET®.ALL OOt~lOI~BICEAID COItFOBII'MI.TINtN Berne T~~ ~ S T E P H E N L BLOOM 717 2 4 FGat Ilea d addroee 6 D YES T ttaoorrd tine d addwee C14- a Pat Cllioe C A R L I S L E POM F RET S TR.EET 1505607121 ~b DP Code ~ P A 1 7 0 1 3 S~ai tdle d de.a~ i laepoek 8oows t#ec. ~113W 2 3 5 3 N .,.~+ ,, . 0 ~~ ~ ~P7 _.~ ipp r}-,~ ~x.~ c s 4i ..,;., 15D560712~1~~~ 60 PEST POMFRET STREET CARLISLE PAj~7013 PLEASt: tA~FOtSt9M1AL FOIlY OILLY _ _ ___ _ _ _ i_ i 1505607221 REV-1500 EX Narn~: THEODORE T • GIAMARI4 RECAPrruiuTloN 1. Real estate (schedule A) ........................................ 1 2. Stocks and Bonds (Schedule B) .................................. Z. 0 . 0 0 3. Closely Held Corporation, Partnership or Sole-Proprietorship {Schedule C) ..... 3. 4. Mortgages & Notes Receivable (Schedule D) ........................ 4. 5. Caah, Bank Deposits & Miscellaneous Personal Property (Schedule E) ....... 5. 8. Jointly Owned Property (Schedule f) ^ Separate Billing Requested ....... 6. 1 9 5 D D . 7 4 7. Inter-Vivos Transfers 8 Miscellaneous N~Probate Property arate Billin ested S Re l s h d G 7 3 0 4 6 5 6. 2 9 ....... ep g qu e ) LJ ( e u c . 8. Total Gross Assets (total ones 1-7) ........................... a. 3 2 4 1 5 7• D 3 9. Funeral Expenses & Administrative Costs (Schedule H) ................ 9. 1 6 8 0 4. 3 9 10. Debts of Decedent, Mortgage Liabilities, Z£ Liens (Schedule I) ............ 10. Z 3 2 1 7. 0 5 11. Total Deductions (total Lines 9 & 10) ........................... 11. ~ 0 0 2 1. 4 4 12. Net Value of Estate (Line 8 minus Line 11) ......................... 12. 2 9 4 1 3 5 . 5 9 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an eiedion to tax has not been made (Schedule J) .................. 13. 14. Net Value Subject to Tax {Line 12 minus Line 13) .................. 14. 2 q 4 1 3 5 . 5 9 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 91113 16. Amount of Line 14 taxable 2 9 4 1 3 5 5 9 at lineal rate X .045 . 16. 17. Amount of Line 14 taxable 0 D 0 at sibling rate X .12 17, 18. Amount of Line 14 taxable D 0 D at collateral rate X .15 18. 19. Tax Due .......... ............................... ....... 19. Decedent's Social Security Number 1 0 3 1~ 3 6 6 8 1 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 1505607221 Side 2 0. 0 0 2 3 6. 1 0 0. 0 0 0. D 0 2 3 6. 1 D 1505607221 J REV-1500 EX Page 3 Decedent's Comalete Address: __ ~ File Number 21 10 0 `bECEDENTS NAME THEODORE T. GIAMARIO STREET ADDRESS 52 BULLOCK CIRCLE CITY CARLISLE STATE PA ' ZIP 17013 Tax Payments and Credits: ~ • Tax Due (Page 2 Line 19) 2, CreditslPayments A. Spousal Poverty Credit B. Prior Payments 10.000.00 C. Discount 526.30 3, InteresUPenalty if appligble D. Interest E. Penalty (1) Total Credits (A + B + C) (2) Total InteresUPenalty (D + E) (3) 4. If Line 2 is greater than Une 1 +Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Une 20 to request a refund. (4) 5. If Line 1 +Une 3 is greater than Une 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable lo: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE 1. Did decedent make a transfer and: Yes a. retain the use or income of the property transferred : ...................................................................... b. retain the right to designate who shall use the property Vansferred or its income; ............................... c. retain a reversionary interest; or ................................................................................................ d. receive the promise for life of either payments, benefits or care? ....................................................... 2. ff death oaxured after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... 3. Did decedent own an 'in mist for" or payable upon death bank account or security at his or her death? ......... 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................................................................................................. IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT BLOCKS No 0 PART OF THE RETURN. For dates of death on or after July 1,1994 and before January 1,1995, the tax rate imposed on the net value of transfers to or for the use of ~he surviving spouse is three (3) percent (72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse i~ #ero (0) percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disdlo~ure of assets and filing a tax return are still applicable even 'rf the surviving spouse is the only beneficiary. For dates of death on ~ after July 1,2000; The tax rate imposed on the net value of Vansfers from a deceased child twenty-0ne years of age or younger at death to or for the use of ~ natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent (72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent,', except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(a)(1.3)d. ~- sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. _ __ __ r REV-1509 EX + (8-98) ,. SCHEDULE F CoAINAONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERRANCE TAX RETURN ESTATE OF FILE NUMBER THEODORE T. GIAMARIO 21 10 0 Ban asset was made joint within one year of the decedent's date of death, k must be reported on Schedule G. SURVMNG JOINT TENANT(S) NAME ADDRESS ~ RELATIONSHIP TO DECEDENT A. THOMAS S. GIAMARiO 9001 CRESTA DRIVE SON LOS ANGELES, CA 90035 e c JOINTLY-0WNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTnUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF i DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENTS INTEREST 1. A. 12/2005 MEMBERS 1ST FEDERAL CREDIT UNION - 5.00 ~ 50. 2.50 REGULAR SAVINGS ACCOUNT 2. A. 12/2005 MEMBERS 1ST FEDERAL CREDIT UNION - 38,996.48 ! 50. 19,498.24 CHECKING ACCOUNT i TOTAL (Also enter on line fi, RecapitulBGon) i 19 500.74 (Ir more space is neetletl, Insert atltliUOnal sheets of the same size) REV-'1510 EX + (8-98) + COMMONWEALTH OF PENNSYLVANIA INHERfTANCE TAX RETURN SCHEDULE G INTER•VIVOS TRANSFERS 8~ MISC. NON-PROBATE PROPERTY ESTATE OF r~~c n~mocn THEODORE T. GIAMARIO 21 10 0 This schedule must be completed and filed 'rf the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVSR'iSHEET is yes. ITEM NUMBER DESCRIPTION OF PROPERTY INCLUOE7iEWWEOFIHETRNISFERE£.THEIRREUTION8WPTODECEDEHfAND TME0"~OF~""~'"nAON"00PV°Fr"E°EE°wRruxESr"rE. DATE OF DEATH VALUE OF ASSET %OFDECD'S INTEREST E CLUSION p nPPUCne~E~ TAXABLE VALUE 1. MERRILL LYNCH 302,089.29 100. 302,089.29 ACCOUNT #872-46782 ', 2. PERSONAL PROPERTY 2,567.00 100. ~ I I I 2,567.00 TOTAL Also enter on line 7 R 'tulation S 304 656.29 (If more space is needed, insert addifional sheets of the same size) REV~1511 EX+(10-OB) • COMiAONWEALTH OF PENNSYLVANIA INHERRANCE TAX RETURN SCHEDULE H FUNERAL EXPENSES 8~ ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER THEODORE T. GIAMARIO ~ 21 10 0 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 397 20 1. CUMBERLAND CROSSINGS . 2. GEORGE'S FLOWERS 106.00 3. AUER FUNERAL HOME 570.69 4. STAR-BULLETIN -OBITUARY 771.64 5. NELL'S -MEMORIAL CELEBRATION 252.63 6. AVER CREMATION -URN SHIPMENT 51.90 B. 1 2. 3. 4. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) THOMAS S. GIAMARIO Street Address 9001 CRESTA DROVE Chy LOS ANGELES state CA zip Year(s) Commission Paid: AttomeyFees IRWIN & MCKNIGHT, P.C. ', Family F~cemption: (If decedents address is not the same as claimants, attach explanation) Claimant Street Address c;ty State Zip Relatanship of Claimant to Decedent -~ Probate Fees 5. I Acoourrtents Fees 6. ~ Tax Retum Preparer's Fees PAMELA PRICE 3,750.00 250.00 7. REGISTER OF WILLS -FILING FEE 15.00 8. THOMAS S. GIAMARIO -TRAVEL EXPENSES 5,015.46 9. UPS/U.S. POST OFFICE/FED-EX -SHIPPING ', 1,774.45 10. ROY D. GOTTSHALL -APPRAISAL ON PERSONAL PROPERTY 70.00 11. CRATERS 8~ FREIGHTERS -DESK TRUCKING 521.71 12. OLIVE GARDEN -MEETING WITH MERRILL LYNCH REPRESENTATIVE ~ 57.71 TOTAL (Also enter on line 9, Recapitulatidn~ S 16.804.39 3,200.00 (If more space is needed, insert additional sheets of the same size) _ _ _ __ ~r REV-1512 EX + (12-03) • SCHEDULE 1 COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES 8 LIENS RESIDENT DECEDENT ~ ESTATE OF FILE NUIiBER THEODORE T. GIAMARIO 21 10 0 Repoli debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unrefmbltr~ed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. MET-ED -ELECTRIC 156.40 2. CENTURYLINK -TELEPHONE 185.90 3. USAA -INSURANCE 4. CUMBERLAND CROSSINGS -NURSING & COTTAGE RENT 5. CREDO -UTILITY 6. UGI -UTILITY 7. INTERNAL REVENUE SERVICE -INCOME TAXES 8. IN-HOME-CARE -MEDICAL 285.68 ~, 6,199.41 I 111.00 264.16 5,892.00 122.50 TOTAL (Also enter on line 10, Recapitulatlor~) I : 13 217 05 (If more space is needed, insert additional sheets of the same size) REV-1513 EX ~ (8-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT OF FILE THEODO RE T. GIAMARIO 21 10 0 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include htsppoousal distributions, and transfers under Sec. 9116 (a (1.2)] 1. THOMAS S. GIAMARIO Lineal 98,045.20 9001 CRESTA DRIVE ~I/3 REMAINDER LOS ANGELES, CA 90035 2. JOHN D. GIAMARIO Lineal 98,045.20 15990 S. RANCHO SAHUNARITA BLVD. ~I/3 REMAINDER SUITE 150, PMB #10 ~ SAHUARITA, AZ 85629 Lineal i 3. JEFFREY M. GIAMARIO Lineal 98 045.19 PO BOX 860 , 1/3 REMAINDER MOUNTAIN VIEW, HI 96771 I I ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 18, AS APPROPRIATE, i I REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET s (If more space is needed, insert additional sheets of the same size) _ _ _ _ _ _ _ ,. _ - - MEMBERS 1't PfiDERAL CR~1T i1NION REGULAR SAVINGS ACCOUNT: Account Number! Suffix Date Acxount Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner Date Joint Ownership Established CHECKING ACCOUNT: Account Number/Suffix Date Acxount Estabf'~shed Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner Date Joint Ownership Established Estate of: Theodore T. Giamario Date of Death: February 18, 2010 Social Security Number: 103-12-3668 150705-00 04/06/1995 . $5.00 $0.00 $5.00 Thomas S. Giamario 12/12/2005 150705-11 04/06/1995 $38,994.50 $1.98 $38,996.48 Thomas S. Giamario 12/12/2005 MEMBERS 1ST FEDERAL ~~~~ '~~~ Leigh-Anne Stallings Lending Insurance Support March 15, 2010 ~~~E ~A~ 2 6 2070 ?RINI & McKNIGHT i N OFFICES UNION 5000 Louise Drive P.O. Box 40 Mechanicsburg, Pennsylvania 17055 (800) 283-2328 • ~ wwwmembersl st.org •~ N OC ~ ~ G tai Q C O ~ r w ci U C N .~ O ~' N ~~ Of oI N p i N ~ ~F~ ro c m o ~~ N ~+ ~;m ~~~ o ~l~ ~ N~a ~t ~} ~ ~ ~ ~ 0 N O v ~ p W ~ aaa~c~ O ~ L~ •~ = 1"' J ~ ci ~ ~ LL' d a s ~m = -,. ~ q ~ o O ~ O ~ ~ O O ~ O ~ N ~ , ~ ~ O ~ .. ~ g r ~ g ~ N g~ G ~ c V N ~ O V `~+ ~ C ~ ~ ~moD .~~' Uf d C '' m P y N V ~ C m t- m V y m~ m p •~ C~~ N~ C ~ N O V ~ ~ ` .~ ~ 0.y ~ ''apUG~ Vj y 'C m Q) ~j p L N~ L ~ ~~ V i+ ~~ p w~ S> a v .d ~'. 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Q'C~.Y n ~i...:s7 0 y• ~ o t"+v --.iia G ~ w r'- Yt t 714 y E ~ > O~• C,f O ~ : r ,y.i X21 ~ d 0~. O~ 'j a'C O V. y=iOO'y a'C~O ~ a OO'. E`kaCw JC.Z: ~ C 7~%• q '+ C u ~ j ~~ ~ ii p E C~v ~GT .•~y ~ ~v ~ ~ O !0~ u'O,L OD .~ 4 u V 11 ,Q C(~aCw Cy•.. C ~7 1. f. V y r...L u ~ , ~~.x Wit= ~ Er~~ E '~ ~'`?~•' q'~~^ d'i•?~Lr~..C~ai+~G ~ O ~ipi 0~~.'.L LeCaC n" C~ (`- y ?~~ • /~~~ I~I N^,' \. d...._ I.I..11...11.....11..1.1..1..1...1 r:.*tfws+~AUTO•'M~XED I 122276 0006313 T34 P3 0 THOMAS S. 41AMAR10 '~~ 9001 CRESTA DR ~~ LOS AN4ELES CA 9003 0 0 e 0 u y ~ u e =_y ~ ~'« ~ Y Y O V • L. ~• % u S = n ~ C. ~~ .y~ L .~ L„• u r A Cho „•~q a € C.., a..` ~tLe. E ~..~ ~~ c. i' t+. a E u d C '' sa. a O ,,, C n O A a« i •O >.Op p_.O w_ a~ c'w.1( u u-- a.u a~«•~ ~~i.p E'.F'~vO~ L01t EEy„ oAOa a=o•~p•~ pus. ~. c^,Fa ^cu y ~~_ a' ts^ G n~•a p ~L ai 0 ~ ~ a ~ n ~ v O~ ~eaCO'".y .CU€aql `a d:"~.u Oyu ...,o°c u.,• o~t..aa«.. ~C a C ..] ji.~4,.~ ~' .Y. 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C J n•a ~..Y..C n_u~n~• G,a~ a c.di Ta `y '~ N v~~ ~~~ Y n ~ S e _ e a e ~ a f {-. em•1 + ~ / ~ ~_~~ ../ l y ~ ---- ~at~' _ ~~'~ f~ ~ ~ _ _ _ .__~ ----- ~~ 'mod `~ Q ~l ~, « / ~ --------- c 3 --. _ _ _ .. _ ---____- I~ _ _ _ v_______-__- _- ___ --- r t ~ r - - - `mss / //{~ _._.__._____._._._.u ~! ~ ~ ~/~~e~ e - :% ~ ~- _-- -- __ o 1~ ---- -___- - - --- _ ~ ^ 1 _ _T ,~,s~< n - L' ------~-- -- G.~-~' ---------- -----------------_ ._-- _----~-_~_-------------_ ---~•-~-- `~ ~/~ ----- -------- ---- ---' o . ~ ~ ~ -~ n, ., . ~ . __ __- _~_____a __ ._ __ _ __ --- __ _ _- ------__- _, _- _ __ _----__ ----______ _ _- _-- _~___.u._ ~ '! ~ _-._--_-----_-- _________-------.-_._----- ---~----------___ ~_a ~~ __ -~ ' - -- - ---- -------j------------- - __-~-~~- - -- ~ ~ i -- /~ ~ L_-_ ~~ ~ Gcr~B~-~.~~~~~ ~ r ~ ~ A __.____-.__.. _. _.__._ __..__..__.. _..__...__._.___..__,-_..___-. ~_..________--_I -..-____..__ -_ ___._ E ~ ~~ ` ~ --- - ------._.------ ~ -- ..~kll~~<<ht~t~ ----_.- ---------. ----~------- __- ~, ~~ _-__-_______-..-._y_.______~____..___ ____.____ _...__. _ ___._ ._ __.___.____.._.___._._________-..____.____._ ~~ ~• ~ ~ ' ~;~ ~ Special Function order Form ~oRR~sor~ S E t~ t O R k! K i N G A xkmMddc Cwya.(}uq' Name of Event: Ted Giamario rece on Date of Function: 02123/10 ' Contact Person: Tom Giamario T of Service: Buffet Tele one #: Set u Time: 1.45 m Bill De rtrnent: Outside ca#erin Start Time: 2.00 m Date Order Submitted: 02/20/10 End Time: 3.30 Count: 50 Location: Davis Dining m C S al n Sweet N Sour Meatballs 7.00/ FrQsh Cnxiite Platter Cheese Board w/Crackers Coffee Setu Punch Setu Send Bill' t Mr. Thomas i mario 9001 Cris Dr Please make checks a able to Los An ales C 90035 "Cumberland Crossi s" Please kee a co for our recorcls 8~ Pa ent due u recei t. return one with ent. Die bk or China: D Food Cost ;35p.00 / Cloth or Pa r: Cloth Laibor cost ;25Oa ~ - Color Preference: NIA ilndirect cost (Tax s9i:) ; Center Piece: n1A total cost q" J Decorations:n/A ~~ Suecial F unction Procedures i 1) Completely fill out the information on form as requested. [~f you need' istance completing this form, please contact the Dining Service Director at 240 1 or Asst. Director at 240-6028. 2) Send completed form to Dining Service Director flue working days' p~i~r to function. 3) A cancellation notice of 48 hours is required. • RE 4147 ,34101355 2447 February 22 -March 23, 2010 Page 3 of 4 I I f MILEAGE PLAN ~lr ate, Rehnmcr nrwner Account namrtw PYrohafat and 22 02/24 D GEORQES ROWERS CARUSIg,` ~'A 8152 2447 '~i~Q432021022510 02/25 02/27 °I~TAR-BUIS;ETIN do MIDWEE 8085284700 ' HI 0056 2447 02/26 02/27 Lit °ijfdl - DUk1:ES ~A 5791 2447 wo52737s CHECK OUT DATE 2/25/10 03/06 03/08 MARRIOTT 33785VNTURBCH VENTURA CA 4577 2447 2760001460009 ~ ARRIVAL DATE 3/06/10 03/07 03/09 '~.AUER CRb~MTiON SERVICE HARRfSBUR6 PA 7903 2447 ~1 03/13 03/15 AMAZON MKTPLACE PMTS AMZN.COM/BIILWA 7061 2447 NXX2CJVViTM 03/15 03/16 MARRi0T3' 337B5VENTU1iA8 V6YTURA CA 9017 2447 3940017860009 ARRIVAL DATE 3/13/10 03/16 03/17 AMAZON MKTPLACE PMTS AMZN.COM/BILLWA 5151 2447 SLM5XAHXEiE Amount Tota "~ ~_, y„ T~~l~ P > 1~ 11.74 ~~ 50.42 ~3,C8lf.L' Itgsnst Qhargad 03/23 03/23 Interest Chard an Balance Transfers 03/23 03/23 Interest Charged on Cash Advar~es 03/23 03/23 interest Chatg~ad on Ptlydrases TOTAL INTEREST FOR TENS PERIW .. Total fees charged in 2010 X75.00 Total interest charged in 2010 X0.00 Your AnrnMtl neraaratags Rat. (APR) is the annual interest rate on yaw account. Mnual Promotbnal Promotional Psrwr>tage TraraaoGon Offer ID Rob Typre Salanoa!Transl~rs 11.24ly Cash ARlvarto~as iN.2~~V ----`-- ----- Airoh+usaa 11.2<av APR Typs Definitions: Duly Interest Rea Typr. Y. Variable Rats (rate may vary) ALiIitKA AIftL21!ti8 CR=DIT CARD RsN113itD8 2, g16 PtDlC6Aii 1[Illii TBIB PSRIOD 2,631 DAOIIOTIOIiAL MILt$ 0 ADJ{J8Tl~1rTa S,S6B 1(ILEB TO ALA6ltA AIItLINEs 0.00 o.oo ~U O.OO~Q tW.O( 3~`~~ ~ ~ Q'~ c .~ Balanw Interest iubJaot to Char=s by Int~rsat Tranasotbn Rate TYps $0.00 $0.00 _ $0.00 $0.00 $0.00 $0.00 G (COMPANYNAM~ ~ ~ ~ ft< I'~ d~ ~.~~ ~~f~ 1 ..{ ~~" 1 r Received from - ~~%`'~ ~` ,~ „- For ~,~-~- ;,~~ _ ~.... ~,~.~ PAlD gy "'~ 'Check ^ Cash # ^ Charge ~ ~ i1gV ~NYIC~.S ff pq ~I ~S1 ~ 1 PI[ME x(717) 545-g8~ ~-ynt !L: p951~ ~~ f ~~'~}~^~~941 l ~{Vfl ~~~~ ~~ , Q~~Q w~,",yDl~j~ ~,~~ / , ~r'rd: A~llnt Batahi!; C~i-kNK~vq~i-y /l. D E LTA =J JOHN/GIAMARIO ~E~tNOT VAL I D F Reif ~EiETRANSPORTAT ONCE T1lS DL ATL DL 1'~T PIECE 25.98 ;~r EBC 25.98 us© 1 i L US D25. 88 '~_,~',~ ------,~~r~'~ ,~ - - /` --~'~~. L :r~_ -- LAST BALANCE $ Payment N,EW BALANCE ~ ey ~ ~~ ------~~~'" i~ ~',-wry '~~/we Date . ~,~..... a ,~ ~,,~~ Dollars ',. Fir ~~r~d' " f ,~''.!~il, ~'Zr 1 C1i~tG o~ ~ I • I ~~ re sss$g >~s~~ ~ A r~~ t, f HO ~sj ~ s ZZ ~ ! i 4 Q~~ ~ ~ .. ~~o ~~ ~~~~~~~ $~~I~ ~~~~~~~ ~~ PASSENGER RECEIPT oe EXCESS @ GAGE 16FE318 866& US TICK T ~L/SS TUS FTO TciI5 IS YQl R RECEIPT PSGR TICKET 88677519$4284 F=~R ~ar~~zT~~o+~s o~ RS~fQClD! CtlNTRACT -; SEF PASS~.:~GER 'TIC'KET A~lD B~•~66AG~~ Ch~ECK vrxx~ooooooaccx3~sa~~e~eea Nt~T VALr~' FOR TRA1tfL @ @@~ $2@6127145 2 @ @@6 8121@6127145 2 i a n c °xo o r ~ ~ a v a r c m ~, ti cn i O m I m ii v o ~ morn N O w O D N O D A 0 c-a _o iv ~ m ~ V Q' r 0 N T C 0 ~ n ~ z -a y m CT m 3 A ~ 'r ~ w ~. w ~ '~ w W ~ D p 3 .~ U~1 ~ O A ~~ ~~ ;~~~~ ~. ~ ~ ~ ~ h w~~~o,~ !~! ~ ~ ~ ~ W O ~ Gr '~ ~' DNm ~ N < Cm ~WNN ~ N NQ~.o3N~ ~ N ~~3 D N O DO. O d N 01 t/1N ~-+ ~ N ~-~O N Q-C'-m ~ --'~r+ O O ~ ~ C O~ ~ 3 CC~ ~ 3 - p h~3 OWN ~ -• O.+~N .. ,.~.ON .. `G N O33C'7 ~ N a O7D~. N~ O O~-'- N~ h ~ O• Gl ~CpN ~~ `CC 71 N Jl ` Ct N pWp .+0 ~ ~ - 3N 3N pp N- O Om-W O~-W j a~N N X - X - X ~~ ~C1 X ~ h h p (p ~ '~~~A ' r X z ~ .~+ O ~Z p ~ ~ ~7'~`~ "~ X ~ ~ a~ 3 r+ p i~A~.` ~ ~ `..~ .i ~~y. 1p J~. y if! ii LWl CN ~4tAS <A ii tN K ii (A d! i~ c71 •,1 N u CJ W u N W r+ n -+ Ou O ~+ u Ou ~ O ~+ u A++ A O u UI C31 n u O CJI ~! ii V O u O n ~! ii O u u V O Cll ii O u u ~-+rNln ~IrNtn ! ~~ AO~O ~ _'7 3 N -Or~D I (~I1O ~ '3 O ~ ~ ~ O ~ 0 O -~- cnm~a < m-sa; .. ~ N ~ N , . O ~ N ~ N m~ O m~~ l 3 O 3~ ~ G O t0 N X ~' N X J Q O . m ~~~ h~ ~ i It K fA u ~-. -+ u 1~ A n u u n n x x ~ _ ~~ ~ v ~ x ~ ~ ~~ HZJ m ~~ m r L~ .+1- i °~~ ~ m~ x or~- ~°' x ' ~~ ~ ~~ r r i v ~vz~ ~ ~„-~ ~~-~ 0 ` ~m ~i~ o T T~7y N s * ~ O DM~~ ~N< y ~ ,, X UM x W ~ r~ ~~ f7Z rn ~ OOiRD * ~ ~ ~ N N O v ~ S t V~ t~ x ~O~ z ~ M ('Z ~~ N~ ~ a f'n X D m H ` fTt ~IO ~ ym -, o~c i, o Z x mm~s N~-+ x z <p g .- ~. I f~A I ~ ~7 O ~ m ~ A C" 1 A _ c00 N1! R1O A H O 6~3 L~~s ~~ ~N _' D Z -r ~ A t~ _' D «-• r g<~~ aE r+ ~ ~~ A D N ~ r ~m o €~ co J ~ w V 3 ~~ ~~ r .- - Locally Ownod a RK t~ -- ~,.: SUPERIIEA Stonehedge Shopping Center 950 `Valnut Bottom Road Carlisle, P~ 17013 717-249-2345 5/ HEL 010 MY NAME S 544 8 ooke PM * Welcome GOLQ SAVING ID: 41208201186 (~OCERY 1 LTR SCHPlPS 1 (~ 1.69 $1.69TF i LTR SCHWPS i/2 LTR SGRM GNG 1 C- 1.59 1 # 3.49 $1.69TF $3.49TF Gotd Savings 1 ! 1.24 99 1 ! 0 -$1.24TFM $6.99F F OLIVES STFD bold Savings . 1 ! 1:0(3 -$1 •~ CAi~! P`3c N BL1J 1 ! 1..39 3' .391E .. ~ ! 3.39 $1.35 TAX $156.39 TOTAL DUE==> $156.39 #~~~ *VISA* ~ PURCHASE $ 156.38 VISA #SXXXXXXX**X**6~5 AUTH # 046483 EXP DATE I LANE # 04 CHECKER # 544 05114/10 15:57 REF/SEQ # 044470 ~NEPSgSEQUE~E # 044470 C WI $O.QO CHANGE DUE YOU EARNIDH $HIS TRANSAC ON AVINGS w _____ __-_-= IT=IS M SHOPPING THAT YOUR EXPERIENCE NAS AN ENJOYA6LE OCOMMENTSYOR CONCERNS PLEASE FEEL FREE TO CONTACT ME, ---~ _ KEITH HOFFM=====______-_ _ _ r :a ~~~ j -, _~,~ , ~~~ locally Gwnad & Operatod .~ :` SUPERMARKET Stonehedge Shopping Center 950 ~'~'alnut Bottom Road Carlisle, PA 17013 717-249-2345 5/15/2010 TERM 9 10:37:08 AM HELtO, MY NAME IS 544 8raoke * ~.~el ccme GO!_G SaV T PIGS ID : 41208201186 GROCERY DIK HD PLATE ~ 3.19 $3.191 HEFTY L AFiN ~ ~ ~ 7.39 $7.391 JOY CP LEMON ' ~ 1.29 $1.291 K4EENEX 4~~HIT 1 t' i .OCR $1.001 S= GLASS CLN l~ 1.99 $1.991 S= PAPER T~}L ' ~~ 2.89 $2.391 bold Savi~ '~ ! .24 -a0.20TW GROCERY SUBTOTAL... $17.55 GM~HBC CHAMP GLASS GM~HBC SUBTOTAL. Ca 2.99 $2.991 $2,99 fLORAL F' !]RAL MISC BY C C~ 9.99 $9.9'91 FLORAL MISC BY C t~ 9.99 $9.991 ', FLORAL MISC BY C ~' 7.99 $7.991 ', F~JRAL MISC BY C ? C~ 7.99 $7.931. '~ F!_']RAL MISC BY C ~ 4.99 $4.99 T ' ', ', F'`'~RA~ i1ISC CY ~ _ ~,.-4~~ _ ~ ~4.~.~T _ F.]RAL MISC BY C ~~ 4.99 $4.9'aT F~ ORAL MISC BY C ? ~~ ;.99 $4.991 FLORAL MISC BY C [~:; 7.99 $7.991 FLORAL SUBTOTAL. SUBTOTAL TAX TOTAL *CASH* DUE==> ~i3.91 1 F. $84.45 $5.07 $8~ 9.~F~'2 ~.. ~: $100.00 RE THOMas s GIAMARIo Account Number: 4147 34101355 2447 Fetxuary 22 -March 23, 2010 __ __ _r~- , ~/~f~~r~lrBy, MILEAGE PLAN g inqulrlea to: F AMERICA New Balance Total ..................................................... .32,915.12 ............. Current Payment Due ............................. ........................................ .529 00 X L5028 . 'G'PON, DE 5026 Total Minimum Payment Due ......................................... ..........529.00 ~ pryrnente to: Payment Due Date ........................................................................4/19/10 SANK OF AMERfCA Late payer W.~~ if we do not receive your minimum payment by the .O. BOX 3OL20O date rated above, you may have to pay a isle fee of ~ tb i189.oO. :OS ANGELES, CA 10030,]200 IAhder-urn Payettant WamN~ ff you make only the minimum payrneM each t 5 : period, you wir pay more in interest and K will take you kx~er to pay off your us orrrer ervioe: balarxx. For example: L800.552.73O2 1.500.222.7365 TI'Yj Only the minimum 17 years 15,282.70 payment 595.84 ~ nwnths 53,450.24 (Savirt5s = 51,832.46) R you wouk! files information about credft counseling services, coq 1,8663Ob~5238. Previous Balance ...........................1362.94 Payments and Other Credits ................482.94 Purchases and Adjustments .............3,035.12 Fssa Chsrged.........«......« ................«..«.........«0.00 Interest Chsrged ..................................«......«...0.00 New Balance Total ........................;2,915.12 Credit Line ....................................55.000.00 Credit Available .............................52, .88 Statement Closing Date ...................3/73/ Days in Billing Cycle .................................. Tienrecebn MArnnco Aaoornt ~ Numbw NanbN Mrorait To& Payments and Other Ondks 03/04 PAYMENT -THANK YOU 03/19 MARRIOT'f 33765VENTt1RA8 3203 2447 ----~~~_~---~-~~,, 9950022042609 ~ ..+ ~wsn,v„v 02/19 23 AtJ1SKA AIR 0272146438 SEATTLE WA 8701 GIAMARIO/THOMAS 02/21 LA%/DCA RNDTRP DCA/W( ~~~~... 2447 ,x,40 ~i ~~ `(.~~ ~,~~pelJ t~ ~T _ _ NawNatar I En Espdfd Ao~at~j I hH Trips I TawT ilfrnaFio -son Out Reservations Deals ~ Day of 191pM ~ Destlnatlons ~Mitea~e ManTM Mora r~1~! HoWRoarx CirR~Is V.ptionPaekaaa 5 9faronieTimd'ahhs ReRR~...2 SfnwNl... ... ~ ~ ,. CONFIRM TtIDN. CorMtrn~istion = Purchased Reservation ~, ~~ o, ~, Tr1os yarrri~wMlAian k+ r ~.~ _ ,~ ~.~.,.~,.. _ . ., ..„~s, Pr11It this pegs Ibr your ~ilfCk-in and fkport us.. A oonikmatlon I.tar. } Co1H{rritaR1011 COd~ f Indadk10 tour Rtllarary, raoalpt alld consumer nselas, wpi ba .-maNod a you. ~4 P E RI W M You may male one d-a-pa a this Ittnarary with no penalty uMll _,._:,_,.. __.m_.__. W_..__.._ .,.,.......-. 11:59 p.m. PT, Saturday, Fatuvary 20, 2010. r o t nt Ion a n ~~r rwa mrarv o arTind Itinerary, Trawler information, and Rewrved Seabc ~t tAS M9.Irs (W() Wsfhin8ton, DC-Rfa~n National (tKA) First aoeirg 73'7-eoo', 3sM /w SUn, Fab 21 ~f pyw Sun, Ffb 21 Nonstop 704'o On-Tu>1e Alaska M19nas 6 Mee{: Lunch"* Total: 2,304 m~ ~ 4 hr $1 min 1111Mhindton, DC-Raapan NatkMSl (OC'1-) tAf AnOala (WO Fret ~ Bceing 737.800' Masks MrNnas S ~»e am Thu, Fab 2s 167 ptn'rhu, Fab 2s Nonstop soen on-rime Maas: 6; eaka>.'" i 7ota1: 2,304 mi ~ 5 hr ~2 min •• SP*Qal nWd roqurK an not svailstrN. ''.. ~Yala~alft t#fa/aaMiaa _ 6 ~ ArNYaaal aarrieas ~I Name: Thomas Glatnarro 30 2C Raouest addftlfnal servlcas (WheakFUir, eta) i MP#i: Mafka 954373/4 Chanaa seats E-tkket: 0272146439289 I ° Alt Carrfr AoosM Act rapuinss us a nfalea certain assts awrhds to euetorrars with dsabilitlae. It you an assiynad one of thus seats and a gwl~od parsec !' °`A""" ft, you will !» raaooatanodstad at Mw airport in anoltrr seat. ^~ Meat ~a M ~akIsMIM - OrC. NNala Ina IMin~sa total. washinatm o.c. Ykfl7~t risorna ta3s par nlplx. waaldnaDort Plea Taal ~r roe,.:2fa p« rMpnt. 'The Llakan Casitol FYp - An ANFnia Flalfl 7~>: roonK 1425 par NpM. -~11 ' C7.r aaan.i haMlp Uw err car daN ender a rant s car In wadwrgtan, oc-a..wn N.UanN _. safe 9rto. aMar.nw B ES1' ,rfr'~.r"~' Naafi GUA~INTE[I ~~ Vlfw Datalis - Thank you for your purchase at alaskeatr.aom lba ANska Mrhnfs Vha andllq wnh *******2447 Ms bffn charpfd f toai of USD;1,32s.40. Ti01114rtf Mq hn aIM wrchargas: 11,233.02 AppNabh axes, saBrrlant tiffs, airport tadiRy chargfs and/or 5aptfrrlbar 11th ffellrity hfs: ;112.36 Faaht BaOts Ahrt Craa a f1IpM steps aNrt. Maps i DN+adlala ~~ ~ '~ ~ anaaNdAlaka r ~ sa.~R4{,... +* I ~.~ ~- Ask Tenn for Help- C~~ Q~u 1 ,~~ ~S~ ~.. URE THOMAS S GIMMRIO Acxbunt Number: 4147 34101355 2447 January 23 -February 22.2010 ~11~.-~~~!~'Bf MILEAGE PLAN ' -- ~~. R :;, 1362.94 Balance' .......................55,581.45 prgnNiM to: New Balance Total ........................................................................ F AMERICA Curert Payment Due ... ....................................•••••••••••°•••°°°°••1~-'`.00 nts end ©~ er C ............-5,581.45 X 15(X16 ................362.94 ..... Purchases and GTON, DE Totai AAinirrKarr Payment Due ...........................................................115.00 ¢~ Cherg~d......j...»......».............»..»............0.00 X650.5086 payment Due Date .................................. ...............................3/19/10 Int~t Cb~wd.j.............»....................».......A.00 ....... G MI paynrente to _ _ _ ___ __ ANK OF AMERICA l,~te paym~ iMaenMrg: ff we do rat receive your minimum payment by the New Balance Total ...........................1362.94 .0. BOX 30]200 date listed stave, you may have tp pay a late fee d up to 139.00• Credit Une........ JS ANGELES, CA lAN+irmatn Payrrrerrt yy ff you make only the rrininxxn payment each ............................15,000.00 J(J30.1200 , y,~, ~ pay more in interest aril it will take you kxrg~er to pay off yow- Credit Avaikrbls .1 ...........................14,637.06 uratonrer>favbe: balance. For example: Statement Clo6ir~B Datie ...................2/22/10 800.552.7308 Days in Billing,C~de ..................................30 L.800.222.7385 TTY) Ony the minmum 28 months 1416.18 ', Pal~M ff you would like information about credit counseling services, caN 1-866.300.5238. TiirNSOO~an fb+oK RsiUnnee Aeaount de. f~ei Ussa~oobn At~mdir nkrnbr M-arrt Tae Phrnrente am4 Other CredRs 02/02 PAYMENT - THAtrK Y0U ~ ~ ~ b,581.45~ ~' 58,6814E Pureh~,#nd.~ 01/24 01/25 ;~~$,4t'Ib~ ~A 17111~LES. .T!q 9554 2447 36`2.9h r Intenet Oharg~d ' 02/22 02/22 kreerest Charged on Baianoe transfers 0•~ 02/22 02,/22 .Interest Charged on Cash Advances 0.00 oontliwW on nbd pyr... ~•~ i . My ~ttlri - l;ttttent l np - Ynnt ltmerary on thbitz ~Reirz Harrisbur0 ti1a1o This ~ Judea nlghee. F~~~ ~>~ ort~ mead loeaer: AP22t)101RS8V1K1C32 AMb rseord k+eabr: Dslb Air Linea - RSBWQC Tkket mNnbers: T1i~1984204 Tobtl Aipht ccs~ /!~1tA~ (~ Trsvrisr(s) Frwlwnt 1Na- dehiN r JOHN GiMMRlO 1 ~Jy~~ ll~ ~~~~~_~r~s~r~ ,- ,, t;ee M you've s~ L.save Tuesday, Febnwlry 16, 2010 Della Air Lima 1?AO Economy 18osing 757 Passenger (757) ( 3hr 29min 11542 miles Depart 2:02pm Tucson, AZ Tucson International (TUS) Art'ire: 7:31pm Aldfangl, OA Atlsnb Hasid-Jadaton ATL (ATL) Seat 44D i Seat ~ oonfimred I View%changg seats ( Change planes. Time between ttigtrts:lhr 3mM Drib Air Lines 55Y9 Economy I Canadair Regional Jet (CRJ) I 1 hr 56min 1619 mibs Operated by: Atlantic Southeast. Please check in wilts the opsratlrrg carrier. Depart 8:34pm Atlarrb, t3A Atlanta Harbfietd~Jacicson ATL (ATL) Arrive: 10:30pm Harrisbury, PA Harrisburg Intl (MDT) Your tUght is confirmed. The airline is assigning seals at dreclc-in Ssat assignment: choose seats I :-,,... Tobi duration: t3hr 28rMrr I Totem mass: 2161 mdse ~', Return Tuesday, February 23, 2010 Delta Aq' Lhas 5011 Economy I Canadair Regional Jet (CRJ) 12hr 15min 1619 mibs Operated by: Atlantic Soutlteaat. Please check in with the operatlng carrier. Depart 2:25pm Fbutisbary, PA Harrisburg IMI (MD'r) Arrive: 4:40pm Atlanb, O;A Atlanta HarCSfiNd,ladcson ATL (ATL) Seat 10D I Seat is oonfimred I Viewtchange seats I Change phneis. Time between flights: 2hr li3rnin Dena Air Lhns 1537 Ecaromy 18osing 737-800 Passenger (738) 14hr 13min 11542 mibs Depart 7:33pm Atlanta, OiA Atlanb Harbfield,lackson ATL (ATL) Artive: 9:46pm Tucson, AZ Tucson Inbmational (TUS) Seat: 2t3C I Seat is confirmed (view/change seats, I Total duratbn: 9hr 21min I Tool miles: 2161 miles Vbttr rese>ryation is c Cidc here to slain your 525.00 Cash Back IncentiMe on your next Orbitz res~tbnl '~ <C~ItlNttts< - Bi- dckl-g abavA you can cldm your Yrcer4ive from our Proferrod p~r'+I+l'a7 Youl~'11~r service. Terms and condfiorrs apply. Page 1 of 1 III http://www.orlritz.corn/Aon/'ViewPrintOTP?isMvTrinFlovv=nu118c?null~retrievePsn~m. =rrn ~~1 /ant n r ~ Page 2 of 2 Booking rules •+AN bookags are fMal. lio charges or refunde arm allowed. Review our Terms of Use ~,., for more iMormetion. Summary of charges Car rsr~firl Car daily rate - Hotwire Hot Rate: Rsnbl days: Subisdal: Tax rocovsry chards and has: Tvtd cfiarnas do your ctealit and Billed To: Contact phone: Congtct mall: Charpad to: Dab booked: Prsces are shown m U S. dollars 513.95 7 $97.65 586.16 ~~:< / 5163.81 j dartnel giamario (520) 8Z5-8426 jdgiamsrio~sf~rr~nicasb'oiogy.ocxn Y r a 8 ' ' ' ' "' ' ' "' " "' 3 7 5 8 Sat, 02113/10, 12:38PM -The makes/models shown are examples only. We are unable to guarantee a specific make/model. Actual makes/models are subject to availability and vary by supplier. ~t~'T U R E ~IQ~~I~rl~ra~ MILEAGE PLAN THOMAS S GIAAAARIO Arxotud Numbsr: 4147 34101355 2447 March 24 -April 22.2010 com , ~ ~^~ •hil iii IngaMias to New Ne~llmce Total .....................................................................14,155.54 Previota Balance ........................52,915.12 IIA:i~ OF AMERICA Current Payment Due ......................................................................541.00 Payments and Other Credita...........:2,91S.12 PA. BOX 15028 Purchases and P1d~stmer-ts .............4,155.54 itfII.1~lG'PON, DE Total Nlir+irrKan Payment Que ............................................................541.00 Fees Clfargad..»............................................. t9BS450R6 Payment Due Date ........................................................................5/19/10 Interret OharR~ll................,...........»......... ~.D.00 1hi1 prywnnb to: BA~'K OF AMERICA Late p~,~ yy~l~; ff we do rat receive your minimum payment by the. New Balance Total :....:..........:. ..14,156. O. BOX 301200 date fisted above. you may have to pay a fate fee Of up to 1$ti.00. :.OtS ANGELES, CA " ~ ~y NNnNrnar- Payntant Warnln~ 9 you make only the minimum payment each Crodit line .. ~.......y} ~. ~ `-........15,000,00 ~~~ period, you will pay more in interest and it wilt take you forger to pay off your Credit Available.,........ ! ~ ....5844.46 ~wtornsr savloe: balance. For example: Statement ClosYng Date ...................4/22/10 1.800.222:73t3551'fY) ~ in BiNing gyde ..................................30 Only the minimum 20 years 17,701,36 Pey~m 1136.62 36 mortM-a 14,918,32 (savings =12,783.oa) Hyou would-kka.tt~formation.about.credit-caunselir~seivices.~caN_......__......___ ~_ .. i-886300•b238. TiunDrcab~n fit{' JP+N-nnc. Account OMa QIrAr Agp~oriovr NumbM Ak~mba Amount Foul Paynranb arM Other 04/01 PAYMt:~tT - tiIANK YOU -2,837.17 04/01 PAYMENT - THM4K YOU _77,85 -~.916.iZ !!hwohaees and AdJrMtnrrenb 04/05 04/06 EXPEOIA 131 i"T 04/04 04/07 ,r~(t 0"~7~i:~k'lTl..f YVA 5671 2447 ,;;,,~, , -OJti~1MAS bb(07 WyPDX ON€WAY ORD/MOT - oorRlnmM an tat pM... ti.a -.~a+:.ass ~.roa:..: uat.a. aurvtio ...._ 4 r iS7 p[8= llYI.sB 'I'TS ~_~ 6, 282 DRON01'I0181L t{YyEa ~~8 10,`$8 1lILt8 TO !-LASlr7- AIRLIlifB t .- ;tart managit-gyour account the feat, easy way and sign-up for online banking a! bankofamerica.com. Once enrolled - go green witJt paperiees statements. geed your Year-Erd ' quids Call 1.8i9t1.491.1I4R to artier yours and have it delivered within 4 business days 1~ only 119.95. ~?, i -r ,J !GNATURE 4147 34101355 2447 May 23 -June 22, 2010 Page 3 of 4 Data Dete Desctyxion MILEAGE PLAN ~. ~~ ~ e~ IWimder Numdsr Ri7ntowul ~ ~ 1 1 Purchases and Adjustments 05/26 05!27 HERTZ RENT-A~CAR HARRISBURG PA 175190934 CHECK OUT DATE 5/26/10 05/26 05/27 FEDEX 870926548571 800.4633339 TN 0222200096170437 05/26 05/28 BOURBON STREET SHRIMP LOS ANGELES CA 06/02 06/03 ASURION WIRELESS INSUR 866.6672535 TN VSIE5AC88D6D 06/02 06/04 CRATERS & FREIGHTERS MIODLETOWN PA 06/10 06/12 AUER CREMATION SERVICE HARRISBURG PA 4 06/20 06/22 CAFE 8E!!A ROMA SPQR LOS ANGELES CA Interest Charged 06/22 06/22 -ntecest Charged on Balance Transfers 06/22 06/22 Interest Charged on Cash Advances 06/22 06/22 Interest Charged on Purchases TOTAL INTEREST FOR TH15 PERIOD 0934 2447 ~~~''3[19C5d6~ C 4373 2447 (~t,~ 3H.5T C~~` 0342 2447 G 3328 2447 --``~~ ~ 89.00 O 0016 2447 ~~ry ~~ 5Qt.71 0003 2447 ~r//VV ~~~ ~/ 3820 2447 159.00 ss 52,42: 0.00 0.00 0.00 st .~ ~. Total fees charged in 2010 $75.00 Total interest charged in 2010 $0.00 Your Annwl Perwntage Rate (APR) is the annual interest rate on your account. Annual Promotbnal Promotional I Balanas Interest Percentage Transeatbn OHsr ID Sub].ot to Charges by Rate Type Interest Transactbn Rate Typo Balance Transfers 11.248V $0.00 .OG Cash l+dvaricea 19.24 $V $0.00 >}O.00 Burchasea 11.29rbV $0.00 $0.00 APR Typo Definitions: Dally Interest Rata Type: V= Variable Rate (rata may vary) R . ,{ ,,,. ____. __. Pam'' - of ] Reservations ~ Deals ~ Day of Flight ~ Destinations ~ Mileage PIanTM , Mori.-. Thomas 6iamarb Trlp Cost: 605.20 Dane of Issw: 22MAY10 Plaoe of Issw: NET Dab HIEIIt Drpitts Aniws 26MAY10 AS 5 Wash., DC - National Los Angeles E Number: 0272150~~ Reoord Logtor: HrIVN W H !brat of 14ytneat: VISA Card Number: XXXXXXIC Cost DeRalls: BiN Airhro US /S AY XT Total Faro , CaIa~ISan GLC WAS AS LAX553.02FASR/ASSOl 553.026~ID RECEIPT-NOT VALID FOR hops:/fwebselfservice.alaskaair. IE 5/25/2010 oataor><saw: o4APR1o Plan of Ipwr NET PNpht DgMb AMwa AS 569 Loa Argeks Portland, OR ~ E-TlCkat Nua~bars 027214866244 AS 686 PoRland, OR CMppo-O'Hare R~oord Locator: LWKRYR ' AS 4633 Chicago-O'Hare Harsisbusg ~ /ornr of PaltrMr~ VISA Ca-d Nuw~bar: XXXXXXXXX%Xb(2447 Coat t~taila: faaa ANfara I 355.35 US 26.65 AY I 7.50 XT 7;0.10 ToM Para ~ic~-~ rxc we ws rooQiiogo»w ~s wau ~s Mon~~.~+awi atsasew RECEIPT-NOT YAtID FOR TRANSPORT 1 of 1 ~!, 5/6/10 2:24 P __ ___ "'~`"""""''"""~' °"""'"~ ~'~'~ 21 3 0 2 4 9 71 4 3, ALASKA AIRLINES s~a~tmmranoHe oF~ ~rwicr «~.. ~ PASSENGER RECE 1 PT 10F 1 ' E ALASKA A 1 RL I NES ~~`AY1 0 'f~j`~~ t~S t71't°'~'&X ~~ /i~~~lES , o ~",~tAa I o! aaMELa s l AMAF~OlPA"MELA -~T0t100DE ~~ ^~ , NOj VAL i D FOR"' * "RETq l N THIS RECE I F'T' *' ~ LO5 ANGELES ' '~' TRANSPORTAT I ON' ~ROU(3HOUT YOUR JOURNEY' SAS 569 Q O71fAT Q/BA615 CONJ W/PSGR TRVL ON AS ONLY 'PORTLAND OR ~~ ~~ aorw.i.,E ~ ONNt10/AS . ~ **~******************yra,-+-**~*#tie wumr®awwe+a cau .wo. a~ ~-----anr av~- ~ r r r. x r* r s• s a r r r r r r •~ A°~'DX15,OOQ/eA615 15.00 EMD ,~*" ##"~**#***~****************~ an ~uraq~e iar ripae • • x • • • • f • • • r • • • r r r • - ~ Afclr*~**it#*'k*~R**#*~**'-*#**#***** ~ 1 5 - 00 ~~"~`NY° XXXXXX3272*011014 ZXXX ~~ _ i! i. r r 4+r t f t• EXEMPT ~ ,~•'i , "~1pi': • , . ... , , ...'~;°."!°: <':•.°:~ .'":°;": ~;., a~ ~;~ :ap ..: ~,~. ~,~ .., .,.,. jP EXEMPT sm«ow+naxure~nc aaMa~ .~..~ .~..~~ « aa~vtc~ NOT VALID qqq TRAVEL ~Y Ex~T 027 2150249714 0 °°'"°" '~'c~? 22419714° 0 ~ ,~: .-> 02700584063524.: ' TiCIQ:~ A1q MIW18118E BECK - _ _ _ . ~_____,._._..__._.. __ _ __ __ _~----------~. w.enooaanowaROOwn~cr 21 5024971 3 5 :ALASKA AIRLINES ~N PASSENGER -RECE 1 PT 10F 1 ~ _ASKA A I RL f NES ~~AY 1 0 ~~30°` " pg «~.m~.~ U~9C"~~X ~~ /~~xt~'iES ~ GYM I Or tF~'OMAs L~YIAR I O ! t HOMAS -~101A0O0E rp aM ~ --a~ran ~ ~ ~orwu+w~[..ror+wor~ L ' ''NOT VALID FOR''•"'RETAIN THIS RECEIPT."* ~'~O~"ANGELES ~" TAT ON"~'ROUGHQUT YOUR JOURNEY`' ; 1DAS'°569 Q OIMAI' Q/dA615 1L1 CONJ Wt PSGR TRVL ON AS ONLY PORTLAND OR rrwam[ ~bwO~7/Y1711011 ~~ y~ Odu.n2N0. ~~~ • x t a ~~r *. • r ~r r r AS PDX15:00a/BA61515.00 END ftl7,**~*y*~*p******************f.1*~eF ~GW.1Mt1M~~ ~ #*R1rlr*t***#+h*#i*R#~F#*##**ir*ir***# ~ 1 5 - 00 ~~~~XJIXXXX3272*O11D11 XXXX rranp~wnrwwo, a , . s .. r r .. , . > EXEMPT ~. ~.~ ~.« ~-, i , r . ..~P R .~o~..~q .a4wy ttatKCOrreaM~ettt + ~•*'~• EXEMPT °ouo" Nue iarwrra « r'"lrAl: t D FOR' ~7RAVEL EJ(,~MP:T_; 2700584063491' 027 215021}9713 ~ °°'"°" ~ t ?".°C~4'9~113°` 6 Pi0Sl71ClIET.l11M1 ~ABAR~E C11Eq( ~~ 2150517899 1 f~LASKA ANRLINES N `~ w~ei~oaa~onsroao~nv~cr m MN PASSENGER RECEIPT 10F 1 0 a~AIASKA AIRLINES 1'1 0 21'~Q~`"` " Ua~ u~ ~ P~""~t'Y~` /PDiE`~~"' oa .~'T'~'i o ~ THO»As Q W ~ 10 ''~IOT VAL 1 D FO1~;• ~ ' ' RFSA i N T H 1 S ~E'Cs ' • r~R°~'L,ai~ID OR tom/) Z~ ~_ ~" ~`f~Ak~SP~4Tt A~ l O~ik~Y:" GHOll1' ',YO` ~FC?l1R1~YEY*~ ~,, ~ b~b K 1~NAE: K; BA61 CONJ WlPAX TRAVEL ON AS ONLY ! NON ENDORSA t:HICAdU UHARE ~~ ~~aqo~ awa~uc ro~Mac+w~~ aoiuncr.xa ~ '~"'~.~w 3"'~ .. f ~•. . &P~`~50.QOK/BA61 50.00 END: ~* ~ ******~**~**+~*~ a*******a*****#*rt*+****#~****+* isi uSp"~Bx` s o . o o .~.,~.~ a~~i[a<XXx~~~7*a55~e XX7(X ~ rwaww.,ww~.~we}wr, r , r • • , , : : . 1... 3 1J~ EXEMPT ~°# Qa"L .•"~-!''~.. , . • r • f r r + .. ~ r~~+"4°~ .~.$'+k *i~o4wr ~.'4~. li~!'~. ~'~ r ~~x ,454 ~c~c f ~;nr. : aaacaarswrau~reerz _ ooaai aK.a iar+eitxn « ' ~ 2~ EXEMPT ~~"V`AL t~ FOFt TRAVEL t'N~:A'~ EXEMPT 02700576390780'; 027 2150517899 1 ! °~"'°'Ut"~' ~]~~`~7899 ~ z n~" __ ' - ~- CUMBERLAND CROSSINGS Diakon Lutheran Social Ministries HATE ~ o?O/o AMQUNT REC lVED ~~~d. 1 Longsdorf Way Carlisle, PA 17013 Phone 717.245.9941 Fax 717.240.6017 Toll Free 1.800.722.0267 wwv,aioLn» nrn THANK Y~l ~'_ CUMBERLAND CROSSINGS Diakon Lutheran Social Ministries DATE q ~?0/U ____ _.____ AMOUNT RECEIVED ~~ ~~ ~' THANK YC?U 1 Longsdorf Way Carlisle, PA 17013 Phone 717.245.9941 Fax 717.240.6017 Toll Free 1.800.722.0267 www.diakon.org • t- ~~i'.i3~i ~ i a is ,~ iO m9 r i ' ~M $$' Yy ~F~ ~ I y~ N ~ y n • O O) F, n6 as W ^~+ t am °`~r ~ ~ o :e •* OOi +' gg ucr 1M H ~ = Yq~ ~ A t~ ~ ~ .r. m 0~ y_~( ~ M ~n JZm•M ~ fIN `~ N Y YY bD• M ~~ ~ c 1 .'S~~NQW ~-~s~OC O Y ~ ~ON~i~ ~~.. ~~~ ~q ~eb a `` ~ ~" Oia~ ~.... .: i yyF y~ V J •isyy N ~~ qjY H ~ ~ Y i u •Y Mir N-p 2ND ~O ~ ~~„ w Sy O ~ V m • u ~g 6C L~r N g ~W O ~ ~4®1 .Ctyi ~ .#u+ VW iD ~ Q~ N S® .~ .Qi pp~~Q W ~1~ MiV ~ wqi Wn~ ~ C H ~l!OLJ A A~ ~ ~ s.ti oao ut G Z~ ..~ ~M ..•M ~_ NH w~ ~~~ i~ ~NNni Y6fi YCS u ~ r...8Av r g ~-+ '.' 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Q7 3 ~~7 ~~~ rn The ('PS Store - #2878 950 klalnut f~ottom Rt1 ' Suite 15 i:~,rlisle, PA 17iri~, { 717) 241 ~-6554 1~r :,,, i°, one st~~~ for.,I1 y,it~, ~_: (: e.,t.: 's~rteiay5 -Every I r•ictay~ Blar!~ .:. r.4 i~ltite Copies un? ~ r; certts~ II ilil~l ~~~,~;~~lil~il~I~fI~~~I~iilliji~l~Iif IIIII~IIII lil 001 .' ~; ~. `~~; ` ' )02) T i $ '~~ ~ 1~ x 12 bc,x fl"t 8 Reg i)nit Price ~ 3.ti:i Store Pro (50.rr~kJ$ Jh,4ti 003 010i1i18 ({iii2j I 1 18 x 18 x 18 bon tal Y 4 Rey Ur;rt Price $ 6,2;~ Store PrtJ (~~.il.i%)$ 12.50- OU5 010158 (Oli~ ~ T1 ~ 24 x 18 x l ri tJU ~ i ~ ;' ~1 Reg Unit Frice $ ~ . ~~~ Store Pro (50.0%j$ 14.00-- 007 500093 (009? T1 $ Peanuts ~mali bag tITY 2 Reg Unit Price $ 3,99 Store Pru (:10.0%)$ O,FiU- 009 500091 t0i~9 j T i ~ Large bubble 24 int ~ QTY 3 Reg Unit Price :~ 3.OU Store Pro t 50.u7t, j$ 4.5O- 011 5UUf193 (0(19) T1 $ Peanuts small bay Rey Unit Price $ 3.99 Store Pru f 10.t)ti i$ U.4U Ul'3 010150 (002? T1 20 x 12 x l2 bor QTY 2 Reg Unit Pt~ice $ 3.85 Store Pro {SU.U%)$ 3.85- U 1b Oli1609 (002) 732285008197 T 1 $ 2x40 Yd Crystal C~Ir Rey Ur, i t P: i c;~_ .;; ~ . Store Pro (l0.il~,)$ 0.4t:, - Sub7otal $ SALESTAX (T1) $ dotal $ ~S.Qn .' . ~Ju 14.00 .1U 950 Walnut Bottom Rd Suite 15 Carlisle, PA 17015 (717) 241-5554 ,. 05/17/1U u4:4i I'M BUSINESS t1AY 05/18/10 49e are the one stop for all your shipping, postal and busiress needs. 5 Cents Fridays -Every Frtday! Black and Nhite Copies only 5 cents! it INIINII~NIf~IIiIIIIIIaII~i~iII~~INi~I~IINI~~III it ~I 001 500093 (009) 400005000935 T1 $ 7.1~ Peanuts small bag QTY 2 Reg Unit Price $ 3.99 Store Pro (10.0%)$ 0.80- ~ UU2 500095 {OU9) 400005000959 11 $ Small bubble 12 inch QTY 2 Reg Urjit Price $ 4.20 Store Pro (10.0%)$ 0.84- 003 500097 (OU9) 400005000973 r,- Large bubble 24 inch QTY 2 Reg Unit Price $ 3.0~' Store Pro 110.0%)$ 0r~~ „~,, ., 007 100010 (025) ~! ~ i~.~~UI,, Envelopes Reg Unit Price $ 12.85 '~xxy Store Pro (10.0%)$ 1.29-- 4.;~I.! SubTotal $ 31.741 SALESTAX (T1) $ 1.yU~l Total $ 3a.~4 3.59 Lash $ 44.i-Oi, Change $ 10.36I- ;i , 85 4.04 ~~ h5 . Ut 3.90 68.9 Cash $ ?O.UO L'hange $ 1.04-- Receipt ID 82.'264683946883888i5(i i)25 Items CSH: Chris Tran: 8001 Reg: 002 Receipt ID ~"s2646839443U8888905 007 Items'I CSH: Samantha Tran: 7140 Reg: 001! Uisi~ our website! www.theupsstorelocal.col~/2878 Whatever your business and personal needs, we are here to serve you. ENTER FUR A CHANCE TO (9IN $1000 We value your feedback To enter please complete the custonier satisfaction survey located at: wwrt.theupsstore.com/survey Ntl PURCHASE NECESSARY. A PURCHASE WILL NOT INCREASE YOUR CHANCES OF WINNING. LEGAL RESIDENTS OF THE rii trurrGn ~reTF~; rn r 1 1A YFGF~S AN11 7 C c n r v ti ~ F CJ' T .~ ''* ~ ~ :L' Gr• .-. T CD G ~ "t ~- Y c v ~. T _- CL ~ r_ ~ ~ ~ C C~ w sa ~o aa~+rt tx a O k -gym ~ * -•- CT 3 k7 G a• k m m -~ ka s`~o ~r kC N m k Yi ~ O xk• 1IIn o a k• -h3 k n «y, d ! ffi h k!m s o 0o m kaC m kX k K • *N V1C t • 3 7 k C e'f ~ .,.. * O e•+ ~. ~r og ti W n ZZ S L O -* O- W a .c. A ....~ ~' ~ ~ - p7 r .~ ~J ..'. Cn • ~ r• T L,. b_ x :- _. >; •?) Q; -< ~~ ~ 7~ . =- _'. ® ` _ ~ -- a ~ yo rr. z -a °' , ~. ^ a ` o cG : • cC yr n ~ ~.. ', n; - oo ~ _ c - - _ wry ~ _\~ ~_ G CD ~ ` t c ~: ~ U ~ c • cn fp (~ ~• "p ~ ~ i D --• G CD T n -. r, ~i.~ ~.. `c •~ G% B zk . '~ 4- -Y wf... ~ ~ - ', "~ ~a *o o ° a o ~. 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N i -~- ~~ ~~ U•' T ~~ ~ r'+ .+. tD R~ ~ v ~ ~ r Y T rn -+ ,.~ ..- V_ a ~_ ;r sir. - ,. y U' k. ~ :. m i o i ~ t ~ O i t t ~ j "' n• a O m ~,l v ~, ~= `~ ~ -~ f"7 L ~" -' c " m =. ~ cn ~ ~-F -} .t fD O ~ U P D Q A ' C . ! --~ C D C' • - cri cn r-* c ` ` U ~' o _~ a ~ a* _ T CJ's ~ V. -•~ d v -•7 co ~ R , o ~' ri- Ct> y. y c ;. rt L 2 ~i C 1~ ~- _ n :;~ F -- ~ ~~ r ~ i C _. - S, ~ ~: •"• .r The UPS Store - #2875 95U ~Ja l nut Bottom Rd Suite 15 Carlisle, PA 17U15 (717) 241-5554 05/19/lU 10:04 AM 49e are the one 5tup for a i ~l yaiu~ st~ippiny, postal and knrsines5 need:;. 5 Cents Fridays - Every Friday! 81at~c and White Copies ally 5 r:errts! II IgIII~I~~II~~~iI~I~~f1~NINIINNI~II~lili~ilil IIl ~I 001 001046 (001) TO $ 43.31 Ground (commercial Tracking# 1Z74NJ913U3214ci1:13C OU2 UOtU40 (U01) 1U $ 79.3y Ground Cou~rnercial Trarkir~g# 12744191'{U3:i47yhr'U` 003 OUlU4U (OUIj i0 $ le.6l Ground Commercial Tracking# 1274419130354796148 004 001040 (OU1 j TO $ (1'3.Od Ground Commercial Tracking# 1Z744191303214ti4453 Ui~5 U1U171 (U02) T1 $ 18.5u 36xfix44 picture t»x 006 020565 (009) ~~~*S*#** l~l $ t4.U0 36x6x44 Mat Fray 007 U3U565 (0161 ****S**** t0 $ 7.~~(1 36x6x44 Serv Frag OU8 010162 (OU2? T1 $ 8.(-0 24 x 24 x 16 box 009 020538 (009j **~~5*~** Ti $ 0.50 24x24x16 Mat Frag UlU 030538 (016,1 ~~**S~*~* 10 $ 4.50 24x24x16 Serv Frag 011 001040 (U01) TO $ 6t3.9U Ground Cr~reorercial T rack i ng# 1 Z 74W91:3i13547J8b10 ~~ SrrbTcrtal $ 41(1.35 SALESi~AX (T1) $ x.62 Tctal ~ VISA $ 413.17 ACCOUNT N(1M8ER * *****~**~~~*0445 kecerpt IU 82'~64683956Ei5UEiCf03!ii till hems CSN: Caryn Tran: 81194 Reg: 002 7010 0780 000], aqua ~» r+ G ~ ~ /r P Ax' "~ ~ „" ~ m'O CAr ~~~ mrr ~, C"~~ 'L A ~" T T 7D GhS1 r+ i/~ rt' O' f '~ Vp' ~ Z Z ~ Y = J r~ "J D ~T J~/!r~/^~.. 1::. T T YY ~ ~ 7 ~ D ~ w: ?~ ~. ..~ Off.. ~ ~ A Q~ m l: - '~ w. ' h ~e 1~.J Z /~ n. .h V ~ N ~ K 7~ ._ N z ~ n Aa Tt x _ ~~ `~ x ~ '~ ~ rTr 7C fs a s C ^ ?E f~ f r ~ ~. _ _ V ~ _ T .~ ~ It ~::~~~ $~ ~, ~ ` ~ a ~-~ y W ~`'ti'~ y1 .+. .c .,;, 6 a 01 ~ 3 9 . ~-~ I ~~ ~ 9 ~Ns ~, m ~ NN ~, ~ 1:11'.. v °s=~ ~ ' .¢.~ / pn DZ -N ...~ i 1 #'t- 6~ 7~Ot~J1~ i}' {1 m=a v ~ © ~ ~r=~ 1: ?~ '7 to 1~ ~ ~!7 ~J ~,x ~ ~v .w ' fi o ~`,.aon ~} B ^3 7P 1-' a.e n da -'s I >_ d- s~-+A a m~ ~`'~' .t,1 ~ ~ ~ =G° ~~" °n- I ~ ~ rap °n 1.7~ F . N~~ ~ty D~jp ,~ :• p ~ 3 a __-- ._. ~ I ''QQ +;pp ~~pp ~' ` x ~ O m MHM ~~ ffl to I V'*~ H .t1 'Orr- -n n M x ~ t' ~.. r ~ ~ > P1 O 7-~ '~ yZ> Y~-+~.T ~ mmtn S-O TVA to 1~ ~Ap H~ ~ ~ y~ ~ ``'' q~cf1 ~pZN m V v V < yR ~ b r~+' T ~ 7 Z is r r' p, ~'i ri,, ,~, ~v`Wy,pp'~~~ ~ `'~ O ~ C 7ZS ..+ f*ss1 a~ D ~ ~ v ~ m !-~ O p O m A ps 40 ~ ~Jp ~ ®', ~ ~ W ~ ~ ~. ~~y ~ ~ i ~ r H ~ W x ~yp ry ll'~irZ11 rl C V~ ~ j~~ T. '~ '.'~ D ~ryN1'r N,,~ N W -+~ ~ ~ s ~ ~ < ~ K N Y 1~1 t'h r^ < x ~ ~D fr T ?t ~ lf~ Oe ~ ~ T ~ M~1 O~ R ~~y ~ <p ~ ~ % N O O O O tl~ N Z ff' A' ~ m ~ N ~N AT ~ K J n O~ ~ rT N -pp __.. O ,.J'''am . N ~ H p T A N ~ R T~ N r' A{ ~ A ,' p ~rfpT ~~ N y~MNN~ ~I p 7 ~ A'f T w v~ +,nr~'+Q~1~y`~a pem~ ~ N~$ry t,aN 10 K N W M~ i ~' ,i more than a network. a movement. BILLI111G ,5U1//A~~Y 080008245 Date 2/10/10 Page 5 of 8 Member N 0435488 detail of Current Cbargea Long Distance-Total ....... .......................... 66.1'7', Other Products and Services Total ...................... .8i'3'~ Total Current Charges .................................. 67.001 Payient History Total charges due last billing ......................... .00 Adjustments through 2/10/10 ........................... .00' Past due ............................................... .00~ A~oant Dae '~j~ Past due ............................................... ~„ _ Total current charges ......................... ...... TOTAL DUE ... ....................... ~ PLEASE PAY TOTAL DUE•BY 8/07110. ~~ / 0 Call a friend)yy custoMer service aunt at 800.808.6898. Or ', Ma11a9e your Mobile account at credoMObile.coMlMeMbers. Pay !, your bill, check your Minutes, adjust your plan and More. 2009 Tax-Deductible Voluntary Donation 8.65 ~._ - I t~BDO Long Distance dialing Front 12108/09 to 02/07110 ITEMIZED CALLS FOR 717.249.6785 No. Dste Time Location Nu^ber Min TQD AaotNt~ 1 1-12 i2:32PM LAS VEGAS NV 702-306-8858 i.0 D .23' 2 1-12 12:33t'M LAS VEGAS NV 702-516-0613 2.0 D .4$', 3 1-12 1:03PM LAS VEGAS NV 702-306-8858 1.0 D .23 4 1.12 1:05PM LAS VEGAS NV 702.516-0613 1.0 D .23 5 1.13 11:29AM AUSTIN TX 5i2-502-9804 2.0 D .45 j 6 1-13 1:14PM RSVL MAiN CA 916.789-8800 2.0 D .4~ 7 1-13 1:16PM SAN MONICA CA 3i0-625.8918 18.0 D 4.04 '~ 8 1-13 7:OOPM DETROITLKS MN 218-844-3366 62.0 E 8.81 9 1-13 8:39PM VANCOUVER WA 360-258.1928 6.0 E .85 ', 10 1-13 8:46PM COLFAX CA 530-346-6778 1.0 E .14 11 1-13 8:50PM SANANTONIO TX 210-826-6383 1.0 E .14 12 1-13 9:01PM BLACK MT NC 828-669-3822 5.0 E .64 13 1-14 1:21PM SANANTONIO TX 210-826-6363 4.0 D .90 14 1-14 11:04PM MT VIEW HI 808-968-8203 29.0 N 3.69 15 1-15 5:52PM ALBANY OR 541.704-8880 2.0 E .25 16 1-16 1:17PM VANCOWER WA 360-258-1928 1.0 N .i2 17 1-16 1:28PM LAS VEGAS NV 702-306-3984 2.0 N .23 18 1-16 1:30PM SAN MONICA CA 310-625-8918 5.0 N .58 19 1-24 10:21PM CULVERCITY CA 310-558-3836 27.0 E 3.83, 20 1-26 5:50PM PORTLAND OR 97i-645-8099 2.0 E .29 2i 1-27 12:05PM NWYRCYZN09 NY 347-256-3130 1.0 D 21 22 1-27 5:53PM SAN MONICA CA 310-625-8918 7.0 E 99~ 23 1-27 6:01PM SAN MONICA CA 310-625-6785 1.0 E : 1411 24 1-27 6:02PM SAN MONICA CA 310-625-8918 1.0 E .14~ 25 1-28 9:18AIN ST PAUL MN 651.756-1238 3.0 D .681, 26 1-28 12:05PM GREEN VLY AZ 520-625-5426 4.0 D .90i, 27 1-28 12:11PM GREEN VLY AZ 520-625.5426 4.0 D .90'i - 28 1-28 12:17PM BEVERLYHLS CA 310-281-7651 1.0 D .23', 29 1-28 12:29PM GREEN VLY AZ 520-625-5426 1.0 D .23 30 1-28 12:37PM SAUSALITO CA 4i5-332-3323 3.0 D .68 Quest ions? Ca i t dom. E0d .6398. Mobile +NeMbers can gb to credoisobt Ie . aar/~ieMbers. A 0fIn1PA AA CM1I(IIIl10.~IPP 1(1<1X Mtf-rnnciimar rpnmlo.i nano. with crw-hpep.i in4217M1~1 C'pFl1l1 ~vnF 11 it~o ~REDOM more than a network. a movement. BILGI11i~ SR~/tABY Detail of Current Charges Long Distance Total .. ... .. ...................... 43.52'.. Other Products and Services Total ...................... Total Current Charges .................................. 44 ~OI! Payment History Total charges due last billing ........................ Payments through 3/10/10 .............................. Thank you for your prompt payment AdJustments through 3/10/10 ........................... Past due ............................................... Mount Dae Past due ...... ........................................ Total Current charges .................................. TOTAL DUE .... .. ... .............................. PtEA8E PAY-TOTAL-DUE~BY 4104/10. Thank you for last month's voluntary round-up donation 090000724 Date 3/10/10 Page 5 of 8 Member 8 0435488 ss.L7 88.f7~~CREDIT .Op . 00 '' ~. .00' ~~ ~~ .83IDONATION Call a friend/y custoMer service a0ent at 800.888.83!8. Or ' ,3 ~ +~ Manage our Mobile account at credoMObile.coM/MeMbers. Fa~''~ your bill, check your Minutes, adjust your plan and More. 2009 Tax-Deductible Voluntary Donation 8.65 t~10 Long Distance Billing Front 02 /08/10 to 08/07/10 ITEMIZED CI1LL3 FOR 717.249.6785 No. Date TiMS Location Nu^bsr Min TOD AaouMt~ 1 2-07 10:49PM GREEN VLY AZ 520-825-5426 3.0 E .46 2 2-07 10:52PM PORTLAND OR 971-845-8099 8.0 E 1.22' 3 2-17 11:10AM SAN MONICA CA 310.625-8918 8.0 D 1.93' 4 2-17 9:49PM MILILANI HI 808-823.3829 7.0 E 1.18' 5 2-17 10:48PM TUCSON AZ 520-906-7827 24.0 E . 3.3g'', 8 2-18 8:07PM KNOXVILLE TN 885.591-2159 12.0 E 1.83 7 2-19 4:58PM LAS VEGAS NV 702-516-0813 6.0 D 1.27' 8 2-19 8:25PM BETH~SDA MD 301.941-8929 3.0 E .41 9 2-19 8:59PM SPSTNAPHJC AZ 480-982-2389 2.0 E .31~ 10 2-19 7:01PM SAN MONICA CA 310-825-6918 8.0 E .92'~ 11 2-19 7:40PM KNOXVILLE ~TN 885-591-2159 3.0 E .40' 12 2-19 8:15PM GREEN VLY AZ 520-825-5428 4.0 E .81 13 2-19 8:48PM MT VIEW HI 808-988-8203 14.0 E 2.37 14 2-20 10:25AM SILVER SPG MD 301-518-1009 7.0 N . .80 '' 15 2-20 11:27AM SAN MONICA CA 310-825-8918 13.0 N 1,8~ 18 2-20 12:41PM TUCSON AZ 520-744-8923 2,0 N ,25 '. 17 2-20 12:44PM PORTLANO OR 971-845.8098 2.0 N .2 18 2-20 12:56PM TUCSON. AZ 520-906-7827 5.0 N .8 19 2-20 1:02PM TUCSON AZ 520-906-7827 10.0 N 1.2 20 2-20 4:41PM ALLIANCE OH 330-823-2284 2.0 N .2 2f 2-20 8:07PM LAS VEGAS NV 702-518-0813 2.0 N .2~: 22 2-20 B:tOPM SEDONA AZ 928-282-5198 10.0 N 1.2'~ 23 2-20 9:10PM GRVY MAIN CA 530-913-8288 2.0 N .Z 24 2-20 9:15PM LONGMONT CO 303.702-0371 51.0 N ~ 8.3 25 2-21 8:32PM SEDONA AZ 928-282-5198 7.0 E 1.0~ 28 2-23 7:51PM MILILANI HI 808-823-3829 6.0 E 1.0i Sub- Total ................... ................ .......... ~ 31.57 1 TOTAL ITEMIZED CALLS 31 57 I' Questlonst Cal l 800 . .808.6398. Mob11e ... ........... weMbers can po ,,,. ~l~o credasobl ls.coM~irsMhers ® Printed on chlorine-free, 700% posbconsumer recycled paper with sov-based Ink. ?2009 CREDO . Cana wno Comments ~_~__. _ _ Balance Forward $2,441:00 ~ $2,441.00 01!01/10 - 01/31/10 Personal Laundry Monthy Chg 31 : $51.00 $2,492.00 01H2/10 - 01/15/10 R8B Private Pay 4 $1,136.00 $3,828.00- 01/19/10 - 01/19/10 Payment Check #5850 ~2,4~t1.00 $1,187.00 01/31/10 - 01131/10 Payment Check #5842 - $32:48 $1,154.52 01 /31 /10 - 01/31 /10 Phone -Monthly 1 $33.02 ~!, $1,187.54 01/31/10 - 01/31/10 Sales Tax -Phone-Enhanced 1 $1.98 /~ $1,189.52 02!01/10 - 02!28!10 Room 8 Board Adjustment 28 $1,092.00 TOTAL BAU4NCE DUE: -- __, ~l'"~4og x/9//0 FACILITY NAME RESICENT NAME ACQOW T NUMBER CUMBERLAND CROSSINGS THEODORE T GIAMARIO SCOC~OiD 5 PtEASE RETURN TOP PORTION WITH YOUR PAY6AENT, RETAfN BOt'fOM PORTION FOR YOUR RECORDS Comments 02/14/10 - 02!14110 Co-lns R&B Private Pay 1 $63.21 $63.21 02/15N0 - 02/18/10 Co-lns R&B Private Pay 4 $1,011.60 $1,074.81 TOTAL BALANCE DUE: ~. M ~~q1P FACILITY NAME RESIDENT NAME ACCO~J T NUMBER CUMBERLAND CROSSINGS THEODORE T GIAMARIO SG00010 5 PLEASE RETURN TOP PORTSOt3 WITH VOUR PAYMENT, RETAIN BOTTOM PORTION FOR VOCiR RECORQ$ Coittiments Balarxx Forward 02/17/10 - 02/17/10 Palrtner~t Check ~ 5564 02/28/10 - 02/28/10 Meal Credit 4 03/01/10 - 03/31/10 Service Fee 31 TOTAL BALANCE DUE: $1,017.00 51,017.00 '57,017.00 50.00 $124.00) 5(24.00) $1,044.00 ~' r''~ $1,024.00 (~~~~~~ ,. ~~~ ~ql ~ ACIIiTY NAME RESIDENT NAME ACCOUN7~, NUMBER UMBERLAND. CROSSINGS THEODORE T GIAMARIO I10000Ci5 P~EASF PE7URN TOP ?'CRTlfJN 4vITN VG'UR PAYpfl~NT, RHTAfN BOi-"Qt~.S PPRTION FOR Y'C`iJH ~?ECr]RI7S Comments c 8alarroe Forward X3/01/10 - 03/01H0 Payment Check # 5563 )3/31/10 - 03/31/10 Meal Credit ]+4/01/10 - 04/30!10 Service Fee TOTAL BALANCE DUE: . a. ._~.._ f ~ 51,020.00 31,020,00 x1,020.00 50.00 4 3(24.00) ~ 5(24.00) 30 51,044.00 ;~ 31,020. ~_ /j3I~G 4CiLITY NAME UMBERLAND CROSSINGS RESIDENT NAME ACCOUNt UM THEODORE T G{AMIARIO IL0000~5 V~EAS~ RETUgNTfJP POR'P"i0?d Vd17N YGUn^ ~Al'A-1EihJT. R'FTA6v EtC'TT~Ot/a P~RTtON i~l~R'fLi ri P.ECt~R'JS.i rt Balance Forward 3403.08 3'~ $403.08 TOTAL BALANCE DUE: ~ ~~~a~c~ THIS ACCDUNT NAS NO DOU6T ESCAPED TOUR NOTItE PLEASE SEND PAYMENT iMMERIATEIY ~z 9~~ FACILITY NAME RESIDENT NAME ACC NT NUMBER CUMBERLAND CROSSINGS - .THEODORE? GIAMARIO ILQ0010 Pt£ASE R£TUAt3TOP PORTIONlM1THY0UR PAYMENT. RETAtN 8OT1'OFd PORTION FOR YOUR RECORDS In Your Home Care 19 South Hanover St. Suite 108 Carlisle, PA 17013 Bill To: Mr. Theadore Giamario, C/0 Mr. Thomas Giamanio, POA 9001 Crests Drive Los Angeles CA 90035 Description Care Service: 02/18/10 -Jodi Giant 11:00 P - 6:00 A Thank you for droos~ti~g IA/ YOUR XQAIECAR6! Phone # Pax # &Mall ?17-243-5080 717-243-6950 infopinyourhomecares.com In~~i ce Invoice #, 7112001 Invoice Dat+e~ 2/22/2010 "DON'T,~T~YHOME WITI•IO~T' US!" Nouns/Qty Mate .Amount 7 17.50 122.50 rl ~,~~~ Q' ~(~1,~ Total Ip '~. $122.50 Balance Dui ' , DUE UPb11~1' CEf ~, ~!. ~~r 2009 FEDERAL FILING INSTRUCTIONS CLIENT 1246A THEODORE T. GIAMARIO ~27i~o ELECTRONICALLY FILED: FORM 1040 - 2009 U.S. INDIVIDUAL INCOME TAX RETURN THE ABOVE TAX RETURN WILL BE ELELTRONICALLY FILED WITH THE INTERNAL REVENUE SERVICE UPON RECEIPT OF A SIGNED FORM 8~~~='2R5 E-FI4.~' SIGNATURE AUTHORIZATION. SIGNATURE: SIGN AND DATE THE FOLLOWING FORMS: FORM 8879 - IRS E-FILE SIGNATURE AUTHORIZATION. FORM TO FILE: FORM 1040-V - 2009 PAYMENT VOUCHER PAYMENT: THERE IS A BALANCE DUE 0;1~u1~.. PAYMENT CAN BE MADE BY CHECK', ~R, FOR A FEE, BY CREDIT CARD. TO PAY BY CHECK, MAKE YOUR CHECK PAYABLE TO THE "UNITED STATES TREASU Y". WRITE YOUR SOCIAL SECURITY NUMBER, Rm~~ "2009 FORM 1040" ON THE CHECK. D N ATTACH THE CHECK T4 ~ RM 1040- PL CE IT LOOSE IN THE ENVELOPE AND ALSO ENCLO$~ FORM 1040-V. TO PAY BY CREDIT CARD, CALL 1-888-729-1040, 1-888-972.9829, OR 1-888-872-9829 TOLL FREE, AND FOILOW THE RECORDED INSTRUCTIONS.'. RETAIN THE CONFIRMATION NUMBER GIVEN DURING THE CALL WITH YOUR RECORDS. WHEN TO FILE: ON OR BEFORE APRIL 15, 2010. WHERE TO FILE: IF PAYING BY CHECK: INTERNAL REVENUE SERVICE CENTER P.O. BOX 7704 SAN FRANCISCO, CA 94120-7704 19~~~~ ~,s~,o 103.12-3668 .~~... o9:i~n~ IF PAYING BY CREDIT CARD: