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Home My WebLink About10-18-11J 1505611184 REV-1500 Ex (oz-ii)(FI) j PA Department of Revenue pennsYlvania Bureau of Individual Taxes OFI~gTNENi OF q[VENUF PO BOX 28o6oi INHERITANCE TAX RETURN Harrisbur , PA i iz8-o6o1 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY D ~ , v ate of Blrth MMDDYYYY 171-24-2546 07182010 Decedent's Last Name 0513193 0 Suffix Decedent's First Name BOAKE MI D JEAN (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE FILL IN APPROPRIATE OVALS BELOW REGISTER OF WILLS ® 1 Ori final R t 9 e urn O 2. Supplemental Return O 4. Limited Estate O 3. Remainder Return (date of death O 4a. Future Interest Compromise (date of death after 12-12-82) prior to 12-13-82) O 5. Federal Estate Tax Return Re ui d ® 6. Decedent Died Testate (Attach Copy of Will) O 7. Decedent Maintained a Living Trust q re ~ O 9. Litigation Proceeds Re i (Attach Copy of Trust) 8. Total Number of Safe Deposit Boxes ce ved O 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) O 11. Election to tax under Sec. 9113(A) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDEN N ( ame CE AND CONFIDENTIA L TAX INFORM AT ON SHOULD BE DIRECTED T0: EDITH A . BOAKE Daytime Telephone Number 814-238-0182 First line of address 3002 BROADMORE LANE Second line of address City or Post Office STATE COLLEGE OFFICIAL USE ONLY County Code Year File Number ~~..--I I ~ ~ sr 1 ~~ State ZIP Code PA 16801 REGISTER @Fj WILLS USE ONLY _ _. '~-t a~ =, ,- -,- C-) ___; .-; ~.. ~-- -~- m _.. C, , '_ J E FILED ° ° - I=T-, . ~ ~, ~~; -~ Correspondent's a-mail address: Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON SP c,-= RE ,,(]AI&fBt$ FOR FILING RETURN 3002 BROADMORE SIGNATURE OF PRFaaaFa n NE, STATE COLLEGE, PA 16801 THAN REPRESENTATIVE . ~ , ~. - . ~~ ~.~~ DATE ADDRESS /~ /~ , 2182 SANDY DRIVE, STATE COLLEGE, PA 16803 PLEASE USE ORIGINAL FORM ONLY L 1505611184 Side 1 1505611184 J 1505611284 REV-1500 EX (FI) decedent's Name: D JEAN BOAKE Decedent's Social Security Number RECAPITULATION 171- 2 4- 2 5 4 6 1. Real Estate (Schedule A) ............... ......................... 2. Stocks and Bonds (Schedule B) ............ ..... 1. 138,200.00 .......... ........... 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 2. 3 1, 207.70 . .... . 4. Mortgages and Notes Receivable (Schedule D) ...... • ................. .... 4, 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)... 5 • 6. Jointly Owned Property (Schedule F Requested 7 o l .... . 35,396.40 ... . Inter-Vivos Transfers 8 Miscellaneo s No n-P obate Pr p erty (Schedule G) .... 6. • O Separate Billing Requested... . . 7 8. Total Gross Assets (total Lines 1 through 7) ....... .. , 14,391.05 .... . .............. 9. Funeral Expenses and Administrative Costs (Schedule H) ... 8. 189, 195.15 ................ 10. Debts of Decedent, Mortgage Liabilities, and Liens (Sched l I ... 9. 37, 645.24 u e ) ........... 11. Total Deductions (total Lines 9 and 10) ....... .. . 10. 51, 770.95 ....................... 12. Net Value of Estate (Line 8 minus Line 11) ...... ... 11. 8 9 , 416.19 .............. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not be 12 99 ~ 778 • 96 en made (Schedule J) ...................... .. 13 14. Net Value Subject to Tax (Line 12 minus Line 13) , 4 , 6 0 5.72 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable 14 95 , 173 .24 at the spousal tax rate or , transfers under Sec. 9116 (a)(1.2) X .0 0 0 16. Amount of Line 14 taxable ~ 15. 0 . 0 0 at lineal rate X .0 4 5 17. Amount of Line 14 taxable 95 , 173.02 16. 4 , 282.79 at sibling rate X .12 18. Amount of Line 14 taxable ~ 17. at collateral rate X .15 ~ • 18. 19. TAX DUE ................. • ...................................... . 19. 4, 282.79 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVER PAYM ENT O L 1505611284 Side 2 1505611284 J REV-1500 EX (FI) Page 3 Decedent's Complete Address: File Number 21-10 - 0 810 D JEAN BOAKE STREETADDRESS _---. --- __------ ------___-_ - - _ _ -- - - - 922 Allenview Drive ciTV - ------------------ Mechanicsburg Tax Payments and Credits: 1 • Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 3. Interest ---- - i STATE -- - - TZIP --_-_-_------- - PA ~ 17055 4,200. 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. Total Credits (A + B) (2) (3) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (4) (5) Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: a. retain the use or income of the property transferred :............... No b, retain the right to designate who shall use the property transferred or its income : ............................................ ^ c. retain a reversionary interest .......................................................................................................................... ^ 0 d. receive the promise for life of either payments, benefits or care? ...................................................................... ^ 0 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death ^ without receiving adequate consideration? .............................................................................................................. ^ 3. Did decedent own an "in trust for" orpayable-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? ....................................................................... 82.79 ................................................. C] ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviv' is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. Ing spouse For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the survivin souse [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 disclosure o filing a tax return are still applicable even if the surviving spouse is the only beneficiary, g P Is 0 percent f assets and For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural ar adoptive parent or a stepparent of the child is 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 4.5 percent, except as noted in 72 P.S, P ent, an • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a) (1.3)]. A sib§91 is(d)(1')] under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. g efined, 4,282.79 4,200.00 REV-1502 EX+ (01-10) pennsylvania SCHEDULE A DEPARTMENT OF REVENUE /'~ INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT CPT~l~ w~n~C ~-r ESTATE OF D JEAN BOAKE FILE NUMBER All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is~defiOnd asOthe price at which propert would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. y ITEM Attach a copy of the settlement sheet if the property has been sold. NUMBER Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE DESCRIPTION OF DEATH i. House at 922 Allenview Drive, Mechan sci burg, pA 17055, Upper Allen Township 138,200.00 TOTAL (Also enter on Line 1, Recapitulation. If more space is needed, insert additional sheets of the same size. ~ $ 13 8 , 2 0 0 . 0 0 REV-1503 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ~- NUMBER DESCRIPTION ~ One 1 ---- ( ) $25.00 United States Series E Savings Bond issued May, 1943 (See attached summary) 2• One (1) $25.00 United States Series E Savings Bond issued Jan, 1942 (See attached summary) 3• One (1) $100.00 United States Series EE Savings Bond issued Jul, 1994 (See attached summary) 4• One (1) $100.00 United States Series EE Savings Bond issued Nov, 1994 (See attached summary) 5• One (1) $100.00 United States Series EE Savings Bond issued Apr, 1995 (See attached summary) 6• One (1) $100.00 United States Serie Bond issued Au s EE Savings 7 g, 1995 (See attached summary) One (1) $100.00 United States Series EE Savings Bond issued Jan, 1996 (See attached summary) 8• One (1) $100.00 United States Series EE Savings Bond issued May, 1996 (See attached summary) 9• One (1) $100.00 United States Series EE Savings Bond issued Oct, 1996 (See attached summary) 10. One (1) $100.00 United States Series EE Savings Bond issued Mar, 1997 (See attached summary) 11. One (1) $100.00 United States Series EE Savings Bond issued Jul, 1997 (See attached summary) 12. One (1) $100.00 United States Series EE Savings Bond issued Dec, 1997 (See attached summary) 13. One (1) $100.00 United States Series EE Savings Bond issued May, 1998 (See attached summary) 14. One (1) $100.00 United States Series EE Savings Bond issued Sep, 1998 (See attached summary) SCHEDULE B STOCKS & BONDS ESTATE OF ESTATE OF D JEAN BOAKE FILE NUMBER All property jointlyowned with right of survivorship must be disclosed on Sched le F.10 - 0 810 ITEM TOTAL (Also enter on line 2. Reraniri~~~r~~.,, ~ ~ VALUE AT DATE OF DEATH 100.91 94.35 93.68 92.40 91.52 86.28 84.00 83.00 82.16 80.28 82.56 80.32 78.40 77.84 (n more space is needed, insert additional sheets of the same size) I 1 ~ L U / ~ / U REV-1508 EX+ (~ 1-10) Pennsylvania SCNEDVLE E DEPARTMENT OF REVENUE CASH BANK DEPOSITS & MISC INHERITANCE T AX RETURN . RESIDENT DECEDENT PERSONAL PROPERTY ESTATE OF: ESTATE OF D JEAN BOAKE FILE NUMBER: 21 - 10 - 0 810 Include the proceeds of litigation and the date the proceeds were received by the estate All property jointly owned with i ITEM . r ght of survivorship must be disclosed on Schedule F NUMBER . ~ DESCRIPTION VALUE AT DATE . 2• Cash in decedent' S pOSS2SS10n at t1mP. O dea h Content OF DEATH s of the decedent's residence at 922 Allenview Drive, Mechanicsbur PA 0.00 3• g, sold at auction Contents of the decedent's residenc 701.77 e at 922 Allenview Drive, Mechanicsburg, PA donated to Salvation Army 4 605.72 ' 4• 5• 2001 Honda Odyssee sold 1/4/2011 Regular share s t s, Pennsylvania State Employees Credit Union, Account N 4,500.00 6• o. 171242546 (see exhibit Vacation shares, Pennsylvania Stat 14,175.86 7 e Employees Credit Union, Account No. 171242546 (see exhibit • Checking account, Pennsylvania State Employees Credit Union Accou t 21.25 8• , n No. 171242546 (see exhibit Escrow Account, Pennsylvani 10,038 96 a State Employees Credit Union 1712425465 . 1,352.84 TOTAL (Also enter on Line S Ror-~,,;+,.~~~;,...~ It more space is needed, use additional sheets of paper of the same size. V 'v"/ ~ 35,396.40 REV-1510 EX+ (08-09) ~' Pennsylvania SCHEDULE G ~1 DEPARTMENT OF REVENUE INTER VIVOS TRANSFERS & INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF ---- ---__ _-_- ESTATE OF D JEAN BOAKE FILE NUMBER This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-15 OOCOUOER SHEOET is yes. ITEM DESCRIPTION OF PROPERTY NUMBER INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIPTO DECEDENTAND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. 1. IRA State Street Bank & Tr'USt CO CUSt VALUEOFASSET INTEREST pFAPPUCneLe) VALUE for Lord Abbett - 1,492.847 shares of Affiliated A Fund, symbol LAFFX NAV 9.64 on 7/16/2010 4,391.05 100 1 ,391.05 TOTAL (Also enter on line 7, Recapitulation) E (If more space is needed, insert additional sheets of the same size) 14 , 3 91.0 5 REV-1511 EX+ (10-09) Pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS _ RESIDENT DECEDENT ESTATE OF ------__ ESTATE OF D JEAN BOAKE ITEM Debts of decedent must be reported on Schedule I. NUMBER -~_ A. FUNERAL EXPENSES: DESCRIPTION ~' Koch Funeral Home-burial expenses 2• Mayes Memorials, Inc. - marker for grave site 3• Centre Hills Country Club-Memorial luncheon FILE NUMBER 21-10-0810 AMOUNT 4,708.03 1,200.00 1,490.64 B. ADMINISTRATIVE COSTS: ~~ Personal Representative'sCommissions Name of Personal Representative(s)Edith A. BOake StreetAddress 3 0 02 Broadmore Lane -- cityState College ---- State PA ZIP 16 8 O 1 Year(s) Commission Paid: 2 011 ---- --"----_ 2~ Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant StreetAddress ~- City ~- State _ Zlp Relationship of Claimant to Decedent 4. Probate Fees 5 Accountant's Fees ti. Tax Return Preparer's Fees ~. Settlement costs on sale of residence 8• Patriot News-publication of death notice 9• Cumberland County, Register of Wills-letters 10. Administration expenses per attached list TOTAL (Also enter on li 9en R aec pitulation) S (If more space is needed, insert additional sheets of the same size) 5,000.00 450.00 1,700.00 15,577.50 190.73 327.50 7,000.84 37,645.24 REV-1512 EX+ (12-08) Pennsylvania SCHEDULE I DEPA R7MENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF ESTATE OF D JEAN BOAKE FILE NUMBER Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unre mbarsed medical expenses. ITEM NUMBER DESCRIPTION VALUE AT DATE i. Mortga e - p ---- OF DEA 9 ennsylvania State Employees Credit Union Account No. 1712425465 TH 2. Real Estate Equity Loan-Pennsylvania State Employees Credit Union 38,730.38 3• 4• VISA-Pennsylvania State Employees Credit Union Youn s di 10,507.86 5 g me cal equipment 02 784.83 • 6 Centre Medical Surgical Associates pC 143.10 • , Guillard Medical Group Inc 128.38 7• . Mount Nittany Medical Center 27.70 8• Mount Nittany Medical Center 18.19 9• 10 Centre Medical Surgical Associates pC 18.97 . 11 , Lehigh Valley Health Network 11.08 . 12. Centre Medical Surgical Associates, PC Unit d 50.00 e Water 38 66 13. Verizon . 38 34 14. AARP Healthcare . 36 69 15. Comcast . 35 40 16. Pennsylvania Power & Light . 58.80 17. 922 Sewer bill 69 37 18. Allenview Homeowners Association . 112.00 '19• Department of the Treasury - US Bond 292.00 repayment 669.20 TOTAL (Also enter on Line 10. Recanir~~iar~,,,,~ ~ e it more space is needed, insert additional sheets of the same size. 51,770.95 REV-1513 EX+ (01-10) ~' Pennsylvania ~^~7 DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OFD SCHEDULE BENEFICIARIES ESTATE OF D JEAN BOAKE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).j 1. Felix John Boake III 573 Westgate Dr State College, PA 16801 2. Gregory Waldren Boake 5472 Roslyn Ave Indianapolis, IN 46220 3. Edith Anita Boake 3002 Broadmoor Lane State College, PA 16801 FILE NUMBER: 21-10-0810 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not List Trustee(s) OF ESTATE -~_ Son I One-third Son I One-third Daughter I One-third ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, IS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1• Salvation Army-household goods, clothin books, paintings-listed on schedule g g' furnishings 4 605.72 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. If more space is needed, use additional sheets of paper of the same size. $ 4 ~ 6 0 5.72 I ~ ~ a ~ ~ U Q ~.~ pct,OU~Q C~ '" w~a~~w ~ Q ~ W H W ~ a ., W ~ J ,--~ ~ a~ W W ~,". ~"' ~O ~ ~ e ~ o ~ ~~ °~~ ~~ ~ ~ ~ M N ° F+U~J a+M 0 o gj c~ U ~, vl .C ' ~ Q cv "~ .~ ai Gar w ~ ~ 4 ~ a o ~ ~~~ o ~ z W Wh ~ ~ ~ a..~ ~ ~ U W r----' __ REGIS T Ef=c OF iN'-LLS CUN6BE,~,LAND COUNTY PENNSYLVANIA GRANT OF LETTERS No . 2010- 00810 PA No . 21- 7 0- 0810 Estate Of: DJEANBOgICE /First, Middle, LasU ------- La to Of : UPPER ALLEN TOWNSI~IP CUMBERLAND COUNTY Deceased Soci a1 Securi ty No : 171-24-0527 WHEREAS, on the 10th day of August 2010 an instrument dated May 16th 2001 was aamitted to probate as the last wi_Z1 of D JEAN BOAKE /Flat, Middle, LasO late of UPPER ALLEN TOWNSHIP, CUMBERLAND County, whe died on the 18th day of July 2010 and, WrIEREAS, a true copy of the will as probated is anne}:ed hereto. THEREFORE, I , GL ENDA FA RNER S TRA SBA UGH Register of Wi11s in and for CUMBERLAND Coon ty, in the Commonwealth of Pennsyl vani a, herer~y certi fy that I have this day granted Letters TESTAMENTARY to: EDITH A BOAKE who has duly qualified as EXECUTOR(R/X) and has agreed to administer the estate according to law, all of which fu11y appears of record in zny office at CUMBERLAND CDUNTy COURT HOUSE, CARLISLE, PENNSYL VANIA. TIV TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 10th da y of August 20 90. ~, ~ ~-, - i Reg/s7er oI INiIIs Deputy ~1 LAST WALL ANI) TESTAMENT ®F B. JEAN B®AI~E I, }~. JEAN B~A]KE, noun domiciled in Cumberland. County, Pennsylvania, declare this to be my Last Will and Testament. I revoke all other wills and codicils that I may have previously made. Article I My just debts and expenses of my last illness, funeral, and administration of my estate shall be paid by my Executor from the principal of my residuary estate as soon as practicable after my death. Article II All inheritance, estate; and succession taxes (including interest and penalties thereon, but not including an_y generation skipping tax) payable by reason of my death shall be paid out of and be charged generally against the principal of my residuary estate without reimbursement from any person. This provision is not a waiver of any right which my Executor has to claim reimbursement for any such taxes which become payable as the result of an}~ property over which I have the power of appointment. Arta----cle III I gl~'e, devise and bequeath in accordance with any memor handwritten or signed located with m andurn which I have either y will or with my valuable papers and found within 30 days of the probate ofmy will. Gifts may only be to persons who survi at my death, and if there is a conflict, the memora ve me or to organizations which exist ndum having the Iatest date shall govern. Article IV All the rest, residue and remainder of my estate, of whatsoe situate, I give, devise and bequeath IN E vc,r nature and wheresoever QUAL SHARES to my childrer.~, I+~LIA J. ~~A~ of State College, Pennsylvania; ~ ,III, ~~®~~ ~• ~QAK~, of Williams Bay, Wisconsin; and EDI~'~A, ~~AK>v, of Bensalem, Pennsylvania. If one of my beneficiaries predeceases me or fails to survive give, devise and bequeath the share ha/she would hav me by thirty (30) days, I e recen~ed to my remaining beneficiaries who sun~ive me by thirty (30) days, PER CAPITA, hTOT PER STIRPES. Art- ic-- let! I nominate, constitute, and appoint my daughter, ~DIT~I A. Last Wi11 and Testament. In the event of the z'enun ~ ~~A)(~E as Executrix of my ciat~on, death, or inability to act, for any reason whatsoever of my Executrix, I nominate, constitute and a oint pp my sons, F,~~ IX J. BOAKE, III and ~R.EGOIiY ~, ~®A as successor Co-Executors ofm y Last ujill and Testament. I direct that my Executrix or successor Co-Executors be permitted to serve without bond and in addition to those powers granted by law, I grant them power to distribute in cash or in kind in like or in unlike shares and to file any qualified disclaimer I could leave filed if living. Iti7}~ Executrix or successor Co-Executors shall receive reasonable compensation for services rendered to my estate. Article VI In addition to the powers conferred by law, I authorize my Executrix and successor Co- Executors, in his/her absolute discretion: (a) to retain in the form received and to sell either at public orprivate sale, any real estate or personal property except that which I specifically bequeath herein, (b) to manage real estate, (c) to invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification, (d) to exercise any option or right arising from the ownership of investments, (e) to compromise claims without court approval and without consent of any beneficiazy, (f) to file any federal income tax return for any year for which I have not filed such return prior to my death, (g) to make distributions in cash or in kind, or in both, and to determine the value of airy such property, (h) to employ any attorney, investment advisor, or other agent deemed necessary by my Executor; and to pay from my estate reasonable compensation for all their services, -3- (i) to conduct alone or with others, any business in which I anz engaged in, or Have an interest in at time of my death, and (j) to receive xeasonable compensation in accordance with their standard schedule of fees in effect while their services are performed. IN WITNESS WHEREOF, I, D. SEAN ~C~A.I~, hereby set my hand to this my Last Will and Testament, on %~ ~,c ' /~ ?001, at Harrisburg, Pennsylvania. i In our presence, the above-named I~. JLAN B®A.KE signed this and declared this to be her Last Will and Testament and now at her request, in her presence, and in the presence of each other, we sign as witnesses. Name ~- ,/~ Address / / -4- ~'iiliilii~ A. Settlement Statement (HUD-1 OMB ApprovallVo,2502-0265 --~~ ) 1. ^ FHA 2. ^ RHS 3. XQ Conv. Unins. 6. File Number: 7. Loan Number: 8. Mortgage Insurance Case Number 11-01-6-18253 1104052428 4. Q VA 5. Q Conv. Ins. I C. Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agents are shown. Items marked "(p.o.c)" were paid outside the closing; they are shown here for.informationa( purposes and are not included in the totals. D. Name 8 Address of Borrower: E. Name 8 Hddress of Seller: James W. Walker, Lyieann W. Walker F. Name 8 Address of Lender: Estate of D. Jean Boake USAA Federal Savings Bank 93 Gaples Way, Jackson, NJ 08527 922 Allenview Drive, Mechanicsbur , PA 17055 9 10750 McDermott Freeway, San Antonio, TX 78288 G. Property Location: H. Settlement Agent: 922 Allenview Drive I. Settlement Date: 05/25/2011 Barristers Land Abstract Company Disbursement Date: 05/25/2011 Mechanicsburg, PA 17055 3310 Market Street, Camp Hill, PA 17011 Upper Allen Township Telephone: 717-761-6190 Far,: 717-761-0072 Place of Settlement: TitleExpress 3310 Market Street, Camp Hill, PA 17011 Printed 05/24/2011 at 4:58 pm by LM a 100. Gross Arnount Due from BorrdweY ,ann r~„~~ n., 102. Personalorooert 1 D3. Settiemenl charges to borrower (line 1400) 104. 105. Adjustments for items paid b seller in advance tOn Cityllown taxes to 107. County faxes 05!25/2011 to 12!31/2011 108. School Taxes 05/25/2011 to 06;3012011 109. Sewer 05!25/2011 to 06130!2011 1 i0. HOA Dues 0 512 5/2 0 1 1 to 05/31/2011 1111. 112. 120. Gross Amount Due from Borrower 200. Amounts Raid'by or in Behalf ofBorrower 201. Deposit or earnest money 202. Principal amount of new loanjs) 203. Existing loarxsl taken subject to 204. 205, 200. 207. Processing Credit f=ee 208. Paoe 2 credit from seller"` 209. 74 402. Personal 404. Ad ustments for items aid by seller in advance 400. Cityllown taxes to 274.58 407. County taxes 05/25/201ito 12/31/2011 157.19 408. School Taxes 05!25/2011 to 06/30!2011 45.54 409. Sewer 05/25/2011 to 06/30/2011 22.83 410. HOA Dues 05/25/2011 to 05!31/2011 411. 412. 144,964.88 420. Gross Amount Due to Seller 110,560.00 502. Settlement charges to seller (line 1400; 503. Exisiinq Ioanls) taken sublect to - 504. Payoff of first mortgage loan to PSECU 505. Payoff of second mortgageloan 506. 350.00 507. 700.00 508. Page 2 credit from seller"` 509 274.58 157.19 _45.54 22.83 138,700.14 15,577.50 36.5£'2 0~7 Adjustments for items unpaid by seller j 21G. Ciiy/town taxes Ad ustments for items unpaid b seller - 211. io County taxes 510. City/town taxes to 212. to School Taxes 511. County taxes to - 213 to 512. School Taxes to - ''~4 513. - 215. 514. - 515. - 216. 516 - 217. . 218. 517. - 2?9 518. - 220. Total Paid bvlfor Borrower 112,610.00 519. 520. Total Reduction Amount Due Selle - 300. Cash at Settlement fromlto Borrower r 52,859..52 301. Gross amount due from borrower line 120 ( ) 144 964 Sb 6110. Cash at Settlementtdlfrom'Seller -' 102, Less amounts paid bylfor borrower (line 2201 , . 601. Gross amouni due to seller line 4201 ( f36,70G.14 112,610.00 602 Less reductions in amouni due seller (line 520j r - {D3. _ Cash ^X From ~ To Borrower 32,354.85 603. Cash ^X To ~ From Seller , 52,85.,.02 85 840 ien,e o,oas. un:,° . N„ rniy.~nn'orwe cndoii oen~ suers no cunioeni,ai~~iy rs a::„rea;~n:'~ ascn ~~re rs m~a~dam,~ `4ms uea :apne a m a " "aeena ma.no co,o ms ,.. o,ma a provide Ise Varl,es ,o a RESYq coveretl vensac n mil, mlonnanon dorms ,n. , .62 mea .vious editions are obsolete Page 1 of 3 HUD-] p r ~ / ,_ e-u~~in.- ,u. Total Real Estate Broker Fees $8,197.OD Division of commissiod(Iine700Fasfollows: Paid From Raid From 701. $3,847.00 to ReMaxRealtyAssociates Borrower's Seller's 702, $4,350.00 to HOWARD HANNA REAL ESTATE -Funds at Funds-at 703. Commission paid aI setllemenl 'Settlement Settlement 800. Items Pa able in Connection with Loan 225.00 7,972.00 801. Our origination charge (Includes Originaiion Point % or $0.00) $ 802. Your credit or charge (points) for the specific interest rat h (from GFE #1) e c osen $ 8D3. Your adjusted origination charges (from GFE #2) 804. Appraisal fee (from GFE A) BO5, Credit report to ServiceLink (from GFE #3) 290.00 to CSC 806. Tax service (from GFE #3) 14.00 to First American Tax Service 807. Flood certification (from GFE #3) 80.00 fo First American Flood Data Services 808. Processing Fee (irom GFE #3) 5.25 (o USAA Federal Savings bank (from GFE #3) 685 00 900. Items Required b Lender to be Paid in Advance . 901. Daily imerest charges from from 05/25/2011 to 06/01/2011 @ $17 2750/da . y 90% Morgage insurance premium for months to (from GFE #10) 120.98 903. Homeowner's insurance for (from GFE #3) h mont s to USAA $465.43 P.O.C.IB')(from GFE #11) 904. months to (from GFE #11) 1000. Reserves De osited vvith~Lender 1001. Initial deposit for your escrow account 1002. Homeowner's insurance 3 months n $ 38.79/month $116.37 (from Gr"E #9) 1,519.68 1003. Mortgage insurance months $ 0.001month $ 1004. Property taxes months n $ 0.00/month $ 1005. County Taxes 4 months n $ 37.04lmon(h $148.16 ~ 1006. School Taxes 12 months (~ $ 126.641month $1,519.68 ~ 1007. Aggregaie Adjustment $_264 53 1100 Title Charges i 1n'. rnA ~a,,,~~o~ ~.,,~ ~,.~,. - i 1102. setllemenl or closing lee - to $ (from GFE #41 1,200.88 1103. Owner's title insurance -First American Title insurance Co -Hbg 1104. Lenaer's line insurance -First American Title insurance Co -Hbg $1,097.38 (from GFE #5) 126.00 1105, Lender's tide policy limit $110 560.00 Lender's Folicv , 1106. Gwner's title policy limit $138,200.00 Gwner s ?oiicy 110i . Aeen('s portion of the rota) (itie insurance premium $1,033.54 1108. Underwriter's portion of the tot l titl i a e nsurance premium $189.84 1109. 1200. Government Recordin and Transfer Char e g s 1201, Governmen( record!ng charges $ 1202. Deed $62 00 (from GFE #7) 166.00 . Mongaoe $104.00 Release $ 1203. Transfer taxes $ 1204. CitylCounty taxistamps Deed $; 382 00 (from GFE #8) 1,382.OD , . Mortgage $ 1205. Slate 7ax/stamps Deed $1,382.00 Mortgage $ 1206. Deed $ Mortgage $ 1207 ,,3&2.00 . $ 1300. AdditionalSettlementChar es '301. Required services ina: you can shop for 1302 Survey (irom GFE #6) to $ 1303. Home, Radon & Fest Inspection to Housemasters $ 1304. Sewer -April Through June to Upper Allen Township Authority $450.00 P.O.C.(B") 1305. Overnignf Fee (Payoff to Barristers Land Abstract Postage - Hbq 112.00 ?300. Notary Fee to Joyce Ehrich $ i3.00 1301. Reimbursement for Tax Cerl to Barristers Land Abstrac( General - Hbq 10.00 1308. Escrow for Inheritance Taxes to Barristers Land Abstract Escrow -Hbo 10.00 1309. Resale Ceh to Ahenview HOA 5,D00.00 1310, inifiaiionree-HOA to Ahenview Homeowners Association., Inc. 75.OC 15 1311. Quarterly HOA -June-Aucusf to Ahenview HOA 0.00 i312. 201 i County/Twp Taxes to Dennis Zeroe, Tax Oohector 30400 1313. Escrow Fee io Barristers Land Abstract General - Hbq 4J3 501 - i314. Home Warranty to First Amerman Home Buyers Protection 1 25.00, 1315. Deed Prep Fee to Rivedronf Settlemeni Services 400.00 ~'PT~~we~s~a~ 125.00 - ,. _ ~ ~>- n --rsar:- _ ~::, rv - ~ 6.264.74 15,577.50 '°aid outside o! closiny by (B)orrower, (B)elle:, (L)ender, (I)nvestor, &o(K)er, "Credit by lender shown on page 1. "'Credit by seller shown on page i. rrevious editions are obsoiece FI U ~9' ~ ~ ~~ ? f of Good Faith Eshmate~(GFE) antl HUC harp s"` ~ ` ~~a ~~~ ~~,~ Good>Faithr~suii;a. ~H(1q=1~~t ,escThat}Cannot~lncrease~z ' >~ ~~'~IUD,1,L~ne}~tumber x ,,; ,~Foggmafion,chargg~#~.'~~,~x ~si~ *~ 80- s :'t1r~. ~'~ .~~3~`Qa.~- !~~ 0 DO 0.00 ~F~our credit°o0cltarge~(po~nts) fid„r,~tt~e,~speafictmg~e~~rat, cnose~y~~,~~80 ,~,~. , 0.00 0.00 ~You~adt~isted~ongmation charges#~ ~ v~ ` 0~ ~ ,„ °~TransfeT;taxes`,~ra.~'`~ ~~., ,.y ~ .«~a ~~ 3 ~ ~"'~ 0.00 0.00 - ~Q. ~ 0.00 1,382.00 Go'~o`,~Faithb~stimafe ~'' 0.00 tHUD`1 ~', g~'~; 1,519.68 0.00 120.93 0.00 46:.43 0.00 1,200.88 0.00 12E.00 Loan Terms _vious edition; are obsolete Page 3 of 4 HUD-? ~.. F F F / ~Le: it you nave any questions about fne Settlement Charges and Loan Terms listed on this iorrr;, please contact your lender. HUD CERTIFICATION OF BUYER AND SELLER carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and .~oursements made on my account or by me in this transaction. I further certify that I have received a copy of the HUD-1 Settlement Statement. ~l ~/ ~~ % !~(~ ~ ~ ~ James N.:Walke~ ~ -• `~~ ~\-~'~~~_~~ ~, Lyleann W. Walker - • .,~~•~ ueuar~s®r- _~~-~~~~ ~~ ,~~.4-icy ~~~c -stare of D. Jean Boake went Edith F,. Boake, Executrix 7 -1~ii rt~lriI~17 ~'STTiT he HUD-1 Settlement Statement which I have prepared is a true and accurate account of thrs transaction. I have caused or will cause the funds to be ~sbursed in accordance with this statement. ~, .',~ ~~~~ TT~ @NT GENT ~ ~~~ DATE ~ - NING: IT IS A CRIME TO Y.NOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANl' SIMILAR FORM PENALTIES UPON DICTION CAN INCLUDE A FINEAND IMPRISONMENT. FOR DE.AILS SEE TITLE 18; U.S. CODE SECTION 1001 AND SECTION 1010. ous editions are obsolete Paoe 4 of 4 HUG-1 ~~ / ~~ SELLER'S .4Nll/OR BORROWER'S STATEMENT File No. 11-01-6-18253 I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements made on rnyaeeount or by me in this transaction. I further certify that ?have received a copy of the HUD-] Settlement Statement. BORROWERS: ~ ~. lti/ ~~___._ ~'am¢S 4' Walf~cer ~~ r ~~~ Lyleann V1'. Walker SELLERS: ~~~ ~. ~o~ ~~ . Estate of ll. Jean Boafee To the bat of my knowledge, the FND-1 Settlement Statement which I have prepared is a true and accurate account of the funds which were received and have been or will be disbursed by the undersigned as part of the settlement of this transaction. BARRISTERS Nll ABSTRACT C~O,M~I'AN] ~~~~~c;~.~ ~ ~ Settl en Agent Date WARNING: It is a crime to knowingly make false statement to the United States on this or any other similar form. Penalties upon conviction can include a fine and imprisonment. For details see: Title 18 iJ.S. Code Section 1001 and Section ] 010. SUBSTITUE FORM 1019 SELLER STATEMENT The information contained here in is important tax information and is being furnished to the Internal Revenue Service. If you are. required to file a return a negligence penalty or other sanction will be imposed on you if this item is required to be reported and the IRS determines that it has not been reported. The Contract Sales Price described on line 401, Page 1 constitues the Gross Proceeds of this transaction. You are required by law to provide the settlement agent (Fed Tax ID No: 25-17220901 with your correct taxpayer identification number. If you do not provide your correct taxpayer identification number, you may be subject to civil or criminal penalties imposed by law. Under penalties of perjury, I certify that the number shown on this statement is my correct taxpayer identification number. r-7/ TIN: 'r'te- - 25' -LS ~ Seller Signature: ~~i~-- y® /~U~ ~~'~, T1N: TIN: Tl?v Seller Signahire: Seller Signature: Seller Signature: A-~ ~ ~~~ O O N_ O O (Q a` ~~ N~~ O I.L ~ L ~ (li U ~ Q C U, C C m ~i ~ ~ ~Ix I~ jx ~ i ~ I~ x I* I* I* i* I* VI ZI I I I i i I I I ~~~+ ~ I I I ~. ch N V'!~71~j~ Qjl~ ~ ~ ~IO O r` r ti ~ O1 ,.. 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I O I ' r- i O N~ I (~ fit' CO V f` S L.C) O r ~ COI (O O V! ~ Rl~i(b ~ I O I O I O ~I I ~ ~- ~ r ~I ~ I~ I (O V ~ ch r O ~ I.O ~ ~ ~. d- L(> c} M ~ N lI~ CAICA ~i(OI O I O rI~O I Ln lL) ! I (flI N V I ` .(7 ~ OJ A O CO tf) CA ~ O CO ch ~ N N CO r r ti ~ ch CO CO .C) ~ (O ~~ VI _, U U - V U UI U U U U U U ~I~ Fl o 0 oj o olo o o 0 0 0 0 NINI I OIER, O r O 01 r rI 0 ~- Oj0 ~ r l 0 r 0 r 0 r 0 r 0 r 0 ml I I D N _ I ~_, °3 W W wi wwi w ww ~ w w w w w w I ~ I , ' ~ ~ W I ~ W Wi ~ W W 11J W W W W w W ~ ~Ir N I Ch V'I ~I CD i ~ ~ 67i 0 r' N Ch ~ f' Z r r ~_ __1--_ 1 i0 I~ n O N ~I~3 m ~I 0 N O ~+ ~ N ~ d ~ O ti d U O. iii (B O I- O y C ~ ~t ~ ~ r ~ Lm O N O (II d ~ -- N v 7 O ~ i ~ c N ~.o ~ ai ~' ~ -° ~ L ~ = a )' ~ ~ C7 O ~ ~ L Z~~ X ~ ~ O ~ L ~ U `p ~ ~ ~ ~ C _ O ~ (n .c Q ~ ~ ~ ~ ~ U m I~Z ~ o ~ L • aa~o ~~ c ~~ O i ~ ~ '- O T ~ ~ ~ (0 ~ ~ QL N (6 x -a ~o o` ~ ca ~ E ~ J L ~ O X•- ~ m~ W.~~~ U >. ~n W ~ ~ - ~~-a~a TVA QI ~ O ~~ ~ .~ ~Z~ ~~ (n C ~ U X ~ ~ O ~ W c0 C3) ~ 9 . ~ rn `m c ~z~ ~~° ~ ~ • ~ T .Q N ~ ~ _ ~ L ~ ,~ (n ~ C6 (D ~ ~ Uv~`oa ~ O to ~ C ~ ~ ~ (E ~ ~ _~~~ ~ /~ 'D' ~ ~ ~ C U ~ rn ~-L CO L L U (n ~ ~ N ~ x U ~ 3 3w ~ a~ • oww o ~ ~ww ~ Y O ~ O ~ ~ ~ ~_~ ~ ~ z _c ~~~U Q Q~(n ~ w C6 ~ ~ w ~3a c Q ccc~ O ~°~°~ m Q "~ W ~ n- ; ~ • Q W ca C N m .- .. I, IE' FOR VALUE RECEIVED PROMISES'~TO PAY TO .~~~~ al Doro17~;~,r ,ae.~.,1 ~~ot~c~l'i_u~; or Y t , .. ~ ~~~~~` ~.e,\~ ~..~ 1~.~ , it ~)Z, Jrl ~l~ ~),~~ '~JQ ^~~.~. ZLI ~i °s_~ ~7f1~ - UI l ~i~OSE; t~ 1.1r L.i'1VE'. >~' -~, ~, . ~ `~.., r t``,1L ~•:T ~ - - ' UNITED',STATES S,4i/IfVGS''BOND pppp SERIES'E ~JJ~EU .Five: r~oni~or. ~~I. U ~.~l,~; ~fMONTH) (YCAFI DUE 1 0 YEARS I ' FROM SUCH DATE i ~1901~ ~~ X36 E _. ~~ 1 WITHOUT INTEREST, TEN YEARS FROM THE DATE AS OF WHICtI THIS BOND IS ISSUED. THIS BOND IS REDEEMABLC AT THEOPTION-.OF THE OWNER-.DURING.ANY-PERIOD AFTER SAID ISSUE DATE (BUT NOT WITHIN THE FIR57 SIXTY DAYS) IN ~AN_AMOU NT EQUAL TO'ITS REDEMPTION-VALUE DURING THAT PER10 D-AS SHUWN Bl' THE FOLLOWING - - -TABLE'OF REDEMPTION VALUES _ _. „ DURING SLICCE ~SIVE PERIODS AFTER ISSUE DATE _ -- -- (ISSUE PRICE So18;75) -- -- - " FIRST Yz YEAR. SID 7 2l_ TO fEAf 519.25 -'-~ 5 TO 5~1: 1 NRS.. 520:50 77~r:T0 8-'YEARS ... 522.50 -Y TO 1 YEAR-: iL ~5 9=T0 314 YEAR :. 19.50 SYz TO 6 YEAPS 20.75 8 TO. BLz 'YEARS 23.00 ~°~ ~ ' ' , ~ L TO. 1 Yz. YEARS- .. 1 E F7 35~ TO 4 YEAR .. 19.75 ~.I- 6 TO 6~h 1 EAR ::. 2:1.00` 81§-'TO 9 YEARS - - 23.50 £ r~ 1{4.T02'=YEAP.S 15 00 I -4 TO 45 AYE^F i. 2000 - 6Yz TO°7 1EARS... 2-I.SD I 9 TO 9S'z Y.EAPS .. 24.00 _ °~ ( -- -2.-TO ^4SYEARS. .. 19 I_ -4 S'z TO "=YE4P - ..... <C.2E~ 7 TO 7;'a YEARS....... =2.00 _ 954:T0 IO,Y EARS..... 24.50 - ~ ` i ~ MATURITY-VALUE 10.YEARS-FROM ISSUE-DATE-525.00 _ ~- °! '• -TH!S IS A:UNITED-STF.TES SAVINGS ~' ON.C OF SERIES-E, AUTNURIZED 'BY THE'SECO.ND<hIBERTY BOND-ACT, AS _ AM EN DED, ANCI ISSUED"~-PURSUA(:; TO.~ ~,~ PA RTM ENT+.CIRC LI L.AR~_N~.~"653.REVISED,.DFITED..JUNE1,..-1942, ~T0 .` WHICH REFERENCE IS-MADE FOR-A ST ~ s~ RIGHTS OF HOLDERS, AS FULLY-AND WITH :THE SAME EFFECT AS ' _ ~ ~ '~ " -- THOUGH HEREIN SET gORTn. - ~ ~~~° - - _ .- - •. '~ i _ ~'.°. THIS'.BOND IS NOT TRANS PT"Po FROVICCD UNDER SAID CI-.RCL{LAF, .IT- IS PAYABLE, AT 3 Z MATURITY~OR.ON EARLIER ( DEMPT _ STERED OWNEF. AND. UPON SHE PRES ENTATIONAND SURRENDER q 5 = OF THIS BOND WITH THE PEQUESY', 'BACK II ER EOF DULI'. EXECUTED, ALL IN ACCORDANCE WITH THE 1.!'~ ~ ~ ~ I 9 _ PROVISIONS OF.SAID CiRCULP.R AND ESCRIBED--FROM TIME TO TIME TH.~REUNDER. _ "- - ,! I _ THIS"BOIVD'SHALL H ~VALI ,WITH THE OWNER'S NAME AND.ADDRE iS, DATED~THE FIRST DAY 9 OF'THE MONTH-!!` lIHICH I H SUE F ~ ~ -~ ND~"DUL' DELIVERED:.BY AN_AUTHORIZE: D_-ISSUING AGENT. THE .. - ~ .: ._. 1. - ~ AMOUNT OF UN17_D.i L".T_, _,A/INGS B ' ~ L ."E OF ANY DESIvNATION; ORIGINALLY LiSUED IN ANY ONE CALEN• ~ _ .' ~' .I -' DAR YEAR TO.ANY ONE PERSON, 1fJCLU DING BO' 'RE~,I~TEEGf!IP,'HIS'NAMEALONE OR`.WfTH.ANO.TH EP. AS-COOWNER,.THAT,_ • J MAY:; BE HELD.: ".BYThiAT PERSON AT ANY ONE TI~MC-°HFlLL'NOT tXCLED 55,000 (MATURITY VALU EL_ - - ~ n~ ' TRrA BURY DE°A RTM ENT, WkSHING'PON j ; r .q I r'1~'jT , - ~~'1 b~ o ~ 1 ~ ~~ 11 ,•'I:f )~ 1~" ~~tt~~t Secrek~~ UeeTiemsrrrrr + r _ ;,_ NOT TRANSFERABLE _ -. _: " (~ pp~~ ~~@@ pppp (~ E 2 :i ~ E .. ~HE~'.E.EI ~~A~'ES ~'RR .~A~P~~ 9 ° i, _, = - S Q74~IEQ ~ I I~ ~ .,' ~ ~ - r ~11~i~c+1~ , .. ~ ~ , ~~y FOR VALUE RECCIVED'PROMISES TD PAYTO ~ ~ t ~~--- e. ~~ I I ~~~ ;~.. ~ ~~SE SAVIN~~ B ~4e I i - -F. r I T r ~YT~ 3F1,' 0 .. Y: E~~ OT'C~ 4 ~~~.~ ~ D ~~ 3 ~ n ~ 1iu_ o~r Q~ ~~~'SERIES ;;E ~~~ I ~~a ~ ~1 r}1~~j L~ T. /n~ ,,..77 yy,, IIh~ nn I CCCC AS OF THC i ~?~ ~ 1 I :~rv~Z'Sf ~Y 1„[.'~i,L j ~If V~rV 9~~Ug 'VV~~U FIRST DAY OF h" 1. -.: ~ :. G17 Rosek?i:? 1 I.~'i~e ~.Tanuary 1 X42 . '~_ ' ' - _ ~ I I "IMO NTNI'. (YCARI'. ~. I ~ s,, ~ ~ DUE; 1 O YEr4RS'v~ '~~ ,` , .~].~~~onz~.y :'ennsvlvaniix ' FROM SUCH''~DA~E Ji ~a~ ~~ !~ ~ I ~1 ~'~SHlfd GtO~_ ~~ ~ ~ ~ '~ 1 ~~ ~ 0 219 E~, ~~ 0 ~' ~ .~ r ~~, _ <~. - -- - - - WITHOUT If EIt EST, TEN ,~E~ RS~FROt` THE DAIS P.S OF 1M1'HI~H THIS~BOWD IS ISSUED. :TH ~ BOND I I fi=c MAL'~E AT - _ THE OPTIOf AFTHE OWN~P DURING AIv'1'.PERIOD:AFTER :AID.ISSUC DrM1T (BUT TvOT.VJ17HIt IHE ,EIF , ., U:T-(DAYS)IN ANAMOUly- EQUAL TO_ITS-REDE1v1 PTION VALUE DURING THAT PcPIODAS SHOYI(N :BY THEPO LLO WING - - ' - _. - - TABLE:OF.REDEh9FTION VALUES -. :_ ' DLI F.IN,~SV CC`=~SIVC:FCRIOr.'S :AFTCR ISSUFDATG ' .. ~ -: -.: -. (ISSUE P I T-516.75) rIPST 1_ Y`k R... ... S1E.75 I ZS~zTC ? }'GA[.~ . >. 5. _. - `S 70 bl~.-Y ..ARS..... r. ~20.6D~-~ 71T TO-B YEARS...... W~~:~O -`.,~ S_'TO.:f } pP -, lEi'5 3 TG 3l IEAP '.`9 0 -SS TO G`1'ENP C.?5 E lO:B~ A4~ :OO ~ ` 1 TO-il oP ~.. 1©.t7 ~ 31T-TO 4 1-A[' f G TG l }' AF .00 94 TO 9 }Etif'S. '`SD 'it+ ~ ~: a n ~ llz TO YCAF ~: 19.00 ~ 4 TO 4S Y 'AI ~0 00 FiL TO YcAP .50 ~.~ 10 9.1~ EAF ;. -5:00 _ TG 2L }_~, r.o.... 19:1 ^. 4@='TO _, Y-AP., ..... <0.__ -7 TO 7Sa YEt(P .. .:: Z~00 94 ':0 ID Yn4RS .. ~,.v0 ~~ ' ~ 0~ . - - - -MATURITY-VALUE ~,1..0'•YEAF, S:IFROM'ISS.UE-0:4TE-.$25:00 - ~ ' THIS;IS [ U~FEiN SE SAVINC3'BON D. Or ~.:RIES E,:Or:AN ISSUE/OF;'UNITEUSTATES _,.4VING5 BONDSA.UTHORiEED BY~?HE SECOND ..15ERT-Y-BOHD.AGT; Fl. S'A PA EN DED','iAND ISS.U E_D PUP.SDANT.TO TREkSURY=DE PRl tr u_NT:CIRCULA R-N O:.G 53, _ ' DATED: Fl?ItIL-tS, 1911,`,TO SNHICFI-REFS-.RENC~~15 ~.PA ADC FOR A STATEhA ~~hT 10 F.T HU RIGHTS'OF`H `R.,-AS-FULLI'-.AND I ~ I tM1'ITH-THE AME E EEC'" ~AS TH O.UGH H~FENJ I rORT FI .-~ _",~, - _ -i•'~ ;- - TH S .BOND IS -NOT T-RAN ~RAEILE AN D~'.EK CPT`AS PROVIDED UNDER SAID ~ RHYAU LE,-"AT - - MAT URI7 C Oh _hRLICR REDEh1PTIGR,ONL} TO (H F.~`R Er ISTER..D OWNcR PND UPON THE ~ URNCND~R 1 ~ '~ _-OF-THIS BOND V~ITII THE`REQUEST FOP=PA~}'MENT'ON-;THE-BACf; HEREO;~ DULL-XECUT`c r ~ E WITI-1_THE - S, PROJISIOCS OF'SAIU-0IRCULAR ~AND.THE~REGULATIONS ,[?RESC('IEED FROM1 TIM1i ETO TIM ~r ~pj - ~~ R ~ _ THI~DOND SHFiCL BE VP:LIDONCYiIF•I~SCPIB~D,WITHTH E.OWNER 5"iJAh1E AND- I IRSTrDAY OF-:THE1ti0fQTH.I6WHICH-THE-ISSUE PRICE~IS.REC:6IVED.-AN DDU LY DELI.VERED.BYAN:AOT ENT.-= TIIE _ ;AM O.UNT Or'Dc'~D,S~cSAVINCS'~ONDS OF`-:SERIESr:E`~OP,IGINALCf ;'ISSUED :?IN AN}'~ON ANY--0NE ~~ ` GERSO<v If LUDIN~ BONDS R~G!STERED IN HIS N4MF A ONE-.,OR WITN-AN OTH Efi AS ,COO~~ ~ ~ =BE HELD-BY I~ ~,~ ~ ;~~ - THAT P P 01 IT AI OPdS TIM SHALL NOT-E7.~ELD '.5.9 060 (MATURITY VALUEL ~ ~I'-•- g q '~ ~ '1tls: !n 'dtOp.i~'.. ~ TREASURY DcPRP,T1tilENT, N/ASHiNGTON ,~,__ ' f ~ l/f2 rY~ ,F~c~~~~w~ '4 i ? 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'.•bii'~1~ ~!IuY3i2r ~Y -','~+zF1_.~'~c.~~Gl..is5~?~i:LYl.11<!!...J~!•~'i1rL~~. :3,~ ..1.~...1•Y•~1~,.. ~u~+.lYv.i.~1•_~ r TERMS AND CONDITIONSIPAYMENT INFORMATIDN: Depanmem of the treasury Circulars, Public Debt Series Nos. 1-BO and 36D, contain the Terms and conditions covemiiig Isis ounL. THIS iIDhJD IS 1,107 TRANS-~RP.6! E AND MAY NOT 6c USED FOR COLLATERAL. II may be paid 6 months a0er its issue dale, upon proper identilicafion and request, by any Sinancial institution qualiiietl as a paying agent. m ~ ~ `° " I o _ ~ I ~ ~ I NI ~ o, ~ ~ _ I ~ i ~ ~ p °~ . ; ° I t G i ~ i r) I w i - ~ _< a i o.j a l ~ I ~ I ~ I ~ i I v. ~n _p 3 ~~ _~ O n a k- ~~NAL AUCTI~IoT ST.A,T.~I~I.~N'I` llATL: -T ~C ~ • a ~ ~ ~a it .~ Auctioneers: Roizal~ J. ane! Ronald S. ~illiga-i P.A. Liee~rsecl aucl I3_oneleel: #AU339-1L and #AU3430•-L 3771 W. Wlaitehal! Road, Peuusylv~uiia Turiaace, 1'A 16865 I SGLLGR: Fc%~ ~-~~ SALE LOCA'I'Lll AfT: `~e 6~/%% ~~~1<~ ~~~~ ;~G~~ ~~ ~• ~r,,c-cG ;, SALE `I'~'1'AL: ~ ' / "71~ ~'. LXl'LNSES _ _ f Auciiuueer's fee /~ '% -•2 ~ ~ •a~ Clea•1~ / 3 c crU Cashier ~,3~>.-crr~ Ruauiers (ailcl sate preparafiou) ~ ~'~ ~ •. - - .iulz aolaiiiiy - - - ------ Eidvertising ~] ;; h ~J/ ,~ ~'e-its I}I1I1 U C'f' (f~LSS} EXI'111~'SLS: 'I'O'I'AI., Nf;rf' I'IL~}CT~~IZS'f'C~ ~~'1'I~ILI:: i ,; CEiechs: ~ /~ . Caslt: ;•~~.:~~ L~ip,iicl• -'- c~ - ' - 6 -- _ Sf 1 ~-~" 4~5. ~ . _°_ ~-~ ~~ to ,'73 '~ o i 7 `? Se!!er's 5;gi~a~ezre: . (SE'.EECC -ii1t~E',I'SEa11€!9 3~afeiliLitt iiii(~ ~-SiS i'CCCiE'~C~ g11C aI1lUiiii~ (}~ IilUiley` lislecl) ~~~ Commonwealth of Peiuls~~lvaiua Count}~ of Cumberland Bill of Sale Oi~ this ~ da~~ of , Ai ~ •~ ~ G` v , ?~~~ before me 1~~i ~~i /k~1~C> ' ~i~~' e , the undersi~~ied off cer, personally appeared ~~~-~-~ ,~a,. f~~~ ~-~ ~ ~- ~~ a~ the Seller(s) and the Purchaser{sj for the following vehicle ~c Fear: ~-?? .- Make: E~~ ~J~ ~ 1\~Iodel: ~ j~[j> ry ~'~': ~ f-l ~! ~~ ~~~~/ f-fS ==~~!~-[> ~ Price: ~ y,S~'~'';.~_ I l~no~vn to me (or satisfactorily proven) to be the persons whose navies are subscribed to within the instrument, and achu~owledged that they executed the same for the purposes therein contained. 5e11er: -~~- - ,. ~,~~~~_~-- ~~~_~ / i .~~!"!-, i=t1 ~ ~ ham- ~~ l / l! G ~ f ;. -p /~ c rurchaser: ~/~=~~'y l/,~_1~ ~ / ' ~, ~ , . r- h~ witr7ess whereof, I hereunto set my hand and official seal. ~ ~, ~ _ ~/' p Notary P ]ic COfvfil~iOPJU~~EA! TH Or °~I~~I~'S .'! VAt•~IIA NOTE~,~IAL SSA! ~ Ki I T;' P~, G'1SS~~;~ I SILVcR SP ~IP.h TOttVN~FIIF CU~49~=RLAfv~D CAJUN"~Y i~rY CO(~~C~Ji1SSi0ty~ rY^IR~S JUT 29; 7012 ~~ L/ 9 this finnnria! Jink,.. STATEMENT OF ACCOUNT D JEAN BOAKE 922 ALLENVIEW DR MECHANICSBURG PA 17055-6169226 ~~~ o ~,`"'1 07/01/10 07/31/10 '-3POSTINt' EEFFCTh(E ~ ~ PAYId N{ ,C REUiTS OR' ~. RNA4CE %; ':FEES OQ~ , } TFtANSACTIbN ~ ~ - ~ -~ ~ ~ :~rRn~isxcnor~ oescRiPnQK ~ ~ , ~~ NEW BAL4NCE~ ~j ~,. DiaTE~„i ~ ;~a jE_ DE61T6 i G4 ROE ~ 'OHARGES =*AMDUNT 1 07/01 ID O1 REGULAR SHARES Beginning Balance 14175.86 ~',~ 07/31 Payment: Dividend 0.4000 4.82 14180.68 Annual Percentage Yield Earned 0.400 from 07/01/10 t1-~rough 07/31 /10 Based on Average Daily Balance of 14,175.86 07/31 Ending Balance 14180..68 Dividend YTD: Year to Date 23.46 07/01 ID 02 VACATIORT SHARES Beginning Balance 21.25 [-~ 07/31 Payment: Dividend 0.400% 0.01 21.26 Annual Percentage Yield Earned 0.560 from 07/01/10 through 07/31 /10 Based on Average Daily Balance of 21.25 07/31 Ending Balance 21.26 Dividend-YTD: Year to Date 0.07 ------ 07/01 --- ID ---------------- 03 CHRISTMAS SHARES Beginning Balance 0.01 07/31 Ending Balance- 0.01 Dividend YTD: Year to Date 0.00 ------ 07/O1 --- ID ------------------ 04 CHECKING Beginning Balance 11203.29 07/01 Withdrawal at ATM #00002487/SAS287 200.00- 11003.29 ATM M&T BANIC M&T 102 VALLEY VIS STATE COLLEGE PA 07/01 Withdrawal Transfer To Loar_ 51 292.44- 10710.85 07/01 Check OU4487 5.00- 10705.85 07/01 Check 004486 70.00- 10635.85 07/01 Withdrawal MORTGAGE PAYMENT 531.10- 10104.75 C0: MORTGAGE PAYMENT 07/02 Payment: Direct Deposit US TREASURY 303 1914.00 12018.75 TYPE: SOC SEC ID: 3031036030 C0: US TREASURY 303 07/06 Withdrawal Direct Deposit AARP HEALTH CARE 35.40- 11983.35 TYPE: PREMIUM ID: 1836282001 CO: AARP HEALTH CARE 07/06 Withdrawal PCS #00106814 63.58- 11919.77 POS WEIS MARKETS #33 560 WESTERLY PARKW STATE COLLEG PA 07/08 Check 004488 24.00- 11895.77 07/09 Withdrawal POS #00637745 120.23- 11775.54 POS WAL-MART #1640 1665 NORTH ATHERTO STATE COLLEG PA --- Continued on following page --- 115,208 ~_ s~~~:~ 9 STATEMENT O~ ACCOUNT the fi,~:~~nri.-i! link,,, D JEAN BOAKE .__ ~t . _ _._ _ 922 ALLENVIEW DR MECHANICSBURG PA 17055-6169226 07/01/10 07/31/10 :POSTING ;:EFFEGTIV- iC h5 TiC U .: ~_. ^iFTi :N .PAYMENTS CREDITS OR '>: FINA NCE FEES OR': RANSACTION ~. IJENJ BAI~NCE I .;.DA7- - fiATE -.- - _ __ ~E61T£ ~ i CHARGE --,~CHANG ES~~?AMOUNT --_--_ 1111 L 07/12 Check 004491 39.71- 11735.83 Processed Check - Kohls Chg Pmt TYPE: Check PMT ID: 1391154188 07/12 Withdrawal Transfer To Loan 09 1252.34- 10483.49 07/12 Check 004456 67.62- 10415.87 07/14 Withdrawal POS #00013907 54.50- 10361.37 POS CVS 01916 01916--265 NORTHLA STATE COLLEGE PA 07/14 Withdrawal at ATM #00004216/PK1312 303.00- 10058.37 ATM PNC BANK 1408 N ATHERTON ST STATE COLLEGE PA G n 07/15 Withdrawal Direct Deposit 1-800-527-9027 19.41- 10038.96,Gs/ TYPE: SBL LIFE ID: 1030164230 C0: 1-800-527-9027 07/19 Withdrawal Direct Deposit UNITED WATER PEN 38.34- 10000.62 TYPE: WATER BILL ID: 0020797347 C0: UNITED WATER PEN 07/19 Check 004490 7.50- 9993.12 07/22 Check 004493 22.70- 9970.42 07/26 Check 004494 112.00- 9858.42 07/28 Check 004489 292.00- 9566.42 07/30 Withdrawal Direct Deposit VERIZON 36.69- 9529.73 TYPE: PaymentREC ID: 9783397101 C0: VERIZON 07/31 Payment: Dividend 0.100% 0.90 9530.63 Annual Percentage Yield Earned 0.10% from 07/01/10 through 07/31/10 Based on Average Daily Balance of 10,582.51 07/31 Ending Balance 9530.63 Dividend YTD: Year to Date 6.24 Number Amount Number Amount Number Amount Number Amount 004456 67.62 004488 24.00 004491 39.71 004486* 70.00 004489 292.00 004493* 22.70 004487 5.00 004490 7.50 004494 112.00 * Asteris}c next to number indicates skip in number sequ ence ___________ 07/01 ID 07 --- ---------- _____________________________ MONEY MARKET SHARES Beginning Balance --- 0.00 07/31 Ending Balance 0.00 Dividend YTD: Year to Date 0.00 ---------- --- Continued on following page --- 115,209 <~ °.~ ,~ ~ Nropeny 92L ALLENIrIE:~ DRIVE add,BSS MECHAf4CTSPURG P,~ 11055 D JEr,~~ ~o~xE IJ~dRIbBr P.O. Box 67013 (71 /) 23ti-3484 (~iarrisburgl Harrisburg, PA U106.7013 (800) 2;~1-7328 (ida6onwide) ~;~,- , 059205 2269003 PSECU MORTtaAGE STATEMENT StaiAmeni Per•~9 JUNE __ MembE~r'Nlimoci M~rtsi~+9v ,4.coi,ni. Nurnuur - - ~ 0171XX~XXX 1712425465 Endui~'Prmcipal 6plaricc• : _ 538, 730 .38 Endlnq sec ot~ EFjirrnc~ _ EIIJIng U;,t, ~(711HC1 E}a It{Il~b I $1 , 352 . S4 -- ~ . G D Uhrultl LzdH Chant&5 - v . D 0 P!a roynic it Duc' 1ot;d rt,yrnc+nt _ D 7,%G 1/1 D 5531.10 _ Ini~r~stiiatc ~ ~ 4.250: PAGE: 7 rSS+gninmg- ~ru~c,nul Balance 35,932.70 ~ Frid ; lrans~r,fian i A:Idtbon<<I °nu Ipet( Il ~ r)u'i; ~ _ ~ Ilill'l r\' L~l)$~r ~~tlOn TOttl~ - fTlol ~`%t r'fl ~IClpcll "Cif' I~tl~ B~ilIIh.,6 06 u1 10 Phi P~~i~ ~ ' `~l 10~ 137.89 ".[ '~ (' 00 {{ ~~, I J U J U - - ~ _ _ lil fl E~crnv,~ Late Glisr~~ Jnanaliad ~s+rrv Laic _. ,tJV+Pe~ica~ 1 FSrilance OG/C1,10~ 190.891 O.GO~ D.OOf 1,352.01 r<~id i - 'IransuaLon ~ - '1 ~_t~n~~nc,l _ =:nr~,i~al Datb ~ ~rtnw ~ L~e~.;cn~l ~r ~ ~ 1~ta1', i Initiiest ~ I ru~apa ~ Fri^ iuu Bal rnce ,_~.v_.._ - -- - --~- -- ~~- __ _.. i --- -- OG~_D ~U'ifti~E'~~ ON L rOW 0 8~ ri.DD '~" -- ( I O. GC U. CiO~ 8,730.38 Duc ~ ~ r +a,te ~ s~rc»s roved :,::[ow Ltitb Gtiume::' ~~ aN~,Uea '. ~ ~nitnr.:c ----- - --- --- - -__. _ a _._. _.4 .. ---~----------~__ EB 07/0:[/10 D.BS 0.00 G.00 1,352.84 FuicE j lrrzrtsactioti ~ ~ ~ ctJitiom,l Arinolpal °iafe 'nrr , ~ j_:c i),,a^ ~ Total ~ IntF,reUt F~n,.;ipa~ ~ P-;i,+1~~11 ~1alr~rlce -~~ iJUS.. _ - ~ _ _ _ `gCIULY ~ +I lC x,17 f'tE j llri2l~.:7IfFL ~ f ~C[ON _ 7sf>3 G rte.. "'~ivau '~nItSI,Ct ---- ~ - - i ~_ i 'aia Iran r,ction i ~ r Saii~u>ri;~l Pti,i .q,al Date ~ °,irn3it =eron~tlon Tat.,, ~ I,iteresl 1 ~nriclpfil ~ r~nn~lpn~ ~al~,nce ~.,t~ r-_.,. r:~~, [ ~ - Es:loYl' L-+U ;;]izr~lu ~ Uirlp{']u C u, r _ _ _ :.. _, F'n ~IG I ~ 11 Il`ft ^'(l:ln I [ CI•I;ll~~~iEll 1'(I ri41'+~1~ J.:tP ._ __... I'I lfna I ,`., rl lt'Of, - - f ICtLt~- ~ ~ 1 CSl ,.. _ III I.IFJ ft --'flnc; liJFt~ I ._ ES:1 ~I L1nCL f ___ _.. '~ _.. _ I i __ .J~ t[ ~ - ) '~.~'E ' 9..I_VJ. . - -- - _ _ - = - - ~ ~ lE ..iidr 1.~ 1h~+bf ~I ~.'~ , ~ f.. _ i -- ~ 6aL~_ncs i - -` ~. , LORD ABBETTg..~a For the period July 1, 2010 -September 30, 2010 Page 1 of 6 AT 02 037447 76294H236 A"3DGT IIIIIII~IIr'll~ll~lllnrllllllllullllul~lll'~~Ilrl~llllll~ll STATE STREET BK & TR CO CUST IRA A/C D JEAN BOAKE (DCD) 3002 BROADMOOR LN STATE COLLEGE PA 16801-2789 1°our Advisor Robert/Theresa Fink/Bogovich Stifel, Nicolaus & CD., Inc. 180 Charlotte Dr Ste 100 Altoona PA "16601-9350 614-944-2065 M to ['"~ ~V~®GY~.fi~ ~~~.~R ~ V.Y R I~~COLl~fii ~'a6ue as of 09/30/2010 ~~ ~,3~®.~~ 07/01/2010 - 09/30/2010 Year-to-Date Beginning Value $13,883.48 $15,195.42 + Purchases/Additions $0.00 $0.00 - Distributions $0.00 $0.00 - Fees $0.00 $0.00 +/- Change in Value $1,437.31 $125.37 Ending Value $15,320.79 $15,320.79 ord Abbett encourages you to review this statement with your financial advisor and to retain a :opyforfuture reference. After reviewing this statement, please contact us immediately at Lortl lbbett Investor Services (800-821-5129) regarding any errors or omissions to your transactions. his statement will be deemed correct if we do not hear from you within the next 60 days. To fully understand your rights as a shareholder, please referto the Securities Investor Protection Act SIPA}.This statement should not be used fortar, preparation purposes. ~~~~~u®~ ~~~~~~ retirement Ideas ou earned it. Don't leave it behind. Talkto yourtinancial advisor about transferring IRAs and oiling over 401(kl accounts from past employers to a Lord Abbett "Free of Custodial Fees" IRA. and sales charges may apply. ileb Services •enef it from an informed perspective on current market and economic events from Lord Abbett sought-leaders at vvww.lordabbett.com. Our commentary delivers timely information on a wide tinge of topics, including the economy, investing, and retirement. roduct Updates oolong for fired income? Learn more about Lord Abbett's selection of fined strategies designed to i a variety of investor needs at www.lordabbett.com/tar.able or talk to your financial advisor. Jatch this section of your statement for current information about Lord Abbett fVlututal Funds. 3744? 1Y 236 Con~ac~ing fiord Abbett Investor Services: 80D-821-5129 24 Nour Automated Information Service: 800-865-7582 Oniine Account Access: www.lordabbett.com Regular fUlail: Lord Abbett Distributor, LLC P.D. CSUX L 15336 Kansas Cit}~, MO 64121-9336 Overnight IVlait: Lord Abbett Distributor, LLC 330 West 9th Street Kansas Cii}~, fV10 64105 ford ~bbet~ busiabts Topics covered in the latest issue: There are good reasons for even the most aggressive investors to consider allocating a portion of their portfolio to bonds. Zane Brown, Partner and Fixed Income Strategist, explains. Similarly, a case can be made for including investment grade, short-term securities in a well-diversified portfolio, according to Rob Lee, Portfolio Manager of the Lord Abbett Short Duration Income Fund. Lee discusses the potential opportunities and benefits of owning short-duration vehicles in a portfolio. G ~/ ~4ecm~nt ~1~ocat~on Asset Category/Fund Name Fund Value Percentage Domestic Equity X15,320.79 100.0% Affiliated A $15,320.79 100.0% International X0.00 0.0% Asset Allocation $0.00 O.D% Taxable Fixed income $0.00 0.0% Tax Free Fixed Income $O.DO 0.0% Ending Value $15,320.79 10D.0% ~~~~~~~ ~umrn~~y ~~ E~~~ Beginning Value + Purchases/ - Furrd Name as of p7/01/2fl10 Addifions Distributions Lord Abbett encourages you to speak to your financial advisor about investment diversification strategies To obtain more information on other Lord Abbettfunds,please visit us at vuvvw.lo rd a bb ett. c om. +/- Change Ending Value Fees iR yat!~e es of t!9l3RYln1n Affiliated A $13,883.48 _ $0.00 $0.00 $0.00 $1,437.31 $15,320.79 Total $13,883.48 $0.00 o~/ot/zoto - oslaolzoto $0.00 $0.00 $1,437.31 Year-to-Date ~15,32D.79 Dividend/ Dividend/ Short-Tenn Lon Tenn Short-Term Long-Terre Total Fund Name Capital Gains CapitagGains Capital Gains Capitat Gains Income Affiliated A $34.04 $0.00 $95.20 $0.00 $95.20 iotal $34.04 X0.00 $95.20 $D.00 $95.20 or more information about Lord Abbett Capital Gains and Dividends, visit our Tar. Center located in the Mutual Fund section of vvwvu.lordabbett.com.Th~s statement should not be used fortax preparation purposes. ~~ A~~.~~~t ~~~~~oty ~y ~~~~ Affiliated A Fund 11 Average Cost/Sffare N/A Account 99085563 Total Cost Basis N/A Symbol LAFFX Annua! Net Expense Ratio p.gg% Dividends Reinvest Capital Gains Reinvest Date Transaction Description Dollar Amount Share Pri Shares this Total 07/01/10 Beginning Value x13,883.48 ce $9 30 Transaction Shares Owned 09/30/10 Income Reinvest O.D228 $34.04 . $10 24 1,492.8470 09/30/10 Ending Value x15,320.79 . x1024 _ 3.3240 1,496.1710 1,496.1710 Fund Strategy: Seeks undervalued companies with anear-term catalyst that will return the organization to its historical rate of growth and profitability. 447 Zr~ C/ // LAFFX Historical Prices ~ LORD ABBETT AFFILIATED FUND INC Stock -' Yahoo! Fi... Page 1 of 1 Hi, Kevin ; Sign Oul I. Help Mail ~ AT&T _ s $6at' __Search~_~~ ______^____..~ __~~. Dow i 2.16 % Nasdaq 12.63 NEWT HOME INVESTING NEWS PERSONAL FINANCE MY PORTFOLIOS EXCLUSIVES GET QUOTES Finance Search Sun, Oct 2, 2011, 11:14AM EDT - US Markets are closed Lord Abbett Affiliated A (LAFFX) On Sep 30 9.3$ 10.30 (3.11 % ) i -I3 OPEN AN ACCOUNT 1-' i ~li't~1e`,, j r~F/de/ity. Historical Prices GetHlstorlcalPricesfor. iGO~ Set Date Ran a AdChoices 9 °', Daily __ _ ,a Start Date: Jul ~ 18 2010 ~ Eg. Jan 1, 2010 - Weekly End Date: Jul ~ 19 2010 "' Monthly Dividends Only r j Get P vices First ~ Previous ~ Next ~ Last Prices Date Open High Low Close Volume Adj Close' Ju119, 2010 9.68 9.68 9.68 9.68 0 9.61 Jul 16, 2010 9.64 9.64 9.64 9.64 0 9.57 ' Close price adjusted for dividends and splits. First ~ Previous ~ Next ~ Last ~s'Download to Spreadsheet Currency in USD. Investing for income? Let Fidelity I help. Uuia:janco Frei^ incar~~e planning toots • Rgn~ts, i3nratsit.i+., CiJS; z{nd rnore• I ~~ ~~~~ ~ Turn here- ~Fide/ity, Imaaeap Mrrplvaa rieY irvcludinp riafr. OrJOSG idaley 9n S*.ncea. lkwntr. N'!tx?, H1PC b'eVtd F#}t4l,tr: NI R;JtC xnxn~ ~ 3E31C2.1 Copyright 2011 ©Yahoo! Inc. Privacy Policy I About Our Ads I Terms of Service I Send Feedback Help Y81100 ~ NBbVS I~ietWOfiC Quotes are real-time for NASDAq, NYSE, and Amex.See also tlelay limes for other exchanges. All information provided "as is" for informational purposes only, not intended for Iratling purposes or advice. Neither Yaheol nor any of intlependent provitlers is liable for any informational errors, incompleteness, or delays, or for any actions taken in reliance on information contained herein. By accessing the Yahoo! site, you agree not to redistribute the information found therein. Real-Time continuous streaming quotes are available Through our premium service. You may turn dreaming quotes on or oB. Funtlamental company tlala providetl by Capital IQ Historical chad tlata and daily updates provided by Commodity Systems, Inc. (CSI). International hisloncal chart tlata, daily updates, fund summary, fund pertormance, dividend data and Morningstar Index data provided by Morningstar, Inc. G J/ http://finance.yahoo. corn/q/hp?s=LAFFX&a=06&b=18&c=2010&d=06&e=19&f=2010&... 10/2/2011 M ,:. : ~ ~,: ~. August 31, 2010 Koch Funeral Home Mr. Glenn Fleming 2402 S. Atherton St. State College, PA 15801 Mr. Fleming, Y ~~ ~% f G 1 ~~ ~~~~ '/ t I~~c~S Enclosed you will find a check for 4708.03, the bill, a copy of my initial letter to you, and the response to that letter dated August 9~h, 2010. When cashing this check we have reached an accord and satisfaction. Koch Funeral Home is paid in full and will not seek at any future date any monies concerning the funeral expenses of D. Jean Boake. This is to include the heirs and respective families, the estate itself or institutions relating to the estate. The matter closed. Ede Boake i~-/ =p,, <° 2407 South Atherton Street State College, PA 7Gt307 DATE OF: ;:~` "°•^" Telephone (F314) 237-27"12 Death Judy ~'8' 20-~'0 ~~ SELGCTGD .Tu~~~ ~-~ ,,} Gc`~),Lt~EN F. GLENN FLEMING, hulependen, Arrangements y ' 20 T`Jy 1 V FV NERAL CJIRECrOR ~i.~i,.~,.,{;,~„~ 9 20 LE , 5ureavlsoR `,,,,,,; w.,;,..,,,.., Funeral Ceremony July 3 ~ 1.0 STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED Charges are only for those items that.you selected orthat are required. If we are required by law or by a cemetery or crematory to use any items, we will explain r u N r R A ~__ fl o M e .the reasons in wriiing_belpw. if you selected a funeral that may require embalming, such as a funeral with viewing you may have to pay for embalming. You do riot have to pay for embalmmg yoG did not approve if you selected arrahge- ments such as a direct cremation or immediate burial. If we charged for embalming, we will explain why below. FOR FUNERAL SERVICES OF D. Jean Bcake A. ALTERNATE PRICING METHOD __,._,. -Offering-__(A) $ A. CHARGES FOR SERVICES SELECTED PROFESSIONAL SERVICES Non-Declinable Services of Funeral Director and Staft .... . $ _1.,_435.....09.. Embalming ................ . ............ . .. . .... . $ -- SanitaryCare . . ..... . ..................... . ..... . $ _---_235.-0-0- Resloration, Cosmetology, Dressing, Casket Placement and Hairslyling ............................... . $ - Olher .......................................... . $ TOTAL . .................... . ................. . $ 1~ - h--~------=--n ~ ADDITIONAL SERVICES AND FACILITIES Use of Facilities and S1att Services for Viewing/Visitation , . $ 250 , 00 Funeral at Facility, Church, or Other Location and Staff Services ................ . ........... . $ 435.00 Memorial Service at Facility or ocher Location and Staff Services ..... . ............ . ....... . .. . $ _ P 9 P ................ Use of 0 eratin /Pre araiion Room $ . _ 350.00 _ Graveside Equipment and Staft Services ... . .......... . $ Sheltering of Remains ............................. . $ _. Other -_ $ TOTAL ..... . ................................. . $ J , 035.00 AUTOMOTIVE EQUIPMENT Transfer of Remains to Funeral Home ................. $ 1.25.00 Funeral Coach ................................... $ _ Sedan for Funeral Procession .................. . ..... $ Utility/Service Car ................. . ............... $ _.7.9_,44_ Ocher _ _~ $ TOTAL .... .................. . .......... . ..... $ 1.95.00 TOTAL CHARGES FOR SERVICES SELECTED .... (A ) $ 2, 900.00 B. CHARGES FOR MERCHANDISE SELECTED Casket as Selected__ $ _ _ _ C. CASH ADVANCES Cemetery Charges .... . ....................... .... $ _ Cemetery Equipment ........ . . . ............... .... $ _ Death Certificates ft 7,0 .____ C' $__ 6.00 $ ____60.00 Fees to other Funeral Homes .................... .... $ Florist Charges ..... . . . ....................... .... $ Honorarium .................................. .... $ Obituary -Local ...CD.T ....................... .. ~ . $ 497 _ h 1 Obituary -Out of TownAlt.oona..D'fa.rr•ox ,4.75 ..0.0 $ _J13_.3-2_ Telephone/Telegrams garri•sburg • Pat. 238 .32 $ Transportation Fees Common Carrier .............. .... $ Weekend/Holiday Cemetery Charges .............. ... $ Weekend/Holiday Vault Company Charge .......... .... $ ___ Cemetery Layout Fee ......... . ................. . . $ Engraving .................................... .. $ Other $ We may receive a cash discount on the abo ve items, except for honoraria, for payment within specified terms. TOTAL OF CASH ADVANCES ....... , , ... (C) $ ~ ~ ~-80.93 D. SPECIAL CHARGES Forwarding of Remains ...... . ........... ...... . .... $ Receiving Remains ............. ....... .......... . $ Immediate Burial .............. . ....... ........... $ Direct Gremation ............... ....... ........... $ TOTAL SPECIAL CHARGES .... ....... (D) $ E. ITEMS ORDERED LATER Death Certificates .............. ....... .. . ........ $ M TOTAL OF ITEMS ORDEREL) LATER ..... (E) $ SUMMARY OF CHARGES A. Charges for Services Selected or Outer Burial Container __ --- $ - Charges 1orAlternate Pricing ......', . , ........ (A} $ pT9flfl _ fl0 --- -- B. Charges for Merchandise Selected ....... . ..... (B} $ .~.,4~5_,.0.~ Cremation Orn F~oman TIT $ - 35.0,-49 - C. Cash Advances . ........................... (C) $ ~,g.g.,.0-t~ Clothing ____- ___ $ D. Special Charges .................... . . . .... (D) $ ... , , , Sundry Items: Acknowledgment cards tt $ - ^_- TOTAL OF ALL CHARGES ............. . ..... $ 5 _ 1 75 _ A~ Register book(s) ...White Basic • ~ ' ' ' $ 20.00 25 00 Memorial Folders ..... .... ............. $ - . PAID AT TlfviE OF ARRANGEMENTS ......... $ Prayer Cards ....... Temporary Grave Marker .. . ... . ... . . ...... $ - $ _ - 75.00 BALANCE DUE .................. ........ _ E. liems Ordered Later , ,Grave opening (E) $ $ ~~ $ --- - and closing --- __ - - $ ___ - .............. TOTAL ACCOUNT BALANGE: $ 5 , 425 .93 Total of Sundry Items ......... . .............. $ _ 1~0 OU -____ Mileage ___ -___T_ ____-_- $ __ It any taw, cemetery, or crematory requirements have required the purchase of any of Cremation _ __ $ 450._00 the items listed, the law or requirement is explained below: - Cremalion Container $ 1-75.00 _ ________ __ .__ _ ___________ Other - - $ -- ------ - ------ -- (B) TOTAL CHARGES FOR MERCHANDISE SELECTED $ 7 095.00 Reason for Embalming: _ .. ., _- ____ The undersigned hereby states that I/we have the au thority to arrange for the funeral ceremonies of the ahnve named decPa. s~rf anr~ hc.roh,, d au;;r:;li~e ric~cn Funeral home to furnish the merchandise, does professional services, special charges and cash advances as selected; an ... . _._ _i :_ i.-~_u ..r.~,~ ....a...,..,...,.,~ .,r,~ 4,,..,...~ ~„ ..r.no~r7or~tinr, of K~rh Fnnoral ..._......... ....+.,.... ~.. ~ uv++t ty vt vtt rGf Lli~r. tl Ul! and Staff Services .............................. S Use,ot Operating/Preparation Room . ............... . . $ 350.00 Graveside Equipment and Staff Services ............... $ Shel(ering of Remains .............. . ............... $ _ Other $ TOTAL . . ................. . .................... $ 7. , 035.00 AUTOMD_TIVE EGIUIPMENT Transfer o1 Remains to Funeral Home .... . ............ $ _ ~ 25.00 Funeral Coach .................................... $ Sedan for Funeral Procession .................. . ..... $ _- UtilitylService Car ................................. $ _70.00 Other ------ ----- $ ---- TOTAL ........... . . .......... . . .............. $ 7.95.00 TOTAL CHARGES FOR SERVICES SELECTED .. , . (A) $ 2 , 900.00 B. CHARGES FJR MERCHANDISE ScLECTED Casket as Selected __~__ $ __ Outer Burial Container $ __T ___ Cremation Urn ~'<©man x-1-1 _ -_ $ X50-,~(1Q Clothing _^____ $ Sundry Items: Acknowledgment cards ti__ , , . , .... .. , $ Register book(s) . , .j,,~.it~e Bask $ _ 20.00 Memorial Folders .. ..... . ....... . .... ... $ ____ 25.00 PrayerCartls ........................ ... $ Temporary Grave Marker ,,,,,,,,,,,,,,,, ,, $ 75.00 -- -- $ Total of Sundry Items ................ . ....... $ - ~-20.00 Mileage-_ _ $ _ Cremation -__ __-_ $ 450.00 Cremation Container $ 7.75.00 Other ~_ $ _ TOTAL CHARGES FOR MERCHANDISE SELECTED .. (t3) $ 1.,095.00 We may receive a cash di:>count on the above items, except fc honoraria, for payment within specified terms. TOTAL OF CASH ADVANCES .... ....... {C) $ ~- ~ ~-80.9- D. SPECIAL CHARGES Forwarding of Remains ...... . .... . ............. . . .. $ Receiving Remains ................ . ............... $ _ Immediate Burial .................................. $ Direct Cremation .................................. $ TOTAL SPECIAL CHARGES ...... (D) $ E. ITEMS ORDERED LATER Death Certificates ................................. $ -- --- - _ TOTAL OF ITEMS ORDERED LATER ..... (E) $ SUMMARY OF CHARGES A. Charges for Services Selected or Charges forAlternate Pricing . , ....',•.. , , ...... (A) $ ~ . ~na_~0 B. Charges for Merchandise Seiecled ......... . . . . (8) $ ~ C. Cash Advances ........................ . ... (C) $ ~7.-80-.••01a- D, Special Charges .... . ................... . .. {D) $ TOTAL OF ALL CHARGES . ....... .......... $ 5 - 1 ~ 5 A q PAID AT TIME OF ARRANGEMENTS ......... $ BALANCE DUE ........................ . .... $ E. Items Ordered Later . ,Grave. opening (E) $ 1,~ , and closing TOTAL ACCOUNT BALANCE . . .. . . . ... . ..... $ 5 , 425.93 ff any law, cemetery, or cremator) requirements have required the purchase of any of the items listed, the law or requirement ~s explained below: Reason for Embalming: The undersigned hereby states that Ilwe have the authority to arrange for the funeral ceremonies of the ahove n?mpd doc~asod and hcrohv au.;lcrize F:ocn r-unerai Home to rurnish the merchandise, professionG;l services, special charges and cash advances as selected; and does hereby guarantee the payment as itemized above. At the request and in behalf of the undersigned and for Ltnd in consideration of Koch Funeral Home, agreeing to perform certain Funeral services for the above named deceased, and the furnishing of the materials: etc., as above specified, the undersigned hereby promises and agrees to pay for said funeral services, materials, etc., they cash sum of $ as above stipulated and assumes full personal liability therefore; provided, however, Koch Funeral Home, reserves the further right to collect all or any part of this funeral claim from the estate of the above named decedent. It is further agreed that any additional items ordered later or cash outlays authorized by the undersigned shall become part of this Agreement and the Undersigned hereby promises to pay for the same. This is a cash transaction. The undersigned jointly and severally agree to pay Koch Funeral Home the balance due on this account plus the reasonable or agreed value of such additional services, materials and cash advances as may be furnished by Kach Funeral Home. Such payment shall be made within thirty days from date of the funeral service. A late penalty of 1 °/> per month (12% per year) will be assessed on the unpaid balance for materials and services, beginning 30 days from the date of this Agr~eemeni. !f placed in the hands of an attorney for collection, the purchaser agrees to pay reasonable attorney's fees and court costs. I/We, the undersigned, acknowledge that the foregoing statement has been read to me/us and I/we hereby acknowledge receipt of completed copy. .J raicnoonv, svst[rs. Inc derx~nrev Imu~ z nr+mi noon Date signed Ju1~ 7.8, 2070 Edith A~B~ke (NAME O~Rb ~ ,+o.R) ~ t .~ ~'~ -~" ~ (Seal) (SI' ATUR~OF PURCR EH) - (53aq (SIGNATURE OF CU-Pl1RCHASER) 3002 Broadmoor Lane (STREET ADDRESS) State College, ____ PA 7,(,$01. (C171') ~ t (~TATE) ~ (ZIP CODE) n (SIGNATURE OF LICENSED FUNERAL DIRECTOR) (Seal) ~~/ -, _. j` ~~~ ~ 'f . F? August 5, 2010 Koch Funeral Home Mr. Glenn Fleming Funeral Director 2402 S, Atherton Street State College, PA i 6801 Mr. Fleming, Our family was disappointed with your services. Below is the list of reasons why: Upon entering the funeral home for services July 31, 2010. The arrangements were not complete and not to our satisfaction: Your greeter had no idea who or where the services were being held for D. Jean Boal:e. Even after identifying ourselves and asking for where the service was to be held. She had no clue of what was going on and had to ask another member of your staff for clarity. As far as we could tell, we were the only ones slated for that time and the only ones slated for your home that morning. Your attitude. You acted like it was such a bother to do anything beyond what you initially did to prepare for the ceremony. You were disrespectful to the deceased and me. An easel board was not set up and was only done so upon request. The table you provided for the urn and flowers was water stained and too small. The cover offered to hide the stains was tacky and inappropriate. You could provide no replacement that was suitable. What you could provide was a tacky card style table, which was hardly any bigger with the same cover that would have covered the chez7•y water, stained table. This pained me deeply. Never in our home would a water stained anything be exposed or used. I can't believe I used her um and picture to cover water stains. It was appalling. I was embarrassed and highly displeased. And what really was unbelievable is that you think this kir,~d of service was exemplary. The options to change any of this were none and inappropriate. An organ, which had no purpose towards the ceremony; was to the left of the lectern you had not bothered to move it because it was "too heavy" and oz~1y when pressed did you and Becky move it....with Becky taking the hard end. / /~~i Let's talk about the post ceremony. I asked and with both brothers witnessing and hearing me asked you NOT to intern her until we got back to you after talking to Rev. Wall of Alexandria Presbyterian. Rev. Wall had not returned my initial phone call. I had three phones call from you on Aug 2 and 3 informing me that she would be interred 10 am Wednesday August 4, 2010 At what point dzd you not understand my initial instructions. 'T'his is not customized personal funeral service. It was un-caruig, untimely, and we were ill-informed. The home had my cell number since July 18.2010. You knew I was the execuriix of the estate since July 31, 2010. You do not arbitrarily decide what happens to my mother's remains. No internment until you heard from me. However, Reverend Wall was quite informative after I reached him Aug 5`~'. I had no idea.... and you and your staff had NOT informed me that a grave had already been dug. That was incredibly shocking and totally inappropr.'.ate. I had no idea to what the extent of the issues where until I spoke to Rev. Fall concerning the gravesite. Becky informed me of two items: 1. The graveyard could not accommodate the family request of placing mother over her mother's heart . 2. There was a .rule placed to prevent that from occurring. What I found out from Rev. Wall was a different answer to the situation. Plus, my brother and I went to the site to inspect it to see if it was appropriate. I called Rev. Wall yesterday after the site inspection to tell him to proceed. And then, I called the funeral home to tell you to proceed .....asking for you specifically. I have yet to hear back from you. Again, untimely, inefficient and un-caring. Though you contract states non-declinable services of funeral director and staff; we will pay for $717.0 of those services. I can only pay for the service you provided. T:he handling of this was not one of quality, excellence or caring. You broke that vov~~ and the "Golden Rule" of your service guarantee. Hence, this letter and. my personal visit here today. Your service guarantee had not been upheld 7 days after the sen~ice. And our family expects a new contract to be signed and the adjustments made. Ede Boal~e ~- - / August 9, 2010 Edith A. Boal.e 3007 Broadmore Lane, State College, PA 16803 Dear Edie: Thank you for your letter of August 5, voicing your concerns about the service we provided for your mother. ~%e apologize sincerely if we have failed to provide the level of sen~ice you had expected, and we appreciate knowing our shortcomings in the matter. You had asked about reducing the amount charges. Please pay whatever you feel is appropriate on the flu7eral bill. Please contact us if you have questions. Sincerely, ~~~` F. Glean Fleming Funeral Director/Supervisor FGFllcrc Birmix~r n( Dnurun~onnl Ordcr q/ t!m ~J~E; F. GLENN FLEMING, FUNERAL DIRECTOR/SUPERVISOR 2401 S. ATHERTON STREET, STATE COLLEGE, PA 16801 (814) 237-2712 • Fax (814) 238-0482 • admin@kochfuneralhame.com ~~/ SELECTED Independent ~FUNERAL HOD4ES PvRCHASE AGREEMENT MASS M~MORIA~.S, I~1TC. P.O.. Box :295 910 Pike Street Lemont, PA 16851 (814) 237-2352 • Fax: (814) 235-1235 Customer agrees to .purchase the following, as sp ($ '7(,? •~ ). Dollars. Memorial to be erected Cemetery, subjectto the rules and regulations of MONUMENT ^ DBL. MARKER CORNER MARKERS ^ VASE OTHER SERVING CENTRAL PA SINCE 1860 Date ~~ `~ r~ ~ N_ . Name ~ ~,~--~ M hereinafter~;G er" _~ Street ~:a4 ~,~t~ l ;) °~~ ~n City - ~ •i State - ~ Zip ~~ ~~~ Phone ( ) .~i~-' C7/` r~~t,, ~ `` ~ ) :d herein, for the sum of ~zr ~ ~-•~~::~-`-`~rr•..~k- .~'_~,~~., N°t~~"tf~~ ~',~',~ /Services to be performed ^ in ~..~ f ~%~ ~~~~~%~ ri'~ ~,,~ ~-~~.b~/~- ~emetery. SALES-AMOUNT +U SINGLE r ~~~~ MARKER ^ ~ ~' ~~~ -° ~ 1 t~l~ c, TOTAL SALE `~ ~~~? --- rvratena , ^rmensrons, nnrsn, aesrgn ana rettenng of the memonar are to pe substantralty as Tollows: Die/Size - - - X -. - - X - - _ Material Finish Base - - X - - - X - - Materia Finish ~ Marker ~ - ~ X ~ ~ X ~- Material-~" ~ :~''' Fnish ~~ E._ ~ `.~ c.-~ ~ ~.~: R r`i:~ ~C e Inscriptions, lettering, dates, and other data bdlow are as they are to apps on tti ork ordered. Unless other~nri~e noted, arrangement and size of inscriptions, lettering, dates, and other engraving will be adjus ed to fit ° emorial size and space asineeded by-Mayes designer or layout person. Any artrficial color added per agreement (i.e. color etching, carving, lettering, etc.} is not guaranteed. Name placement on the memorial is correct as show and corresponds with grave locations unless otherwise noted. ~~r ~+ ~~ ~'~~~ C"-~'i- ~E.~.% •~ ~~ ~° Ed~~" ~...J!'1;~ ,~.~~'! .dam cj--'°t ~ r~~C..f~.r' ~ U r ,~ ~, ~I ~`~~.~- j`1/ z~"`~ r s^~ X~ ,~'~r.",>='1~ i''J~~>~lC..;~! ~` _ ,:~ _,/ ~1~3~it-%~ ~'"~ ( ~"" .'~, ~'L r ~:^ ~ err ~~~e 'v~ Payment to be-made as follows: $ ' ~~~ ~ on signing this Agreement; $ ~~~ by ~~ ~~ f---~~~j f $ representing the remaining balance due hereunder within tin (10) days doer ere~uurr Ur.cne rrrernonat. r errs Hgreement rs suotecr to ane terms ana conoitrons stereo an the aacK nereot. This agreement maybe withdrawn by Mayes Memorials, Ine. ~~ot acce~tad within days. Date ~' ~ -- S -~'~~ Accepted by (Your Signature) ' ~~-^ -,! Occ.,~~Q- ,~r ~ ~ Date /~ - ~ '~~~.} Mayes Memorials, lnc. by, , ' _ _ _ :~r,r,+-,~,~,~-~_ This Agreement is subjectto the terms and conditions stated ~fthe backhereofandis subjectto acceptance ofabove ownerand is notsubject ,v cancena,rc,n a„e, acceptance. r,ease cnecx spernng, acres, erc. rrcnanges are necessary, maze rnem as neeaeo on rnrs agreemenr, srgrr, and send original with your payment to Mayes Memorials, Inc. Thank You. t~ r ~..,. tom..,, t? I I IR ~'"' ~.~ ~ J i.J ~-, ~: Date: July 30, 2010 ~~,, ~( Memorial Luncheon D. Jean Boake fir,-. ~::~a Total: $1490.64 ~i¢` .~: Paid in Fuli: July 30, 2010 Luncheon: Two hot entrees, 4 side dishes, assorted bread and rolls Coffee, Teas and Sodas Dessert Table Mixed drinks are the responsibility of each patron. Mr. Boake, Vde are sorry for your loss and hope our luncheon provided a source of comfort and rest for you and your guests. ,~ Sia,~P,J;~t~, The Management and Staff of Centre Hills Country Club !f 3 T_)Al~ L.`~~RO~,TjN~~~ASSOCIATES ATTORNEYS AND.. CQUNSELORS AT LAVV-- - - - VLDE CNGLISH UAP __ _ ._ _ 845 SIR THOMAS COURT _ SUITE 12 '~ ~ ~ ( 7 ~~ EMAIL:jlbassocC?verizon,net y~r_;~-, i~~",;`I.~~,~~; www.janbrownlaw.com TELFPHON~{717~ 541-5550 `" •±' ~ •~`~~4 fr" JAN J_. BROWN, ESQUIRE E~R~NDH, i-, K~pHAP,T, L_GAL ASSISTANT ~ACSiti~IL~ (7 i 7) 5 ^ 1-0223 ..JA;,':1UELINE A, i\=LLI'.. ESQUIRE PAULJ`, ~. U'stHITE, LEGAL ASSISTANT rt'~?IST.9, ~ln,.;C1 S",~'tiiivcF`bUSnc I"ODUI ifit I-I "CBERSOLE, ADMINISTRATIVE A5SlSTANT Semler :r email.• brendnjlb@verrzvn.nct October 15, 2010 Edith A. Boalce 3002 Broadmoor Lane State Co11eQe. PA 16801 Jae: Estate of ~. seas ~aa~e Dear Ede: ate spore ~y telephone on Auaust,5, 2010 and you came into_the_office_on~9~Qu~1,~ 2010, with respect to your mother's death and her ensuing estate administration. ~~Te had a lengthy consultation, and you furnished us with information that would be required in order to nxnceed ~, At the end. of our conference, you advised that you would be in touch at which time we vvu~a~u' vc~~nn=r~~~esTatela.lxrlinis~rt~ir prooess.- it is my understanding that you have chosen to move forward without hiring our office. -Ericlosed is an invoice for our legal sen~ices. Upon receipt of your payment, I will return the documentation you famished on August 9, 2010. Again, our condolences on the death of your mother, and I trust that matters are progressing smoothly. Sincerely, .% %' s ~~ Brenda F. Kephart br'~ - - - - - - Enclosure ~~ ~itehey Cox J~io~lis [woe{~ ~z )~:.Ieirx 3~5 S .~~len St. Suite ~ 17 State College, YA, 16$Qi (bi4) 23~-SSS_5 April 14; ?U11 D JEAN BOAI~E X002 BROADMOOR LANE (C/0 EDITH A BOAhE) STATE COLLEGE; PA 16801 statement of Charges t'or Services 12endered: Tai Pr•eParation 'Fees: MEPARATION OF INDIVIDUAL INCOME TAX RETUI~~S FOR 2010 11~iscetianeous Fees and Adjustments: OPTIONAL EXAMINATION SERVICE FEE 'T'otal I'ee ~~~i ~ ~ ~ ~L ;,~~ ~° , ~. ~~~ 2()0.00 200.Ot1 ~V / J ~.. ~ -~ -~ RITCHEY, COX, HOLLIS, MOCK & KLEIN, PC Certified Public Accountants 2182 Sandy Drive -Suite 101 State College -Pennsylvania - 16803 (814) 238-5555 (phone) (814) 234-2406 (fax) ESTATE OF D. JEAN BOAI:E C/0 EDITH A. BOAKE 3002 BROADMOOR LANE STATE COLLEGE, PA 16bO1 October 16, 2011 FOR PROFESSIONAL SERVICES: ASSISTANCE W ITH PREPARATION & ASSEMBLY OF PA FORM REV-1500 1,500.00 $ L500.00 ~',~,~~ The Patri©t-hews Ge. 2020 Techno4ogy Pkwy S.:lite..~0 Mechanicsburg, PA 17050 Inquiries - 717-255-5213 __ _ - BOAKE 3002 BROADMOOR LN. STATE COLLEGE 7~Jf ~1dfClQt-~fUi; Now you know PA 16801 THE PAT~lOT ME!lt~S THE SUM©AY PATRIC7T ME1l~lS Pr®©f ~f P~b6ica~i~n Under Act No. 587, Approved PJlay 16, 1929 Commonwealth of Pennsylvania, County of Dauphin} ss Holly Blain; being duly sworn according to law, deposes and says; That she is a Staff Accountant of The Patriot News Co., a corporation organized anc'~ existing under the lauds of the Commonwealth of Pennsylvania; with its principal office and place of business at 812 to 818 Market Street, in the City of Harrisburg, County of Dauphin, State of Pennsylvania, owner and publisher of The Patriot-News and The Sunday Patriot-News newspapers of general circulation, printed and published at 812 to 818 Market Street, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were established March 4th, 1854, and September 18th, 1949, respectively, and all have been continuously published ever since; That the printed notice or publication which is securely attached hereto is exactly as printed and published in their regular daily and/or Sunday/ Metro editions which appeared on the date(s) indicated below. That neither she nor said Company is nterested in the subject matter of said printed notice or advertising, and that all of the allegations of this statement as to the time, place and character of publication are true; and That she has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this statement on ~ehaif of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed and adopted severally by the stockholders and board of directors of the said Company and subsequently duly recorded in i:he office for the Recording of Deeds n and for said County of Dauphin in fVliscellaneous Book "M", Volume 14, Page 317. 'UBLIC,ATiON COPY This ad # 0002097096 ran on the dates shown below: Leiiers o1 Tesfamenfarv on iheEsiaie D. Jean 9oako;Jaleot Upper Allen ,wnship, Cumbarldnd CounTy, Penn- Ivania, 21-10.0810, deceased,~having en granted to tho undersigned, all per- ns Indetiled io the s61tl estate are re- lretlio make Immedinte payment-and use having claims will presentfliem seiilemeni ro: -dlih A. 9oake .002 Broadmoor~Lane date College, PA 76001 September 24, 2010 October 01, 2010 October 08, 2010 i I ~ ~ ~ J/ - , ~.i., ~ ~ ~~ i 1' ~ . ., . .- ...- , st.. ..... ... . ,/ 1. Sworn to grid subscribed before me this 13~day of .October, 2010 A.D. ~. _ r+ l ~~ .~ I .~ __ Notary Public C.)~11~'1>7tdUV~~1LTri i;` e:rpetV~Yi ~JL,rd?, fanGitia! Si"_. ~~_ ,,he;ne L_ f'I:~~~i, TvoT<sry PJ;~iI' _ .- - --~ /i~ ~ y, :.o~veT Saxton Twp., tJa:rpflln Ccr!n17~ ~ ~/ L~~~iy Commi~lcn cx~ires i~uy. 2fi, 2~+y T _ M.;mb~r, Penn~~lv«ni=. ii- sociatfon crP iQotrria d .,,;0. Pkury ;~>a ;g, PA 17050 l17-255-8213 BOAKE 3002 BROADIV100R LN STATE COLLEGE PA 16801 INVOICE ACCT # NAME 218433 BOAY.E 21II433 BOAKE 218433 BOAI<E AD ORDER # DATE EDITION ACDTL INFO. 0002097096 09/24/10 REGULAR 0002097096 10/01/10 REGU~R OOD2D97096 10/OSi 1 D REGULAP, TaTAt_: REMITTANCE ADDRESS The Patriot-News Co. 23794 Networ{: PL Chicago, IL 60673-1237 ALL CHARGES ARE irll TYPE OF CHARGE AMOU<\ BASIC AD CHARGE ~61.f BA51C AD CHARGE $61.~ BASIC AD CHARGE $61.f AFFIDAVIT CHARGE $5. $(}.C .. ~. ' ;J. ~ ~~ t c ~~`~ ~, Please ~raclude the Account # or Ad Order # (aEac~ve) with your rer~i~fance--Thank You NOTE: This Invoice replaces the Order Confirmation which we previously sent ~Nith Proofs of Publication '~~~~~ ti~ v>~v ;:.~-- Oath of Personal Re resentative ~' - P '~1 ~ u CONI~IONbVEAi.TPI OF PEN~SY"OVA\IA C ~- { {"~ ~, ~ (j "; "`tom ; f t SS COUNTY OF ~ J ~^ ~''~ ;`" i c_ •~ t7 The Petitioner(s) above-nar,~,. ,~: _,,:;s) or affirm(s) that the statements in the foregoing Petition are uue and correct to the best of the knowledge and belie; of Petitioner(sjavd that, as personal representative(s) of the Decedent, Petitioner(s) ~~~ill well and tnily .~~C1n~i;;sl°;~t)~~~~s~<,°u,2c[~c,~,~~~lc 1a•~4,.,, Sworn to or affirmed and subscribed ,~- ~ ~ ~•''~t-- ~ - %~~`"'~~``-- =- ~~ J~gnntur2 Hf Yc rSOnll! Kepresenfnhve `~/ before me the ((~ ~~ clay of -i-1 v C ~ .> {"" v U Si,nnrure of Personnl Reoresenmrive , -- ..~ For the: ~ ~iSter Signnnu'e oJPersonnf Rtoresenmlive = _ ~T , . Fiie Number: •~ ~ - l ~ - ~`~ ! ~ ' - - - _- I ,~ - _ , Estate Of tJ .l ~ r~-r'1 ~~ (,i it l; L~ _, T~vCc:8S~C1 ~ 1 ~~ ~. Social Security Number. (1 ( ~ `~ ~-? ~ ~'' Date of"Doatl~: ~-~ `-' "I l ~ "7 ~ ' `- A\~D NGtiV, .~ ~ c4~; 5 t` tJ Z4' ~ `' , in consideration of the foregoing Petition, satisfactot proof having been presented before me, IT IS DECREED tl.at Letters v t= `cS i /~ .rnt' n + U~" -! _ '''~- are hereb}~ granted to ~~ vC_~-, ~ ~~ U~'iL +-' and that tiie instrument(s) dated ~`~'} Yawl 1 ~~ , Z ~~~ t described in the Petition be admitted to probate and filed of record as the last YVill (and Codici](s{) of Decedeni. ! FI~~S r.1(j iTj 1J ~%I L r ,`-=-/~/'~.~~j~_s`- 7 I "I~)C~ ~~f .Y' i t' "~ ! ____ ~T ,~ , ~ ~ Register of {Yii!s ~ / ~ l r, • " 1_etters ............... $ , :(v(~ ~ t~ r ~r~~~ ~t<r, i ,~•~ "'~noFP~°t[uicaiels) .......: $r'~l--J •Ul" AIWI»eySignature. Renunciation(s) .......... { , ~ ~ I ~ , F> t ti~J Attorney Name: ~,~; ~~ ~ ~ ~.. $ ('•'~ ~'~ ~ = Supreme Court LD. iVo.: Address: - .$ $ s~ $ Telephone: . W TOTAL .............. $~~;7~~ ~ ~-` / J_" J :.,:,~ ,eyr.a? ,~~~- ra.i?.oc Pale 2 of 2 Bank heck Num. Who - Nittan Bank 106 United Water 110 United Water 119 United Water 125 United Water 130 United Water 133 United Water 135 United Water 140 United Water 144 United Water 106 secu United Water 107 PPL Electric Residence allenview 115 PPL Electric Residence allenview 123 PPL Electric Residence allenview 126 PPL Electric Residence allenview 129 PPL Electric Residence allenview 131 PPL Electric Residence allenview 134 PPL Electric Residence allenview 136 PPL Electric Residence allenview 141 PPL Electric Residence allenview 145 PPL Electric Residence allenview 107 secu PPL Electric Residence allenview 113 U er Allen Township 132 U er Allen Townshi 142 U er r Allen Township 103 Allenview Homeowners Associatic 127 Allenview Homeowners Associatic 139 Allenview Homeowners Associatic 124 York Waste Dis osal 128 York Waste Dis osai 137 York Waste Disposal Pur ose Issue Checks o en account Date 8/25/2010 Amount 38.5 x Who Paid EAB Paid Personal) 922 Water Usa a 9!312010 1:38.66 x EAB Paid Personal/ 922 Water Usa e 10/7/2010 '10.25 x EAB Paid Personal/ 922 Water Usa a 11/1/2010 10.34 x EAB Paid Personal/ 922 Water Usa a 12/9/2010 10.34 x EAB Paid Personal/ 92 Water Usa a 1/9/2011 :?1.69 x EAB Paid Personal) 922 Water Usa e 2/7/2011 '10.45 x EAB Paid Personal) 927 Water Usa e 3/7/2011 16.18 x EAB Paid Personal/ 922 Water Usa a 4/5/2011 10.45 x EAB Paid Personal/ 922 Water Usa a 5/4/2011 16.25 x EAB Paid Personal) 922 Water Usa e- Final 6/7/2011 10.49 Psecu estate account 922 Electric 922 Electric 922 Electric 922 Electric 922 Electric usage 922 Electric usage 922 Electric usage 922 Electric usage 923 Electric usage-Final 922 sewer bill 923 sewer bill 924 sewer bill Quarterly Association Fee Quarterly Association Fee Quarterly Association Fee 922 trash 9/16/2010 1:32.72 x 10/16/2010 35.42 x 11/15/2010 46.52 x 121202/2010 92.27 x 12/30/2010 93.96 x 1/9/2011 E33.22 x 2/7/2011 1~t3.43 x 3/7/2011 1:30.69 x 4/5/2011 42.68 x 5/7/2011 41.76 x 32.07 10114!2010 112 x 1/11/2011 112 x 4/12!2011 112 x EAB Paid Personal/ EAB Paid Personal) EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal) EAB Paid Personal/ Psecu estate account EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ 9!3/2010 292 x EAB Paid Personal/ 12/20/2010 300 x EAB Paid Personal/ 3/24/2011 300 x EAB Paid Personally 1 1 /1 612 01 0 :16.81 x EAB Paid Personal/ 1 212 3/2 01 0 E33.69 x EAB Paid Personal/ 3/22/2011 44.82 x EAB Paid Personal/ Re airs and Services Who Pur ose When Amount Ritters True Value 922 toilet fla er re air 8/2/2010 "10.16 Car Re air Honda Power Outlet nonfunctional 10/5/2010 1:10.16 batte 922 Front Doorbell re air 10/9/2010 '15.89 116 Joe Wa ner Hand man 922 Soffit re air 10/18/2010 230 118 Joe Wa ner Hand man 922 soffit re air 10/29/2010 100 Lowe's to a for boxes Nit-Debit 11/13/2010 21.03 Lowe's wrench unscrew chair lift Nit debit card 11/13/2010 5.24 122 1-800- of=unk Removal-washer,dryer 11/15/2010 258 basement frid e, chair lift U- haul Wra Pa er Auction 12/11!2010 78.66 Ace Hardware vin I s acklin , sand a er 12/12/2011 "12.16 U- haul Wra Pa er Auction 1 2/1 312 0 1 0 Ei5.97 Lowes li ht bulb and clear to a auction 12/14!2010 14.05 U- haul Wra Pa er Auction 12/26/2010 13.84 Lowe's Ta a for boxes auction 1/5/2011 11.63 U- haul Wra Pa er Auction 1 /5/2011 18.66 Sherwin Williams Paint for 922 2./3/2011 46.64 Walmart Wall lates for 922 2/2/2011 2.96 Black Landsca a mech, a cash tree removal & lus cash 2/3/2011 200 Lowes Outdoor Li ht Bulb for residence 2/3/2011 1.85 Ace Hardware Foam filter, sand a er, d filter, etc 2/19/2011 22.22 True Value Putt knives s acklin 2/19/2011 15.57 Giant T.P, li htbulbs,etc 2/20!2011 49.88 Lowes Paint Roller and shield 2/20/2011 14.03 Bi Lots Hose to clean also 3/24!2011 18.02 Walmart fire to to check if fire lace worked 4!24!2011 3.88 143 John Freidhoff re airs 922 closin 922 re airs 4/24/2011 140.75 Breon's Re air fire lace motor 922 5/10/2011 1 E~5.14 EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EA8 Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal) EAB Paid Personal) EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal) EAB Paid Personals EAB Paid Personal/ EAB Paid Personal/ Who Pur ose Date Amount Ede cash Us Postal Service slam s to a bills 8/7!2010 18.21 x EAB Paid Personail Ede cash Us Postal Service-cert mail Le al Notifications Heirs 9!1/2011 9.72 x EAB Paid Personally Felix Boake Lord Abbott Submit forms for Ira release 12/1/2010 26.64 elix Boake Ede cash Us Postal Service slam s envelo a Realtor 922 4/15/2011 3.86 x EAB Paid Personal) Ede cash Us Postal Service Real estate Law er for 922 bu er 5/4/2011 1.08 x EAB Paid Personail cash Bobbie Whitebread 922 House cleanin Au -Dec 2011 245 x EAB Paid Personal) cash Bobbie Whitebread 922House cleanin Jan-A ril 2011 135 x EAB Paid Personal) 109 secu Bobbie Whitebread 922 House cleanin 6113/2011 100 Psecu estate account K EAB Paid Personal K EAB Paid Personal K EAB Paid Personal K EAB Paid Personal ~ EAB Paid Personal ~ EAB Paid Personal ~ EAB Paid Personal ~ EAB Paid Personal t t c c c c c c c c c c c c c c /~~ /`' Who Pur ose Date Amoun_~ Panes Bread food -workin at estate 8/3/2010. '16.14 Panes Bread food -workin at estate 8/6/2010 1.69 ~,:,.a ...~,.,,..,~ „~f.,,o a/F/~n1 n 8.31 Panes Bread food -workin at estate 8/7/2010 7.62 DaVinci Italian Eate food -workin at estate 8/9/2010 '10.54 Neato Burrito food -workin at estate 8/9/2010 8 McDonalds food -workin at estate 8/9/2010 3.06 Arb "s food -workin at estate 8!1012010 8.26 The Deli food -workin at estate 8/11/2010 7.51 Hoa ie House food -workin at estate 1 0/1 112 01 1 '10.25 Panes Bread food -workin at estate 10/8/2010 '10.31 Panes Bread food -workin at estate 10110/2010 8.31 Wend 's food -workin at estate 10/12/2010 5.17 Panes Bread food -workin at estate 10/27/2010 9.61 McDonalds food -workin at estate 10/27/2010 2.96 Panes Bread food -workin at estate 11!11/2010 7.62 Bandies food -workin at estate 11!12/2010 21.15 Jonnie Joes Food food workin at estate -debit card 11/13/2010 15 Mem his Blues Boake/Schreiner work at the estate-deb 11/13/2010 :59.64 brewhouse rill Boake/Schreiner work at the estate-aeo ring~zviu :~ ~.~ ~ Texas Roadhouse food workin at estate -debit card 11/15/2010 '13.15 Faccia Luna food -workin at estate 11./6/2010 "13.11 Donato's food -workin at estate 11/182010 22.16 Thai House food -workin at estate 11/18/2010 1'0.35 Made/ nas food -workin at estate 11!19/2010 10.15 Arb 's food -workin at estate 11/202010 11.95 Giant food -workin at estate 11/21/2010 6.25 Bresslers Deli food -workin at estate 1214/2010 7.29 Thai Cafe food -workin at estate 12!6/2010 13.97 Texas Roadhouse food -workin at estate 12/7/2010 12.9 Chef Won food -workin at estate 12/82010 18.82 Giant food -workin at estate 12!8!2010 7.18 The Pizza Grille food -workin at estate 12/9/2010 19.61 Bresslers food -workin at estate 12/9/2010 8.84 Bressler Deli food -workin at estate 12/9/2010 6.76 Mc Donalds food -workin at estate 12/11/2010 1.06 'Your Place food -workin at estate 12/11/2010 21.86 Your Place Boake/Schreiner work at the estate 12/12/2010 37.6 Giant food -workin at estate 12!13/2010 21.63 Neato Burrito food -workin at estate 12/13/2010 9.43 Arb 's food -workin at estate 12/13/2010 13.33 A ostino's Pizza food -workin at estate 12/14/2010 13.12 Giant food -workin at estate 12/16/2010 1.18 Texas Roadhouse food -workin at estate 12/17/2010 10.47 Bressler Deli food -workin at estate 12/172011 5.73 Hoa ie House food -workin at estate 12/17!2010 7.29 Giant food -workin at estate 12/20/2010 2:3.75 The Italian Oven food -workin at estate 12/22/2010 15.26 Theo's Boake/Schreiner work at the estate 12/24/2010 91.7 Bressler's food -workin at estate 12/24/2010 13.24 Giant food -workin at estate 12/24/2010 8.68 Giant food -workin at estate 12/26/2010 6.55 Your Place food -workin at estate 12/26/2010 18.65 Your Place food -workin at estate 1!3/2011 20.45 Bresslers food -workin at estate 1142011 10.87 Bresslers food -workin at estate 1/52011 14.88 Your Place food -workin at estate 1/5/2011 12.02 weir food -workin at estate 1/11/2011 5.99 Your Place food -workin at estate 1/23/2011 18.9 Giant food -workin at estate 1/31/2011 122^58 Your Place food -workin at estate 1/31!2011 18.55 Weis food -workin at estate 2/1/2011 5.99 Wends food -workin at estate 2/2/2011 6.23 Juice and Java Cafe food -workin at estate 2/3!2011 11.36 Juice and Java Cafe food -workin at estate 2/32011 11.36 McDonatds food -workin at estate 2132011 1.06 Bresslers food -workin at estate 2152011 6.95 Dukes Riverside Boake/Schreiner work at the estate 2/19/!2011 19.51 Dukes Riverside BoakelSchreinerwork at the estate 2/19/2011 53.92 Dukes Riverside BoakelSchreiner work at the estate 2/20/011 15.01 Juniata Junction Boake/Schreiner work at the estate 2/20/011 17.74 Texas Roadhouse food -working at estate 3/24/2011 12.5 EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal) EAB Paid Personal) EAB Paid Personal) EAB Paid Personal) EAB Paid Personal) EAB Paid Personal/ EAB Paid Personal) EAB Paid Personal) EAB Paid Personals EAB Paid Personal) EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal) EAB Paid Personal/ EA8 Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personal) EAB Paid Personal) EAB Paid Personal/ EAB Paid Personal) EAB Paid Personal/ EAB Paid Personal) EAB Paid Personal/ EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personally EAB Paid Personals ', EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ ~-~J Your Place food -workin at estate 3/25/2011 :23.15 Little Sai on food -workin at estate 5/14/2011 11.75 Oliver's BoakelSchreinertyork at the estate 5/14/2011 12.72 Dukes Boake!Schreiner work at the estate 5/15/2011 •48.75 Ninh Kiev food -workin at estate 5/24/2011 21.36 Chic fila food -workin at estate 5/24/2011 2.71 Theos food -workin at estate 5/24!2011 :23.91 Sheetz Gas travelin for estate 8/7/2010 35.97 Sheetz Gas travelin for estate 8/112010 •40.41 Lukoil Gas travelin for estate 10/8/201 •48.36 Sheetz Gas travelin for estate 10!26/2010 •42.39 Turke Hill Gas travelin for estate 10/28/2010 36.92 Sheetz Gas travelin for estate 11/11/2010 •46.08 Turke Hill Gas travelin for estate 11/15/2010 33.68 Unimart Gas travelin for estate 11/19/2010 •46.61 Sheetz Gas travelin for estate 11/22/2010 •43.44 Sheetz Gas travelin for estate 12/6/2010 •41.35 Giant Gas travelin for estate 12/15/2010 :54.41 Sheetz Gas travelin for estate 12/27/2010 :59.47 Turke Hill Gas travelin for estate 1/24/2011 43.6 Unimarf Gas travelin for estate 1/7/2011 36.76 Sheetz Gas travelin for estate 2/4/2011 •48.26 Sheetz Gas travelin for estate 2/18/2011 43.26 Unimart Gas travelin for estate 2/19/2011 44.12 Hess Gas travelin for estate 3/2 512 01 1 :13.26 Sunoco Gas travelin for estate 3/302011 48.17 Sunoco Gas travelin for estate 4/7/2011 :11.52 Rutters Gas travelin for estate 4/22/2011 33.82 Rutters Gas travelin for estate 4/25/2011 36.44 Turke Hill Gas travelin for estate 5/15/2011 49.2 Sheetz Gas travelin for estate 5/21/2011 Ei0.01 Sna s Gas travelin for estate 6/2/2011 :10.07 Total Schedule H, B. 10. 7000.84 EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal) EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal) EAB Paid Personal) EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal) EAB Paid Personal) EAB Paid Personal/ EAB Paid Personal/ EAB Paid Personal) EAB Paid Personal/ EAB Paid Personal) EAB Paid Personal/ H-8 is ~ ~~` ~ D,vs~n oS NaUmal R'nn 8anh 116 E. College Ave. State College, PA 1601 www.nittanybank.com 814.234.7320 Member FDIC `tOL1R FtNARlClAt_ Pr?©s=lLt= STATEMENT DATE209l~jS~6 PAGE z j 0 CS EDITH A BOAI:E ---------- -------_---TRANSACTION DETP.IL __-___-- DATE DESCRIPTION VdITHDRAWALS " u'~'-}2~3.f~ ~ C-`-D XE CHECK ~ ~$f 2~ ~ECI\~/ t~ 08%?~ CHECK #'~`.~ 1790 09/01 16:36 1~/ i 09/02 DEP DDA 1601 S ATHERTON ST STATE CO PA 4 708,03 09/07 CHECK # 101 9 143.10__. ^"v~S`j`OcS' ~`-n~i.n~' rr ni~~ y8.38 09/09 CHECK # 104 27 70 09/10 CHECK # 105 138.66 09/13 CHECK # 106 >yz.00 09%16 DEP DDA 8254 09116 11:51 1601 S ATNERTON ST STATE CO PA 09/17 INTEREST PAYMENT 09/17 ENDING STATEMENT BAI~NCE 5,500.00 600.00 s,~Jil : u~f"' .49 5 , 500.00 ~~'' 5,461.50 ~~ _,5.270.77 , ~ , 5,870.77 _i 1,162.74 1,019.64 `: - ~b`91. L b 863.56 724.90 432.9(~0 ~,~sG .~JIT~ 1,433.39 1,433.39 FOR YOUR INFORMATION --------'--`-- ~o N O O O O O N O O r-i ti O^ .-i O O N .--i 1. /O 0 J N 0 0 1 z PERSONAL LOAN RATES ARE STILL LOW. ASI< ABOUT AN ADDI (II~VAL..1/%+%"`l'1;-r i'viStl "fir't'r"~U^JE'v=•t~-F3`~-T~•~"ITT~a VALUEPLUS CHECt'.ING. ~.~ , ~o U~iited Water Pennsy1vani^ ~"~ Custame~ Service Center l~~`~ .~~~~' ~~~~ BTII9 Adams Drive;Humrzelstown, Pk 17036 ~" ^'"e _i? ,>,~:' ~ Te1enY~~ne: 717-564-366;? ~ ~`, ~~ w~uuJ;untted~citer,com ~"_.~ USAGE i-lIS'f"ORY 6iil.i~la Date: 0$/27/1.0 __.__ - Monthiy usage iri thousand gallons Account Number: 0020~99~497010 0 0 Next meter reading date: on or about 0 912 512 0 1 0 I Previous Balance Payments Through 08/Z7/10 R,ankrou `~~53.9b $53.96CR Balance ForuJard $0.00 ~ .1:~.~~rP~.~.hgr.~Ps.~L~e 1~,4J~jil.~0~ n T ~~ 3R 5h _ TOTA` !~#~40~i~1T ULI~ $ 1 JB.~B *PAY BY 09/21 /10 TO AVOID A 1.5°~ IATE PAYMENT CHARGE :RVICE T0: D JEAN BOAKE SERVICE ADDRESS: 9Z2 ALLENVIEW DR MECHANICSBURG PA - - -- ---- --_ _~ ~_T Meier Number Senrice Dny~ of Meter Reeding i Unit"af ~ Reading Type Usaae ~~.nsr~,rp ._~ i rrom i T ro c,.rserv~~~: NreUlous n..F'rebtriC' ! 0122 0147 Z5 MGL ACTUAL b0023631 D7/27/30 08/26/1D 30 EpU~VAtENTTa 25,000GALLONS SERVICE CHARGES $10.25 ~; -> ^ G-'" "'~ c~' ~ ~ ~ ~lAT3=R CHARGES $128.41 ~ L v ,v ~~(~ ~ ~ Zv t -> "OTAL CLIRREIyT CHARGES $13.66 ; ~' _ r~ ~-c211Er35F.S!r2F.~OF.1Mp.nRZA1J?;.l~fC.OUNr.INrC1RMCJ10N_. l `tn,i~, ~i , ~_s..i[-'~~~?~`~-~ Et~tPQRTANT l~E~~AGES it is very important that United Water has your correct contact number. We may need to inform you of an emergency or scu__=s your bell for services. **Please be aware thdt United V,(dter may deilver these messages vla an autamatea !•auitig stem to the contact number listed on your account**. 1n the event that your contact number changes, please contact our 2stomer service group to ensure use have your current telephone number. 1i11PA.will.:^.onda~^~a semi-annual flushing of the distribution system in your area from September 7th thraugh rile end of October. This may cause temporary discoloration of water and temporary decreased water pressure. For hydrant flushing updates, please call 717-564-3662. Save a stamp and go paperless today! Log on to www.unitedwater.com or call Customer Service to find out more information pproximate state tax included on this bill $6.67. f~ , ~~ Aug Sep Oct Nov Dec Jan Feb Haar Hpr may ~°~~ ~u~ „°b United Water:Pennsylvania- , p~ ~~`' t.,.K~ ~~.. ~E~ J Customer Service Center :8189 Adarns Drive,'Humme)stowrt; T?A 17436 777-5b4-3662 T l . .. ~~,~. ~, ~ I ephone: e urww.umtedwater,cain USAGE HISTORY indrlmly Lsoge rn inoGsana gdlloPis ~ 13-{ ~ I ~ ° ~ 6I d~ ~ z ~ 0 U U U U 0 0 0 ; 0 0 a Sep Ocl Nov Dec Jan Feb A4ar Apr May Jun Jul Aug Sep Next meter reading date: on or about 10!27/2010 SERVICE TD. D JEAN BOAKE Billing Date: 09/~B~'f'B Account Number: QOZp0999497fl10 Nrevaous Balance `~7~t"S.bb Payments Through 09/Z8/10 7narrti roe $138.66C Balance Forward $0.00 CurrPnr.Chgrs~es_ Dye ~,D1~,81ZOg 0 , 51.Q.~5 TC3?~AL AWIDUI~T OIL1E $10.>5 'PAY 6Y 10J23/10 TO AVOID A 1.7% LATE PAYMENT CHARGE SERVICE ADDRESS 922 ALLENVIiEW DR MECHANICSBURG PH Service Meter Reading Unit of Meter!Number Days of Usage .Reading Type Measure I - ~.CrP/27n~:. I T..,~ IKpJ17ltP,~....,,, ITZr?'1LN16un ;i,p,~.?5@3~n~ I 1 ~- p147 0147 0 MGL ACTUAL 60023631 08/26/10 09/27/10 32 epurvALEN77o O GALLONS ~ I (V SERVICE CHARGES $10.25 ~, • ~ =r-~~'~ TOTAL CURRENT CI~ARGES $'10.25 ~~ r • ,;,~ SEE REVt"RSE SIDE FOR IMPORTANT ACCOUNT INFORMATIOIJ %;,' It is very important that United Water has your correct contact number. We may need to inform you of an emergency or discuss your bill for services. *~ Please be aware that~U* iced Water m~ deli^ er these^m~essages Lri~a^ automated call~ng ~~'iLc*,?r'~~21~~'Y.ftRtl~~'Y'#I~?ft,v2t`1S~tt~f'~ir`~~7tI1'G~.itlt.(?It"` „i tl,~ .. 'aR`'L#, ~JU, LC.iRL1~4',~.1~11D2~°i,~ul 'L f, L'~SL, eS.il2tfl 'l custamer service group to ensure we have your current telephone number. UWPA will conduct asemi-annual flushing of the distribution system in yaur area from September 7th thraugh the end of October. This may cause temporary discoloration of water and temporary decreased water pressure. ; or hydrant flushing uPaates,~please tali ~~ T 5b4-Sabr. Save a stamp and go paperless today! Log on to www.unitedwater.com or call Customer Service to find out more information and to enroll in eBilling. -~N~'14'l~,i~SS'~2*3iS:~£~t4~~'1"ihr1G~'#~.PGI,f`Cl,t~"5,17"~ ~4-;•O DOOUflE 204965 PLEASE DETACH HERE AND RETURN 7NE 807rOM PORTION WITH 1'UUR Pk\'NENT IIJ THE RETURN EIJVF" ~-~ - ~ o - United Wnter'Pennsylvaoia _ `'Cusramer bervicr?'eenter ~~~~~ 4~+~ E1 B9 Adnm~~ Drive, 1lumrneistnwn, Pk.17030 5~,~ ~ ~;" Telephone: `T.17-564:-3562 i wWUr.umtedwater.com USAGE i-Il STORY Md~iLnfjUsagein inousano gbuo~a Y S r~ a ~illin~ Date: 71 /~9J10 Account Number: OOZ009994970'Y ~ i - Nrev~ous Balance y $16~j~+ Payments Through 11 /Z9/10 Tnn~e von $10.34CR Balance Forward $0.00 .~'~.t~rP_rLt.(~hgrr~Ps~.t~tre.g,7/.7,~/2(la t1 T ~g.Q 31~ i O T Aar ~i~OUtST F3UE $1 rJ.a4 #PAY Bl' 12/21(/10 l0 AVOID A 1.5°.v LATE PAYMENT CHARGE RVICE T0: D 7EAN BOAKE SERVICE ADDRESS: 922 ALLENUIEW DR MECHAMCSBURG PA Meter Number 5eruicP ~ Days of Meter Heading ( Usoge ( Unrt at Reading'Type grrrT7,n I ~p~ er.~._~ I J n~ ~ T't~SVtLu~ ~ nr~°31:rn I ~ ensure - l 1 I I T b0023631 10/26/10 11/24/10 29 0147 0147 0 EQU(VRLENT TO ACTUAL MIL O GFlLLONS SERVICE CHARGES $10.5 $0 0° .~ 'C ~ rl i ; i _ ~~- ~~~`''lC"' ~ / ~ /J-DSiCSDRCHARGE . __ ~ ~ ~ '©TAL CURP.Et3T iHARGES $10.34 ~ G,~~ ' / / I ~-/ ~~,2 ~' / J / U ~ ~ SEE kEUERSE SIDE FOR IMPUP.TANT ACCOUNT IN"rORMATION ~6~P~3~;;~A,~T ~'1~SSAG~S It is very important that United Water has your correct contact number. We may need to inform you of an emergency or cuss your n~ll7o`r services. ° ''tease Ge' aurary tnat uriirea vUa#er may aet~ver ~nb'sy messages via an auLOmaLea daltl'~ig stem to the contact numbyriistyd on your account**. In the event that your contact number changes, please contact our Jstomer service group to ensure we have your current telephony number. iAIPA will conduct a symi-annual flushing of the distribution system in your area from September 7th through the end of October. This may cause temporary discoloration of water and temporary decreased water pressure. For hydrant t1ushing updates, please call 717-564-3662. Save a stamp and go paperlyss today! Log on to www.unitedwater.com ar call Customer ~,ervicQ to find out more information a~d.ro.P.nrnlt, ir' >'~9lli~~ pproximate state tax included on this bill $0.50. 1 ~~ ~_/o Nov Dec Jan Feb Mar Hpr May Jun Jul fwg aep .,:.~ ~~~~ Next mater reading date: on or about 12/2S/201G ~~ !i t USRGE HISTORY ~' ~r\ Monthly usage in fhoiisand gallons ~ ~,i 0 a V t~ United Water Pennsyluarsia Custarrrer Service Center 8189 Adams'Dnue, Hun~metstown, PA 17636 Televhane 717 561+-3662 wtuu,umte.dwater.eam Bi11inQ_ Date:, 1x/29/'10 Account Numver: 00x00999497010 - Previous Balance '~1 Q.~4 Payments Through 12/29/10 rno„ti rou $10.34C1 Balance Forward $D.00 .C:lrrrP_Rt.~..1?gCJ7.P5,~lire t1,1/~~t1~011 TS7.1.fi9 TOTAL AM~Jh;T ~~OF $Z1.`j9 "PAl' BY 01 /23/11 TO AVOIG A 1.5°io LATE PAYMENT Ct-IARGE ~~RVICE TO: D JEAN BOAKE SERVICE ADDRESS: 422 ALLENUtEVJ DR MECHANICSSURG PA Service D^ s of - Nieter Reading Unit of Readin T e Meter Number 9 Usage 9 yP ~trn...: I rii=vrau~ i rl~3~tt~ ~1ea5uC~ I r-rrl7nt I T..tv ICor i n_ n^ I- I I I At'TU;L 60023631 11/24/10 1x/28/10 34 0147 0149 2 MGL EQUfVALENTTO 2,D00 GALLONS SERVICE CHARGES $10.25 ItJAT~R CHARGES $11.24 W-~51C SURCHARGE 50.20 _ TOTAL CURP.ENT CHARGES $21.69 _~~', ~' ~~SEE REVERSE SIDE FOR IMPORTANT ACCOUNT INFORMATION 11~1PURT~:NT 1~1E55~G~S t is very important that United Water has your correct contact number. We may need to inform you of an emergency or liscuss your bill for services. #*Please by curare that United Water rrtay deliver these messages via an a~ttamated calling system to the contact number listed on your account**. (n the event that your contact number changes, plDa~e contact our customer service group to ensure we have your current telephone number. Save a stamp and go paperless today! Log on to wurw.unitedwater.com or call Customer Service to find out more information and to enroll in eBilling. Approximate state tax included on this bill $1.04. /a- /6 Dec Jan Feh Mar Hpr May Jun Jui Nug aep ~~, ,~~~ ~~~ Next meter reading date: on or abaut 01/27/2011 - _ - - Unttea water Nennsyruucnu Cust~tmer Service Center ~~~ .r, ®"" 81II9 Adums Drive, { iutnmelstoutn, PA 9736 yaa~^ r'~ ~ r ~ ~'~ ~ ~ ~ ~ Telephone: 717-5b4-36b2 I wiuW.unitedwater:~om t~SFi<GE t~lSTDRY Bi]linq Date: 01/Z8I1'! rodrtiTniy tasagem inddsana gduotts I ACCOUfit Nt1r31~7°i': d~Z~f~~~~4~7~~ fl a emu" r~i !~ 2 i -- Nrevious Balance `~z'f-n~ Payments Through 01/Z8/11 ThonkY°u $Z1.69Cf Balance Forward $0.00 _C'urr~tzt.ChgrnPS.CU~eD,711,71?t~71 T ~1C1.45 cT'.~Tr;L A}~i~L009tiT v''~E $1 fl.'~5 *PAY BY 02/22/11 TO AVOID A 1.5°h LATE PAYMENT CI-IARGE SERVICE T0: D JEAN BDAKE SERVICE ADDRESS: 922 ALLENVIEW DR MECHANICSBURG PA Meter Number -~ Seruice Day s of J Meter Reading ~ ~ Usage Unit of Reading Type I F•r~,,, f r^~,. iSaptirQ__ I°.~,tintt~,.~i ;-I °r~;2~t:~~. i Measure ~ L 60023631 12/28/10 01/27/11 3D 0149 0149 epurvq~eNr~o MOGALLONS A~TUAI. SERVICE CHARGES $10.25 .~e~, ;~-.~ ^? ~ 2 W-DSIC SURCHARGE $O.ZO ~ G ~ S _ TOTAL CURRENT CHARGES -- - $10.45 J ~ r.1 ~~~~ SEE REVERSE SIDE FOR IMPORTANT ACCOUNT INFORMATION ~~ C`,~ _.c~ ~~e~Dk~A>~IT-:MESSAGES It is very important that United Water has your correct contact number. We may need t~~ inform you of an emergency or n~cuss your nt5i Yo'r services. ~Tt~ipase ne' aware antic L~tiirett ~ir~it'et may-ael~der tn~~e7rtessages uJa~an auTomat:e~ datnYrg - ystem tD the contact number listed on your account**. In the event that your contact number c:*ianges, please contact our customer service group to ensure tue have your current telephone number. gave a stamp and go paperless "today! Log on to wwus.unitedwater.com ar call Customer Seruice to find out more information and to enroll in eBiliing. Approximate state tax included on this bill $DSD. ° 0 0 o RE 220878 PLERSE D'c7ACH HERE AND RETURN THE BOTTOM POP.TION WITH YDUR PAYMENT IM THE RETURN ENVELOPE PROVtDED. tU2 7908 MARDe 12o7i" N - is Jan Feb Mar Apr May Jun Jul Aug Sep ucT wov uee pan Next meter reading date: on or about 02/26/2011 United Water RerrnsylUarria Customer Service [enter ~°~, ,;:r, a S1S~ AriamsDnve,~lulnmelstown, PAi703f ~`~ ~ r; ~" ~ ~~ ~u 1 ~leohpne: Z17~5b4.3Ei~~ _~ '~~/~-~! Luwl,v.laniteduJater.ebm USAGE HISTORY Montlily usage Sh thousand gnllons Y r ... Account Number: OGZ00~99497010 Previous Balance + $10.x+5 Payments Through OZ/Z5/11 TtlankYou $10.450 Balance Forward $0.00 ~ ,~ti1~rPr2~~..j7C~C.~.PS.~!Ip n~/;i~t />~l;i'I ~, fi~.h.~ R ~ i r~:' ~;t ~~-,k''(E)L33~T s'~J~ j a 5. 1 ~3' `PAY BY 03/22/1'1 TO AVOID A 1.5°~o EATE PAYMENT CHARGE SERVICE TO: D JEAN BOAKE sERUICE ADDRES5: 922 ALLENUIEUJ DR MECHANICSBURG PA Meter Nurri~er ~ 52rulce L~ay~ ~~~MetQr Rendtrlg `Usa e Linn D' Reariing Type Frs~ro,,, ;1 ;,,;'„ ~ ~Pr~ur~._~ ~ t~teas~rre 6D023631 01/27/11 02/24/11 28 0149 0150 1 MGL ACTUAL EQUIVALENT TD 7,000 GALLONS ylL ,~ (I 1 ~ SERVICE CHARGES $10•~S ~~ ` WATER CHARGES ~5.6Z J ~ ltt/l W-DSIC SUP.CHARGE 50.31 I9 ~~ _ TOTAL. CURRENT CHARGES $15.18 (JJJ""" I SEE REVERSE SIDE FOR IMPDRTANT ACCOUNT INFORMATIOIJ ~ 6~~ORTA4e E t~~55A~~~' It is very important that United Vllater has your correct contact number. We may need to inform you of do emergency or discuss your bill for services. **Please ne aware that United Water may delluer these messages via an automated calling system to the contact number listed on your accaunt~*. In the event that your contact nlalmber changes, please contact our customer service group to ensure tae have your current tplephahe number. Save a stamp and go paperless today! Log on to urww.unitedurater.com or tail Customer Service to find out more information and to enroll in eBilling. Approximate state tax included on this bill $0.78. PLEASE D'eTACH H"eHE AND RefURN THE BOTTOM PORTIOr: 6VSTH YOUR PRYr1E1JT IIS TH5 RETURN ENVEWVE PROUIDED_ ~oz :anarunoeozoazc /~d~~ feb Mar Apr May Jun Jul Aug Sep Uct rvov use .lan rev Next meter reading date: on Dr about 03!26!2011 ~~ ~ ~~~ ~,~~ Uttttied VJa~er Pennsyiunrfi~i Customer Serulce Center 8189 Adams l7rive, Nummel~town, ;'R 17035 Telephone: 717-564 36b? u~ww.urtltedwater com usaG~ HtsTO~tY rTOilEnilJ Lsage Tn'EndGsand gdno~is s Vf " l~ O TJ i A~ ~~i~JU~T t3U~ ~10.~5 *PAY BY D4/?3J11 TO AVOID A 1.5% LATE PAYMENT CHARGE SERVICE TO: D JEAN BDAI:E SERVICE ADDRE55: 922 ALLEIVVIEW DR MECHAIJICSBURG PA -- ~MeterNum-ber-~ 5~ervice ~, of'. frieter R~adtng Unit of _ L Ua'~ ~-~- Us~ye Reading ~ ~Pe I ~`"f'fY?ii~ Y^~.~aY10f P..._ ~n.;l,~ I~l11uu~~ to 7.;^~3~L~~ .I `~@Q5 Ll i"e i 1; 60023631 02/24J11 03/?8/11 32 0150 0150 EOUJVALFNT~O MOGAtEONS ACTUAL SSRVICc CHARGSS $10.25 ~„~, ~~"~' W-DSIC SURCHARGE SO.ZO ~ ~~'- ~ ~I TOTAL CURRSNT CHARGSS $~B•~5 ~ ~ y~-t`~l~ SEE REUcRSE SIDE rOR IMPORTANT ACCOUNT INFGRPIATION t IY~PORT~~~j t~c5~?1G~5 !*. is very important that United Water has your correct contact number. We may need to inform you of an emergency or u:~t`id~xy~3t•Lr~~','.f,~s~l~'st:~'s:~ ~'~~i,~^~g~c3t~u~weaYe ~~~t~i vt~fi~~u^G°v~~et'ir,a"J'u~i~oet'2ra~~P~f1~e33~.r~J~"~^G,>n•a~^a~Sf'>J~Zt~tatr•~~.rsn7~i~", system to the contact number listed on your account##. in the event that your contact number changes, please contact our customer service group to ensure we have your current telephone number. Save c stamp and go paperless today! Log on to www.unitedwater.com or call Customer Service to find out more inforrnat~sor and to enroll ~n el~itnng. Approximate state tax included on this bill $0.50. PLEASE De rACH HERE ANU RETURN 7HE 60TTOM PORTION 1?/fi H YOUP. PAYMENT IIJ 7HE REEURW ENVELOPE PROD@ED. 702 1308 MNROB 0203 OODOflE 229031 .__ ... _....- .. ..- -____.. _.__. .... _____...__-_.. 03/29/11 Biili_nq. Date:._- - - - Account hlumb~er: 000099949701 Q " Previous Balance `~ 16.`l ti Payments Through 03/Z9/11 ThnnkYou $1 b.181 $alance Forward $0.00 C'LLrrQni.C'hgrnE>L Die 0~-/~,fi.l?07 7 ~ S~_Q_45 lf_i~ Mar Apr May Jun JDI Aug Sep uct rvov uec Jm1 ~ <~ ~~~a~ Next meter reading date: on or about 04/27/011 -- - - - ~ustant r ~¢[vtce L'etiter ;; - 8189 p~nms Dnue ilurr+m°lstoutrt, PA 17036 ~_,t .°' ~„~'~'~ ~~~ T~lepYionn: 7'17 554-3ao~ 's :~~` www;unttedwater.corrr' ,_ JSA>aE F1tST©RY filling Date: Q4/Z$/11 Monthly usa9ein thousand gallons L4rs',~sl~,~:~1ltmher _ QO~DQ9~949707 0 Previous galancs $1 D"~~ Payment's' - nrougfl`u4,~cb~/"(I Tn~~~Y°~ c~ $0.00 Balance Forward ~ Current Charges Due 05/18/011 $16.?5 ~' ~~G~~tL At~}~~t~T rJH~ $'t 5.~5 ~. Aor., Mav Jun ~u~ Hug ~~N ~~• ~•°~ --- *pAY BY 05/23/11 TO AV(11D A 1.5°io C4'tE~PAYr'IE~i I't1'iKit~r Next meter reading date: on ar about 05127/2011 SERVICE ADDRESS: 9Z2 ALLENVIEW DR MECHANICSBURG PA t)nii Df . 1 7en,~tce !~faCer~.eac3ing Reading j ype t NurTrber Gays of '~Jsage Nieasura To Serutce Previous Presen~ rout 1 ^ r1-~ ~~niSr,~ 0150 ~ -0151 i "i tug 3631 03/Z8/11 04/'7/11 30 EQU1VAtENTTG 1,DO~GALLDNS DICE CHARGES $10.25 ~ . ~c;=,~~ki{~9~s=~ $0.38 V°`~~~ C SURCHARGE ~~~~~ ~ L Ct1RRtNT CHARGES $15.25 "'SE'r'c~cOti~cSt^.nvE'P.'l~'l4FiPZR,MZ,~P~.QUAII.IN F,QRMATION >i~p~'~~Af~~ l~E55~4G~5 3~;~z~~~,t,#,i"rrtlJ,nitea'_lAl~ter had uour correct~a~ater may del vier tn~se rraes a~fs~v ~~ r'°~`~'~ Q on act our :rs} t s your bill for services. $*please be aware that Unit n to the eflnta> i nto en>ureture have your urnent tele~hflne number~aar r'ontact number .,hanger, p .- nerservice group a`sEam~r~ai5cr-gt; ~rr~~~'~`s~-~'~:^•`~~~'t~'`~+~uu.ucutsdsuater.com or call C~.3tomer Service to €in~ out roots i~+farmat~on to enroll in eBilling. ~oximate state tax included an this bill $0.78. /~ ~~ ` '~ Unrt .~ Vdat r Per+rssylatama ~-~.~ ~~~ . 6 ~~ T ~ ~t ~ ~u5torner Se urge renter '81f?J Adam €3rii~^,_ f-4urnmelstau~n, PA'i%i:35 i T..~,trrbir)pL3t~t'rZl l"JO~"S~?v 1 ~ . - rr . -- J) I t t uau~u);un~tedulater.catrr USAGE HtST©RY ~k~i~'k~ a R~tp' _ Q~Z.~i 111 Montfilyusngeinthousand gallons ACCOUCIt ~JUCi'1b2C: 0~Z0~9g94~7 2 _______--- Previous Balance $1 ~''~~ Payments Through 05/26/11 Th~nl: You $16.Z5CR Balance Forward $0.00 '~FL~~S'7 ~ ~, r .4~ ^F a9 '~~o ' " m ~ z , >, ~U g~ ~ ~.ui',•errt~trit ~ G ~ Ate;-~~JUT ~L#~: c a C' 4c~ ~ FIh1AL B{LL SERVICE ADDRESS: 922 ALLENUtEW DR MECHANICSBURG PA VICE TD: D JEAN BDAI:E - (~9etier ReatliYtg ~, Umt of ~~ading Ty,~°" ~ '~~ $Lrr1 C° ppl)5,df LlSage ~fn~15UCF'_. ieter'hlum6er { ~ 1 Frain ~ Tn l'` ~~~rvice` 14 t'reut0U5 I" Nresi?n> i 0 MGL ACTUAL Oq/27/11 05J25/11 2g 0151 01.1 0023631 EQUIVALENT TO OGALLONS a $10.25 ~'`/' r, ~cRUICE CHARGES $0.24 /~, ~ l -OSIC SURCHARGE 4, / l ' ~~ ~ \1s ~TAL CURRENT CHARGES $10.49 ~5 1~~ ' ccc~E'~4(ER~i,SE^s'~SC~PJ~2R(1FT~N~,4~'('.DUGII.INF.D-R~1ATI.DN_.. ', 3~ s€~Q~P.~AI~I~ }<~~~~A~~~ t is Uelu important that Uni*$d !Nate o aware thatrUnit d Water may deliver thQ e mesoagfo V Qy~~ a~ ~m~~g ~n~l-g r ;Ross your bit] for services. Please b~ 1 o P 7~ase contact our stem to the contact number listed on your account**. In the event that your contact num:~~r chang~s, p stom°r service group to ensure we have your current telephone number. rave ,s+~uti~~^~,~,u ys~ap~g~.~ r~~!~~'p-~~to~`u~~u~ltedtuacer.com or ca3l Customer Service to and out more inforrraatifln ind to enroll in eBilling_ approximate state tax included on this bill $0.~0. - toe t3oamnnoaoazo2ott --- ---------------------- t000nr 257693 _______________ _ _VCcRSF'gElkl'rfF+c`N!`kSVi712CtL7h~F RRT504,P/~~PTL~rI_VI7H.Y.~IrP.P.AYMEN'UWTHE R`IUJ3PLF.NVELG2E PF; l~- i~ May Jun Jul Aug see act rvuv ~c~ ~~~~ ~ ~~ °- Nexk meter reading date: an ar about Otil24/2011 ~~~~'~~ ~flC~ For: U IE.~N BOAi;E 932 ALLENV'IE~1~ Dl( ~~.I;C:ziii34i*.`,`.>ii'u"ict'i P1i' 's ~ II.i`_~_ _ C~nestions abont this bill? Please contact us'by Sep 2l ai 1-f10()-~42-577; ;1-~ {I O-D-II~L-I'I'I) ~r•r vante ttr: ~'cer:ioaner ;9ervece "~ ~i'tiausinan ltd. Allentown, PA 1 ~ l fl4-9 ~ 92 1j~~/,ppl el ectri c. cum LJ ~+~ T12is graph shoti~~s volrr electric use OVCr the last 13 ,.D7Clnil'c '`~pe~s crf f~Icter lZeact9~bs: Actual Adjusted ,st2mated ;ustomer Ncxi 2,. readin~~ --- on or a~oul ~j>~ ~n ~'agc Ti:<Ytf{-. Bi)t {iL'GU12tIK ~t~rl3Filf1.X p 06010-~82t)0~ >t7w.lvtietsnlhu .or:nrsrlil~ ::< ~RdBan~(~ jd3 DIY 1i~~-~jL 7y1 L99L .. ''~•~iiT1~~l?1 I , r,\14/ ' \L Charles: 'fota~I'L Electric Utilities Charges n `/ $63.5 ~~ ~ Aiilc9 ~:hie~ges ..°ri132.72 ~`~ I('.kus ~mRaa>m~~ ~tQ Etta' ~litiau~ i+a:,p~:~~, ~~~~1: '~~ ~~,7 ACCOllTIt Ralanc:e_ _ ~ ~`p~s~s~ ~ ~ l~~eter Itedc#in~ In1'crrrn~tion Y~l~'H - Av~rane Pc~ Da}, 36 ~ ~ 1l~i€~ter i~9G9~~~75 -------~ ~LUr~-mot- - n.rrrisL~. r.11:;-z~, , 30 I~ug 2 Actual _ { ] ~ 70 29 Days K1~~I Billed 487 ~~ 18 12 t c - - ~ ~'` ;tut+-= ~ess: .. '~s~AlQ <..,~~i~ t! TE`nlppr~rattue 7~I' 7?71 KRi'1-I Per Day 9 l 7 ~'earlt' Llse: 't'otal /~~'~ra,~e _ I)se It'Ioatkr;~y Sep 2008 -Aug 21)09 `~4l 7 ~~ 1 Sep 2004 -Aug 2t)l0 `390 449 ~t>~cR- a' ~€1'~~nt ~>ttfa~~->ina~aon t>!>n Mack aces abou SddsilOll, about ba.13 of t111S bill ptlys use 2't~ vi~l:,~ i~~~ ---_____ l~or your convenience, you can now payyouur bill~iising your Vis~ MasterCard, Discover, or A.T'Nt Card. Lall ~HII<P+~fatrix at 1-8{)U- X72-2413. I;ilIlIl4::atrix will charge your credit and A"fM card. a service fcc~ for rnalring this payment. Before diggin r around your home or property, You should always call the state's C?ne Gal notification system to locate arty undergrotuld utility Imes. You can do this by simply dialins,~ 811, which will connect you to the Oire Call svstetn. I3e safe and call 51 J before you ciig. With paperless trilling, yc?u can receive and pay your I'PL Electric Utilities ~ Y /p bills online. The process is free, cluiclc, convemc;nt and secure. To learn more or sign up, visit www.pplelectric,ccrin. Save pnstage and late charges -sign up for Automated Bill Payment. 2UD9 MonUls 20t0 ~j ~~~~r~~ ~~~~ ~~~~ ~i~~l'~~~ fl;~t:Hnce NHS of Sep 3i), 2t1fl91 Foz: Char<~cs: v ir.,aN 13t»>; Tota~'I'I'L I?lectnc 1Jtiliiics Charges q~Z ALL61~'\'It'.~~' DIi 1~ILCtInN1CS13t71tL; i'~i 1 /Ui? t i)'ai C,~i~f'~e4 ~~'~y 1 free ~enea~~a~ ~afr;~m~c~:~6~~a~a 4~~ Acccnmt P,alancc ~ues[i~~ns :~~~i~u t this bill? Please contact us by Oct ? I ai 1-t3t)t?-;~2-577 or write Ldp: Cubtomer Secti'ice °`'o~'iT21'~t'i'nmll ~~u. Allentov~~n; PA ]8104-942 ~,-~~ .ppl ct e~tri c . c on3 ~T~~ ~I1~is ~'raph shoji's ~=our electric use t)VE'r the Ias1 1 znonihs- ~r~~l~t.~ ~,r I~E;ti'E ~~eA(iAHinS: lACiual Ad,justcd Estimated Customer K1~'I~ - Averag:,~ Per Da~~ Page l - _.:. ~: <wa I3ili<AccS~ikt1E I~itimEr r .. ~56U 1()=~zUt~a I3ye ~iian eall~n~?c ;~cmrrE. _fl Stl.Q9t4 ,y;3~.4~_ $i --~ .. a`]E~1.3 Laver ~,~~.42 s ~~ ~~~~ .. .3 '~ ,~\ ~u ItZeier f2ea€iing flnforruatio» 1't'fletcr i~9Cs)G~s~375 ,Ci:'.D~~_ AC1llal ~~~~~ Aug 3 J Actual 6I Sj7 30 Day's K~'I4 Billed 2GR --~3t:f,+dnE._-~C:iF Z(lQ~ ~tk~.(J ~ICn1DC'.i3h1IE'. ~~~' ~~~~ fl;.t~ rI Per Day ~' - IJse IV;(vnC9~iv Oct 2008 -Sep 200z~ X273 43~ 4~0 Oct 201)9 -Sep 20I0 »9E> ~t~iei- ~v~tpo~-tant i~fa~.i-~~ti'cen can b~ek ~~ /a ~~'a6~~`~~~ ~~e~~r~~ ~'~'fl~~ l~or: 932 At,LENVll~\'~' DR 1~IECIlANICSRURG 1'A I7t)SS ,emu ~sinrn~~-~ufu t this bill'? ]'lease contact us b}~ Nov l of 1-f;0()-342-:+77; car w"rite tc~: E'usfa>~ie~r Sinliec Y27IIausmau Rd. Alletrtcium, PA 1 ° l 043392 ~vvn~l. ppl el ectri c _ corn ~~~~~-~~ ~~ This graph slu?1rs }+ouI t'.lLit11C: lltiL' aver Elie last ! i ~nontlis. ~'~-pes of TW~e_t:'r ;I~C~~inn~: A~:iual Ad{usted Estimated Customer vi uvvul J~L-elf t~ a T}a~C 1 1 I_Fx. ~s)-Kuiialll~l~~?r:ivrnm~.. ; ~tl.dlti ~$alance as o~ ~~f 2a), 2t)40 Gharecs: 5;46.2 "I~otaI~PPL Electric itilities Charges X4652 Account balance ~~~ I 3U ~~ t8 l2 I x;46. ~ 2 r ~? ~ ~~~`~~ .~$y\ r~'' ti `~~ U K~'I-I - ~~verage 1'rr Bay lt,Iefer Iteactinn In><armdfat-n 1~'t~t~'r #~9G96~375 ~ ?4Y2 C~c•t,?9_, /;::foal Sep ?0 Actual - , ti212~ 2s? Days K~'H Billed 3`~7 . ..~E;~~~4rC~~~Cf _ ~OI)~ - ~~~. t) ' F l' ; ~~ l.em crature O t 3 l ~ K'6V 11'er Uay pearls' 'rise: Nov 2008 -Oct 2009 Nov 2009 -Oct 2t)lt) Ts-t<al Avea a~~s I)roc - ~itin~ht~ ~2~8 j4~)9 4>R f)tl;Z~r i><rapnrt~nt inft~rrnatinn un bask ___u~~,I `. --_- i, vu, .uJ• ~ ~r1 1111J Vtll r1d ~'S llll' 1"!1 ViVJJ lll:l l:l~l~ 1 ii.Y. For your convenience, you can now ppay your hill using your V ~s' ~~ X413. MasterCard, I~rscovcr, or ATM f;ard. Call I;~llifi~etrix at 1-l~Ot7 it3mjllVhatrix will charge your credtf and ATM card a service fee for snaking this payment. I3ctt)rc diggint; around yc)ur home or property, you should always call the state's One Ca`[l notification system to locate any undergro>-u~d utility lines. 1'ou can do this by srmpl~ drali~i ~ 81 I, which wtll connect you to Qle One .ail system. liersale ana call ~, I`l ~e~lofe you tub.' _ ~~ y ~ ~ With paperless billing, yqu can receive and pay your 1'I'L Electric Utilities hills online. The process is free, quick, conventcnt and secure. I o lc;arn •_•13r<1t`L''T~9t"3Ik.1Plt}i,'i'1toII^3+'3~ 3i ~~J~~J~.~it.~Cil~':'t~ul~_ Save postage and late charges - sigrn up ibr liutotnated Bill 1'aytncnt. ~_ ?v D 1 F Ivt A M? l A S ~~ 20 0 ?(i09 Nionihs ~ ~T ~~f`/ l ~ or: n22 nLI_El~~~~.\\' I~31 AtL;;II!:NI(:5I3iJRG }'n 17~>' "cpa~~'sIII,Ies~'dxrdu t this ~III'.> Please C4)Iltdct t15 ~}' DI'c ? 1 iif I~ttf4f4-3gZ-5/7 ~s~~,~4iR,IAI~i. ~'L'J .~ or wrs9e to: ~aes4ua¢Ie>f ~ert~nce ~{? 7 I'Iausman Rtl. Alle~th~'r'-, PA 181~~ t)~92 ~~rvt~~-~pl ~l2c:i~ic.com ~~~~~Ilf~ ~T~,~_ TTIis =,r~anh shc>\~+'s your electric use ~I.)nths. ;' r des sel' r~~~ tc~ Rea€fial::~»; Aciual Adjusted 1:siin.aied C'ustomcr [~ Page 1 :iin~I3ilI:.~ efxu~?iiintr•r ,. . ~. .. .. i~~~~Ft 0=a'LZ ,n .:;tJ~~~ilscucatiaii+:ine~+crnri~ >: ~~.~ ~~~ >Il,al~Ince ~4 f-6'lVtrv ?of@, 2fEkf) Cl,ae<~,cs: 'I ota1~PPL Electric Utilities Cl~~trges I~CGOIltll ~3~laneL ,G I 30 ?~ lb 12 ~,~iI-I - Avera,~c P:~r 17ay 1~~.€'~f:f tt~~Sl~Jll"_`1.1'! 9 ~ 37tt1 ~ ~6r\~.;itt.... ~ ctilal_-- Oct 29 Aciual 7 02482 a2 Days hV4~i Billed 72' irr. ;_l~ien: - - 244144 .~.~'~~;a n~I; 2f4); f1 ^~F ~e3li eralur~~ I;.L~'~ P er Dad' 1 i ~~ ~'~sflv rise: "i'ai~Ii • ~lsc t~ve_r~ns Mun X Dec 2O(18 - Ncw 2t)t)9 X357 8 i7 47 47~ ~ Dcc Zt)t49 - l~ov 2f11O ~la€~€~r ~a~~~o>i"c~>Iet ~niti,rugaa~e~,n o~ b~~:k Return tins pan to ad;iress beln'a" wish a check paya~ie to PI'L Eiectritr 1'tililics Corp )rattan ,. _ Picric t'av'i35• 1 a>~: t tt ~ nttcllttl::ccoiiiit?vim~ti,i -~~ l~ec 21, 2(~l() 02.27 f)i)~)~ ~}-$2{l~)b ____----- An3ouni l~.nclosc~~_r ~. I i ~ i I MS 09 Ool16l 49289 B 2c~5 ?+ ~ ~ f~!, ~ ~ ~ ~. ~~ 1) 1[./1N330/ylili LL~~.~~ 7 i 1'+'IISTCi/ill' llH 5L111. (:C)to.ECrt, l'.1""f'ti3~tl.i=13?~ I'I'I_ t:LEt°I IUC lTl'II.C.CII;S 2 NORTH 4)'I'I1 5"I~RIa:'1 RPC-C~t:NN I ~ i ~~ /vl.l..t'.I~t~1~OWN Y~'t 15101-1175 111 ~a-.of;a ~;y2.Z7 ,~;92.2~ ___-~--- f~-~ 7 F1,.., ~~a~ ` ~'~ ~~ r~ti ~ ??:"~:.i:ic" iLi~:iR~331ifiUI1 1W9G`~CT e+ ~t{sit,,~il!]t{is`1(~!'~~16°Il{R1i1~1~1~"•iEi°G~~l'~~~l9t~(tUjil y 4DIIDt7~J~~~27QIIQIIII0~2275 IIYII7:II8?IIII8 D ? ~ I\~igl~ ? ? ~ S O N(1(1 Zt109 Monists ~~ ~"~'~~~ e~ ~~~~~~~c ~e~c~ I~or: D JJ'nN 13C)nhE J22 nLLL'NVIE~Y llR 1`QECHANiC513URG I'A 17US~ l~ inat 13111 "t jll ~SlIIlt1K`'~IJt}u~ thisbili`? Please contact us by Jan 12 ai 1-Hilt)-342-~77, ~ ~LF,.RP4,>`?I~ i~ I'L'J .~ t-r write tra: ~'u;;louter 5~rvicc 027 IIaus~xian Rd. Allentown, PA l 8 ] U4-9392 ~~v,~-.ppl el ectTic. cony ~T~~ _ This graph shows your electric use v vt;l R, L'f'~Ia~S -1 ~ ~rlonths. 'T'ypes o~ i~$:~cr Iteasin~~b; Actual Adjusted Estimated LrlSlOnl(:r ~- Page 1 -..._--- -4'irur I3itt ~cciiaut<NtiiiiY,cr ~(~~~J~rK~[L~ LTse i~tt~'t~: s`athti ~~~.z:~; rlnlt~ ::::. ~~~~ ~~~~ ~alanc~c as atf sec 22, Z9D~f- Char yes: Tt)ta~PL Electric Utilities Charges ~;i~otAl ~'h:s~-~es /account Balance `i~ ~. \ V~ , rte` \ ty ,~~~v ugb.00 $93.9( x;)3.96 ~3.9G \`i /~ 6 ~ ~~ Tv~Ct~'i" '~Ca(~lnt~, ~311()rISialiOn ~It~feier #Iu9~i537~ I T)es; 2l Actual Nov 30 Aciu ~ _--- -tiiZ~th ___ 2] Davy hWI-I Billed 9~ ] ._ Ave~ave -lice 2(tC'iy 2i)lU ()F Terlmeraturc 33F l 9 ' '17 ay K Pc'r L ~'eatil~ Use: "1'ei.af - '~ Use As~c$ arc 161V'1(fl}I~Y91~o' 1 Ian 2009 - llc~ 2009 3?37 6136 ~3f' ~ 1 l lan 2t)] 0 - llec 2010 ~t1Ber antpt~rta~f in#~-s~~~~on a~n ~~ack /~ '~ ~ 'o ~~~t~.u('iE ~~~~~~~~ ~~~~~ ~~~~~~~ Por: EUF.. AOAI:L- 922 ALLLNVIE~~' Dit NIECISANIC$I3t)RG 1'A 170» ^~ue''sratrns'a n[ru ~ this bill? PIease contact us by Jan Z{l at 1-iI0(1342-775 ~ ~~nitl-~t?I~=-I'In j alr write to: Cuatomer Service 827 Hausman Rd. Allentown, PA 18104-939? ~.t,,r«-_pp}cl c'c:tric.com ~~~~~r~~ ~~~ T}lis part of your bill helps you understand your electnc use. '~~~•~:`s oS~ Ii~ieter ~eaaii~ans: ^ ~~:~;ccla~ Adjusted _.1_skimall~rt ~~~ C;ustomcr [~ Page 1 ~:hur I3~ u~r>l~iifr~F;Lr...: - !1!'V~vni S=?c~~?i r t>~ezr}ieiaalhi ~iir~zth;it=n.' 11~ary ~~~~ g;a~ance ~s of 9>ier 3(4, ~(>?;1(l C'har~es: 'I~ota~PPL Electric Utilities Charges "L'otal C(iar~cti Account Balance j 9~ ~i ~9 ~ ~•'" t !ll" b 'WFI Average Per Uay ~;(~.(~o ~63?2 X63.22 -'~ I(, '~ ~~,!~,- ~ X63.22 ~~ .. ~~ ~ jl ~~ Deter a'2eadin}; lin>ior-~sativra I~ - _ ~, 60 -1 Ii'#et~.r #~(F4~=~37~ 646 1 i x:30 Actual _ 64186 Dec; ? } Actual ____ ~0 I y Da ,s KVdH Billed 46~ Ati T}}}.~ Rauh shr>vtrs klle avera<_'e nun~bcr of KWI-I you u.5ed each day. 1'ou uss:d 4G 3ti KVtrII rrl ~ days, cTr an avL~rage ~#~ ~ 3 K~nZ3 a day. ZQ T1re average daily te,'mperature #iTr your area 10 last monde was 3{lF. 0 2(109 Months 2010 tether allnpor~an~ i~for»~ca4it~n o>it Track titatF:'.,`ti>lle t.,al~ n(Tl1I,~n~p~,.-ni paci. ~-,ivia~c ait~ uiiuoi~itiiiuu ~nuuv iii,-c.,--_^ --- Yotvstern.tTl3elsalc aild ~~all 81°f h fc rc yc~u dig.~ill conned you to tlic One Calls V~~ith paperless billing, you can receive and pay your PPL Electric IJtilitie5 binorc~lc r sI~~;Illuprvi ~i ~~~r~.}~l~llelc nc{ o cntc;nt and 5ccttrc, l o learn Save postage and late charges -sign up #br Automated I3i~~l I'aymcnt. ,~„ , ,., ~~ ~itc.rTta1-~ ~a11"'Itr~e~fii;TiCiic.Tdt"t1t1'iii~ ~1ii11SIi~.'~'iisa~i I2 }1iZTC5\iL`S:'Crfcr'~-~ ., .... doors'alld tight fitting dampers help reduce heat 1cTSS when }you arc n<Tt using it. `• ln}f2I171s~>_lC1n_i~J"LLi1..~~L~l,ir~r_~r.€:S:nL'.rt33a16~~U~&~1inS lJl,`a~!!1.~t11.(_nC'rL2b~TC._ ~~r {{~ available through the Energy Library on our t~'cb site, ((( f ti~~~~~.pplclcctnc.com. ~e~tr~c ~~~~~ For: ~ni-. ao~~cl_ ~zz nt.iwta`~ri>/«' nIt A4L•(:IIANICSI3URG PA J7p ~5 `°~Yil'~4~I[Ul1S ~°diH1u~ this btll? I']ease contact us b}' Feb Z2 at ~:-~00-342-~77~ ~~l1,~4~Il~IAT1-PL'J .l or write to: C`eesfouycr Scr:'ice 827.-Hausman Rd. Allentown, PA 18104-9 X92 ~'~'4'u'-PPlcle:anc. ct~m ~~~~~~~~ ~J ~~ This pari of yotu bill helps you understand your electric use. `;3'~g~es of I6'~~icr R;~ariinbs: ' y:ctuat Adjusted L:.S~~l~~1tIZLt1~I~ Customer [~ Page ] - £' :Yiiif 3391-fitics~un[=33u}i~Er.,t ~ .~ ~ " IJ~IJ 1 ei-'i~~J 1 1 ,~ :3:FsF tvlir~u-calh~t~3ii :~ rtntt~, ;>: )v;~~ance ~s «f .1~a 31, 2(x1.1 Chan>es: Tota~PYL Electric Utiliiica Ch~~es "1~~Qet~al C~a>"ges Account Balance 1-;~'II -Average Pct Day ~(I (-- 50 i- AD 3(i ?() to L 20l 0 ~ 1' Months 2011 ~n0.9)!) y, ] 43.43 `143.43 1 X143.43 S~ ,~#'~ ~'u ,.~1 / 1C '~ ~.~ ~ '~ 1L'Ieicr IZeeciian IraS'ar~afit~n 1~'ieter #9G9G~375 c;~722 Tan 31 Actual 64b~ 1 Dec 30 Actual ] 071 3~ Days KV4'H Billed The nraph shoves the avE~rar;e number of KW~i you used each day_ 'You us:-d 1,077 Kttdl-I en 32 clays, or an avc~ra;r~ of 33 K'NI1 a day. J -the average clatly temperature )or your area I last month was 27F'. ~~~~~- a~~pt2rta>tnt i>t~$o~>r>~a1~q>,n (rn ~iatrl~ °~ ~~ ~ ~~ F; ~ ..~ .. $L+r i r t~P ~ ~~" Page 1 ,., .. ~~~ ,E~~~~~1~ ` et v i Ya~tc~i3il3 A,ecAirst Isurritict F4< ~~ 6~~~~s 4,° ~,u 06010-2017 ___ __ _ _. `~~e~~c~ F3ailmnce as of IVlisar 2, 2011 ~0.()(! 1'or_ Char es: L,nr i~v'.~l~ ~ 1 cilal' is LII''~trxc ~ui~Ilil~s t,n3Y res 922 ALLI;NVIf;W DIt ~ ' ' ;pl jU,(j~'~ A4l,CI1ANICf,I3tIP,G PA 17055 T1Dt7~ ~~~~ ACS ~, ,D ~ 3 ~}. to ~ _ Ar,COtIIIt 13alaI1CC Questions about $130.69 this bill? PIease' contact us: by=TYlar 23 of F-$OQ-342-_5775 (1~f30Q=IF~hL-PPL) 1 ` (3 / ~,, Customer 5erviee 8Z7HausmanRd. ~ ~~/~ ..• .Allentown, PA i~ 1 ~~ ~'~~vsr.pplelectric_com IT~~ Z~ispariofyaurbill ~~ helps you understand your electric. use. 4C ~vp'as of ~~~ Il~eter Readings: Actual ,v AdjusKed Estimated ~ Customer I~1~'H -Average Per Day 00 li'Ieter #f9G9G.537 ~ Mar 2 Aciual GF693 ~a33_~t __~tj7ial .._Ft`1.~~~ 30Da's KWHBilled c}7I The aph shows the avt~rage number of K~~'Pj~J~~.l~ P.3S,~S.512f..~'~Jf3~i~c~l~7,, . KVL'H m .z0 days, or an average of 32 KVtiTH a da}>. 'I~he avera~~e daily lemz~erature for your area last moniii was 33F. ~31'her irnp€>rrtant i;afv~afion Un back ~ ~'~-~p JFM 2010 1vlonths 2011 ..~" . o 0 ~:~~~~~~ ~~T~~ti. For: nEDE HOAIniE 7LG ~1iL'LrG~l `7'1~'yy~~ `I71L`~' MECHAtVICSBL7RGPA 1705 Qucctions about tlus Hilt?: Please contact.us by Apr 21 at 1-~3UU~3~~-5775 (R-fy00=I1IAI,-PPL) or write tn; ~~:'ustomer ~eifvtce 827 Hausman Rd. Allentau~, PA I8I04-9392 W ~"~FrreI~'~~cin»"~ ~J ~ ~ This part ~~ your bill ^elps you understand your el~tric use. I<<ypes of lYleteF 1Ceactinls: Actual y~l dsiura ~stimaicd "~.sJtsmt::,,. ~~ `~~_'; Fz~~ `~ `'•.~Q36 ~~a~ ~~s~` Page I :: I'auf~dll:=firc,uutztiA&ir~E~r'=-_- 06U10-82017 ~Is~e;=vv ~cn a~ttliir ~cz~v~rti' B~aianee as--of`Nlar 3~1; ~(}I I Charges: ToI~I'PL Electric Utilities Charges ~~Ota~ ~',baP'~-£~S Account Balance - -Yiil.llU .`~42. C 8 n4Z.68 X42.65 ~D --~ ti~ i ~ ~' ~ J' ,`~ ~ j~ \ .. .. lip 16trter Paea¢~inb Inl'orma#ion Meter #9696537] Mar 31 Actua] 67035 Ma7r~ 2 ~A/icltju(a71~]~{7 66693 ~ ~•7~~3„c 111Y t:t~171I1'l.V O1~ J..TZ/17' The~~raph shows the averane number of KV4'H you used eavh day. ~ou used 342 TC~j1;~2n ~4,Sj.7tr~r~grc7P.ZYvT.1S2£~~.~~~.~Y~1-T.~ a day. The average daih temperature for your arc;a Last month was 41 F. ' ~><h~~ important inftl'r~nation vn b~a~•k ~. ~ ~~ J F MA 2010 Months 2011 - `y Ii 7 4~~~,~ Y~~`A~t~ fit. „ r~Ce~ ~ ypv IfG~ .~¢ _ Page l f n~ Fos ~ p ~~~Tj{~~ ~ ~~ .Balance ~s of I4~ay z 2Q~1 Fir: i;D~ BoAi;E , Chargge~s: .<Q~~Lti~T~~,*iirc~~~~,~, Mecx~vicssui;ts rA moss To#a1 PPL Electric Utilities Char;~es Total Char-~;es Qucst~ous abc-uf #hrs bilI?:s.PIease contact us by Nli,y 23 a# 1-8U(E-3~2-57'5 of ~Tnfe.fo: 827.Hausntan Rd. Allentowri, PA 18I (}4-9392 ~~~~~~~~1~,~-~~~vui--~ ~~~~~°~~ ~1 ~~ This part ~f your bi11 ~eIps you understand Maur electric use. a apes of ' ivtetei- Kea'ditzbs; Actual iu~ d3Y~u^a ssiimaied .ILCiI1t17fr.,. f 1~~ 60 iQ 40 3U 1( Account Balance •~` _' f~Fif'bfirtrc;iiittu ?~ini~r O~OIU-820I7 __ ,. 3v~Iaa•t~titf~-c~ri[~ xtt~ ...:. ~[I.00 ~41.7h $4L76 $41.76 l Y ~~ ~~ _ J~.~ fll~'" V ,.~ , ~ ~ j ~'Ieier;t~eading IrtForffialion iviczer ~J69~5375 Mai 3 ] Actual 6729f> Actual 67035 Z Days KWH }3ille~d - ~~, ! The graph shows they avera~~e number of KW#-I you used each day. i'ou us~cl 263 "~'Wti in ~ i aavs, or an average of 8 K'4~~-I a day. ' Th.}e average dai~~ Temperature for your arc>a 14J1 till?tYt1Z'E~v~S 5'_~2~T' ~><her i~~a~z-t~nt i~for~ation <~~z beck /f-fib JFMAM ZoIO Mon17~L_ 7nLl.. .- ~~- ~i~~~~~~ ~:~~~ For: EllE 730AT:E ~z~ ~;ct;rrvnrw-1}~~~ TviP,CIIANICSBLTI?GPA t705~ Fitaal Isill Qucstians about this tiilI? Prise _ _cnntactus b~~ butt 1 at.l-n(1Q-342-5775 or w: ite fo: C~cbft-mer Sc~~icc £127 Hausman Rd. Allentown, PA 18 7 04 -.9392 wu--~~. ppi e I eL• tz7:,-: cUnr- ~~~ _T_'ttits.n~r1 s~f your 6111 helps you understand your electric use_ T3't!~c5 of IV'~e>'er 1Zeadings: Actual fldltisteU ' Estimated `'.~.tr3ion;~~ r~ U :: Yt}.t1£r$il~ f4£Cfi12gE.AT]Stiif>"3' - OG010-82017 C7tie;~v#i~+rz csHzn2-0f:~ti~iipn~.. 13aianee asii><ivga~ ~~;'r~~dl eiA~[l;tl,,, CharQ es: Tota1"PPL Electric Utilities Charges $32.07 Total (~)~~arges $32.07 - , t''~i~>«~~;~ta~as#t.~t~ ~rx~"~~ ~>~~n::~>~sr ~~,1b~~ f ~a~.~t:: i Acct~un`l 13aiance ~~,D.Z , \~~ ~~ ~ ~~~ T ~ Meter Reaciirzg ~>tor~uation I~Vr H -Average Per Day ~~ Meter #9G9G5375 May 2~ Actual 67100 50 May 2 Actual _ E7298 23 D_ ays KWH Billed 202 40 The ~aph shows the average rzturzber of 30 KW~=I you used each day_ ~'ou used 2(32 KWH ztz 23 days, or an average of 8 KVs'11 a 3~ day. 1 ~ The average daily temperature for your area last month was 6] F. 0 ` J F M A M J ~',~ ~'J ~~~~~ 2010 Monshs 2(111 +' J t ~~ '~~~ ~~~ G~~ ~~r ~t~er amportani ;!>aln'1•sn~~;<~in tiro r~:~€:x-'- ~ -. ~ Upper Allen Township 100 Gettysburg Pike Mechanicsburg, PA 17055 z1 ~-ass-o75s Sewer ~3illsng JEAN BOAKE „«r,~.i ~ ~pr~iiE~~~Lf-,,o MECHANICSBURG PA 17055-61fi9 Service Location: ALLENVJEW DRIVE 922 Account Number: 582012 Billing Period: 07/01/2010 to 09/30/2010 Balance Forward: $ "'~urrerft'l;narge~" ~ "'T'~2:Uu Consume#ion: gals 3ra quarter sewer='bm July, August, September 2010 t ~~ ~~ ~~~-~= ~ti ~ i 't~ c_ : v~1 If Paid By: 11!09/2010 $112.00 Penalty of 5% on the current charges will accrue after 11/09/2010. Interest of 1/2% of thQ unn~id balance will accrue after 12/09/2010. ff-(o ~~ ~ Upper Allen Township 1 ~~1J.~'r . 1l~Q~P~tt!tS,hu~rrz.Pike \ ~ M~cha~icsburg, PA 17055 ~ V~ ~,,~` ,, ~" 717-766-0756 ~~ ewer f3ifiing ~ ~ ~ •L. ~ ti ~~ l~ ~.. 4TN QUARTER SEWER BILL ~N BGAKE ~ ~ / '~ ~~ ~ ~~ OCTOBER, tvOVEMB~_^, DECEMBER ~:.1 --~.- ,~~ .~V~ J ~~1~... ~ EDITH BOAt:E ;~ Jr ,~ )2 BROADMOOR LAt`JE °~ t~~~'~, ~' rATE COLLEGE PA 16801 ~' ~ `~ N ervice Location: ALLENVIEW DRIVE 922 If Paid B•; e count Nt.im6er: 582012 02/10/2011 5' 112.00 ing Period: 10/01/2010 to 12/31/2010 aiance rorwa'rd` n " re~h'aity~rb to o1'T me curr~nt-cnan,~cs°Wm a't,C:i uc urrent Charges: ~ 112.00 after 02/10/2011. Interest of 1/2% of the unpaid balance will accrue after 03/14/2011. ~~-tr>>>pzrdi i.~~ u~~~~ ~'/~ Upper-Allen Township ..'11(3 die3t~kr f'r g ~r ~ R~ Mechanicsburg, r~A 17055 717-766-0756 ' L' ~~ ~~ S~w~er ~Illlr~g Jam/-11~'1~C7~Y~~`_ C,iO EDIT!-i BOAKE 3002 BROADMOOR LANE "~1Tii t_ CULt_cGr ^F~ ^~b`2Su~i Service Location: ALLENVIEtN DRIVE 922 Account Number: 582012 Billing Period; 01/01/2011 to 03/31/2011 °~ardrs~;l; rvrw~a'r ~P.' ~ Current Charges: $ 112.00 ..L;^SLi~~1^N1iZlnn' y~ir ACCOUNTS MORE THAN 3 QUARTERS OVERDUE WILL 8E SUBJECT TO vvA',`LSrf 5E?fv7t;L'Sfii1ti `-LPr='~ If Paid By; D5/10/2011 $112.00 Ne~i~aitY o"t~5i° on the currenf charges wui accrue after 05/10/2011. Interest of 1/2% of the unpaid balance will accrue after 06109/2011, /~- ~p ~:• ~ ..r~: E.~ r, a~ ~ t'.7l'„ r r~.j J_ ' ~~_i il_ ~ t/ - _ 1 --!'' ~4 ~~i r.~..__._- -.~,.a ._~,~~__, ..___.~_.- ~ ` '1~' ` , ~~~r~~~lr1J.u "j r~ `~~ i t.r 7' :~ G-..~ HIVftTGIV'f'T . ~ ~: ~? h f ` ~~LriL~~~ n 3 KEEPfOfi Yp(1r~ REGOR~S;~ -~'t`~i `~ ~ _ . C~ ~~ ~-~- i ~ . ~ ;. ~.._ _ -_ ,, ,~ ~•--~ I~ _ .';' -- - '.~-~ac~9 ~f_ ~ -_-____- - Dear Customer, _..:..~--T _ - ~r~~2 ~ Ot` z `~ ~ LYiu111L`~. t'il. 1 y~i.1`~i ~i`t,`t5L~i1'~%iI;Y'1-~~Cz~'.CS'(J~2 ~i~~:,~lIT~L3'11-I~~'- any questions about your izl~Toice(s), please callt;s at the nuz~aber sho~ln above and use will be happy. to assist you. Qtl-iez-~vise, We 1~VOUld allp2eCiate - yoLZr prompt attention to and remittance of the outstanding balance either by check or n-zajor credit card, The enclosed statement reflects the apes item(s). If you have recently mailed your pa}anent, please disregard this notice and thank you for allou~zlg us to service you. Sincerely, ~,v12Z~cR.ii7~'.F.~~Q~ i~i~lii # f~l~ %/ " ~~~_' -~ . ~, ~~ ,l~_~, DETACH AT PERFORATIDN ANp RcTURN BOTTOM PORTION WITIi YOUR PAYA9ENT :-' ~, HGPUALIC 373p SANDHURST DRIVE W Tele. No. (717)845-1557 Return Service Requested 000884-OOD00;-000884 2p;~ggggppgOLT02i 3 EDITH BOAKE 3002 BROADMOOR LN STATE COLLEGE, PA 16801-2789 Please Return This P-~ThiS Amount $56 81 Account Number Portion With Payment 3-0611-122524$ Date November 23 2010 Payment Due Dafe Upon Receipt ® Total Enclosed For Billing Address Changes, Check Box and I . Complete Reverse. -J Make Checks Payable To: - -1,1;~Ilt„~„I,II,L,II,,,,,,iill,,,LL,i,i„I,I„l,i„!„! ! so5~i e , YORK WASTE DISPOSAL #611 PO BOX 9001099 _J.~)LIt.GI/II I~~~ I~Y..fL~.7,A~z,~~l,~[1 X061,11C25248ppppppppODD00t7Di700~D~ODODOD5b815 /~ ( ~ t~~~i:a't'1',1"~I~t'G~:1L E~T~TE ~r :~~R~d 8C3~f~E' tnvaice +,~,„a, Page 1 of 2 3730 Sandhurst Drive . York, PA 17406 ' .. _ _ Gtartent, Invoice Gha~ges ~~ }..~ _ .. 1~' ~ -.. - - - '~SLdLe 1.rr"J~dR'i,cJd~E~s~£'12~F~JI4r?SLl~JBL ~G !}..9) .. :... ,. _ ,.. _. ~ AccountNumber ,3.0691-0105067 ~ Mechanicsburg; PA ~ ~ - - - _. 'Invoice Date December 15, 2010 Contract; 9611D28 (C2} Invnicelslumber 0611-00046.0222 . ;` Previous Balance 50.00 1 -Bag 5ervtc~ -~crletrufdir~ern~~Zb ., k' Payments/Adjustments $0:00 ~ pate Description Reference Quanti Unit Price Amount Unpaid Balance 50,fl0 ! Current Invoice Charges 563,69 ~' 12!15 Residential Service 11/23!10-12/31/10 1,0000 544.82 $18.87 ~~ =:_~9.;1~.._Residential Service 01/01 /1 1-0313111 1 $44.82 X44.82 Current Invoice Charges ~~~!~~ ~63,B9 Ij ~J t-~ ~ '~ Customer Servlae (717) 845-1557 ~ L Custon•ler Service (8D0} 21D-9675 run r uvn wrvvtrvitrv~~ ~ wu HL ~ tKiVHllvt '" METFIODS TO PAY: VVWW.DISPOSAL.COM OR ~_ PP,Y BY PHONE [a 877.692.9729 BOTH METHODS ~ HAUE NO f'~ZQL'Eb"SfNU rtc u .` ~; " -~,` /~ io ." .rrF~ustra lrtvoics 3130 Sandhurst Drive ~ ?` - . York, PA 17~Oro "' .~~ ?`v~ t, ' __ ~ Payments/Adjustl'nents ; .Date _Desc~;pt. ion _ ~ Account FJurnber 3-p691-01060fi7 ~ 12%~0 ~'ayment-Thank You Reference- Amount_ . InvoiceDafe March 15,-2011 ' ' _ 128 -x;65:69 rnvoidti rvuYnoer °"d5'[~=QOO5~~U r~~'rF~f.l~+x~i u.~h:~~caa~~,,.. ` ~' Previous Balance $63 fig ' t'' PaymentslAdjustments _$63 89 ;Estate OPJean Bpake 922 Allerivievv Dr (L1} ~~ Unpaid 6atance $0 00 ' IYiechanicsburg; pq ti.S?rem-rhi2rrce-cifdrges-- ~y{.~~^ , 1 r ontract:9BT10297G2j" a 1 -'wag Seririce SchsdufAd Service (31}' ,,, ~ Date Gesc___~ r)ption _._ ' ` ~. %~ e _ - ~_ ~2~ 03/15 Residential Service 04101/11-06!30/11 Reference Giuantity Unit Price Amount ~~: ~ $44,82 ~ $44:82 ~~~,,~~ Current invoice Charges .. ,~ ; ' $•44.82 ., ~ , _ _ t ;.. r_ ~~~5smnr~r~fvn:r "¢r'iPf5~53a~f Customer Service (800) 210.9675 I' ~, r ~{-/ o 25 1N MA1N STREET MEGNANIG~$URu.p,~ 1`I056 ..717-766-7631 -' _ d$jd2/10 13:3"7 #0016630 GPEG r ---- I..E1)1 - -_-_ QLy.,~--._lP 7C8^__ AIIIaUfI'C 505168 y - - .,- A.79 __--_ 9. i$ i<O;fiCl' PRf•1 f;Ep' F! 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INCLUDING NS CONN%CTED iiv Ah`Y WA}" WITH ~14Y F,CCIDEN"f, NEGLIGENCE OR tAfPL1CD wAPLn[~i Y OF tviEP.GfiANTAF3{Lfrl oR affSl)SI; I;ECOPUS ~UPP4JRTINCi THIS CLA1M ARH AVAIL,IBLE FOR NEITI~IERrOi1`,SSl1L^, ESr I NIOR P'ALTHORIZHSL AhY I) 1bi:R'FKL7kf'it{g'rjn`It Gi^~ggML'hi'I~IiS`fPTCnf}bT+l`?t4 "I*ni~'~. OTHFF YEHSON TO ASSUME..POR IT~ANl '~r~~ SERVICING DEALER FOR INSPECTION 4Y MANUFACTURI;R~S ~.v,HfLrrt fH cONNECCION V/1TH TIIE SdCE_~ REPRESENTATIVE, Irs ITr rdrrrLMs ~~ ~ !SIGNED) DEALER, GENERAL MANAGER OR AUTHORIZED PEP,SON (DATE). -~GD51't3~v1ER~IGNR7TiK;r + h~~~j; 7.1.8.7 0 f~~~ ~2 q5 r~., ~:: ~ ~ crj „ y ~i ~J L7!_ '__ ! .L - ~ ~1 3.~~5 TI J l t! _ ii (r ( , '~ ~~ { [ LJIJl 4IF ~1'J~LI ~i~J1 ~.~1. 1;.3m~~';~ilh~f'Gi~i'fLtll: :. 11 f.E}_ `rf a~., vll1 L~J.. gar.: I ViI ~.I ~I~T ~;a;_~_ ~r,,~~a~ - J,~ j~{- :' 7 J : ~ J L -, - I rpr~~' i~ty ,E r_il_~ I o F~_ . Iresar~.iartiori ~ ~Cit t;, ~;e . 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J ti Jr'• h ,E u~ Grrv., .. )~' r!-j~ f ~ ~iJ dl !-!~ ! ! i-r, hL-~.,1i ~ ! ~ rt r ~ - c. ~ vsl - •'" --I ~ G ~ ~i ~ "-...~ -` )"3 G , , , f .. ~ ~ ' I ~~'~~. ~ ~, ~ta r:,d: s : w1 ~ i / E: r :gas \~ii r\ _ t7UUJS f-~d ! i..) Q~1~Ch .~ n L'i',~~j l~ - ~ o ~~ .. ,~ 'c ~/ ._. f _. ._ J f e LOVE'S HONE CENTERS, IUC. HECHRNICSDURG, PR 1]050 (717) 610-9230 - SALE - SALES tt; 52223NY1 14085 11-12-10 258554 SCOTCH 6-PK SEALIt1G TAPE 15,26 '~~/f$'JOJ•~~~{1 Li (O.ti~"~~~}I~TUL~ ~THJ~ ~LLk ~.DD 2 O 2.28 w~.,Si1RTRrai ~ ,_,La, ea TRX: 1.19 IttUOICE ;4781 TOTAL; 21.03 RESIT: 21.03 DEBIT: Y,XXXXXY,XXXXY,9722 RHOUNT:21.03 AUTHCD:236600 REFID:803999069 11!12!10 14;57;19 PURCHASE CASR SACK TOTAL DEBIT STORE: 2223 iERHIHAL; i4 11112/10 14:57: i3 EXCLUDES FETES, SERVICES AHO SPECINL ORDER HENS THAttK YOU FDR SHOPPItIG LO{!E'S. SEE REVERSE SIDE FOR RETUkt1 POLICY. STORE HAIIRGER: JIH DUNKELBERGER /~-ice __ .. ~. __... _. .. IRI ' "i.'GriE ;;"HGn£"L'E~fiEn,i'," ~~~,,. 5500 CARLISLE PIKE HECRRHICSBURG, PN 17050 (717) 61U-9230 - SP,LE - SALtJ ~: Sl2Z.ICH1 V03~J1 il~l~-ID 189954 B"Y`,/16 113P}(1LL1YJ"H1.~IH1 ~ ~f.s4 SUBTOTAL: q,94 ~ n,Ill Y' ,.. JL 40 IIJUOICF 04329 TOTAL: 5,2q DEBIT; 5,24 DFBI?:~1;XXnXar:nhi;Y.9722 AtSDUNT;5.24 RUT'ICD:993412 REFIC:80?995037 11/i.i/iG 17:94;19 PURiHASE CASH 6RCK ICIA! DEBIT ~.2a o.o0 5.r4 STDRE: 2223 iERHiffAL: 04 11/13/10 17:44:21 EXCLUDES!lFEES, SERUICESIAi1IID SPECIfl! ORDER ITEHS ~-i~~r!'~~~15~!~~~,~r.~t,I~~~.li~~~11~;'i~~i~lill~4~l'~~~~~~i'1l~ij,~1~~~~~I+ l n~n.i,. ~~~~~ rnn n,nnn run i nnr~~ -/U _ :> , . ~ _ ~ ,. ~ Job ID: ,; y _, ' ~c~ THE WORLD'S LARGEST JUNK REIviGV,4C";e1t"S"t~r_ GS Madison LLC PO Bax 4705... Date: Lancaster; PH=17di74"" Phone-(8771538-5665 eam,- Fax (8771933-2987 r0oute~: ,' ' ~ ,T ~{~ r LancasterC~180ggotjunk.com ~ _ Start Time: t _ Name: ~„'- End Time - Company Name: Moving: ^ DM: __ PICICUp:AC10r~5s: -:. '- ~•' -+~ ,' WIIITECOPY0if1CE mttrvreorn•uttxr City: -- :, State/Pcov Zip/PastaL ~ - Home #: Cell ~~: - -- Fax ~: Offi c e ~: Email: - _ _ . SiI1Ty~e ~dau-3tf~-° _.~ie~rrintion Price '~~~ ,d4.£'; 'm (t" ~. ~ .-~ ! :.1 ~ r - sf ailrType;v-VOdlnfu,-rr-9~Sfndtrx>' S...Snceharoc.SP -Srandardltem'Phlde Dthei 3 ~~. t ?;, p ~ ~. ~~~t'`~ Ei~~~~'~~CL~G~~l~.~~5:!~~Dt~7 ~ 3i P I -~-• ~, i ~ 7atai f ~; ~_~ ' r,~ i ~ Job'Sign ^ YES ^ ND ~£aar`z~ u(~r° ,J:,.('.hP.rk ~_ % ~~ '_" ^ Voice-Ruth: _ ^fVl/C u!liS~i OAMEX Rpproval Cotle fUame lasitappearsoncard): ,--,~ r-,r-,1--~:rnnnn-loll 1~(-1 I Signature: ^ Invoice Contact ~: !Name: I~~i:)ty: _~raJP.l. I Job Compfet~on , .- ., ~~- t,~, i r ,I / ,+ ~ignature:~ ~-- ,~,{, ;_~.,_ Date. I i;, 00 ~ Mrr~ i ~r TEflM3: All accounts are duo upon receipt unless crerl(t has beap established. Ovardua 2ccaunLS are subject to an intareat rata of 18%, Ae owner;tiflent, ordonent of the above location;i hareby agrea thewotk`haa titian s6tisfactority completed and undatstantl that I no longer own tha ilerns that have bean removed. If a check is returned for any reason, I agree to pay a 5;15 roturned check, tee. ~ 1J~7~ ~. Exp Date: ~ MM / YY Mailing Address: °:•av~ Zip/Postal: ~~~~ ......~ N T~(i"Ali`itrt'~'t'uE"Qo~i"3FlOrT~'itnS TH t ,, ` ACE H>'1RD4~JARE OF~STAiE COLLEGE ~„ ~® ~ d - 150, ROLLIIJG~ RIDGE DRI t1E - -_. ~' ' , _ STaTE_f;OL~iF~F. ,PA.,]fRl1~i _ ~,:r,: - t. ~ (Bi4j 237-3333. _. `~° LoaE's HoffE uEilrers, I~i~ , _ - ~`550D CARLISLE PIkE ~' ~ ~~` 12/12/,1 9.SaAl~1 .SPErvCERB :~52 .SALE IfECHA~fICSDURG, PR~~~~aq,v ,(717) 61D-923D,, --°~' -- - - -- ----- --------~'-- - ' 1 i 35C1 _ ~ ` ~~~~ .- : ,. ~~ ~.: 1 EA 5 , 49 E~1 SPACi1t VINYL (Jl ACE 5 49 . , SNLES S'~<3R01 E0~57 12-14-10 - . 0~ ly'' r. io „ , , 1 ~ tNr' L,~y BFI S~ ~lDP,~~ P, uNF,f4T9Y,11XFf~': pK 76,g,~ 2~~i Gio, 5 ~EA1f0!'~ BASC..Ct E.~-~ . ~ ~n ~ , ~ yG 19FIQL ~ t E V L , ~~9 r ' H --~~ 168099 4PH11 X 50H 6Pk "CLEAR TAPE ~ fp 97 ~ ,..., ~ ~~o~'~N~Pa r=~~,wr ~~ ~~~ ~~ _ ~ 9; ~7, ~ , , 5 ~ ~~ ~~ _ 1 , ~.... J suerora~ ,, ~ - ~ 13 25_ SUB-TOTAL ~ 11,4i TAX; ~ 69 ~ I(iu olGr 122~s ~roTpL; ~ o.eo ~~ ; ' ,TOTAL; CASH TEND; 13,00 CHANGE fa.o5 ~ ' ; - .O4" ~asi~ ; ;20.00 , , 'CHAriet: ~ 5.95'` ~~~~i~ t~~~ ~ ~~~~~~ ~~~~ '~~~~ ~~~~~~~ ~ e t lti o~~ SZORE: 2224 T_RY;'IIf~L. 12~:.-12l14/10t3Od:«7 ~ ~__» URNL#A7~~293~1 r # QF IrFt4~_ E'llv/; c n. - .- CUSI # ~5 :<;, ERCLUOES SEES S r~~ICcS HND SPECIAL ORS R IIcH `` ACC r",EI'~ARDS iD-# 1911`117113 ~ ~ u f ~ ~~r ~~ ~~~ ~ ~ ~~ ~~ ~ ~~ , ~ i,t :re h t ,ih~~ ~ ~11 'JI I, t it THA~I';'1'0!J rOR SNOPP_iifp COflt ~. SEE REVeRSE SIDE r=OR RErURff POLIG4', ,.' SrORE?HAf1AGER: .ITfI~~DUNKELEER6ER- NAUc A CONNeNr OR.f.Ei0P9 K? L'E'T=il$~f101t,gT; STGHE ~EaE: 2Z~3~-~4~0-1285' , ` ~ 41E HAl)E ~~rHE LO!IESr PRICES, GUARANTEES; - [F•YOU FIN2 ti LOnER PRTGE.~gE GILL 6EAT 11?6f '~~, ~, ~ = SEE ~i9R~`c~R OErAILS. t ,, _, ~~.,. ~nk~ject: YourU-Haul Showroom Sale-~Reeeipi~ from:' Showroom SaleReceipt@tihaul.com ~'Y~N'fe:.191U11; ~L1C~~~~fj02i~~L~~4;F!-~JlUl1 To: eas~8~a)verizoii.net ~' 4,'~ar ~~~bca~rcraRr~~~,~'`~.2~~pi,^t , ~T~~~r'; ~u^r ~ ~ U-HAUL MOVING & STORAGE OF MECHANICSBURG .(811055) 12_/1,~?/?(L9_(}_ i ~ '2ELAM. 4725 GETTYSBURG RD Contract Number. 00345089 MECHANICSBURG, PA 17055 CC xxxxxxxx>;xxx6941 S ~,r7~~~i J~3aF77 _. Ruth; 011252 Part Code des or p ia~ n -- ---- ~!uan4ity :.osf Per ., a~},tN~WK'RF'1~IIVG;IOLts _ Line most 6 ea $.8.80 X52.80 I 5ubfota!": X52.80 Tax: $3.17 7oial: $55.97 Thank you far choosing U-Flauf; we appreciate your business. Check out our full line of moving, storage and towing products at http:%}vi-v_t+.r.uhaul.com~o,.,jr~ ~u ~ _~ Follow us 9~ P._II_e~. on Twitter a~ ht~:[/v~w~r t~~itt~r_cam~Bo~EXchanaA far coupons and other promotions! C~ccas~on;3ily we may sendspecial offers and discounts b e - y mail. 7f you wish `n be ~J_icf t-{cr e. ~ ~ removed fron-; future mailings .~ . -.. WebBEST _Receipt , Page 1 of 1 U-kau1 Sales Stern Invoice Contract No.: 00345423 ' Sales Items Sunday 1~/?6/2010 4:22,PM ~ ,4bhArtl.95iltf_~.C'3cstitjr yr ^°-r~~9^~ ~ps`burt ~xn ^~ Mechanicsburg (S1Yd55},, MECHANICSBURG, PA. 17056 ~~1 7-iX63'7677 Part Co e d V/P I~~~criptign PAPER UJRAPPING10Lg M3 rrmmC'rc~"; r"~~ites~ _ - ~ "-cr.rc-ct,~~ BOX,MIRROR,2:3Cr= 37X4X27rn $8.8D 1;DD ea. $8.8D $4.25 1.00 ea. ~ ~~ .r4.~~ Subtotal:c _ $;13.05 Ca d ~ ype: Account. Taxes: Total ihar ges Includi 5.0.79 Visa >>>>'XXY,~XXXXG2636 ~ Auth- _ ng 7ax,: X13.84 - 36b004 Credl~ Card Fayment: $1^.t?4 y Net Paid Today: ~1H:II4 Customer Signature;. Nick Bnttson .~"`~~,~ C! ~-._._ ____ ~ !:ODE'S HONE' CENTERS, 1NC. 55D0 CARLISLE FIKE HECHNAICSDURG, PR 17050 1717) 610-9230 -:SALE _ ~H~'E3 ~::SZP,''fSA1.875946 01-0:,-11 16f1099 4&r4H X 5UH 6FY CLENR ?ASE 10.97 SUBtDTAL, :10,97 TAX: G.66 .INVOICE 14701 tOTAL: ,;,Lt.Fa VISA, .:11.63 VISA:XXXXXX~%XX%Y~E~941 AHOUf1T:t1,fi3,AUtHCD;014204 '~ REFIU:0040f10733 01/05/1.1'14:27:47` n.~ +.-r _ --` f`,~,__ -t~ Jam. STDRE:~2223 tENHIHAL; i9 01/05111 14.27:56 '~ flF ~TF~iS PUI~'CH~SE~ _ - E/,CLUUESF~:S, SEkUICFS"ANUSPECIAL ~ I ORDER Ii F1'4. I~~~~I~II~'~~~l~Il~e~~E~l~f~~l~ll~~~ ~ ~ ~ ~~ ~ ~ ~ .~~~ lIIIIIII,I11~IlJl~ll iHaNK YOIi~~FOR SHOPF'IHG LOUE_'S. SEE ftUEPSE.SIDE'F_OR•RETURN POLICY. STOiIE HAflAGER: J?H UUNKEUBERGER --• HAVE A`;COidHENt 08 FEEDBACK? LET US hNOU AT; N~WW ~ LD!WES. CDt~JFEEDBAi;K UE HAD= THE l0llEST PRICES., Gl1prIANiEED! IF YOU FIIIO_~1 LOIIEF; PRICE, IJE 11ILL:BFA7_;i,r ~v in~;v~. 5EE ;TORE FOR DETAILS, YOUf; OPINIONS',COUN1! REGISTER TO lliN"R-S250DC04JE'S LIEF CARD ' °-(}~E'd<<<RFea'L"'?'1~~t1( G'FRIAH~ UNA IARJETA DE REDALOL01lE'S REGISiEF' ONLINE OR BY PfIONE UY CDIIPLETIAG A GUEST _9rISFA~:~Tn11,;;ti~L~I~HY,PI.kF~I~Uv~~~hB~YflrrliEn'I~,,T~~r~:~.- nttp://tiebuisu4.isacorp:can/laces OR, '-666-362-3877 Y Q U R I U tl 19701.2?23 003 ~ 8 ..- R"RASE NECESSARY t0 ENTER OR !!ilf. ' IS RUFiILABLE• SEE OFFICIAL RULcS RT; ". i,su~ves'uen.cnra/loides/rules/ ~?. ;~ T CARD DINNER 101'IFIED IIIiHIN 1?0 DAYS.:: laul Showroom Sale Receipt Subject: Your U-Haul Showroom. Sale Receipt From: ShowroomSaleReceipt@uhauLcom Date: Wed; OS Jan ?011 13"14:37 -0700 lo: eas'lt~(tiveriion.nat_ _ U-Haul. Showroom Sale Receipt -Thank You! U-HAUL MOVING & STORAGE OF MECHANICSBURG {811055) 4725 GE7TYSBURG RD MECHANICSBURG, PA 17055 (717) 763-7677 ~- Fart Code Description quantity I WP PAPER,WP.APPING,lOLB j 2 ea i i 1/5/2011 3:14 PM Contract Number: 00345675 CC_ xxxxxxxxxxxxfi9_4.1_ S Auth: 015132 Cost $8, 80 SubtoYat; Tax: 1 dtai: Line Cost $17.60 ~' X17.60; $1.06 Thank you for choosing U-Haul, we appreciate your business. Check out our full fine of moving, storage and towing products at i~tG~_j/v~~~n,~,c;_r~~,,,co;-r,~c~q~,i;~.<,~~,~~~li s. Follow us on Twitter at h_itci:%v_awv,J.t~~^~it~~r.ce~rn/ga;;F;;eha;~a~ for coupons and other promotions! Occasionally we may send special offers and discounts by email, If you wish to be removed frorn future mailings, ~rlcl: t7°f° ~~ l~ ,ni»r~ii in•~i enn WE .VALUE YOUR OPINIOtdf ' ~!E WANT TO:KNOW A60UT YOUR SHOPPING p' EXPERIENCE TODAY AT WAL-MART: '~ a . `~'' Please complete a surveN about> u; s totlay s'szore_vasil'8t:' ti1EL'HAhdTCSBUEG YS~or•a 5167.:.. http://cww ~. s u r'vey. w a t maT t.com - ~ a. 5258C SIMPSOhIFEP,RY RD' ~ J 1 ^ ~ ,4 G [ 1l Unlil~i tlt~l I I'•'i 1Co4n l~'TJIILOt~n~11G follo~rinp online: - h1ECHAh'ICSBJRG PA~, 17050 3514 2 m ~: 7cHCOMNF3r1 (71 ~;~q~ ~f Znn FdY,.(717)'~7y8"-`975J IN RETURN FOR .YOUR TIME YOU COULD wlrGll,sh°rwin-G;~11)iBnis~,~cor~ RrCEIVE OIQE~ OFFIVE'~IODD ' 4 t~ ALt1AR1 S110PPING GIRDS SALE Trap ~ 994$-5 , 1?;50pRi ''Must be 18 or older antl:a legal resident of the 50 U5 or DC to `-E07/12001 '. 02/03/11 ~ enter.`No purchase necpesNry to ` 10 ~c1-~ir~r`YI, enter or win.`To enter without =~GHfiE~iD1TH rules_vis:~t ACCOUnt.,93~d9 7552`'1 yawN~.entry.survey.walr~a~'C.cnm. Sweepstakes period ends on the d t : ~2h,;~~ P2Stlri,~'~~'~TUi'in Bill To ~ . a e shorn..ins:1'he..o~firiaJ~r~t1o~_:,Sr~rs~eu_, BOAI;E*EDIiH must be taken 4,fithi n TklO weeks' of today.. 3002 BROADki00R t.1; STRTE COLLEGE, PA 16601 2189 "•' Este encuesta iambi On se encuentra ; 1404)899-0393 __ __- _ _,.~ _- enespenol en ia,PBAind del Internet - ' T~ iANK YOU " 1a4U3 ~4'Tl3 GALLD[~ ~3 'i4y 2251 - - , P~420Q L`TX SG EK {~H ~5aie Pr'cp ~ ` ' ~ .. 1,1. ~ 4'8..89 48:$9 ' , ~ Cn~eents Renetlv #~s3~7jy 15997-:C 1°P . ..tr ~ r . ~~ ~~hpa~ g~Yqtpgt~CCa~ Cpp ~ys~ K rdEO ?F'~ CaHtid'EBro ~je ~RS~'i~FCe,~~~F p - _~ SJBTQT~~ ._ ~ ~ ~,~~". uu 6.OOOX SALES TeX ` = ~ ~ ~~e ~~ ~''r`~~ ~>~ 1 ~9.17Q50DD 'VISA ~ - 2.64 . . w~ = C!C# X};XXXI;XXXXXk'6941 `46.64 f ast, Fran. Easy. Aufih # 012502 TOTAL M,SN/'(3LR -s ~ ~~~r~r~Yt(~ _ - $46,64 { 717 > 691 -..3150 STS .1886 0,~# 00009D43 T3~# 43 TP,# 01177 . WALLnPLATE 004 ~31n8(0~4 (0~[0~3~2 C;57 ~?/t Wh~rn L'L~L7'11L nnal7~J ArLILYLJI/JV(1 l~?J/ 1~ WALLPLATE OD4318090030 0:.37 X - ~ ------ .,.,(.IL~f;,~"#°i --- ~iftl ?~ ! _ ~- - hALLPLATE 004318Q4003D 0.37 X WALLPLATE- OU4318040D3D (x;37 X ,,, L i ~ ~~~E kl/~LL.PI~ATF _ DD4~'1Fi(]4QQ30 (x.37, k WALLPLATE 0043Y809D030 ___" ~ T~ldhl. YOU ~ __-_ __ ~ 0.37 Y, St1i3TOTAL 279 T reCe7~f; rea~ij.rF,rl.~n~ ~'~'~~'nd AX 1 6:000 % 0.17 t.U ,, TOTAL 2.90 f~ I ~~ '~~ ~~ ~~7 ~ ~ ,~ ~ ~ LASH TEND.. b.UO CHANGE ,DUE 2. D4 tlif 7 1~ ~~ i I~I ~ ~ i ~ l ~i'V('~~~~~I~1~~ .1 0, , 1 S S ~r u ~ r u P = u 3' ,"[.U'1'~'z• l~~ :i ~ ~,~a ~ e ~`.... ~ ~G~eC:~~ . r .. . 't CuCYpour CtipY ~ ~~. '' - ~ TC#1 _52~.0526_86f13.539.7_ 74.9._ ff III +I (~ I~~fl' 111111 l lIII ~Ih I I II I~ !~(if ~a eiadly accsat valid ~~ ~ ~~ manufacturer k I nternet co~pa~:;. - ~1 n{G't' ~.~4 ~3J . ;: ~I.,~~~ L~~~~~P .. ,,~ .. . ~:~~, I36(f fast Lisburn Road ~'lechanicsburg, FA 17~~5 Phnne; 717-697-439 ~'az: 7i7-S17-c1932 Date: 3/30/2011 Loca#ion; 922 Allenview Dr. i~jechanicsburg, Pro 17p55 Mork Completed: F~emoval dead tree and debris - rear patio `t'otal.~2,Nt.0~.., ~1 ~ ~~ L N- i r W.dWLF LOVE'S HONE CENTERS, INC, 550D. f.AklaSl E_ PJKE_.._ HECNANICSBURG, PA 17D50 1717) 610-923D - SALE - SALES >:; 52223HC2 871703 02-03- „ 3y293 2G HIDSIZE DECO iP126ICC1 1,56 SUBTOTAL; 1.56 TAX: 0.09 INVOICE 06027 TOTAL: 1,65 CfIJ?1~'.'~ ~,UU _. CHANGE: 3.35 ~TR9F,;,,2?~4 ~„rFa}tr,~{41,;.~~P ,,,,rt~ID~~JJ. ~3'~?.~? ._ ~ ©F ITENi~ PtJ;CHASEQ: 1 EXCLUDES FEES, SERVICES AND SPECIAL DROER ITEtIS ~E~~~i~~~li~l~~~ iHAtfK YOU FOR SHOPPINu LOIIE'S. SEE REVERSE SIDE FOR RETURN POLICY. STORE HANAGER; JIH DUHKELBERGER ntrdE"'t(~Un?frYif'l~h PQtubif~P,?"L'^ci' G3 Y,flu14"A't.."T• VlWW.LO~ES.COM/FEEDBACK STORE CODE; 22280-2(1311-08827 14E HAVE iRE LOIIEST PRICES, GUARANTEED! IF YOU FIND A LDNER PkICE, IlE HILL BEAT Ii BY 10$. 'SEE STORE FOR DETAILS. tf`°~ ~b iJ ^ ' "'(.`UE7t ~S`HDNE C~11tERS, IN_,_,,, ]IECHANICSBURG o PA A1705U E PIKc (X17) 8]0-523D ~t~LE=' SA1ES p; S2223JOo l4gog9b ~ _ Dr-.O 11 2X9120 ROLLER ~ SHIELD POLE S-L 13 29 suororAL: , ,1.~ ,d TA>,': IHUOICF 13438 TOTAL: 0, 79 14.09 VISA: 14.03 UISA:XXXXXXXXXXX,X6941 ANDUNT:l4,03 At1THCD:01313D SUIPFD REFI0:00393E029 02/20/11 13;14:OB ~-~ '" ~ ,~rr~ ~~ ~~ `~aroREr 2223 ~t-`r`il; ~•~._---~---. ..~ TER11I~lAl: 13 02/20119 13.14~1fi,,,, EXCLUDES FEES, SERVICES AND SPECIAL ~ f J Jj 1 ORDER/ a~~ `z a ~~ I t~~! i ~~ ~ q1 "S J ~~ ~~ )'~rs: ~! ~T 11 '~! ~filti~`~~~j~ I~=~I~~'~ i! ~ JJ5 ~ 3 II~.~x1~111~,~~lr~r~~~ y :; ff,il~f ~«I~I.~;.~~ TPA11X YOU t:OR SHOPPING LOVE'S, 5EE AF.UE&Sf,,,g104J^Y.~,-xtlUHN POLICY, STORE 11ANAGER: JIN DUNYELOERGER NAVE A COHHENF~R FEE,QR"riL2,~ 5b y1F{~ll'r1+1,"- w~dw. LawES, CpM/FEEpBACK STQRE CODE: 22230-22011-19438 "" DE HAVE THE LOIIESI PRICES, GURRANTEEDI IF YCU FIND A LOITER PRICE, IlE HILL BERT IT OY 10`, SEE STORE FOR DETAILS, THANK 1'OU F0~ SHOPPING AT __. AG'E HAP,D{'1ARE.OF STATE COLLE(,E_ 150 ROLLING ~'IDGE DRIVE ~, +iE'"~trl'ErR;_ pA 10801 (e?4~ 237-3353 2/?9/-i^l^ , G~~.~f-S,~~r'f.41~,~'rn -'552 SALE 24255 ----------------~ -.___ FOAI~f 1 ~ E-_ i. TER SLEEitF ,^,, A 5 ~ ng EA 2182F40 J ; uy _. t:OU.,~ ~„ ? 4.95' E 2.2900 `.-:~'D JfdEk i iEj;~+ :~Pk ~ . _ =; : °~+9 nn~R~~=f7Clt:R RELI p( kh ~-J~ ~ L~~ 2107373 SE 13 Sly 599 CLOTH FILTER BAG SV EA 8, 9a EA ..,.NU~92nR C! ~ aJ ~~ c~RrIFr~Arca -1 rA ~.oc ~~ s ,~ su,~-TO 1~: _s.oo 1f~ /~~~QF. TA CASH TENCH; 4G T,n r ID?~iL. ??.?~; COST ~ T5 ~ ' : ~ -_ ,40E RE4'JAP,DS ID ~ ;l ii ? ? 1171513 f UU'~~' JF~ . ,-~ ~, , ~~ ~ Y t9.EF1BER Or Cc R_~Jr~;c1;,, h~~~~ J U~ a, S z N i W I 0 a oC n z -~ r . My 9pal l~ ts) ensure every tlme !jt)u shag your aatlsfactian with u If is anything mprcr I . s, there can da to imF7rove ypur experience p lease call ar write kick 13drber, . Store M~snaser G1ant Pnod Stare # 33'1`'' .rJV7iny,~i`ni~''9'DTt-'YNf ry Ktidtl ~techtar)lcsbure , PR 17Q50 Stare Telephone- (7177 766-6550 Phur1!;nr_k. Tw;! uaE~~~s~i~ . r ~i~ ~~t, rr°Ja Pr7~oo THRNM 1':7U F=k~SCA l2 ~'!f .iC BONU59UY aAVTNG$ Pricts you pay Sf;U1I"-~209ii:iF ~C BONUS}3UY .iAUl'NGa -Price you pay ~M IJ:U fiUL(3 4CT 5C 80Ntl5AU1' yRVTNGS Price ypu pay C BONUSBUY ;AVING; Prig: you pip tJt~ v1T C 3'rOC"i SC BONl158lfY iFlVINGS Price you pay 98002280436 _...R~ .a.UQu u .66-E 4,33 ac i~,z9 t~ .3Q-N - -- 1~.9 ~c ~.;~ T . 30--T u? _-. BC 1 i;? 7T .50-I .89 23..37 N ...,~~ 6-:y W .55-N b,09 T0.'AI_.~iFS.(LRF~„S,RV,Lrr.~ ~~ YpUR ~ DTAL Sti1'%tVGS .,1 1 ~: ^ T07Ai. AFT"tR ~:;iillPt:,iS 99.:,1 TAX PY'iiD 37 VF CRED:(; CFlRD 49•$g GIRNT FDO[i A 0331 !,301 ;?MPSUtd fE~RRY FfDAl3 - QUITE ]01 r~r.iTlTrtrilc;Bfiui;, r-4 X7050 'v i ~H PjiYt+[tJ't Card HXXX XY.;tr; i;XXX b991 Pa~)men~ Flmr~i~rit g ~~t x::99. &8 ~, _. .~ ,~. !',%.! :s ~S,JRi Ir., V~ I!1.,F1ARflitiARE .:_:~ h'. MAIN ST. MEt:tit,tJiL:;u;lt+r F~l~ 1?G=,S `~17-~?EG- ? 6;,r 1 ,~_ _ ~t_ii';~r I,,,, ~~'(J11 ilUir iJc':54 Je~ I'i'' r~, `~Ri_E rv.a =i:1 l iiJti l.u^U t);?;H ~ M- :3"fLE?; FAIT"~ , r;ti~. 8~uU73 t . OU EACr Ia ` i T , ~c4Gt~! :: o~ t.actt ~~ ~;...~, ,- ~;,r~r ,r;-_ is ~~~,.57 ,','.: S 15.51 i~Jr' ~'ilE~..:J ~_. BU1'Eii i;:::~:C::, (; F':;l' TUAL A~iiUNT ABD'? ACI;D;~tulNi; TO i:ARilhiOt.OEk': ;;GkEEM~NT it~H ISSUwR ~. IM: 5) inn. .: ~ z t~F F-k e. % s-i r,. i4 1 NAME:cDITH A l3uAKE AMT:16.51 to I4 ~--_-. ~t, r ,l ~ r~ .,..-y ,y t1 ! 3 ~ ~ ~ ~~' i y' ~ V r' ` --- 1~ ~(,. L~r- r~ -. i X.~ ~ ~ l ~i U~(lD!"iZep ~ig(ld!u;-e ,.;kiPti!! J`D1L~Fr11„St-InPP..l.ra(i.kiLT1=.i~~ _._ AlI returns must be accompanied Ly v~iid sates receiGt. 91f!l' il[i I9B'!i!V I91~ iil~ iIP' /e Hi l"FS :ihopPin~ Center ttb1913 zq3"I Sim~,on Ferry ftd. Camr> Hall, PR 17011 ill) 70-0101 (~S; <'~i;^;~.1 6:51.17 Ph1 EIIT IrNns UjFiH Store: 01113 F:r>~; 003 Till ; a~:h0:~ Cdst~at:r: 1bG8? I'.' Soles 152Y117 SPILL ~~ III II~IIII VIII III III~~E1i14~ I VIII f III Ui9130C302F,'82t1T1~03'l~" 7t~1 • (1i.i. 61F.Fl1HLN H(iSE 17 00 i ~ILr,ilrjy~,l t t..' i..l"vu, 5uh°lotal 17.00 I'fl i:,:% Ta~ai:,ie 1'I.OG To;zi Sales Tax 1.01 T.-,t`tl1n. 1$.011 r~ 1ia55 (ti) lfi ~~ 11C CL~Uni I,)~7 `I) fiutl,: tj1.;505.70i97r122 (P) Total Tender 1$.t)2 Chance Due p.00 Thank slou for sl,ut~Finy at l3iy Lois! Sign uP for Huzz Club Re4rv'ds ai 414141. b1t3tU1 s. com Fteiaan Ihas receiF~1 fur return cn e~ChonyE I'ler~:handise mull b~ in its nrieinal c,~~l.ti titan as or (nts`on~~`a ~ •~ios~..r,~rt:rcba~a~ x'4Nrt~rY ~' 1w A` 7F #if K i4 ~ # # ~1kir.~;.i(•.#~t #.i:## #~)t ~ RETURNS WITH '(HIS RECEIPT WILL flE ACCEPTED THROUGH ., 91?3l7011 Cusiamer Copy ~ ~.. • ~~~ dye rllttnejr. Lave patter. ~' / MANAGER :STEVEN MYER5 ( 717 7 691 _ 3160 °Y~ i +1 °46a9„0rt~^tiflfl~bl i ~^'t c#" 1 t^'f nR `~76 ~y DONUTS 000000009$70KF WAS 0.58 YpU SAVED D, OS 4 RT 1 FOR 0,5p 2,00 D MICHELIN WIP 007923802218 _ b.57 X MICHELIN WIP 007923802218 6.57 X - 35L DRY BRG 002096655960 9.88 X CI.MN FIRELOG Op9152500900 3,88 };•••d== SUBTOTAL 28,90 TOTAL.. 30,52 MCARD TEND 30,52 ACCOUNT # 3126 APPROVAL # 00$579 CHANGE DUE 0,00 TC# 3312 2827 2929 2085 D298 ....~~I~~l9l~~l~~~14~4~414!lIII~EIII~~JU(~i~#4~l44~~Ili~lll~~~i(11~4il~14~~IIl~Ui~~~ Low Pricss.Every daU: On everythins. Backed'by our Ad Match Guarantee, 04/29/11 2t:20.3~ ~~+#CUSTOMER COPY•~~•~ ~~ - <~ ,~..._. P ~ ,~~ I ~ X41 ~~~~~~~-e L~~e ~s~~aa~~~~s ~~sed m~ ". ~ p~t~s ~~t~r~~.~s 7~7-7~6-705 ~'~e~se ~vfee~~ ~~s~s~a/~d a®ndIl~a~~s ~~ averse side r7 / ~ ~`~ t L ~~ y- `7 lL ' /~ r tt' ~ ~ '~ ~,,~-;;{'-~;`~. ~ ~ ~~'J`~~, f~,u'r~/_ Ly .1.~,,c, ~ !f _ ~,~~it''~~ r'~~~ 1`~c.C ~4d~ rU L^ C,•~ ~ -'~`~~ C `~- f~' ~ 3 Gam' ,~'~°~ c~ ~ ~' ~1~'?~ -~' _,y ~ ct~~ ~"`S ~,, I-- C'~,~~-t...c. [.r ~~~..¢- .~~~/~C' ~ ~ ~-'~r 'mil ~7• I~t~~~A~ ~ _ r ~ .~Y ~~s ~> ~ ~ Wit.-_ ~.~ ....-. ~~ ~~ ~ ,~ ~~ . _.~'a.9~mry.~y D ' ' ~ .r e j q U ° n S Incorporated " 30 ~ M Invoice Number: 4-4418 _. , pl ~ _ a ~ r! Stree -= ° ' ,.~~, asan t. Gap Invoice Date: May 10 2011 ~ n ~ ~ ~ ~ r. ~. «i`t , ; P~~~~;~'~ rage: 1 330 S. Nfain Street,~T'leasa~nf G : C ~ Duplicate ~ .( (~ Voice: (8`14)-359-2947 Fax (814)-359 3182 T r'a nsac{,zpri , ~ a ~~ ` ~~~ `^!v'w~~4"!'~f`~. _. ACC ' ~ ~ ~~^~''x~. ~ y "~R~~v"~'oa' ~ ~ n '.~N~.' ~ ~3_~~~~~~C0~1 . ~ .~ _ E'ntr~ r- ~- Refer ~~~ ence No; - 24 ~ 3002Groadmoore Lane '~; 1''130 , • 1480005 ~Uth C ~ 'State,'College~ PA 168D1 238 0 182 1 . ode ..,, ,; ~~'onse :App ~=Cb001 , , - Sequence :'Numb ar AL 010001 - - - - -- - - - ~~ aoo2 ~ tn~SiJ(i(C v ti V 7 ~' T gi -rvxt-~t +~i•^ ~,p a.n-_~~ yxY i" . 1 Tir+~o , ~,... _, . ~.~ C.O.D. 5/.1,0/11 37 ~' "t r$ 2Ul~is s~~~ _, ~,~„~ ~"'~ '°~~ ~ ,;r`;~` -F,.~~ ~ kT ~ i ~• ~ Ut':YI`;F'r~ e::. ~ ~kt~tisdY7~ 1 00 _D1~16 ' 1/30 HP .115 ~OR 76:05 76,05 V 3DUU „PM FASCO MOT ~~ ~ L~ 1.00 ' Wheel" _ i 19:7 19.74 ' , Lanor '60. D0 ,. ~~_ , .. j ~ ~ ~~~~ j i, Subtotal. 155:79 __ Sales Tax - -- _,: _. _. _ : __ _____ _ _ _ - 9;35 ,_ : ; --i~J~arrnwic~ HmoUnt - - -- - _ _ _ _ - -- . 16.1 4 ; - -- Check/Credit MAmo No: ymeht/Cred Pa it Applied ___ _ __ _ _. " 1 ~ y~a as k~ i &..~~a ~ ' ~7~ "~i ~: ~ '.9` `Ttb !!' ~,h r ~"~P'~~~1.. „~- . ~ r r _ i . 2 ~~~ ~~#,- _._..~..'v~.x.~r..~r~_~~rr.[r.4r~xT:~~-.=u ztr aa.e,--~ .s_ Tic _ r ._ ~ .. ,~ +2~~ .~, _. as r __ WET. S' MARKET ar51 ly~I~Martin 5t State_L'nileg°, PA; //16803-3G5o oeii~r2oio 01:59:22 RM --------------- 6aieti ReceiGt -------------- ,`~rOC1L1Ct ~ ,,aic FLnal Oescriptlcn cty Prloe Richard Wright 1' $0.61 2009 Forever Qlcl t 1 $8.80 ''^205°roi~eveF'' ~tKlt - 1 $8.80 Tctti) y,~,~l,,. :Debit Card Ji~_2~-- Thank you! 8111#: 1-1'3071'--1~5141~?-2 Clerl-: DAVEi All sales `final on stamps and postage. ~ ~, ~~ L~MD+pD ~`~0~` pennsll` . '~ J ~ CF~Dt~1T ~ F~5i9~398 ~125a600S9 (Si~)2.~8 -3955 ~~ i ,~ 09/OiI2p10 e„etpt ,, ~ Sal es, R ~ ~,,, +, Final ~v ~ ~~ Sale ui ~ . ~•-~~~_~, ~ ~tY' Prtce -- ~ ~ Produdt.~ton $p.'a4 ~ ~ pescri~ q~~20 ~, '_"""_ ~,t,L~DI.1S I<J ~e p 11dUlAf~A, _~lBSS i p 7cne-Q First ~ e~ Mgr ~ ,, t U°/D3/1D ~n a,r~ 0 `r p~ ~~.,~~~,~~~id.Clel tvc IL~~Juv~t~Z~~~ - _ __ ~---~ Certtfitad 7009003/1 -- babel; ~• $3 24 _T~sua PVI: ~Q.~Q !~ '" 15301 sT H i ~ co~t~~eF P 2~, ?one-1 rust- ~~ ~e~ter _~ aG~?j10 ~~~~~ p.7U-~c. ivery'~ iiiQ --- cxpacted Del, ~8~j7.922- -- Certifited' 70U90080D0001_ __ ~.~._ _.~e ~,~ , CO EC ~~~ iEB~~ STf~,T;E ~~.L ~ -Gl ~:es -,,,-,e, ~ ' t' '~0 ~~ c'~ t v.,rY', .Thu 09/02/10 X2.30 = -= P w~ c~paCted De t ~~a7ag6-_-_ ~~.~ _,Cet tiered 7D0900F,D00001~~'~ r ~ ~u ~ l z{, pVI • ~ `.~~~. L_,s.~e 1,9.72 .~.~ . ~ -~ 'Total.: ~- ~ $10.00 ~_ paid `?Y' -0.23 ~^GSn^ e pue'. .~ 1 ~„han~ ~ FS ,com/shop or ~ cknsrti p ; Drder stamps ~a ` Go to U5PS , com~~c~ta~e'• ` ~tam~p_?`~ . , ~1 s a;t tr, ( n '+ USPS . 1 _•ZpD-'' r i a }.dD 1 4~G,r _hJ1', tp pY'ir~'~~ a xy AXkxy;~xy.v:~,i';x;" 1 ''t~l'F~Orrnd'tl ~n C~~l i - For othar ini xrx'^~~ k~i:xxx~ yykk74: Y: y;zx xR'k.XXY: :,,.~ d wham you want tt i;~~ kxi:x~~ up for G° ~ youi .iavn,ai l 0 I~el ~f~~"Q f~OX, St yn wish a sac~ire P us 5 com/p~boXAkxw *'~fi~"` p~ x a.yboxK~k~xkyexv.x~~v*yy;xxx^ x;:5:;:x,.zxYx"~z 9''Y , ~i11N•. 10001D1~10575 p5 ;,~,, nostu~e ~;t erk : ~1 os fiinal on stam,~~ avicas on1Y~ Al 1 sai -- uarat~~eea Sen . fior 9 our hastna>s pefunds fior y 7 ~~x~x*:* ky~* thank Y°U *:xx•~;*:kx:*y::. kxk x•t:%=*~ yz„7r.x x~ ~y~y;y;xx~'~~~HEt-P llS SEPVE 4uJ com/Pp~ ~ ostal eXPer t en..e ~CiL VS_~`j DUh~ ~iR~DE os~~- „~y~VUr~p~lT~ta LOUtdT9 y7~ryk•vzax y.y;kvcyxi,xxvcv~. ' yC'Y..~'K ~'K *'KX kykY ri; ~~-f~ .,~ , _ ~_ ~ T r= - - r~a~ ~ ~ ~~, - - ~'~ ,'~tii`~ ~~t~.~ r ~, ,'~~,,r tax ~ N ~~~ M ~ ~ ~~5` E E ~~ ,~ ^' ~ r ~~ i ^~rL 4 ~tt,~,~ S ~ ILLLwv ~ 2175' FOX HILL RD a~~S t ~, '~, f3 , ~ ~~.~~,, `~~~~~r,,, f~l ;~1pl~t COLLEGE; PA 16J03 z ,~, „~.. era , Q ~ ~ ~ ~ ~. Lo~atior~~ SOF,q ~ ~~ ~r v ~ r ~uC~' I " r ~ N .'~ i~,~ `3~~ ~ ~E° ,~"~ _ ~ 21587 -~ ~ ~~ ,~ Emol~o~ ee ; ~ ~ u ~ ~~`~ ~ ~'~:? `~~~ Transaction; 7509358`j071 n s ~~~ ~t ~,~ ~ ~ ',ter, - --~ ~, t ~ ~~, b ~, '' } m a ,, ~ y ~ ~Q STbNDAR~ OVER~dIG!~T - ~ m ~~ ~J~, ~ ~ ~ >~, ~ ~ r ~ 877611022904 0 , 50 l b ~ M) 26.64 v ~` x ~ ~ , ~ ~ Q P r L i e V d °~ 7~~1, N ap ~ I ~T~ " r ~ Scheduled tlel~very Date'12/01 /2010 ~ ~ ~ ~. 2 ,. s _. 1 -~ ~°' Sf,~rpm~rt subto~al ~ .26.54 of ~' ~ ' Total Oue: 26..64 f1J , I i ~~. ~~ I ~ i ~ (V) Cre~iitCard; 26,64 '~ ~ ~ ~~T~~~~TTT~~~1609 ~ ~( • I ~ ~ I ~~~ ~ ~ ~..~ ~ ~I ^~~ H- llei9ht entered nanually ~ ( al ' I S = height raad fron scale ~ ~ . iaxaoi~'iter ` `~ SuUiect to additional charges. See FedFK 5aru'rce GuTtle E - ~~, ~,., t~C''fc~u''R~~uf~`i~;i°ts1.'~~,5 ~./?71 nQf,Ctlfllltl7.S8 5885 flna~. ~ ~ . ~ `~' ~ ~L.J _ = ~ ary.J ~ W ~~ i,it:_us.~t ~ fedex_.~om =:. ~a~ ~_ ~ ~~ Or call 1.800.GoFedE~ ~ ~~~~' 1,800,463.3339 o~ ~ ~ No~'e~iiber~ 30, x.010 11 .13;36~APi w rn ~ ~'C3 s - 111I -~ ~, ~-. ~ ~ -~d _ F~.CZ Uri ~ 4 -~ J~ ~~- N ~ [+] ~~~.~~ WETS MARKET #51 1471-Martin St State College, PA, 16803-3066 '11 ~ ~88o6^i13~~ 04/15/2011 03:12:18 PM --------------- Sales P,eceipt -------- Product Sale Final Description Qty Price Frvr Knsas Stathd 1 Frvr Knsas Stathd 1 r rrvt~ Knsas 5tatnd 1 Frvr Knsas Stathd 1 - ~ G L...l~ ~j~no, ~nv i 1 (Domestic) (HARRISBURG, PA 17129) (Weight;0 Lb 1.25 Oz> 1st Large Env 1 (Domestic) 'KANSAS CITY, MO 64999) {Weight:0 Lb 1.20 Oz) -' u~~a#~, Cash Change $O.q4 $O.q4 $0.44 $0.44 ~ 1 N~ Jl1G ~I ~ i N _ _ ~~~~ WETS MARKET..#51 . x- ,L~ V_ r,,"f, igT1 Martin St State College, PA, 16803-3066 818088-6002 05/Oq/2011 11:D2:38 AM --------------- Sales Receipt -------------- Product SaiB._ Final,,, Description Qty Price ist Large Env 1 $1.08 (Domestic) (CAMP HILL, PA 17011) (Weight:0 Lb 1.95 Oz) latai $1.08 Cash $1.10 $1.05 Change .(~0_D2> yJ~13D orr ~~4_00__ ($16.14) Thank youl Biil#: 1-13D71-i-2028082-2 Clerk; DAVE1 _ "'A~ r-sare~''?~~,~~ ter,-sumps Ana postage. Thank you! Bill#: 1-13071-1-2068879-2 Clerk: DP,VE1 All sales final on stamps and postage. H-~o Bobbie Whitebxead Enola Pa Paid Cash and check to watch maintain and clean home from August 2010 to May 2011 Total Cash Payment; $380.00 ~~:.ti~ck P~ym~•nt w ~,~D.l~~ Final total: $480.00 ~~' f Ritchey Cox Hollis Ndock & Klein 315 S Ailen St, Suite 117 State College, PA 16801 (814) 238-5555 April 14, 2011 D JEAN BOAKE 3002 BROADMOOR LANE (C/O EDITH A BOAKE) STATE COLLEGE, PA 16801 Statement of Charges for Services Rendered: Tax Preparation Fees: PREPARATION OF INDIVIDUAL INCOME TAX RETURNS FOR 2010 1Vliscellaneous Fees and Adjustments: OPTIONAL EXAMINATION SERVICE FEE Total fee ~~ ~ ~w~ . ,, ~~ ~.s ~L" l ~~. U'~ Ju $ 200.00 $ 200.00 ~2~,~ ~~-s ~~ ~ ~ 2,i Panara B~~ead :cafe d6S0 -1500 Damp Hill Bypass Camp.f•li 1, PA, '17011 phone; 711-420-9901 Fax: 717-920:-9902,` Q 12?1.41 Phi, 4?G993~~;.~~ Casfl.l.~(~: ;iason 1 ~::kTBAG%RC~LL -~ ?A BAG h~D~ ~ . ~ ICK 2- 7.39 1 1}'2 ASIAGO RB 1 CUP U 'TORTILLA 1 ~mTBAG/ROL'L 5u~,i''e~a'I ' ~ 15~1i~° ICita:~ ,. ", I~~rI~..::, ,Cash 20:.00 L'fla~igz 3,8b-_ klh -!~ ~~~i,'>!~'l'J~ ~~E ~C~Ih~C ~~i~NC 1'OUPIAYUlIN .$2000. ~,J TD 4t~r~l4~l.~P~NER~1hISTENS;COh~ o~ ca~L i-soo'-~g9-o130 ~11~ '~3'FIUl1f;5'~F MUfTLrTi:Y ~Df{P1ITN~'- 9S AT l~l4~1,1,',PAt~E1~ACISTEftS,CDI~ Y'ourQ~~~~~~~~~~b~r iu, ~~' J L~ui~~~~~; i ,P~un~l' ~ ~ ~ urn Paner~a Bread .~aie`ub6~"" 1~00~ ~Ganip Hi 11 !B;~pa~s ,.camp Hill, PA'T7U11~: ;o~,rne •~~717; g70~9QU7,;; Eax.~ 717-9?0-:9a02 6,'7 2C~'~ E,34:'?'~ Ph~l~ Ohder: 427.708 Lashley; RQL~ A~i,ylr t~,~1~;ii 7 10 *~:a~~AG; ROLL =`SubTofa l< - "1;19 ~. `IaX 0', G3 ._Tdta1 ' ' - ~.~~~ Each 10,52 ~~Chance -3:OD `~ _iEll _~~ ~~~~~,'~~r~ ~R~ D~Th~~ hhJP "YCU f~''Y 4~r'IN~2000 Git TD`~'!k'!4'1 P~i~tr~hL1'S7DF;a,COhf OR GnLL 1-0~~`~ :~°9-0r30, lt~rHl~;-48 hOJF~/ hiQ~~~T~ LY DRAG~~I<vG ~` R'JLFS'~A,T ~~z4444,PANER~„ I"'7rNS,COht-` ';~ G~{tr, r tr r;~ ~~~ " U'aviriui'1}aiiaFi eatery `661; Carlisle Pike Mectianicsbu:'g, PA 17050 ,~,(7J71_691-Q111 Date/Time: 3010-U8-09~OB:24 PM' Ordar Number: 29424 ~~~. Ac~~,unt Typei' ~ CPEDIT cDC Tian ID: 929Z52J:~4 7ahle: X00 ~'E~F~E'~E-E~,~ Entry ~.M~ui. i 5w~ pr~d- u4fa~~r~:,~Su~`~ ,~-. ~~'nrhXXXY,S~KK~S'~~1^~ Cartl Expire; "Y,?/XX .Card _t gee: t!i a 'oardhol'ger Name; %DITH A`HOAKF Appro~~a 1 Siod~ ; G 18233 '~ '~ Reference Nur~a~~ : 1 _ ~~~,~ ,~ ~ ~ ar ~~i1lU~~_tl~i ~~OV~1 tl7`S r ~~Alf~t OT g,~uC and/cr ~ vir,ea ~ h~ amcurt or ~r~~ ~~t~ i sn~N;r~ ~er~, ~ an« ~ q~,~ees to uP~~forrlt $ne_ablir~a~iurrs era 'for~tl~i- - bycai'dmembar'sagCaemer~~L-with issuer. Signatui~u: ______ -- - Panes a of~ead ~~~, t"5~~ Cafe 0660 Camp Hi ~ ~ PN 1"1u11 /~~-~- Phone: 717-.920-J9E1:1 ,~~aT,;' 717-920=990 ~ )/ p K?6/2010 ~~ .., ;,a~hiet'. Gaul ~ 1.~,; 6271: ~ ~ ~. ~, ~ -tr!(`„a 4si-~Uu - :, I,)rJ~:r; ~ 7~IJ HI~. 1 A5I4N t C. I ~i fie 06b~7 ~ _ 1~ '~B~Caf;QLL ~ 1~'~~,i (;ar,q~ i~i l:l -Et,,,, .~ ~" O,u5 ~ BAG ROl_ ~;Tr~ ~~ ; . ; ~bTafi~ ~__ ~~hUnE. ~ ? ~ l ~_~t l rJrllll ~ T~D ~ : ~t r. 10181 Ul~i 4r/_'I'i'r~r o_ i i:..iU ~l.~ G,a3fl ,.~~„U,~ 1 h00KIl: C>irI IiiJE1 ~ (-~ - ~ ~ ,I.., I ~1i ~t r' I E~ ' ,. i~ .n ~.,.u ~ ~~nanye- , ..,, i ~~" '~; 11.E { 7i It Lj I I L~ I ~ rpI°, II (I~t 4 ~I Ili1 IuI r ft("~11(` . . ~L44 IJU _~V~~t~ 11~ I I~I Lt1 li ' _ GU~~fO 4'JIVU>r.PP,Id~R„~1~1~ENS,COhi '~(~ I1Fi~L._L bOl,-h99-0130 ~ '~~~`~ . ~ibi i~~~~ ~ 1, ~ i 4',i"I'PI`~l' 4G:AuU~~i"riufd i'r`fL`~,' LSrtn4`~i46T1'r~ . R~.i' ~S_laT hJl'l41,Pt~'Pl~PAL~STEIdO,f;Or4_ Uri- ~~ofl rir~~t 4~r `I, -,! ~~ ~~ I , nnl r N r } GU.IU 4~l4's'l.I~AW~~~'Hll;si ~~ ~1il~i ~ Ipfl I1} f' I I l I ,~, . 4 w~ YYNi Vl u~ ! ( ( II~ r~~~ L ~ .~ I`ll~i I...I 7 ~ ~ , i ;Y~ ~I -r ~] I IIIj ~ 1 r11 ~ ~~4 .~'il~?~~~ ~;~"i;iu;ir ,`~%'f'~)MI'li; ~' i~~ , I'!lfd(; .. . .,~ ;,~~r.; r ~,N rrUi_E`, tiT'4'1~~ ~ ~~~PaEf; I ~~ ~ I,,, 1" Iii; :I <,~~ r_ f, '' _ :~~' ~'Girll~ E~~~~~~I' ~~l~~~E ;:~~ ~+ _ ,,. tlCG1U EIURR110 ~ s ndsrir f ask i! I aza ~je1~~I1ic~,bur~, $A 17050' FIIK. 7.17`;766-1519 . . HlNH: hJCAT00URRITO. CUfI CiP,!D9/2D1011:33Rhi Ol 1 l0 TORT - , I ~a ~a 10l `KGUAC r ~ 3~'t: 00 ' fif!SE ST X7.55 TP,XI aU. d5 IiEti~ 30 , . ,~,TTO~(f~L ~>3- UC3~ ~~~-~~ G~"i ~1-E 4.1.0. D0 ,,,~t.1'llif~lrt '~''3~.'uv ~. F ~~ ~~G f ~ 1 ~~~~~~~,,~~t ~,~ ~'lea~~1. Cali i ) Eat In i~t,i - b~~ 5587 ,~, ~ =1 i'~ u~,~~Fti~~~ C~t~cr . 1~tE~N~,NIt,'~~6~R[,, PA, ~l~lr;j- B/10/2010 _ _ _ Umt# 7889 6 30;24 PM ~ ~~ ~~'il rii,; ~ Cashi ei° ; Andrew , A fie ~ 100 ~ "'~ L~ur~til l; ,, ~ i ~ ; ~;~I~J.~Jr` n~~1~;,_, "' ~ ~~,' 1~ ~ , lut~l ~ >,,;~, `f~~~u"~~8°a~,:~ ~~:- ~ Med Rst Beef-~RC ~ ,, ~{0` F ~,1; i.fl ,' ., ~.lll Sm Jalapeno E3i~es-PC ,t~~~. ,,,;u,~_pP~s~i-VC SubTota 1 r .~ y:., Tax 0 :47'. it 1. - L~1 ~ - "it?ia i ~ ~ - -• ~ Cash 2p.26 ,_ ~SI~I r._ .. ~U lei; rn „11)~ Thank yo ui Ordar Numuer ?Si53E (~G~' 1-0 0 ~~ Zz 1-Z - Parae~~a Bread ~~ii etooBG~~' P '';era 'B r~ ~ ~ 1.500 Camp Hill Bypass _. r° 0560 Camp H111, PA 170'7 Panes 8r~ad 750%0 ~ . ~ ~ Ni11 Rtc~,,; ~ phrne•..7'7 ,970~~,~iC11_: "-~~r~'ui5y Came. Hi 1 l~ PA 17011 .Fax; ,.717-920-9902. x}263 Uriion Qeposit Rd_ Phone:; 717-9~C- 9 9 0 1 Har ~ isbui,q, PA-17111 o ~ 1 ~7 I'8X~- / i=Q2~-77i~C C A,{qq ~~1~~ - h~J~~`r~J Gh~ ~ ~F)?(~'.r,o ,`li~~~F~..~ft,QF~ ~11Q/2~ 835602 ~ ar• Me~'an Cas~~i .~ ,~~ ,. pax: X17-558-;> >3 ~a ~{ ~.. M d~ '~ ~ PI~K 2 6,4y - ., ;N, ~a„riei ~.m ;,~ kSI 1 P,N Cr~~ ~ 1 , ~~ ~N~~SE ~' - 1 ~I~ fd'~"C~+t ~L~a~l`KT 10;!8/20i~ 8 ~u.00 Ph, 7.19 1 m~~gAG/ROLL 1 kFi, r,,ICAN Order; ~ 356514 Casfller: K~ J 1 -~~,TRA SAG ROL _ 1 TOAST 1 ASIAN CH~Qd 7.19 D.65 SU~iTs~ ~;,1 C!~2 'Ji,(h't;t,,,~,~~t,l ~ i x~~AC~~o~t; , 1,b4` Tax ~ F;OL:L " 1 *~~BAG/ 1 EXTRA BAa ROL U.65 - 0,47 . ,. 1 BT~K~ERY PROMO pis Jr NL _2, o0 Total ~ '~ ~ '` ~~ ',fig SODA - 1 REG SuaTo~al `.9.8a r~s~'I _ _ ~ ;- OQ- , 1 PASTRI' CHEESE Ci, 99 Tax O , q7 SunTotal 9.07 )1 ~U Ch:~~,Q Tax Q, 54 ^ ; Total Casli 2Q : p0 a ,y ~ ~~' ~c]!'C~ ~ ~I ' 3 . '~~m ~ ,a '0..00 ~a~~n ~ - il Chu~i9a ., . 5y ,~, ~_ To qeT -rewards,' p1 ease. r~q)ster ~>'our r.~ri - ` ~, 1 Q , S9 Cf1dilq° a~wti, . mvp'a~~e~ a corn Jf f2"~ ~~ ~ ~~. '' ~ 9°t t~l~diC~.~., ~p1L'dSc ~f"°9l~te'!' y~Ur' CaC f11 err lit( ~'~ r t ~'~' ' com ~'~rtar;e~"a a~i~~ ^q~~c,flat'u'f~19NI~Ar`~/~r.>;xx>,,,xXxr " SUS . . HIJ ~ ~C ~ . , ~ ~~ r~~ V[?I~ ti1,aV ~1i~'~ y G~ ~~ iy ~ r"- ~ v%7 iel- ~i~o~.wl'~XXY.YAY,"Y,Y.Xxk~,~.B0~3 P~ MvPanera Gfifers carn°d: GI T~'i['~~~ ~ N ~ ~,~~~~ ~ . rri a iii rir - n~ ~~ ~ ~~ L ~J~ ~'IUVi I~t n~i~' I~U1lV~ G'>'IThii, ~'c " `~1`~D - ~;~_.t~1Hi,Y 7RA!' 'lh'G R ~~1YPaI1°i"d CTf~f'S Eat't18d; '~ ~ " ~ AND YOII .MAY 4'iTN $2000 r . ULE ~, S ~~ tr~~, r~NERALIS'TEiJS~, CpM ~~~ ~~ U~ ~ h l ~~t 4~~:~ ~~ ~~1~ ~ GO TO WW4~'.RANEP,ALTSTeN5.CDM ' ' . P;IJD 1'OU MAY 4~JI1~' $2000 ur; ~Hiir; ~-~~r~=~5~~r~~ ~tr~ ~ ~ G~; TO 4'J4~U~ .PANERALISTEN5: COh4 4:T-HIN 48 H~~URS/ MONT; I'_Y L3RA~IING ~~(~~ ~~~ "" ~~~~~ 7S~ d1Q ORCALL 1-,800-699-OT30 FtUCES AT WrIW.Pr,NERHLTSTENS,CUM _ ~, ~~•~ 'r N ` _4T~.TH~N~4~~~H9~lfi1~,"~~1U~1~1L~n1r~U~1~4i'~1IVU ~~~ ~~~~~I~; - ~ ~''~} ' ~b ~U1D RULES 4T _4'JG~J4~,~.PANERACTSTENS COhi HERE ~ ~ r r ~r ' I E o Yau~ 0~ ~„~ ~u~~~r ~ ~ ~ 3~9 „44~NER~ 44 C~~sta~ac ~ Pager; ADC .~. ~~~r o~U~r I~u~~~~ ~~~ U~~ Vin. ~: 4~!EhD'r"S 0! C ~ ASHIONED HAF1CU~'~~,~RS - <,_; idi ._ fdtCH~~NICSB~RG 9?52 ¢~ ~ii~esl~o~~s ~~'Coriii~~i~1a? STOF~E #~ ~iC1S0~?62 ~ a~, Pl~a~t' L,~ ~ 1 1 ~`at1,1- ~1,~~ ~;SCJ~ 1,- ~ (fit _ G. M;~ j ~ - ~~~; tom., ~0~~2 DST ~`: Ii!.~IiAW1CUQURG f'f, 1,~(iC~; 1 S?NGL CZ 3,6~i 7 S~1 rRY 1.,1.9. ,;-;~ ~.. --- ~: _ , , ,I 1,~)a~t ~ t ,i~blc~ ~~ 4 Jb t;; iCliL; .29 I ~~~ ~ ~ ~ I ,~ ,ili ~.~.1 ~~~~,~,~ u:,t . / ~i;~. ,~ ~ ~~.,, nrl,~ TO_~~L ~ . ~t ~' ~' NICK E. CSHR ~ ~ '~~°I) ~;14'JhAW SM~~ji~fil: % U0~31C:'5 ~GC-r 12.10 ~/~#U3 a~-. `i A~'- ~~ (f4~(F U,~ ~ I ' 4 (~ r.;, _ ~-' _- - - -- _ _ ~i . I ~I~j :J~~' _Da*e TdbL ~ vU6~~5 S~f 1/EF . , L I~f$1~; 7_ I L . _ ,~,PP ~~~iPlSAL E(~'LR~t _ I~EG/}?OT;'[~~~jtn1 -E;~1,! -' = s ~ ~- ~~ u ~. ,~.-, ti~ a 1~~ ~ -r i~~ - - ,,~ ~, , `~ ~ ~~ ~W ~f ~ ' _ r ~ ~- ~. ~~ rr pp p~^~IIII I ~~0, _ I U ~. ~~ ~ I1~S ~~; ~'~a~ - . ..fi(1<<.F.r~S~ 3)fi1D50~1' S:I1"Ft'~~ Panora. Bread - f-lechanicsb~~r~ PA :17055 -Cafe 1155 ~ ~ 717-?°~,-L733 ~' ~arllsle Pike Suite 2200 ~ ~`'' ee~ l=axJ17-795-113.1 ~echaiii cspurg, PA ,:770JU- - ~ - Phone: 717-766-3960 ~ ~ # 88y Uni 11/20/2010; ' max: 717-756-3961 ~ Czshi~i~; Amide. 1:55;54 PM ~'~ '° Pt NDVemkier 1°,2010 5;a? i ' _. - ;~~~ . 7.43;13 PM ~ ~« I ~n --~ , iG~lilt~f': ~1rd~f't~'f N. l2 ~;~sPi~u ,iu~e,~i " LJ p +" 11 (' ~ fir ,~;- ~ ~,,. t~f,gl.,, _ T 1D... ~ 1 f~e~ ~~s ~ ~~eT - 7 FQ~ ~r T. i~2fl~tt~C'iLiln~~ ~?n~,~ ~~E3AG~P0L~ ~ ~N,ed Rs~~'6te~-f~C ~ xpp~-ova~Code; 3483T5 `SubTortal °7.19 Sm Jalap°np 6i~es-RC TaX. U.43 ~III~(CoO~^u~~S'nltiaA(' °~°' ~~ ~ ~~ SubT~'I.al 7 ~9 _, ~~ . ,~ ., Total 00 20 `''' IaX ~ -0.46 = ,~ ~%isa X630 ~ayr~~2nt ~1~ . Cash _ ~ ~ ~ v ~ ~ ~ •-` ~~ Tofia 1" , , Tip '.Change` 12.38 Cash 20 00 -- LL ~~ H0~1 WE ARC D6~~rG ~~~ ~ ~f ~ 11,~~ ~~:: 7~~~ ~~. ~ tN D yQU MAY ';.WIN ~?QOO `~ u, '~~ u~~444~~4.4^IEP4l l ~TFjt5,.1'(Lt , `"'"_~ OR-CALU 1-80Q 699=...0130 ..Thank Yau! ~~ m~~,~ Gue'~t Copy T~-~ CN q8 HDURS%":MONTHLY DRA1t'ING Of der 'NUmb~i .305073' .S AI°WWW.FANERALIS7ENS.COhi t~ riER~ ~`_ _ - _. r (lrrjor ~h ~~~1~r t c ~ 9117 va i ~i i ~ ~ u ~ ..~..~--- -_----- --------' - o v U~ a 1 ~u5tom~r / Pager. ma~c.,. s , t E ~,1 ~ ~....; ~~ J L -~ ,, .7 - -- 1 ,. c, v~s~ ~~ ~ ~ ~ ~} G ti~ 1 /` t"EEf"iPt-{~5 E3LU~S r3€~R B El ate ~ 1 . ; 3/2010 lime . 6: 54 ~ 2:; P19 tatus~ YlpproVed Card TYpe: Uisa Card Numbe r ~ 1iXl(?thxX!{1(hHX9722 Exa i rat i on Date . $L31i2(113 wipe/Manuc?i% Swipe :rVer Name IIU -Jess 8 cnJ:~k'• rthmo~r • ' "'i S.S1~oti Check Name Tab Number 43 ~ofiit Center 3 - Dining Rnom rmber Ofi Covers Z ~rsons~ i Ird CJwoe.r_ RfLgK.F,/,FJLTJH,A ,•;!-1.~,~1`)~~`~v RMOUNT 3.64 ufC('~Q1T1 I'IT~ U. Ulf"' TIP __.? `~____ .~ TDTRL -------------- Rppr ovai~ 022942 ~ * Cus-tarea~ r ~s~y ~ ~ ~~ 'J ,~~~ '\ ~~ J(:IVt'.f Illltti, ,i,':'!Si!i E i1a i i~ I J.Cj' I I l lii.. ~• ~~ ~ ,;~~. ; ~~i ~~?.? ~,~- ,-,- Frl~~i~ ~ _; I ~{~: _ ,;~1t,~.., f1 I;!i::li)lii~~ f;0{~i:y ~~~i~ ~St._.t--E ~ ~~~~ ' 8~~~ ~ Time: 2s11'4A P~ ~ 11/la/2010 NP Prousd paie Sr,~tus ~ U ~ ~X10iX~KXlllt`~1~~?~ ~-- Pe' T Gard Y , Card Number' anual~ ' SWiPe 6 _ Srid9et 1 S~~Pe/1 ~~v~,o. Name 13 ~,FS21Fi2 a Ci,ecK Plumb°r' Number' ~ P•. OpNKGltplY, Tab Card Owner' ,~.N~~~, 4M4UNT p.04 GRRTUZTY f ~ _C~ _ r ~ Ta~~~ _ , al~ 006A20 flpprov ~- ~~~~ r i cl~~-t ~~° ~ U _~ _ _~ ~~~~~ b~ ~~ ~ _ ~~acF-; ~C~l~~ ~UEST;g 9Ff,'I/ER sqs<to.~ ~-' - Heceipl loi Income Tax orFt;Gensa edbr„s ~: I ~' f~CCDLInt r7ECOrCI Its yt S~;l US~ooI .n0 ~ ~~ n the Internet www.'GiantFaodStores.com" ~~ My 9oa1 is to°ensura-~our;satist~r±,~~ _ every-z~the~you hopp M~i~h us. If there is anythin more I can do.. to im ^ove ~1 `~~ gg ~ ~ ~~ your experience please call or N~~~1tE i ~ , ~ fla 11 h1a~t 1 n Store Manager ~ ~ ~~ ~ ~~ '~`~ ~ ~ . t c~~~ Granrt Faad Store # 12D 255 Cumberland Parkwa}}~~ -= t~achanicsburg, PA i7D55 ~ - ~~Ete~reTe~nohe_' (717) 591-D979 ' ----1 Pharniary Telephone: (717) 591-D993 I -- 11121/ID,:7:2BPMi SWIFTER`' CLTHI2C ' "SWI55 SKIM-_7 SF~Z ~ '~ ' ~ @ ,fig , ~,F : ~3q` F TAX PATD `1 24 F': -. ~ ~ - **x~70TAL CASH 6.~5 s fat„ CASH:', `7.4D ~ n.~~~~, 1. an~~ T -- ~ ~~~c~~ CHANGE .OD ~hdeaio l'ou - Pipase ~.~~e A~9air~'~. TOTAL IJUI~BER- OF ITEMS SDLD = g _ 11/21!10 7: 30,PM_Ql?D„R1~0?n~;n782=~" ~~ '" ~ viv~w.royafpaper_com T'm glad yo[l`~shopned here today. ~ ~ Your Cashier '-~ EfiSY-SCAN ~ ~.~ k- r - , WY'7:%'~'~~'k'Y'Xk'Y;~X'Y: ~e~~v:'i:~w. Y:xxxxnrxxr,xxX ~~k~y~R'~ '1:,t~m%r~T%r 1q2 11e17~sa _..____ __ ._. Stop by rthe Customer Service Dask ....: . _ _ G'~ L ~ _~t'? ,~7,nq~,ii•,,~if„~uul"'gWn ,r~UDDSS;ARD ~~i~i l;i~~'~<~.;,ti,~n ~~~w GC3c r>r~~~~ ~ .~x~ ~, :~~~~:~~~~:~:~~~~~~~:~~~xY~x~~~ ~- for -~~. ~ ,~.~ ~~?:y9PM . ~ I~~DV ~ ~., ~ CI ~UALIT!Y, SELECTION. OPEN 24 HOURS --~---~ SAVINGS. EVERY DAY. >EVEP,Y-_DAY.., r _ ' 'jQ 1 liovll ,~~~ 7 ,00 ~ foci -Ei ~, ,.~r1 Mo~~ ~,, ;~,_;a ~, .''rood Q ,60 `~ Tax -~~. ~~ _ - i of a~~l fur ~; ~rhanl~ 4ou ~oi~ Y~rar N,u~~ir~E~~~. E'ay r~1G~~~~.S~rv'wi' ~} ~a~e TEK<<S ROADHJI;SE - CPMP HILL 1101 Lot~rer Al?er Drive Camp Hi?' P~~ ~`?11 r: brooks DDB: 12/07/2;11^ v THAI l,kr=t - 5~'02 SIIy1PS~Pd FERR'i RU LOt~VER ALLEN T, PA 17050 J(R.~S ~~S 12/06J?010: 19:22:x5 f1erchantlD: 000000001349169 t TernnnaiID: 02030551 133?04480599 ~~ ~ 'ZDI D ~~ . CREDrF CARD rJ 2~ V1S1; SALE ~ / PM 12/07/2r ; 0 CARD # 314/1 3/3r X04 IfVVOICE 6atcf~ #: SALE Approval Code: Entry Method: 3145731 ; Mode: #XXXXXXY,XXXXXZ636 tic card present : BOAKE EDITH k PRE-TIP AMT =nary -•iehod: S' . TIP dal ; 020392 Amo!_tni= : $ 10.90 rora~ AMOUNT ~~~ ~. f]• . .... = Totai• ~ ~ ~ ~, • 1 t,r~.~hi ilPr ~C;.:'~III ii ~ ),aXa>~~ ";XXKXXX2636 ~ r...i ~~i~l--I"11;1'11 lip ii'~~' 0008 ~ , ., •„ u;,, 000400 293070 S~:~rped ~- = r - dnline . ., ~,•'~~,i t? =~~,lTt s; ~ fief ~ 7 i i . t I r-ii i~.~it ~. :f~l ~r - .~1 -~11 . t'iiP " ;;~ ~, ~~ ~~~~ ~~, /' .;-;, ' CUSTOh'lER COPT' I agree to pay the above total ameur?t according to the card issuer agreement, (lUEST CO- r ~~ / a ~ ier . BUSLER K Rec;135 ~ ~ { , y~, a : „r )9/10.19:04 . S14iPed T: 1b Terln; 3 ~ - , ~ ~ ' , - a o D ~_, ~~':~_. ~ - , _ ~ ,.w ,: ,'~ PIZZA GRILLE __ ~ c,lon ~ovlnl.. ~..ry .y Visit us oh the Internet , .L , 4 " GETTYSBURG w.GianfiFbadStores.com ww ' ' HILL, PA 17011 )920-5350 My goal; is to ensure your satisfaction A RANT #; .every t~ me you shop with us:' If there ~~ ,,.til :;' , ~ , s is anyfhi n~ more can do to improve ~i ~~' ~° T r ~.: ' ~,~. -your experience please call- or write. ~ " ' TYPE ACCOUNT IJUI~IBER Bill Martin, Store Manager s~ rr r XXXXY,XXXX);XX2635 Giant Food Store # 120 , !~ ALT` "~ ~ ~ ;;~ r i{1 d1 ~;. EDITH N, ~[;KKE 255 Cumberland Parkway •~ ' ~ANSACiION .kPPROVEp Mechanicsburg, PA '17055 ~ ; __ ; ;,,,., ,1" _ )RIZATION ~; 248470 Store Telephone: (717> 591-0979 ~ _ _ ~ ~ .~ ~ ,ence: AU-282~114 - Pharmacy Telephone: (717) 591-0953 ti `_ 3 TYPE: Credit Card SALE ` i2ioBiio o9:4sAM ~ -~ _ C K . THANK y0U 48002280436 ~- ~} _ - s ~~-~:1_ n - - _- ..- ~.._ ~ ~~ 2®3:29 B/J I7C lb ~Z BC 6:58 F t, " ~ 2 e .-2s~~ ~ ~ ~ ~ r; ~; ~E~~ ~ 1. ~ ~ _ ((~~ A'L : t l ~";I I SC BONUSBUY SAVINGS .58-F ' `Price fo 00 2 6 r ~ ' ~~ ~ n - ;~':~ ~~ i i ~ ' ~'`t# r . - - r . DONUTS i.18 F - ,, ~ ; _ TOTAL BE=ORE SAVINGS 7.76 ,'~ '~ `r ' ti~~i ~J .YOUR .TOTAL SAVINGS.. .58 ~ _~1 ~_ ; W~_ _, :: w TOTAL AFTER SAVINGS 7.18 ` , ~ ~ , , t F ~ TAX PAID 00 t ~ xxxxTOTAL;' 7.18 ~__. _~*e ., ." ,~,,.~s _'~+; ; s" - - ~F CREDIT 18 7 '; .. . %r:%%x)Ck7'x7;x'RY:.XX%:tY."'r"1'*XX.X XX'XX XX.X'K.*K't',K %, M'~~ GIANT FOOD # 0120 255 CUMBERLAND PARKWAY ~ -- - MECHANICSBURG, PA 17055 , Dupl i;eate CO~~~*~~= VISA PAYMENT ~ . ..a-.~ -..~ -,. _ .~. .. , (:aid XXXX XXXX XXXX 2036 -` ~ _,:,-~~ PaYrnent, Ampunt $ xXXxXX7. 18 )LDER ~'!IL! PkY CAPD iSS UER AB01+E PURSUANT TO CARDHOLDER AGREEf~ENT ~ ~~uTNa o~3~97 ine Copy & Keep s Copy for `j 'ecordS r; 12/08/10 09;50 0120 81' 0021 872264 I n xx7CXXX%%'XXXy'x-X%;YXXX XXX%XXX"'.CXXxXX%X'K X"YCX ~_ CHAWGE . i00 ~:. ~~'~~ ------- ---t--..-,.~,.~_ - ~: ~- z ~S ~ ~ n ss('~ ~ Date Takzls I Gusts ~snler otJ`~ ; i ' 4Je~ ley Drive I~1cDonald's i ,- ~ ~ << _; Apply Online _.. 4~?UJUJ,mcpannsylvania,com; 15788 .-- - ~'Ur,ihIENTS? QUESTIONS? 717-7b1=7525 ~ ~ '~ -- __ ~ ~ G ,~~` .., 1014 UJESIEY DRIVE ~, ~~~ - ~~' r;l_ ~ .~r~~ ~~"_--. FiECH.APdICSBURG, PA 17055 ,~ c _, ,~ .- __, -- ~~ ~ THANK YOU - 1~~ ~,Itil~I [ir`; :/1(~ ~ ~-~a1 c.:c~~-- )I;NSi..i?S ~~' NURANT EL# (?17)7h1-7525 ~~'"~' ' n -- )RE# i 5788 r .......~. ~ ~ ~; ,L. - R~jS~ f ~~, ~&., •1 ~ ~y ~i r ,i;l I; .ilk , ~ ~~I -' ~~ ,tea t1%!~G „i ;a : J! _R~a S4'lEtT ICED TEA ~''~'` ~" `''' - l•OTC{L 1.,00 - E OUT T4X 0 , Ob ,,7._~i , r~ L 1: Ob ,~ i-i ~~ i i t i ~ TENDERED i , 25 -- ' ~ 0.19 ~,_ Total ~ ~b U 3Y5C0 CORPORATTON, :fI0U5TON, TX Reonlcr ~t604476 -'~ 0 ~ ~~.. - - - _ 1:~~ ~w >~ ,pl C]uality,5electiclr~, Savings, E~cry bay. Vlslt us on the Internet www,Giantl=oodStores,com My coal is to ensure your satisfactiuf, every time you ,shop with us, If there !s anythins 'more ,I"can do to Improve your experience Please call or write.: 8111 Mertln, Store Menaser Giant Food Store # 1:20 255 Cumberland Parkway Mechanic9burs, PA 17055 Store Telephone, (717) 591-0979 PharMac~ Telephone: -(717) 591-0993 12/13/10 9:32PM Z @ .59 Dor;urs 1.1s F 3 @ 6.93 VIR SLIM PACK NP 19.29 T TAX PAID 1 16 s**~TOTAL 21,63 CASH 30,00 CHANGE $,37 TOTRL NUMBER OF ITEMS SOLI) = 5 12/13/.10 9:33 PM 0120 32 0096 330() I'm 91ad ypu shoaPed here toda~~ Your Cashier -- DERfJA Stop by the Customer Service Desk to sisn up for ypur ow n.60rdUSGRR.D,:_ QUALITY, SELECTION, OPEN 29 HOURS SAVINGS;~EU(RY DAY, EVERY DAY ~~`~ tY' ~ ~t2_ x Un PLRCC THURRN 605q CgRLISLE PIKE HECHgNICSOURG, Pq: 17050-2g22 URPLHCE RrSTgVRgrv MELHNNICSBURGRLpgSLL17050•2 C~~' 717 7 717-766 -8909 - - 66-g9BY,. ~~$~y.~~ HrrcHnnt rU: 6015636536 Tarm IG: 00-'Sq 2b0b602563653fib02 s~r~~r rn;sb H rci>y t lli. BOl:i636536 T n IO L-l5g2000B015fi3G5364302 ,q~ s ,ter m. 2~ " - Sa 1 e VI ' Sale u~v ` xxxxxxzxxxxx6941 v ~ xxxxzxxxxxxx6941 VISA Entrv Method: Swinrc VISA Entrv Method. Swtaed Amount: 8 18.3~ L Tia: Amount: $ 32 ft' ~ . Tiuc _ _ J~~' Total' _°_ Totai: ~ D 12i12i10 18:26;31 Inv !1: 0©0836 Afar Cody u;oat+~ Aparud:Online Inv q: 000048 Appr Code: 018253 AaPrvd; Onlin: ~' ~ <<rytom>r ~~Ar THANK VOUf ~..ntomer c~Px iHgNK YOUI rl~#j2010. rchanl ID: urinal ID: ~?OSI£3998 :U JI U]CE :h #: .ova! Code: y I~lelhod: e: :-TIP Ah''1T ~~' Cr~!v1P HILt., PA 17011 r } 18:13:17 Cal T~ ;r 000000002126662 ~ ..0'650359 _ 4°° ~; "7 .~.. CREDIT CARD '""~ V1SA SALE Un;tq 7889 12/1?/2010 ~~='~: Cashier: Aimee 6;40:19 PM Y,~XRXXY,XXY,X>; 2635 ~ ~° ~ ~° ~ 1 "~ ro ~ li ; t 000089 ~7 ~,g 316865 -_ 1 Reg Rst Beef 6.29 Swiped Reg„{~st.Beef-RC "~ c.:,a Online Sur" Ja l apenn ; c•:~. -r~C ;~ Sm Pepsi-RC ~13 ~2 SubTota! 6.29 , Tax 0,38 u~ _-- Iota! 6,61 ~~, Cash 20.00 4~ ~;n _ ____~_ , Change 13 , ~3 CUSTO(41E. COP'T'' Thank vou! Amt Order Number 2 44736 n, ~.;. -- „=:. ~AL AMOUNT ,~ ~-,, ,~~` ZC ~~' ~~ ~t.l~ ~~ `x'~~~ ;,s , . ,.~~:i ~~. , ; ' : T ~1;AS ROADHOUSE - CAf=iP HILL ~~~~+~iey,seiecfio~ti;-Savings, Bvery ®cpj ''~'1 Loafer Allen Drive visit us on the Internet __,-: -` r ~. PA 17011 www.GiantFoodstores.com ~;; , ,server; Jen DOB: 12/16/2010 My coal .ls to .ensure your auiisfac "`r'" '- 06;16 Ph{ 12/16/2010 every tlrrre you shop watt, us. If t - '9hl° 417/1 5/60052 !s anyth:ins more I can do to imp: ' your expr>rlence please call or wr I~lck $arber, Store Manaser _ ~ ~ ~~ iiianf Food Store.# 331 .V~G ',LISA 5242888 5301 Simpson Ferry Road ,. Mechanicsburs, PA 17050 - ~ ; ~ : , Card '~ ~` y..; , 5 ',,,,',X2636 i` i~laynaT ~ -r~sent: BOAKE EDITH A Story. Telephorrec 1717) 7b6-65 - "_ard _'"~'_ ~hUd: ~ Pharmacy Te 1 ephone : { 717) 591-95 _,_ip~t_r.,,. r.i15~~ 12/lb/10 12:07PM D(~rrU-'S ~~ :~ v THV PRID ~..:~ ;7; ~G ~~#iETUTRL C R S H ~!°~ = Total : - ~~ ~~ CHANGE : ~Z i TDTRI_ MUt1GEk OF 1TEM5 SOLD = 2 ' 12/16,'10 12x0$ PM 6331 08 0062 101 I agree to pay the above ] ' m 9!, ad yo~~ shopped IEere i oda~r iGLdl d~lOUtlt according t0 the Your Cashier -- JRtJIE ea~~ iSJuer a~~~!!'crr±: ' ' i i x s .Y . -. . ~_ ~--~ '~-/l Siop bar ~~e~i.uslomer Servrce Des ^'rl"T Cop'! tc• 51911 up ;~or'~rour own BONUS«RR }x~;4..};-3En~i::E?~tt,+?:~##r. a'~-•it ,+a z, >'~zs~..y.~l. QUAR_I~f Y . °a,i_EG iZON . - w OPEN 29 HP SAVTNGS.VERY=DAY,, EVERY ~! ~ ~ O ~~I~~~~ ~-~ C]u~a li+t~ - ~ isr r,Sel~r~_}ion, :iav~r~g1:, ES~ery a,~y. V1s 1 t us an {he Int~ern~et w~aw~. G i nntFoadSi rn°es , coro M!d sosl tai to e•nsurE ~rnur flatiuf;,~tlon every t1H1E! ,yr]Li shop wi. th us. If there is enythin~ more I ctrn do {o lr,Prove yOUr eKper ienL F" p1 e8fl tt ctfli Or .llrl te; R ck Br~rtrer, ;;tore flanaser ial~rrt F'oad .Store It 33~ S.iU l S i nipson FE!rry Roed f~ecFinnic.sbur~,, I'A 17050 ..Star•~e~ ~F~(r:•phone: (717) 76fi-0550 I'her~mac•,r T.olr.phone: i:71'') 591-'7565 12/t'c/1 ri 3. 05PM THFtNK YDI.' 9$002;?~0~ G..N MIL wf;( 1 ,J GIB6LE'; ;IJr'CK,~ ~'5 F RIT? c1N(.'i~;'. .'.19 F ' ~I s.6Z g( .~.7,a F >C BONUSI4llY ;it~i4'INGS CU p8~~ L MI4TEFr Pt:.JSFf~G lZ C :BONUS;fJII'/ tiI~~VING5 Er_, '~ F Frlre !:eau pa~~ 1 .'F9 .08-F ALOUEi 1 E -:H` 4? C $ONUS~f3U'r Sl' GINGS E(:-.' `, Oa F P..i._~ ~.:ou 6G-F GIANT rrT _~ peg' Z.;f9 3 Ca °~o~• (, rJN 33 F O~~NUTS 77 F 1C~lA_ i:EFURF SFI!!ItJGS 1i,.99 i[11Ai i'rTCF ~ ~ ~ ~ 37 A'.IWIi?; 1',,.07 lri1; f'H:ICi 00 ***~T"OTAt. C;rlEl))." f C;ARI) 1 `~, 07 r3Y..~y1'eat:.x=,x-t.Y;~t;.~, 1Fi.07 ;')ir SIMF'S'lIJ FCf?JiY i?(ir1D SU 1 r 1 (~ ''~gfJr •~~~ PR .lir';n ~, • ~~ ~~ ____. w~/ZOI'7G1 L ....THANKS FOR SHOPRING WEIS MARKETS #199 2150 BUMBLE BEE HOLLOW ROAD MECHANICSBURG, PA, 17055 TELEPHONE; 717-796-0397 YOUR'CASHIER<TODAY WAS ACM LANE #3 PF TURNOVERS- PC 3,29 F SC PF TURNO..VERS. aISC 0,29-F PF"TURNOVERS PC 3.29 F 5C PF TURNOVERS- DISC 0.29-F SAND TARTS 3.59 F BUJ CH GRCIA __PL 3.99 F ;_-Y-SC BEN JERRYS 0.99-F B&J CHOC MACAD PC 3:99 F SC BN:JERRYS 0.99-F HADBACK BOOK 6.99 T CL MO HART?BACK BOOK 6.99-T HARD~'ACK BOOK''" 6.99 T C' • ' HARDB,`CK BOOK . 6 , 99-T ~HBG PA.,?:RZOT THUR 0.75 HARDBAs (BOOK 6.99 T TAX.:. 0.42 **~* BALANCE 23.75 ~rrr~tx*****xzir*~ x:cx*x~s*x~ex*zxxx~ CREDIT PAYM' REF : 502f ACCT: ~:~~ ~~u SEQ: 247 TOT ,; ;, l~ -, ~ ~ p, i V ~~ r, ~~. m° "> ~ :a tr, , (~ ry ~ ' ~> v; ~ ~~ rt ', ~ ~ "I .a y ~ 7~ ,: y ~ °~ ( ~ k _ ~7 ~ry t~.+ m o ~ ~ ~ - " ! ~',` C• I ~~~ >~.~~„ ~. /a ..--~'' O O ~~' Rec: 61 Server: WILLIAM M 12/22/10 18:56, Swipeo T: 998 Term: 1 THE ITALIAN OVEN 5220 E SIMPSON FERRY F;OAD MECHANICSBURG, PA 17055 (717)697-6836 MERCHANT #: CARD TYPE ACCOUNT NUMBER VISA XXXX)(XXXXXXX2636 Name: EDITH A BOAKE 00 TRANSACTION APPROVE:U AUTHORIZATION #: 885309 Reference: AU11576145 TRANS TYPE: Credit Card SALE CHECK: 1.2.76 T=P - ~S: TOTAL: ~~ -~ X _ PHONE:.( > - ~~~DL.p1 i ca-tom Cop~~~ CARDHOLDER WILL PAY CARD,IS5UER ABOVE AMOUN' PURSUANT TO CARDHOLDER AGREEMENT ~n~~.. ,IGNS ONE CUPY AND KEEPS ONE COPY /t- l.~ ~IINr . ~~~~~~-~~~~; ~ I ru ~ ~ ~»~D- I= 7R :>H(.~I-E'1IJG 41E1 ~; rlFli?NETS li'I ~?y _,_ :;tltiBLkl IJEc FI01_L(1~1 RORh ' '~~I.VII:S131_li?(i, F'fl. Ii(l:ij 1~. .tNiiPl ~ ~r~i _(12197 YuUI~ Cr:Stll(:R T(.iDFI~' IJFIS ;:,9r1it:J f, ' I_ I f l: li5 0 tiq.13 ')EL 1 :f J Lrl ~ 'S F f , t:1~ ;;HAtJIy(' 1 , 3 ii71L Nlil'f131.R I_~{ 1 (fiM,: `;UI_U = , '15 (,.III':) ;id-rings 'Ulal b f: ;ur Tota1 3;3y insJ; E.'% :6CI.o9 ':19!10 03' J"I Jan I`)') ) i l' 199 191? ~ ~_ ,.1 } I~E.(.> t~~{t~.Ert. QiiFaL::(~r'r ;:r~~cF 1912 .~ .~..`•*h$:frt~fit ~.fa9:~Y,if+L if 9.i: ~t-?: is is iER~f;y ;raa~h if . INr.LUI)):rar., -Il-l.ts ;r1Lr_, 'n:nl~, CURF:(;r;? ELIGI13L1: PI1Ft!:;i1R5E F'I)Ir;TS RRl: Las h~awar,i:? U 1)iaF12r• Deal: 0 r. ~ is i'; k r; s :f g ~ f iS iS if 3i kr, tE ! ')E ?~ 7 ~f i~i: t: $i. 3F # i J~~ i; J(:S if Use -four (r'eiic Club i:~9rd ifnd Fur ever.,r :6~i) I>ur•._hijEefl in a slrrc,..e EorrJ {'ia~s E~c~w.~r•IJE irrrl.i t; 8/11 I?r~`-' •m L~3!: Re~ual~[~, ihru i/tEii' 1 : tit ~ `~:i k~t'd ~.i :;a CJt$i *i.-r-t}di EiE 3F ~9r i( ii~il i(~4 ~I?(: E: tii l)h ET (h?ifl .g[') QE) I,(9r-gE! IiU?: t1J;9F•E!":i FFtFE~! after' '_J~~u tau:-t !~ 41a bux diar'rs si :62~I E)g ,.: E. ~u,f•: a~~, Dales: I[);_'.li"10 - Oq/30,'1'1 !, ?` :f k~ ~+ it :1 :f is f 7f 1 A k i~ t :f 1: is ~ !E x ~ ji it !i it :f ~(:f '_~ ),ILrr a{~h~ r 1'lr)ti' aF.OEErI { r11;~: THI'N'S, r10NEP gFIIEE?S, t1:.Lf:, '-F`• ~:(G~~~ZE~1'FES,IJEI;: (;:(r'I l BE J;;RFiGEE:,t~A PUF?CH1i;l:.; I~~;<, FHIF'O F'RF:J.Y PHF11~;rifa(;'r P1 I iPl$ Hrl)) F'~iUNE 1't1[rJ1S, IJE;;iERN UN.((11J +2DH79ill=U ti`I LRId 'N~ IPI~ HT k ~_' :. r r: ~~ -.-~_..- ~y~ ~~ c)c~~s: ` ~ti L SEI"Vt(~: UURI;i ld ltNf:: fill 12J~4/10 19:511, '.~i~llf~r;tl I ; 4 l~rm: 4 ~ IIikU'`, ' ~ ~~ 3;i1'.; IIFtIiiZ[INLF I)ld1Vl. ~ ~~ i:Ahil~ EIILL, PA 1li)11 (717) %57-EiJ(i5 1. :':(Pi-', 1;•~ ;•, hiFRGI-IANI #; ~;~ LtiKD I YF'l. AI;I:UUI~ I Nlll'1lii. ii V iSA XXX.XX.XX XXXY,xii`i~l 1 ,> .: .....:. ...... .,~ i ii ~.:.. IVnIIIC: EI)1 111 N IIUAI(l: , - "_ i)0 ({~AM.iHCIIIJt~' i;l'I'IfU+ILU i ,' `t` -- 1 %'{' rtlJlll(11~ 'll!}I IUIJ !I . !1`~IJC)1`L -~(;~; :uI Pi ~;;JI; a ~;~1 „-, . };t?Ir;i ellci:: 1'~'4i11ii0i1(1(it;1 'Jt?'-~r ,.;;,, r,; Ihr?Na 1YI'k : i;lttJlt f'r~F~tJ ;At( ~t!,~I I,,.., r, ., ,: a (; G ~ - /~ ...... ; ; -, ,t; ~ t L - :'~ PFiliNr : ( ) ~~ -#_ ~#. -~- I) T r 1_, i .1 t ; n # t: i : c ~ l > y -+ a -~ l;AfiIJHUL11Lii t'rILI i'AY E;hlill l~i;:ULI; At11.iG'l AI~UI)IJ ( PUi;';UNN ( I U %kl;i 111111 Ol ! Ai~lfk (Mi.1~ I ;:Ili ;.Ili: Luliy r> 1'(r.e-~ a Lulry .Gt YillU' l~c;'l;(il ilb ~~ .~ / Ci/A% /~lCc:r~ - _ Y6USq PCgRLISLE rPIKE~ +,auICSRURG.:pA,. 37050-ggzP ~f %66-9985 f1ercha~ b •iS • 5r~~. I' •. 76536bU2 73 5o.e xxxxxxxxxx xx2636 VISA Entrv Method; Swiued Amount; T1P; $ ~ Total: _ ~~ 12/26/1 ~ ~ ~~ Inv t~: pU,,, APPfvd ~nil 16 Rug .,de: 736568 n(• c,.ac.>~~r>- caa~ 1 Tf1ANN YUUf r ~~/~ THANKS FOR SHOPPING WEI,S MARKETS #199 2150 BUMBLE BEE HOLLOW ROAD MECHANICSBURG, PA• 17055 TELEPHONE; 717-7g6.-0397 YOUR CASHIER TODAY-WAS ACM LANE #3 1.99 F SC PRETZELS IOr11 Z PC PF TURNOVERS FC 0.49_F SC PF TURNOVERS DISC; 3.29 F WQ-SKIM MILK OT Np 0.29-F WQ`LG EGGS 8 CT 0.92 F TAK 1.13.E **~~' BALANCE O.DD zxzzz*zzzz~rx•xzxxxxxxxz*x*x,rxxzzz6 zxzz CREDIT PAYMENT REF 112807 ACCT: xzz'~'~'~xzx''x*2636 E:XP; XXX SEQ: 242303012 TOTAL: $6.55 CREDIT CHANGE 6.55 TOTAL NUMBE R OF ITEMS SOLO = 0.00 Weis C)ub Savings: ;Total Your 7ota~ Savings q 0,78 ; 10% $0,713 12/26/10 14;01 199 203 81 +++++++++++++++++++++++++++~.++~ 227 + L~ TS +++ QUA ITV SINCE' 1912 >rx>r~xxxxxxxxxxxxxx W.`W..... ~~>r>r~ ,~` -? ~ 1(nltr ~r`•r'~ C rtC]IHVttHH FIiSa CARCISLj t'1ni ~~CH~INCCSBURC, PA, 1t13SC~ ,.;;• .I7-~s6 aBS , tlrrcli3nt IV: 66256;i65Ja Iat m Ifi, (ipj§9~G~~P~~u .liUl._ ..ri vdr lp; '6. ~~~ ~ XXYX.Y,Y,KKXXX',(~QA~y1 -- VISA En;r~ to ' tr!ad; Swipea' r?2c,lrtt: A' ? ~~~ . 1y - f , C '~ ids, - ~'/~~ r11 j N n~r n, ~t}UV!'~L 7v, i,,f. 1J,.~, f~+ p ' S tt n..,. ! i ~e ~ jllVn~r)14~ _-_ pp A r od~:.kl1d , ~~1 ' ~•rstorner Cm:; )11ANr,...Yt,;! Su 6(J5q CgALISLF: PIKE nECHRNZCSBURC. Pq, 17056-2gG2 r17-76G-9989 nerd r IG: efnss3cs36 . Tnrm ID: 0075g2ft0U601563653600:C-. j~ S~rv IG: 71 xxzzxxxxxxxxE991 PISA Entry tfethod: Sruipel -.. ". Amount: $ 17. t .. _ T1P; - ---- Total: - 01~03~11 ~ 18 ;t Inv Ii. OOtiu; APPr Code: Ql$5i2 T:lE3LE QUESTS S~FtVER F "~ F f "Pr~ciel,~i ror mccme T~zx ter ~x~ense > ~~ Account Rscru~ .....rr Lunr u,gtm vmn YUUR PLRGE RLul nt,KRtt r,=_crtgN4c"66uRr, Pq 17asG ; acz 71'l-766•q'JN9 ner<hnnt lU: BF71S636536 Tety ID: GO?SS2LS6IDy{)1563fi53EUw Sewwr IG: q3 Salsa _ zxxxxxxzxrxxE991 PISA Entrr Aethod: Swire~ Amount: 8 16. G2 ,.~!^' _ Total: -" -- --- ~J 01~QSi11 ~ ~-_-~_:~ -,- `~i HPPr Lour. c1i;j„ APPrvd: Online E..~t~,,,r, ~.>Pr 7 HRNA YOU! ~ ~~ o~~mn,,~rnom ~ ~ + r, • (L '-" *^4y4 O lf? is 03 rJ N + N¢ ~ ~~ '''LtiO cV r+cr ,• `ti _.1110 CD M - 1~ ^ ~ W C7 ~ _ ~ + Y U-j h K L7 r+ ~ '-r0 2 ~ '- t o ~ ~' ~ U .. v n ~ ~ + u W am - ~ ~ ~ W O 2 T ~ 9 U ~ cp c ') ~ ~ - -.( µ ~ _ '.~ is !-I W~ h W ¢_ x m O CC ¢ Q ,-+ N G rn ~ Q '-' (V + (1 J Ib - . 1, m SQ 1, 1 G7 .x W `-.C Z d r~ ~, ~ ,- r~¢Q J I s S Z ~ r - m ~ p) O * ~ ~ d T ~ p) :IJ H rn N ~ -* C + ~ _ ~ C, .Z r = N (n r + ~- W z J n ~ c ti W ~ •n ~ ~ . )Ho .nm . 2 Z ~ ~ ~ W W m r O ~ ~ a _ ~ s= Qa w ~~~o~ Z1 L~v ¢ amt ~az ~°~ ~ ° ~! ~ ~ N N ~ zi '-'o~ - w ~ ~ ~ ~ _~ N~ w ng C7YY~~UUF-~ * ~ ~ Y~ ? ¢ m¢ c n a + r - ~ ~ -; -- 7 S cC ~ ~ _ J ^ ' O + /f - / ~- - ~ ~` -,_ - ~~ t-I"~,~~~ .~ ,, 13 ; ~'1 p~-' r. ran: i . x r . _ ; r~~.~_. ~, ll;l?,u, ~ r. n , . . N/~ •{ /,t~A,r CAI ~' .~ f~ 1 ~ 1 lG~ J t ,; . A~tfr~rc;,~fv E~, yccrl~~fr , il(~ t ~~PRf-S' ff~lllj Th'HN^,i ,, ~Ai,X,x kh' xuri~o~ ~ ;~ ; ~ 1r~f~ ,~,P~rf,~~U ;, F„rxvY~ ;riu ~~ ~~ fib ~~ 57961 ~A'fiA'S rYPF ~~,{~~ t ~ u~6< r~ a ~ c.; ~ ,, ~~ ~ `~ ; ..~. ~ .. -~ ~ ~~ s ~ ~~._ I6' n_~ - , -.._.~ ~"fILl. p,~ j, ~tl;,rfr I~r~ t,~~~6 I ~~~~, ''-~E ,r~;,;~l~fJy~LC;sr~h' kb~?v~ n, ~0r`s' ( :.: ~~C' ~ ~oo~ Wit! ,~~ J - /c?G ~// ~: a r . ~ ~ 205 O~n~ T ~~° ~ =?'3.`3 TBL ~ 135 #Farty ::~ ~ANcLLt Q uvrCk: 1J 13:16 02J1~1Ji1 h1Ah~Eit';~ 1~iARi< 5.5 C;L, !~iES~i~JG S.~JI HOT t;RAFT"~L~1:'t';iJ~7"(l3{~(1is~Pi'L`nfr~, rTRA BftEAO O~5 TAY, B.~,G, OLCti" 1u.5Uj TAX; G.5 l%/1C3 18;23 ~ Cl f r.L . ~ ~ . ~ 1~ ~00!{ 13TAL 6 , 50 !tAR TOTAL 10.;~U AT1dl15!'HEftE: 1 2 3 4 5 6 7 8 9 it) sift\rICE: 1 23a5678~ 1U _, iu'i~i9di'c'~'i~s'~r -~,~ ~¢ --/a Gr4?ef Orive ?icDonald's tl "'' u~cr n, rsyiv~ni:(.c~rli/1578fi ,, ; rJF T t ~11Ju:~ ''/ i 7-751-7525 '.FY i)RIVE . ,.~.:~30ru; f,H_ 17055 THkP~ri 'i Ql1 ~~d,'%iv!.!.)' f~E~i~U~{urn!] i~r~ (71"r)76-75Z`i ., _'~~ '!:170 Feb,03'11{"Thu;1~~:5~ ~~ ' ~ r:~ s;')4 ~-T IhEQ I Eh 1.00 ,.~.1%i"!ui?~ 1 CU , l .Ofi 1.26 -a.l ~' J , 20 ~f~if~ THANKS FOR SHOPPING WEIS MARKETS #199 21''r) BUMBLE BEF NULLO~~ 4C„~ M, AIVIC~BURG, PA. i7~55 r ~i_f~'wFfU!Vc ;' 7i~-796-0397 YOUR CASH:jER TODAY WAS ACM LANE :~1 °i1o'cS„?' Lr1~GR~lii 2 ~ 10/10.Op 3.99 F 4012 NAVE,.. ORANGES 2.00 F Trax a. DO _..x~*s. RnMCL'^r 5.99 CASH 20.00 CHANGE 14.01 IOTA) .~IIIMLtFFl__~~~,,:TTf}~°i•iS^SOLU = 3 02/01/11 'L8:38 199 201 114 ~~~ _L1FT S„ ~^lflpri ~T c c)UALITY SINGE 1912 r,xxxxxr.xxxxrxzxrxxxxrxxxxxxxxxxxxxxxxx INCLUD:fNG THIS SALE, YOUR CURRENT ELIa'BLE P(1R;;HL~,SF,,,P~tiTNI~6~S^~ine: Gas Rewards: u Diaper Deal: 0 xxxxxx7'xx:Cxxxxxxxx%Cxxxxxxxxxxxxxxxxxxx Weis Gas._Re~wac~+= Use your Weis Club Card and for e;~ery $50 purchased in a single u:~y earn $. i0/gallon Earn Gas Rewards thru 9/?'31J,~__ - Redeem Gas Rewards thru 4/30/11 x'xxr'cxxY;x:rx'xxxxxxxxxx%xxxxrxxxxxxxxxx'x FREE Diaper Deal A $29.99 Large Bax Diapers FREE! after you buy 5 la~~ge box diapers at $29.99 each Program Dates: lUl31/10 - 04/30/11 Y: x~xxx:Cx'xx'CxX'x%'xxxxx Y. X'xxxX'xx'x'xx%'x xx x'xxx POTNTS W:G_L NOT APPLY NOR REDEEM FOR: POSTRGE ,STAMPS, MONEY ORDERS, MILK, LOTTERY T:i(:;KETS, CIGAP,ETTES, GIFT CARDS ALCOHOLIC BEVERb1riF~ raS„g~ 4c~r`h~~nat~ "REAM, SALES TAx,THIRD PARTY PHARMACY PRESCRIPTIONS AND PHONE ~ UTIf_ITY PAYMENTS, WESTERN UNION "~'.rD WHERE PR.OH?RL~L1,u~n~„^'•' T.SIT U5 OPlLINE AT: we i snr+a~r~kyeyt~s. , cyom~r y~ ~+ yy .[~ V X04 LA K ~ 3l d~ K B~ ~ ~ /4 fi ~~~ ~~~ -~ ~~ .~~:16 ~ f~. ~o .... r; r' . Jkf~Eh1Y F ' ~ -;~~. E_ l3: iq Skip f;uc: 36 Jil~~ ~~ ;1EtV1% GQfiE ` nrrr:. ` iIYU/UR ~'Nf~'I\ ~'~~~~ ~`~ TLS. ~Ir ~_~'-ylfJl ,~• .-, 1 •_ %~, -_ : r:; - - ... FtGG~l~I'!T i lld^ p ' 4 _' _ ,'. 1 ~ .-Fad-, r~C~,; -~ - --_ ., , ....}I j-- ~~7~i~L ~ I -; . _ ~7 ~ - r'~ r r'i..i l i.: _ 'J~u r~ :i1L r~ ~+ ", 5, j ~ /~A to ~'~ ~~ ~~~ ~~Tl~l ~r Sru~CA' .~,. ~" ".' J f,eceipt for Income Tax nr-L.Y 'fir cr~-;; C'`~~ ~~ ia.;', i,r.:,rrrs Account Record JiJthlD'FrS JLO FF~S!-iiuNED HAI'iBURGERS J~IECNAPIICSBURG 9.462 ~TOR~_:.# 0000926? _ _ #C~.3~.~ ~_` l SP]CY CK 4,49 „~ nin ~;T~~~.c, J St' ;;Y 1.39 suaTOT~.~ ~ : as TkX TOTL .35 LUJ~PN CSHR 0112 :21:34 FEB 02' i i 4°!/S#U3 P1 . r. n - -?_ ~1~ '1 i., lJL . i I ~ , ~. . ~H~~i"ii! ~°.~'~!~ ..~ i.J Y. ~ ! ~:fl ~ I . 5 j .':~~~" ff_~p .~ ~oac~ ~~G,c~ Z~ ij TUrrf• YL rIC. R[3TP,UISRrI 611;•1 CNRLISLE PIKE ru;'ri4r~zrc~;;~uR~; rR"IitfSU-2922 717-i66-1989 Mee; il~nl ![;: 8a15E365i6 Terlr~ IU: i;ii7592~8u8p15636536EfU3 Server Ill: 29 _ .~ia~.E' xzzzzzzzzzzzn941 <<i~'~'r r '~nt~Y'Mefhod. Jw1PPd ~ll~OllBt; ~ ~~,1~ tip; ., ~ „~i!. total, - " -- . :~~-~ 1nu it; 000049 ~ 1~,1~ Nppr god„ 019120 ~Ipprvd, Online r.,,,coe,E, cony _ tuar!x rain ~- ~~~ ! Z - rj '.' ~.~_ i~ ~1 ~. ~ , n. c ? ~~-- 1 _ :66 ., .. {~; -1 ~ r~~ ' 1+, .'i. F. jli'~~' r. ~ ~ ~L ~,. 1, ~r ~ ~ ~ ~ : ~ ~i ~ . ;1 4 11 r :.~ , _, , '% ~ > S~=' ~,Nr,~: ~,~~ LITTLE s~ISfl+a RESI~URAFaT 2800 p~iY,TOta 5T ..~lsl'~s"~ ~iii~i'-- BATCH 132 S-A-L-;5~53DaR-R-F-i )7L~ 400000113701 REF ~ 0000 ~ CD TYPE. VISA J ," TR°Sirp110FHR&h.,,~ ~' S~j- DATE; NAV 14, 11 20:5;17 Ah1C)U~iT X9.75 1 1'~.. __y ~ ~".~ ~~-7~ TEITPL ------- .~h1~6t,1; coadn. cuPE.,fi~~~#,.~ AP; 020330 NAiI`~ EDI1N A BOAKE T R AH . 161135032573627 URLID. LN25 AUDIT D500E CARD!'~ISBER pCKIiO;ILEDGES kECEIPT OF GOGDS RIID/OR OERVICES IN THE RI~UIIi OF THE TOTRTUC~~e ,gaR~pMS gE1AE0RJ0.8Y. IHEFORM CARDMEI~ER'S,AGREEHEHI IdITH iNE ISSUER ANK R USIN~ SA K -=----- r-------------------------- ~~ f~Y ,~~~~ ~~~ ,~ielcome to Chiok-fil-R it~cnalll CSDdT "y" ; fir' I. ~*~~c~~2,1,FJ71 717-', a5-1940 C~aerator: Brian aibson CUSTOl~1ER COPY 5/24;2011 8:21:52 PM DRIVE THRI! Or~er M ~ri~,er : 1250::28 1 1~11'KSi'iK Cl~oc 5m ~ L~..JJ Sub, T~~tal: $2,55 , X0.16 I~^~ $2.71 Total: $2.29 rhatl~°_,. $5 , 00 $~~ Tran Seq No: 1260328 Register:2 __Caslrier:MIhE Tt rlas a pleasure serving you• ~ . :~,~„~ u :1sn~erfa I day . 4'1;' i C J L 1 'v ~. 7~- i 1-1F~tJK '. +J 'I1 i::5;~ t i (Z't L'>~ 4_ o CT ~ 1 Perch ~ ;, 7 Fish jd~~ $I _' T.K A ~ w~ 1 ~ ~_~~ 'rL r~ a" ~ ~ Z 1 i 7 2 "L. ~~ ~: YlSF7 $1 v~~~~~ w > ~ c ,~ a,~>. .. _ .; ~. ~f,. ~ '+ ~~1~ ~ `ry~.~~, ,~.f~ /"o Sheetz #k143 24:J78 Rar!re ,ts N f~ J~ r~"r.a.fi'~'.t'.~'ri'~L71~;~~; ..rr1'fl'F75 (V\~ ~~~ {?rt7) 43~i-~~tS2 ~~ '~, Pump No: ... X33 srie~~a ~;~~1 llnlearfed G ';2:b~41G 1.~1~,. S ~~~ke~ ~t _ 'Uo?.urne, ~5.1tUa ~~1 F~ev~roar~f~sbca~~o Sheetz t~1~?3 i~~s Tatal: $4[3.~+~ i 245?S Rc:;,: ,~ 7cttdl [~w~.ne~ t~sr hlif{1~"nt~~t~~r~, PA 1?QS t3silr,~~r~e: i~:~~~"~"~`" y ~ (f'i b 4 L14 {s'"17j j~:i~ -f ~` rl'S a~~ 'j'*~'~•r'2a : $;~~:9' J~..1 1 cl ~',i ~.F `~~ 111 i11ti~i'1 i.t~hhhr`f Plrfrirt:~N4.:.. X74 ~.:~~~. Un3eadec~ id $2.n5L-:/9~;fU E~~~'~f1~2~i'f~ rtb.4'i:37 A~~.~~ 7 _ `,~ ~t Tatar. j#4,lr2 t1~3t~258 ''~~ ~~ `` la i s a !1 (]IS f~flf~:. ,.~`Yi~IV,"J `~~r~i ~t~s11331?rr~ Cl 't s5 :25.49 ,t~eetz ~#i93 2tsS78 Ftatst~= 35 N -~13 f f' 1 i n t rJ to n ; " r' F1 ~"f t kl`; 9 ~rurnp ~~a : iii Uni.eaded L~ $? .549/L; Uulurne: 1`L.~412 UaI G~5 Tat.al: $31.85 Tatal $3a-8`' UE}y~gEr tJisfa ;,1tiXti?;l~;ti~;;;~t,9~s1 418!r32/2t11® 419:-18:55 ~~~~ ~L-~ ~ ~;;~ Zi_, f ~ ~_ ~ ~ ~. _ - 'U' - ::~ - snpe~z ,ia~zs~?- .1~1 '~a7~~-e4~. ;g~,i ~~-t.a:~.'r ~ Tur~,e,~~ f.li.l 1~ SfO~ e ~y:[i~'~ll fr "~t~te:"~oI1~ DES - r ~ :[9ai-f:ei. ;>'. ~ ~5 X13 ~~ .~~~~~ , - , ~ I'1E~f~rariicsbt.ii°~ = ~_,t- ~.s. i~~:~ ~~ ~~~ c~ ~~ . s~~r~ _ E ~ ~~ 5 ~ Ti to ~~ ) 't~fiir~ _ ~~ ~~-~` ~~~ ~:9 ; F'F~1C;E'G ~~ -~,. rsfSSCf~r4 T:~X t J, - ~ 1 ~ ~~i it : ~ , j ~_.-. .n .. ~ ~. , I~ ,~~ ~ n .;~.'3C)10 1U ~ j , ~ r. :; ,~ ~ , ~ ,~;~~e 5 10 1>e ~ ~~ ;bey; l ~tf ~;~~_, n i r~' ~ T~,. i '~ie~~il ljS ~ d1 CI-. ' _ ~ ~~ g'C.f7i-c' _ 1; -- _ i<~i :~Utails ~~; . ;-- J.. _ ~ -~ _ ,i,~:>r'~ ,. i. 'mil) >u - r~s~=~:-1 ~r ~ <51~;~~ ~,, 'I,J, l~ai,i ~ i , _,= ~ i ~ ~ )1 ~ t~ .~:- F.~~n~ ~ ~'~~~" /, ,Q~l~s i~~_ir.i i ~;~~.l;ar- ~.. ~r'-.,'i`ir Uh ,riiLf'IIc :~1:t:,~~ ~ ~ z V 19 ~ .~~~ C:~TaI_ ~., , ~3 She t ~a ' ~ z. t~~ St~eet R'i ~, 3`., ri-, !~'~`~ ~~ .,'O.U(1 ~~~~~_~ Allentatun- ~1.ud ?4578 Mi~£li~-'Y ~ .r~~, , }>~ ,~ T~"C:-il :;-s~ , ~,8 Ffa--i,;i5trur~,. PA 17112 j ~.i ~ {717) b71-6?1~' ~ .: a }r. ' ~J. te ` Pump Na< d4 No: ] 7 ~' `'(~~ ~~ 1? ;OC> .; 1 Un~~eaded ~ ~2 . R34,`G ~ iln7 ~ad~~~ ~~' ~Z .~';i l;~e 7ur~~;r~ Hill ~ uQiume-: r~z~ 'jrr`is ~ ~rcl si~ ~ has `Tv`a3..' $?t3.44 ~! Totem 1 : a , _ To~a~. Gas Tntal . 1~4~6~Y f~tspi'ouai -~ ~: ~Gis~ saiya ~~r'i;~,'n`n~ni,~~~r~'ii~f2`i5~6 .,~• ~i!;ti:,ti~ti7i2 ~~c~.~ i1f2?/Zf;iQ i1c-U~c_r? vn 11I"t {1?.{~ikt"'ice=°~ ~a ' ~ ~~~, ~~ ~, _ 'n ~. ~C~7 C7 ~ m ~ ,n ~, ..L. . ~, ~ ,~o J ~ ~ "' ` , w to ~ ~ ._ ~ aim .-. . , P~ . -1 L, L ~ . F ~. f ~~ µ ,~ ~. i1 ~W J `i 7 G ~1 S Cc: Cif W . . ,- y a = '. ~' a "~ `~ ~~.. / b ---~-., __ R ~- __.. .. ~`` / ~, --~~ , -, ~ . ~ ~ ~ $ , ~ ~ ~ , x, ,, ~.~`, ~ ~ 3~4 )"'c I '~ 1 c l i , ~ -'~ ~A ~ ,~, ~z i r ~t i r ~ ~ ~ ~ ' ~' ` ~, ~~'~Ffl~Lx 7 f 7Lt?.r_ iy /.~~,~ 7 11;:11,,, ~ , s~h~~. ~~; ~ Ia~~ui~ ln'~: ` ._i q~ ~ ~ ~ ,~~ ~ ~~ ~~ ~ r ~i '1~rr~L;i` ' r ~~a~f~ i ~~. L fi ? F?i~ii~~~ h ~~~ ~~~ ~ ~11 7 ~~;~r ~.~s ~,~~ T~~~.~I ~~1. ~~' ~ ~~'~ Z ~ 1}' ~tJ~ '~t i , ~ t c ~ -~ ) ' "' ~i 4Lxt~''t -~ " 7 3th~~'~; _ - ~ ~ ~ ~ ~ i_ ~ra ~ 1 1.`~i r . , ..~~ ~ ~ 1 .~ ri ~ .'S I ~ ! .~ ~ - , ~ c ~ , ' ' • , i ¢~-~ ~. P1 ~ ~ lit 1'h ~f'~7.tt? i;tNl! , f ~ _. _. .. _ , _ .. c. _ . ~ ; _~ f I,~t ~ ;~t;.fi--~~l~~ {'ump M~z.: ~ L5 U n 1 f~ a d'~~ ri ~ ~ ~ s , d3~'c~.~ G sL~~f~~1ftET:'" ~~i'~~~;"Ssc9 (:d5 iftir3~:: ~~~1.~~ TcY c.-f~.i~1.yl s T ~}~D~~t'Ell3c;7 2fkE3~~fi~E; tt3ti~. .; ..: -. - she~t.~z+ ~i.~ ~~;,, ti ~rf~t-<<t,> ~ ,,, ~ _„ rr, l.:IELC'~ ~ ~ ~ p Q ~' ` ~`~ ~ fviE C9 l ea c i,e d ~ ~ ~ g,r ~; ~ ~ `~ r ~,, ~ '_ L 1 l "~ ~,~, LiYli ~r -T ~ ~~ p' ,.r , -;~~ ;) ~ _ -I.1nJ;'7 UI_~gt] ~~'~~ I ,' '` •~ ,~" 1~~`~l 'fi ~ ~ ,r~i , S, ::ry Py .1 ~ ~.1 ~. $~ <;c~ . I' ~>' ~~ . ~ ~ ~' Gr=iRL~i it F, ~ - ' ~.t :;:~ rITF~ ~ µµ r ~ T T I 1V11 ry L,7 ;'JJ:IJv ~~~ ,~~~~. ;~ . ~~ Lf~tT'Ir' rl,~t,ti..;.+,, ., ~ ...~- ~ rl;'~ 1 ' J ~~r: ~~4 ,~~~• Tug iF' ~ tom; LtNLD ~,~tLL.~rV~ ~.w4 s1. c,i~ r- F'RIr:'E%C~AL 1 1 tt~~ ::4+°'. ;a fc ' ,~Jy~ : . T?3TrL ? r ~ , ,z.._, . _ ~ ~,~ y.-,. ~ i J P1I t:E Lf;;-1~ /1~ ~ ~ sl~eet•a #F3~5 Er~~$ Ca~l_i~le Price ~+Ie~E~aniGSbur9 PA 17A55 C ~~.? 7 ?66-231 RtxmiR i'ko • Z~ llro F eacE~~f ~ ~3 . i~3~/~ 4~o Za~rree : ~5 . ~'~~ iaa i has ~'a~a ~ : $+48 .26 ~~a~a l 5:48.26 64753 U,i:s~, ~{?:?CX~~X~{}SMXS{26 3 6 171 N Ath~rt~on Sfi ~~' 1,6803 C814~ 238-3278 dump Na : 08 Unteade~ ~ ~~3.13~/G lea f ume o 13.783 ~c;1 Gas 7~ta 1, : ~~3. ~'~ Toga E X43. ~~ 87750 V{{~p 1~tt~~tt,,~~A~UF~VittSttd~~ di FS~ti1+47`04~d1f4i4~G ~j~~ i3~/38~2311 1c~ : ~8; ~~ ~} -f~ ~~ S J~'~~reti 2 yr l 61Q'4'c ~~3p~~ ~c3r'2 3. ~.L~.~'G ~ e~rrn : '.,-.eG~15'9~~81 SPRY` : ~1~~~8 ~eg#~: ~5~.3~~ ~"~~~'~ C~$ CFiE~ T Tf Ur21 RQ~ex2a@ ~8,~59fG V6~E,Cfil~'E 15 . ~'~8 ~C~L ~o~S TOTAL ~~ , . ~~ ~~~ve T~Qt.a.1 Ar~yc~ur~t ~GS'.4Y`sA11Y9 ~A' ~c~Y`s~ F~~ater ~~r~errrert~r.. WE!_COME TP42587.200-.001 75~S~MAIN`STN~N DUNCANNON PA 1702 DATE (13/30/11 TIME 8:48 AM AUTH# 098545 PIN USED DEBIT BOAKE/EDITH A PULP PRODUCT PPG 04 UNLIT $3.489 GALLONS TOTAL 13.807 X48.17 ThIANK YOU HAVE A NICE DAY ~~'- /~' (1 / ,~ ~j?.~' ~"' ~] ~ ~ „ C, , /' ~lct c ort~ rG ~ur'aat:i~ V C _ tiFF1CTAL FllEl. / r _ GF hdH'~CAR ~;i.~ c - , c _. _ __ -.^y-- 4, Y,'~^_ . ,. . _. t7l.hrl x139?.ti?y~,97_~G? •_~-~~-,'? T _ ~ -- F;-ori~~_f.Rr_>9Ular Pure ~'_~ - - -- `- E~y! l ons 15.971 - U? r ;.~~ ,: . ~ y , ;., _..~~ .; ~ , ter-rr ~ -:~ti 017>R9 -_ ~~~ • - C.i ,~ ' .-,~,_' ~ a n J , -. > _..~ _ d`J `! On Gds ~ -~- ~_ ~_ ~rtHPlR'";'UU FGK ~GU6: iiUSINESS ~~-/a /n~`~ G ~ T ZG ~ ~ ~ E L. C tDir~4 E T 0~& ~ ~$~t?~?',aa~`~' 28,9 Ea;r;~LYS~`Oi+1t~9 Rf~ CEfdTiRE t96~fl~~, P~. 182 TF~4E ~.f~~ ~"~9 ~Ql7CH~ ~.~~~3~ ~dlw~y ' eiCC~UtdT P+~$1~S9s~rt=~i &~4FiK'EfEfiiY~'~di,~" 6y F t1P~4 F lr' E•'tF d?'~1 C T P~~ ~,f UIdLR ~~ . i ~~ 1:z ..1.19 ~5~ . ~7 r?~~4-E~~~1~;~ ~E~ISd~~ ~?13i) S flarlcr: t Sr ~. Tee r.: ; G('"? ' ~t ~~! 7 t:n l d_Re;u l ~+i~ i't't•I P _ u TOT.aL •; T9. sp I'iastrt° Cat-ca :~eV~ ~.1U E>=t' aal lo^ Tt~ri:e~° ;iii l Flev,~t-:as c~,~d C';Srr' F~-i~.~ c l~-~ C ' 1- L '~- 1 I i I~I 1 1 1 ' 1 Fropelty 92"L Ai.LrNUTE:J DRIVE Address MECHANCISBUL:G PA 17055 D JEA1~( BOAKE Member Stoienleni Foriod ,)UNE Mamt~,rWumb~r 0171XXXXXX MortgayeP,ccount Nurrlil+3r 1712425465' Endin iknnoipal 6alanc~ $3$ , 73D . 38 Ending Escrow Balance $1 , 35`L . S4 ~.ndinC, U~~aPRlldd paiance $ . 0 D L1n~.iUL~It6Ctiarzles_ $. 00 Naxt Poylnent Clue' 07.'01/10 TotaLi'ay~nent' $531.10 Interest F'atri 4.25 0 s~ PP,GE: 7 ~ Baginnllul Pri n,. rnul Balance : 38,932.70 + Paid ~ Trza~saction _ ~ ~ Additional PtiilciFial Date.. Primary Deacrlptlon Total lntoract ~ I~nncipril i Pnnvlpa' Balance 06 lJl:"IOI PA1'P~t~T - ~-- - - -- ~ 53I. 10~ 1'7 b9' -- C"L.3~~ ~~ -- - -- r . [IO - ~8 X30 38~ G~<+ Dar' I BscrawPriyee Eo..rDN" Late .hsrye ~ Unspplied s .mw Balance J_- - _ 06,'O1!10~ ---- -- --f - _ - - ~- ------ ---_ - 19U.89~ _- --- O.OD _ _ ~_ -0.00 _ _----- 1,352.01 ' rfll(1 Tratisactron _ ~ Addliiunr~l Pntlcipal i Duta ~nmary' ile ^rtutton Total ~~ Interact I'nnapal_ ~ Pr¢ICipti Balance IG6,~U~lU~IN,iERE~T ON t~CkOW ~~~ ~ 0.83, ~~C1.00~~~ O.DD~ 01 .00 8,730.3 ~~ l 1 U H : ' - ~f, 4'rOW ~ L23tB .hufQH Vil$iJ X11&Cl E :.^ YOK Eial&I1CN I avee ~. : .SC(OYr F [),.'!t6. , ~D7%D1/lOj 0.83 0.00 ~~D .00 1,352.84~~~ Paid - I ~ ~ 7iansactlon ' ,~d.htionat ~ Principal Ci..ke I'<tn ary a,.k'ipYiou Total ~i lnierefii I nnslpal ~ F nclpzil 6<+lancv _ _ r -- - -- -~--- - _ - _ _ _- __ _ - ~ 1 - - - -- -- r-- --- _ L---- - -- - --._ - - - - j Uu~ _ ~scrow E:crow ' Celtr; :hettte Unui~pGad P.tP ~ Cscrow Fa~us E<r lFSncv i i Paid. i Transaction A ~,Iniorml ~ Pnr ciNtll C~atc - - ~limaiy uv c:i; UOn ~ Total ~ liiterest I'nn~tpal -- ~ r'nnclpal bdlinav L~LI t' : : E:;.rotir' LtiP :hsrca~ Ullap~liad :.li rO Yw D_~te __ _ _ i Escrow Fa~t:,e - - - - -- ~ - - -- - - - _ -- f - _ Balance - - - F'ald f Trutt: F,Gtion Date _- _ f'rlmarr i ~sc~iu5on - , Tota Interest - i ___ I _ --- _,;~„~ 1 !Date - - - cscrov, P~yse. L - - escrow - --- P.O. Box 67013 (717} 1848484 (Harrisburg) Harrisburg, PA 1710b•7013 (8D0) 2;t7-7828 (i~a6onwide) L ~: W~3'1$i1~ ' h11~I:r~iWVV~iI.~s~~~1.C~?T!'1 059205 226 03 PSECU MORTG,4GE STATEN~ENT 4 c 1 U ,rlul Prilrlpal Funapal Fri a ip,l Fsalanbe Lete r„Ylarge f Unap~lied cscrn.~r ~ j FSalenr© ~ L, -_ _ - _ ~. _-- - ~., the An~ncr~rl Link,.. D JEAN BOAKE 922 ALLENVIEW DR NiECHANICSBURG PA 17055-6169226 qr, T~ AFFECTIVE . - ! I F HLIIC EB Rc OIT;c..i_F "~ ~ Tf.1fl ~~ ~ TIN ()FSC({IpTION3~. STATEMENT OF ACCOUNT ~n ;T TAM CI~pP RI011'~~ ~p L.., FuM - -7f' --- 07/01/10 07/31/10 7RANSACTIGh `,nMOUNT{ ~. NEW'6ALANCE *** ANNUAL PERCENTAGE RATE 4.9900 *** Perioc.ic Rate (Daily) .0136710 07/01 ID 51 REAL ESTATE EQUITY LOAN Beginning Balance 10507.86 07/01 Payments Transfer From Share 04 248.74- 43.70 292.44 10259.12 07/31 Ending Balance 10259.12 A Payment of 292.44 is due on 08/01/10 __________ ---------------- *** ANNUAL PERCENTAGE RATE 12.9000 *** 07/01 ID 01 PSL LOAN (Open End) Beginning Balance 0.00 07/31 Ending Balance 0.00 Credit Limit 10,875.00 Credit Available 10,262.61 *Interest Charge Calculation: The balance used to compute interest is the unpaid balance each day after payments and credits to that balance have been subtracted and any additions to the balance have been made. 2010 Totals Year-to-Date --------------------------------------------- Fees Charged YTD $0.00 Interest Charged YTD $0.00 --------------------------------------------- FEES Post Description Amount TOTAL FEES FOR THIS PERIOD 0.00 INTEREST CHARGED Interest Charge on Loan Ol - PSL LOAN 0.00 TOTAL INTEREST FOR THIS PERIOD 0.00 2010 Totals Year-to-Date --------------------------------------------- Fees Charged YTD $0.00 Interest Charged YTD $0.00 --------------------------------------------- --------------------------------- ------------------ Total Dividend YTD Year to Date 29.77 115,210 ~" ~-- ~~~C~: IIIIIIIIIIIIIIIIIIIII~I r. U. [SOX b/u 13 ~~ I i/ ~~'+-u'+o~r ~nwnauulg/ Harrisburg, PA 17106-7013 (80D) 237-7328 (Nationwide) ~eExss~e - E~s~E~~://~r>•v~r,~seca~.cao~r 0401 400 765 0 71 059205 2268997 ~ ~ ~ ~ ~ .. ., ~ ~®~q® PAGE 1 °MBER NUMBER i PA'rMENT DUE DATE ~ NEW BALANCE' AMOUNT PAST DUE ~_ -E CURRENT AMOUNT-bUE = MINIMUM PAYMENT r __ ,_~ _-1 _...._.._.~.....,_.._.-._._-_~ - .-__ 71XXXXXX 07/25/10 ', 784.83 0.00 20.00 ;_20.00= 00(101743 2 AV 0.460 ~~n~~~~n~~~iiu~~~i~~~~i~~~iin~~~~~~i~~i~i~i~~i~~~~~~i~~u~ D JEAN BOAKE 922 ALLENVIEW DR MECHANICSBURG PA 17055-6169 PSECU AMOUNT OF PAYMENT ENCLOSED PO BOX 67010 1DDD901,7120DZ042546 PORT A LOST OR STOLEN CARD: CALL OUR BUSINESS NUMBERS LISTED AT THE TOP OF EACH STATEMENT PAGE 7 Alvl - 5 PM MONDAY TO FRIDAY AND 8 AM TO 12 PM SATURDAY, OTHERWISE CALL 800-556-5678 - -- ~ ~ - - ~ TOTAL VISA NEON -T_ =MBER NUMBER I STATEMENT DATE PAYMENT DUE DATE ; CREDIT OMIT - BALANCE 71XXXXXX 06/30/10 07/25/10 10875.00 784.83 -SUMMARY' OF ACCOUNT I PREVIOUS BALANCE ( PAYMENTS I OTHER CREDITS I PURCHASE ( CASH ADVANCE I PAST DUE AMOUNT I FEES CHARGED I INTEREST CHARGED I--------~----------- I NEW BALANCE I CREASE BEFORE A DETACHING HERE BALANCE . AVAI(.ABLE 0.00 10090.17 ACTIVITY-- ----------------PAYMENT INFORt1ATI0N------------- $1,695.66 II NEW BALANCE 5784.83 I 51,848.74 II MINIMUM PAYMENT DUE 520.00 I 50.00 II PAYMENT DUE DATE 07/25/10 I 5937.91 II I SD.00 II LATE PAYMENT WARNING: IF WE. DO NOT RECEIVE I 50.00 II YOUR MINIMUM PAYMENT BY THE 'DATE LISTED ABODE, I 50.00 II YOU MAY HAVE TO PAY A 520.00 LATE FEE. I 50.00 II I ----------II MINIMUM PAYMENT WARNING: If= '>'OU MAKE ONLY THE I 5784.83 II MINIMUM PAYMENT EACH PERIO]), YOU WILL PAY MOPE I II IN INTEREST AND IT WILL TAKE YOU LONGER TO PAY I CREDIT LIMIT 510,875.00 AVAILABLE CREDIT 510,007.85 STATEMENT (LOSING DATE 06/30/10 DAYS IN BILLING CYCLE 3D I ( OFF YOUR BALANCE. FOR EXAMf L1=: II ---------------------------------------------- IIIIF YDU MAKE NO IYOU WILL P~0.Y IAND YOU WILL IIIADDT'L CHARGES TOFF THE BAI~~AtNCEIEND UP PAYING IIIUSING THIS CARDISHOWN ON THIS IAN ESTIMATED -------------------------------.I IAND EACH r,ONTH (STATEMENT :IN (TOTAL OF ... __ . . IIYOU PAY... (ABOUT ... { II LOST OR STOLEN CREDIT CARD II---------------I----------~-----I--------------II 18DD5565678 {{ONLY THE ( I II ((MINIMUM PAYMENT( 4 YEARS I 5951.00 II II---------------I----------~-----I--------------II II 525.00 I 3 YEARS I 5900.00 II II { ((SAVINGS= II II I I 551.ooj II ---------------- I ----------------- I IF YOU WOULD LIKE INFORMATION ABOUT CREDIT I ( COUNSELING SERVICES, CALL 1=877-847-2155. I ID 09 VISA LOAN POST TRAM REFEP.ENCE DESCP.IPTION AMOUNT 0602 0531 244450DH88Q7Y54DR 5412 CUS PHARMACY #D858 Q03 ALLENTOWN PA 31.21 0604 0603 2475542HA4NEDKPTI 5399 THE MAIL ROOM ALLENTOWN PA 19.50 0604 0603 2416407HAJH82K3Z7 5542 WAWA 12D 00001206 ALLENTOWN PA 26.16 0606 06C~:~ 2444500HQ8HFTN9X0 5912 CVS PHARMACY #OS58 Q03 ALLENTOWN PA 25.98 T -3 SUL'fVlT PAYNiENTTO: 6/25/10 Af 2~ Patient Information: Y'O/UNGS MEDICAL EQUIPMENT D ~TEAN BOAKEI 2710 EMRTCK BLVD 471 E.ROCK RD ~~E'~ ~~ o~EM , PA 1.8 0 2 0 1. (800) 355-81.06 ALLENTOWN PA x.8103 OOOE'~15449 ql~~~,~ J ~ S~ ,~ ~-~-~.-e L~ JEAN BUAI:E 9:71 E .ROCK RD ~-/, ~' i~ r ALLENTOWN PA 18103 ~ (J ` ~'G''~~` ! ~G~r.cG ~CJ?-- €7ATE ~ Q T Y~ DESCRIPTI©iV Uf~IT CAST ~=CH~IRGE 1-/12/10; 1/12/10 1! OXY CONCENTRATOR 3LP 1! OXY CONCENTRATOR 3LP '1'1LIS1.V5 L[:~~ 5/28/x.0 5/28/.0 36.14 106.96 36.14 106.96 I i ~ ~ ~ j i YOUIQGS MEDICAL EQUIPMENT ~ ,i HAS PROVIDED YOU WITH THE ABOVE SERVICES. i I YOU ARE P.ESPONSIBLE FOR PAYMENT i * The charges identified on this invoice are not cove ed by your insurance.; This could be result of items that are n t covered w under you~!2iealth plan and any co-pays or deductibl s. Please review Your Explanation of Benefits (EOB) fo detailed explaaZatidn of Your out of pocket expense. i { Mail rthe c~et:achable portion of tine invoice with You check or I ~, mone~ order. Please include Your invoice number on irhe check o~ ~. money': order . '. I - -i Ui~R'ti'~? IT-OVEN, 30 OV[R GO OVER 90 ~ ~ --- 14 3 . 10 ~I --- --- - -- - ' 143.10 i\~cR ?2C CG:-LCiIO h' FEES ./- ,. n nGl'.I51~t{iiiry ~f~~?-rte i Ce~~e .~~~~~al ~.>~-d ~~5D >Jast Park 7lvenud~ _~~~' 131 l~~s~~~1i~~~S, P,~. Mate-College,-PA ~68Q3 lDU., ,f~~LT}, SAP,; f'DVlD~ rDF; L!. _ AEMC I D~n~„y ~ J CHECK HcR~ Por Address Chan CHECK HERE Por insurance Ch. vises i-I CMECf:_HERE Eor ~ ®~ (See Reverse Side) Voucher: 7306370. 05J17/2010 .36415 Routine Venipur';cture 7.D0 06/17/2010 85025 Complete Cbc W/Auto DifF Wbc 27.00 "uoj7i~2illu "~~~'~o'~l "'r-uc:~~u~at.~,'ivtm~aror~at'eu "1S.^uu D6/17/2D1p 891OD Assay OF Phosphorus 13.D0 06,17/2010 82248 Bilirubin, Direct 19.00 D6/17/2010 80D53 Comprehen Metabolic Panel 60.00 06/17JZD10 8~3D0 Assay Of Urine Sodium 13.00 -05/.17/2010 8397D PTH, Intact 161.00 D6/17/2D10 84156 Assay flf`Protein, Urine 41.OD 06/17J2010 -82570 Assay O€ Urine Creatinine 32.OD _116,!t;Z!?Illn ..fi1.M~ _.+:lrin~l~~Si+;.1Unt~.ut•o•VSILS>rnr~P 1.1.!10 07/13/2010 15D7081000 Commercial Insurance Payment 105.35 07/13/2DiD 160708100D Commercial Insurance Adjustment 260.38 ~ n-5'!'%/-~'.~-'~'G~_n U ' `.1`~~~jCS'n~JU'•ZV'Jf71RTE`(T..'tl~r'Tff~QrciTl(.:C"TT?1FtSTer D7i20/2D10 4493-BOAT<E Self Pay Check.-Payment 11.10 I Coinsurance is due on this charge. Please remit payr~~ent. I ~~ ~~ ~,t:(ltte 1'VieCilC~i at1C~ IiISD fast f ~rl; /tvcnuc ~~(_~~.~1~~ =Y J'Lll'g1Cdi ASSOw1at~S, i~.C. Stntc Callcgc, f'A I6Et03 ;'/-~,v ~ -~ SEE RE~,'ERSc SIDE FOR IiJiPORTANT INFORiJIATIOtJ Continued on Page 3 t, J~ ~• D Jean !3aake 1786441 C`~°~_ - - Provider: Donelan, Stephen M ~~ ~. ~I~;~-f ~~,t"~ ~.~SL. ~ c:<,~~ Voucher: 7547830 ~i~~~'f'/'~CiSU" y7r'L~L:i' :rri~T~frrydsprtafi~ire--- L~t'U.Ou" - _ 135.00. 07/08/201D 99233 Subsequent Hospital Care .07%23/2010 .1607201000 Commercial Insurance Payment 234.70 ~ :07/23/2010 1:607201000 Commercial Insurance Adjustment 81.63 07/23/2010 1607201000 Commercial Insurance Transfer Coinsurance is due on this charge. Please remit payment. Provider: Ford, John P Voucher: ;'199290 "' ul,~i5`/LtJlu ~'~L1.i ""lOttrce,~Uutpatierif'Visif, >=st ~35•~D 07,!15/2010 201med cas Copay Cash: Payment 15.00 07/28/2010 1607231000. Commercial Insurance Payment 52.65 07,128/2010 1607231000 Commercial Insurance Adjustment 19.19 'u7/%a/2010 '1607231000 Commer'ciai"Insurance Transfer ~ ;~~~i~+Rr..,~eru~r~1^u~,~.sr~RS..9 „ Voucher: 7231420 06, 24J2010 93306 :Echo doppler M-mode color flow 925.00 C7/i6/2010 1607131000 Commercial Insurance Payment 188.48 07;16/2D10 1607131000 Commercial Insurance Adjustment -689.41 Q7/ 16/2010 1607131000 Commercial Insurance Transfer `Coinsurance>is due on this charge. Please remit payment. Provi~ : N~iedical L~bt~rator~ CMSA _ _ e11LT'~ 1 feCilCd1 e I/Lt 1£J,SD I:'ast F'urk nvcnar~ P~ CASC. SUT~IC3( ASS0~13tPS (~.~. SCatc COllc;;c, PA 1(>EIO r/l'~ _ _- ..,.......w_ir .i .... ............ 4,. ..... SEE RFVEI3SE SIDE FOR. Ir>lPORIAr~T IfJFOPJViATIOr~ ! Continued on Page 2 .Z~- s~ Account#:.1786441 ~, ~. ~ta~e College; PA ~ 68Q3 `(UU~ H'~t~,TN CAl;f. PR~VitjEi't FOR LIFE AEMC I n CHECK HEflE For Address Chango CHECK HERE For Insurance Cher nge '~ ,A wsa I~ CHECIS HERE For l~,L~' (See Reverse Side) I 1786441 128.38 AMOUNT ENCLOSED r ~,~ - - oucher: 75?1730 ~ O~,v 67/13/2010 36415 Routine ven(pur5crure I:;p,0O 0?/~3/2010 8DOS3 Comprehen Metabolic Panel 1 7,00 07;13/2010 65D27 Complete'Cbc, Automated . lU'.OJ'" 7/13/2010 85007 B{ Smear W/C51ff iNbc Count 25.89 17/23/20].0 . ..1607201000 Commercial Insurance Payment 61.66 -,~~~~~rn~_ 1~,p7.2t01.p.00 Commercial Insurance Adjustment ~ ~ ~.~ 07,23/2010 1607201D00 Commercial Insurance Transfer Consurance is due on this charge. Please remit payment. Lbuci~er; i6t3`c3~3t?" 7.00 )7J15/2010 3647.5 Routine Venipuncture 27 00 )7/7;5/?010 85025 Complete Cbc W/Auto Diff Wbc , ~ 1z;~L 07,!28/201D ~6D7231000 Commerciai Insurance Payment 19 86 O7j 28/2010 1607231D00 Commercial Insurance Adjustment _ 2 8Z ~57,~;711~ ~ y;7~t ~~ ~;~nn ,;~c~mr~ercial Insurance Transfer Coinsurance is due on -this charge. P lease remit payment. ^ .._ - ;,. ~~ Centre Medical and iasn r--..,5~ i>;,ri; Avenue Sur ;ic:li Associates, Y.C. scac<, cane„ ~~, I~~a is l~o~ PLEP.SF ~A,~ tic :. ,.~... _,,... I:u~~+u: ,ai .,,. 128.38 SEE REVER SE SIC~E FOR IIJiP ORTANT INI=GRIJiATION I I Your prompt payment is greatly appreciated. .~` __ ..: n , e ~ .,f , ~ i-1ci-_ s ,. ~9A , 0::9 ':r3r ,.8B~a28Ha'Si1a~~r:11a~~1 ~'las~ ®lg. i e c alagaiatA9lali ie - - - -. -._-_._- i Office l~isiL A~P.1,evel V JCM 1.00 25b.UO 27.70 bi J fiJ 0 . Patient: D.Jean Boal:e - 4381 I 10.83 66.47 06/28/2010 Aetna Medicare Advantage Plan Bnlance Due reflects the Copav 0.00 10.00 06/1.6/2010 Patient Payment Y"1t ~ ___. __ _-. _. -- ---- _-- -- _ __ - --- ---- McSSA£,~: SEF REi/ERSE SIDE Ir fIN INSURFINC~ A?ESSPGE FlPPEAPS , ?Lv> a m '" • 27.70 `' Please pay within 30 days.,.than}:you D.Jean Baake - ~ ____._ _. --- - --- _ __-Gu}}lard-l~iedical~rmup,-Snc.-= 905-1Jniversity-Drive •_State College, P_A 1b~01-6626 _._ __ _ _ 23- ~AIA~~GH:~".5 y r V Cl,~'E: 09/21/10 @ 0936 Nount Nittany Medical Center 3AR xLIVEi PAGE USER; KE1'MED43e1ected Transactions: Adjustment, Bill Print, Edit Ins Bal, Receipt Gusr 171-24-2546 Acct V000222:L9153 j~ r /~ ~' ~ ~ `~-/ BOAFiE , D JEAN.. tl/ ~ S I ~ ~` ~~i BOAi:E , D JEAN n °.22 ALLENVSEW DR 922 ALLEI~7VIEfrJ DR . f _ NLCA[",I~TICSBURG, PA :_7055 N'iEC%3ANSCSBURG, PA 17055 00 (W) (484-)894-0916 (H) ~h (000)000-00 Date Procedure Chg Cat Description - Amount COMM ADJ ADJUST AETNA MC HMO Adjustment -274.05 07/12/10 .AAETMCI~MO to UCRN: VAS02166 Insurance balances AETNAMCHMO -'174.05 ~ 2..p r~rt^ n r~nrv~v_r..,R~':P pz~vr_vrF'~T., pET.L~TA._Mr.u~`~I4_.P~i~~~~r*__ * ~.. -~7..'7.F .. UCRN; VAS02166 Insurance balances AETNAMCHMO -365.00 5P 18.19 AETDT.AI91CHM0 0 . 0 0 ( -- 1`- ~ ~9I21/10 @ 0925 ' Mount Nittany Medical Center BAR *LIVE* PAGE 1 :~ D ~~ yEy~~D~elected Transactions: Adjustment, Bill Print, Edit In.s Bal, Receipt USER; Guar 171-24-254E ;acct V00022219463 I~ "' ~ ~ - ~ ~' l V BOAF:E , D JE_z1N _. ]3OAKE , D JEAN 922 ALLENVIEW DR 922 ALLENVTEW DR ___ MECEIANICSBURG , PA 1'7 0 5 5 yg~CIiAIQICSBL7RG, PA 17055 ('717) 787-2121 (W) Date Procedure Chg Cat Description .Amou~C3t COMM ADJ ADJUST AETNA MC HMO Adjustment -372.10 07/27/10 AAETMCHMp to UCRN: VA509S0~ Insurance balances AETiQAMCHMp -372.10 COMM RCP PAYP~Id?' AETNA MC .HMO _ P~v~exLt_ ~ a _ - 7 5 _fl 3 _ 0 7 / 2 7 / 10 PA.ETMCHMO I UCRN: VAS09800 Insurance balances AETNAMCHMO -467.OU SP 1$.97 .AETNAMCFIDIO 0 . 0 0 ~v__. ~ s~.,az . i U ~~ I 1 I\ ~~ Jean Baake 1786441 - - _ ouider: Doneian, Stephen M Sucher: 7.199300_ _. _ ~~-u-~'0 J"' ~!i/~~U~'N~ y7~1?ST ~R~e7r1u'tp~cr~h'r<'~tt3(i;~tv~v~~~ 15.00.... l7/2010 Z0lmecl cas Copay Casn Payment 150.83 ' ?8/2010 160623:1000 Commercial Insurance Payment 31.47 /'8/2010 160623100D Commercial Tnsurance Adjustment ~/28/201D 16062310D0 Commercial :Insurance Transfer %fJ1/2010 TRANSFER Self Pay Transfer }1/2010 .,1606281000. Commercial Insurance Payment ?=,J2010 CORRECTED Commercia! Insurance Adjustment -~~~~_ ~QRR~rTEp.~ Cnmrrm~rci~l:.Insiaran:^P Transfer. Coinsurance is due on this. charge. Please remit payment, -46.50 78.12 ' 1 LO8 1 ~~`~ ~., ' 1 i ~~ ~~ ~ t Centr !vh dicai and iasu r.,~s~ f~,>>~i: n,-~~,~~t ~urg~cai ALSO cafies P.C, sc~« c~u~E;~, rn i~naa SSE R~V~RSE SIDE E=OP IMPDPTANT INF.Or'~fViATlOP1 Your prompt payment is greatly appreciated. Pi_~~;S~- r~ i - - 11.0$ I I .~ 9 ~~~~~ ~~~r~~~~ tlent Accounting pgpaRment >. BOX 4120 antown PA 18105-4120 1VOOi72 ~;~~I~~~ ~~~~ D JEAN BOAKE 922 ALLENVlEW DR ~~tts~~~k1~t41L:Sflsak~l'11-,~"t~i /'t3bt`~-6'(E~lJ-t 6t„11{t,tfl{t„titlet~t:tsll~tftt~it~~tt7o~tatt~titilt~t~l~i~ D J-'AN t30AK~ Abcount ~idmb~r: 32244E283 Thank you for selecting Lehigfl galley Hospital for your health care needs. We..have.biUe~l~rc~~rr,.ins!.traoc~,anrt,:gn~~'a~ c~tetnTmr~u~~nur ~- coverage.-Your account number3z`.2448283-reflects a~batance due in the amount of $ 50.00 for services provided on 04/05/10. Please contact our Customer Service Department if you have any ~••gorrsnotr5 canceming yoUP'.btll. Please Note: This statement is 1`or hospital charges only. You will receive a separate bill from the physician for.their professional services. Please retain t'nis statement until your account is paid in full. Tambien TP.nEf'tlflS.RagiP~,48D<~ntfl4,~3 ~Jd~r~~ru>aR2-~"Is'~~L i -800-508-6800. Patient Name c 'atient 8111-Date 10/07!10 patient Visit(s) 04/05/10 DESCRIPTION , ( AfYIOUNT ~~it~,~}.1r f..Si4Rl(Y7~.c ~'~IJff=?ttil=lVL'Y-KOOM ~~ t l(. ~ ~ ' ~ ~ BILLED CHARGES Q ' ~ 2,805.66 Account Number 322448283 AETNAMC PAYMENT ~ 344.26 Total Charges X2,805.66 ACCOUNT ADJUSTMENTS ,,~- _ J •• ~, ~,~,41~,ftn isurance Payments $ 344.26 °" _ .ccount Adjustments ~ 2,411:40 ~ `,,~`~~j;2~ ~ '~` atient Payments ~ r1,nS?.... What you owe - Pieas° pay by 10/22/2010 $ 50.00 .,~,.,_-~h^-~-/G,~-•^~ (-~~% -~•~~^ `--~' `~~`~ 'ease connrm this information is correct and indicate tanaes on reverse S'tdE1. rnmarar insurance AETNAMC Group/Plan iD 3584891ME8FNDDK Oniy a primary insurance is on file. Please contact us if rtotitiavg~^.cuu~n;.irts+~ra.2^a Billing questions or changes in insurance coverage? b Call us at 610-402-3025 or 1-800-608-5800 or Fax us at 610-402-3125 or ® E-mail us at patient.billing@Ivt-.com Customer Service Representatives arA avaifa5le lean-s=ri 7:30 a.m. to 4:30 p.m. LVHSTI1 ~~ /r t) Jean 1786441 s, ®., ~, ~ - - I rovider•; Ford, John P 'aucher; 7711541) L4i;J:CU'"', , '/08/2010. - ` : 9922.3 Initial Hospital Care (},00 ./O6/2010 1508031000 Commercial insurance Payment 0.00 ;~~~j~p10 ~ 608031000 Commercia(Insurance Payment 154 65 0/13/2010 1611)071000 Commercial Insurance Payment 46 69 .0/13/2010 .:1610071000 Commercial Insurance Adjustment 38.66 ,f1'~~~U"'R1^ ~JS,7~~~'~'.i~R^~ ,~~~~s~e7er~~al.Ta~urar,rP.~ransfPr Coinsurance is due an this charge. Please remit payment. ~, ~'~` ~~- .~ ~ ~ ~. ~ ; _ `~W ~ ~~ ~t- i ~~~ ~ t; ~ ~" ~ _~,~ ~1 , Surgical Associates; P.C 5EE REVERSE SIDE rOR 1M°OR i}j(f .T„I S'L 1:111.-!/\'..'~1IR ""' st. L~ cont~~, ['n Luna fANT il~~FORiV1ATIaN r- ~7~\/ 38.66 , ~~~„i~ nr,~rr~.r,~,n~UmPnt iS. ore~tly, aooreciated. y ° ~~ „~~~__ ~'~ J t~}~.. !fla finaririnl drnk.,. STATEMENT OF ACCOUNT D JEAN BOAKE 922 ALLENVIEW DR MECHANICSBURG PA 17055-6169226 9 ma , ~Tl~TTH[MT'~@FRIO[1 ,.:.3 ~N~l.' __ -_._ 07/01/10 07/31/10 _ ---;~- - ~ _ - ~~ - ~~ NANCE PEES O T ~rJSACTi ~ ~~ - -- ,r~r1- 1~Njyep o'_,~r Fi rs nt NcW EAI~NCE ~ ~ 'DEBIT" CHARGE~7H ARGE l~MOUNi POSTING' ~~-~PFFECTIV~'~ _- TRAN9l.CTI 7rJ [7 '~tiIP I'6.N __ -~ 39.71- 11735.83 07/12 Check 004491 Processed Check - Kohls Chg Pmt TYPE: Check PMT ID: 1391154188 1252.34- 10483.49 07/12 Withdrawal Transfer To Loan 09 67,62- 10415.87 07/12 Check 004456 54.50- 10361.37 07/14 Withdrawal POS #00013907 POS CVS 01916 01916--265 NORTHLA STATE COLLEGE PA 00- 303 10058.37 07/14 Withdrawal at ATM #00004216/PK1312 . ATM PNC BANK 1408 N ATHERTON ST STATE COLLEGE PA Withdrawal Direct Deposit 1-800-527-9027 19.41- 10038.96 07/15 TYPE: SBL LIFE ID: 1030164230 C0: 1-800-527-9027 Withdrawal Direct Deposit UNITED WATER PEN ~~~~ 38.34- 10000.62 07/19 TYPE: WATER BALL ID: 0020797347 C0: UNITED WATER PEN 7.50- 9993.12 07/19 Check 004490 22.70- 9970.42 07/22 Check 004493 I_~-' 112.00- 9858.42 07/26 Checlc 004494 t-/ ~ 292.00- 9566.42 07/28 Check 004489 ,/ } 36.69- 9529.73 07/30 Withdrawal Direct Deposit VERIZON ~~ J TYPE: PaymentREC ID: 9783397101 C0: VERIZON 0.90 9530.63 07/31 Payment: Dividend 0.1000 e Yield Earned O.lOo from 07/01/10 through 07/31 /10 Annual Percentag Balance of 10,582.51 il D y a Based on Average 9530.63 07/31 Ending Balance 6.24 Dividend YTD: Year to Date Number Amount Number Amount Number Amounts Number Amount 004456 67.62 004488 24.00 004491 * 39.7:1 70 22 004486* 70.00 004489 292.00 004493 . 00 112 004487 5.00 004490 7.50 004494 . * Asterislt next to number indicates skip in number sequence _____°___ __--- --- _---_---- ----------------____°___-____________________ 0.00 07/01 ID 07 MONEY MARKET SHARES Beginning Balance 0.00 07/31 Ending Balance 0.00 Dividend YTD: Year to Date _ --- Continued on following page --- 115, 209 g"' 1 9 STATEMENT OF ACCOUNT aha finanairf Irnk,>, D JEAN BOAKE 922 ALLENVIEW DR M?;CH_z1NICSBURG PA 17055-6169226 POSTING (EFFECTIVE TRANSACTION DESCRIPTION ::DATE DATE ~. - _ _ .S Tl~TFM°NT FFR:OD 08/01/10 08/31/10 PAYMENTS;C REDITS OR FINANi,~-'FEES OR TRANSACTION I NEW BALANCE DEBITS CHAR('E CHARGES °'.AMDUNT - 1 08/01 ID 01 REGULAR SHARES Beginning Balance 14180.68 O8/O1 Payment: ATM REBATE 3.00 14183.68 JULY TRACE:0030000300003000000000070910001101 08/31 Payment: Dividend 0.400% 4.82, 14188.50 Annual Percentage Yield Earned 0.400 from 08/01/10 through 08/31/10 Based on P_verage Daily Balance of 14,183.68 08/31 Ending Balance 14188.50 Dividend YTD: Year to Date 28.28 ______ 08/O1 ______ ID 02 _------------------------------------------- VACATION SHARES Beginning Balance --- 21.26 08/31 Payment: Dividend 0.400% 0.01 21.27 Annual Percentage Yield Earned 0.560 from 08/01,/10 through 08/31/10 Based on Average Daily Balance of 21.26 08/31 Ending Balance 21.27 Dividend YTD: Year to Date 0.08 08/01 ID Os CHRISTMAS SHARES Beginning Balance 0.01 08/31 Ending Balance 0.01 Dividend YTD: Year to Date 0.00 ______ 08/C1 ______ ID 04 _------------------------------------------- CHECKING Beginning Balance -- 9530.63 08/01 `Withdrawal Transfer To Loan 51 292.44- 9238.19 08/02 Check 004525 16.00- 9222.19 08/02 Withdrawal MORTGAGE PAYMENT 531.10- 8691.09 CO: MORTGAGE PAYMENT 08/05 Withdrawal Direct Deposit AARP HEALTH CARE Z^_~ I 35.40- 8655.69 TYPE: PP,EMIUM ID: 1836282001 CO: A.ARP HEALTH CARE Og/17 Withdrawal Direct Deposit UNITED WATER PEN 53.96- 8601.73 TYPE: WATER BILL ID: 0020797347 C0: UNITED WATER PEN 08/25 Withdrawal Transfer To Loan 09 20.00- 8581.73 08/31 Payment: Dividend 0.100% 0.73 8582.46 Annual Percentage Yield Earned 0.10% from 08/01/10 through 08/31/10 Based on Average Daily Balance of 8,647.28 08/31 Ending Balance 8582.46 Dividend YTD: Year to Date 6.97 --- Continued on following page --- 114,208 December 10, 2010 DEPARTMENT OF THE TREASURY' BUREAU OF THE PUBLIC DEBT PARKERSBURG, WV 26106-2188 Phone (304) 480-6592 PAX (304) 480-7960 _ ____. _. __.__ Customer: 01009776650 DOROTHY JEAN BOAKE I II IIII I I I I I II II 111911111 I I ~ II II I I IV 101 IIII I IIII II IB I I II 11031529 EDITH A BOAKE 922 ALLENVIEW DR MECHANICSBURG PA 17055-6169 Dear Ms. Boake: This letter refers to United States Savings Bonds paid to you. Our records show you signed an application reporting the loss of the original savings bonds, and substitute bonds were issued on November 10, 2005. When the substitute bonds were issued, the original bonds became the property of the United States Government. When you received payment of the original bonds, you received funds to which you were not entitled. I've unclosed copies of the application and the bonds, both the originals and the substitutes. The Department of the Treasury must be reimbursed in the amount of $669.2U. We encourage you to pay electronically at www.treasurydirect.gov/faq_pay__publicdebt.htm, where you can select Pay Now. You will be directed to a secure website where you can make your payment from your checking/savings account or by credit card. If you send a check or money order, make it payable to Bureau of the Public Debt, Attention: Accounts Receivable Section, use the enclosed envelope and include the payment stub. Federal law and Treasury regulations (31 CFR 5.5) require Treasury agencies to assess interest, administrative costs, and penalties on debts. To avoid these charges, plE:a:~e pay this amount within 30 days of the date of this letter. !f the amount is not paid, we will assess ini:er°st at the Current Value of Funds Rate determined by Financial Management Service and charge you administrative costs for processing and handling your debt. If the debt remains unpaid for 121 day:; from the date of this letter, we will a:>sess penalties at the annual rate of 6%, accruing from the 31St da~~ after the date of this letter. The original bonds described on the enclosed application were also reported lost and substitute bonds were issued. If you have recovered any of the original k>or~ds, send them to this office immediately for cancellation. ~- ~~ 2 If you have questions, please call one of oui- representatives at 304-480-6592. Thank you for your immediatE~ attention to this matter. Sincerely, ~~ ~~ Sherlyn West, Manager Transaction Support Branch Enclosure(s): Copies of: Original bonds (8) Substitute' bonds (8) Application Return envelope I /9 For information about Treasury Retail Securities, go to: wvrw.treasurydirect.gov 'I 02 ESTATE OF"D~JE,gN BOAKE so-slni2als EDITH /~;BOgKE EXECUTRIX / 3"3~J2 BRONilMOOR LANE ~ ) I~,` ~j { j STATE CGLLEGE, PA 16801 ~-~_-.___._-DATE PAY TO THE „~; ~~ ~W U~ ORDER OF bL.~-=-DOLLARS / ~~~ ` i -HARRISBURG, PA 171:102990 _ - (,~ ~..~~~. M, _. T n .~ FOR ~ ~~~ ~ ~~..~ .~• .~-~_._~ ~: 23 L:38:L L L6a:0 L0 2 ~~~045:289.2.6D7~~' ~ ~i- /9 Pa:>>.bov -Online Payment https: //ww w.pay.gov/p ayt;ov/payments/authorizeACHPayment. html _~ Online Payment -- - _ _ _ _ _ ___ _ __ __ _ ___ 1 ~2~3 Step 3: Confirm Payment Thank you, Your transaction has been successfully completed. Pay.gov Tracking Information Application Name: BPD Payments to Accounts Receivable Section Pay.gov Tracking ID: 2529VUAS Agency Tracking ID: 74165778781 Transaction Date and Time: 01/11!2011 09:00 EST Payment Summary Account Holder Name: Edith A Boake Payment; Date: 01/12/2011 Payment Amount: $669.20 Customer Invoice Amount 1:11031529::669.20 Account Type: Personal Checking Customer Invoice Amc-unt 2:: Routing Number: 231381116 Customer Invoice Amc-unt 3:: Account Number: **"**"*"""`2607 Customer Invoice Amount 4:: Check Number: 102 Customer Invoice Amount 5:: ~9 1/17/?011 9:00 AM of 1