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Home My WebLink About11-22-111505611180 -~ REV-1500 Ext02_„>(FI) OFFICIAL USE ONLY PA De artment of Revenue Pennsylvania p DEPARTMENT OF REVENUE County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN PO BOX 280601 ~ I I I I L~ Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 161-30-5251 05172011 06111925 Decedent's Last Name Suffix Decedent's First Name MI FOX EVA S (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 REGISTER OF WILLS FILL IN APPROPRIATE BOXES BELOW 1. Original Return Q 2. Supplemental Return 0 3. Remainder Return (Date of Death Prior to 12-13-82) 0 4. Limited Estate Q 4a. Future Interest Compromise (date of Q 5. Federal Estate Tax Return Required death after 12-12-82) 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 0 9. Litigation Proceeds Received 0 10. Spousal Poverty Credit (Date of Death 0 11. Election to Tax under Sec. 9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number WEAVER FOX First Line of Address 622 CHESTNUT HILL RD Second Line of Address City or Post Office DENVER Correspondents a-mail address: G A L E N 51 M A C C T. C O M State ZIP Code PA 17517 .. , 717-445-864 __. - -,-, REGISTER~I~VILLSUSEflNLY ~- ~C~ i -- ., - -,, - - ~~~~ :__ L. . "~ ~ 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. SIGNATU F PERSON RESPONSIB TURN DATE x ~1~~~-~ .~ _ _ co 11 / 2 0 / 11 ADDRESS 622 CHESNUT HI L RD DENVER PA 17517 SIGNATURE OF R OT THAN E SENTATIVE DATE X19 E LINCOLN AVE, MYEI~"STOWN, PA 17067 PLEASE USE ORIGINAL FORM ONLY Side 1 L 1505611180 1505611180 J `\ J 1505611280 REV-1500 EX (FI) Decedent's Name: E V A S FOX Decedent's Social Security Number 161- 3 0- 5 2 51 RECAPITULATION 1. Real Estate (Schedule A) ........................................ . 1. N 0 N E 2. Stocks and Bonds (Schedule B) ................................... . 2. N 0 N E 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .. . 3. NON E 4. Mortgages and Notes Receivable (Schedule D) ....................... . 4. N 0 N E 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) ... . 5. 2 9 3 31.0 0 6. Jointly Owned Property (Schedule F) Separate Billing Requested ..... .. 6. N 0 N E 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested ..... .. 7_ N 0 N E 8. Total Gross Assets (total Lines 1 through 7) ..................... ..... 8. 2 9 3 31 . O 0 9. Funeral Expenses and Administrative Costs (Schedule H) ............ .... 9. 10 8 2 6 . O 0 10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) ........ .... 10. 5 6 5 5 . D O 11. Total Deductions (total Lines 9 and 10) ......................... .... 11. 16 4 81.0 0 12. Net Value of Estate (Line 8 minus Line 11) ....................... .... 12. 12 8 5 0 . 0 0 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ................. ..... 13. 0 . 0 0 14. Net Value Subject to Tax (Line 12 minus Line 13) ................. ..... 14. 12 8 5 O . 0 O TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0 0 1 5. 16. Amount of Line 14 taxable at linealrateX.o 45 12850.00 16. 17. Amount of Line 14 taxable at sibling rate X . 12 17. 18. Amount of Line 14 taxable at collateral rate X . 15 18. 19. TAX DUE .......................................................19. 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 D.00 578.25 0.00 0.00 578.25 L 1505611280 1505611280 REV-1500 EX (FI) Page 3 Decedent's Complete Address: 161305251 File Number 161-30-5251 DECEDENT'S NAME EVA S FOX STREET ADDRESS 2033 RITNER HIGHWAY CITY SHIPPENSBURG STATE PA ZIP 17257 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 3. Interest (1) Total Credits (A + B) (2) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in box on Page 2, Line 20 to request a refund. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (3) 578.25 0.00 (4) 0.00 (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: Yes No a. retain the use or income of the property transferred ................................................................................. ...... ^ Q b. retain the right to designate who shall use the property transferred or its income ..................................... ..... ^ ^X c. retain a reversionary interest .................................................................................................................... ...... ^ d. receive the promise for life of either payments, benefits or care? ............................................................. ..... ^ 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" or payable-upon-death bank account or security at his or her death? ...... ...... ^ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? ............................................................................................................... ..... ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 578.25 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 surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. 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 surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. 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 parent, an 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. §9116(a)(1)]. • 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)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1508 EX+~ii-,off SCHEDULE E Pennsylvania CASH, BANK DEPOSITS, & MISC. NHERITANCE TOAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Eva S Fox 161305251 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. If more space is needed, use additional sheets of paper of the same size. REV-1511 EX + (10-09) Pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Eva S Fox 161305251 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. CASKET AND SHROUD 125 2. FUNERAL HOME 3,777 3. GRAVE STONE 2,409 B 1 State ZIP 2. Attorney Fees: 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) Claimant LYDIA SHIRK Street Address 2033 RITNER HIGHWAY City SHIPPENSBURG State PA ZIP 17257 Relationship of Claimant to Decedent DAUGHTER 4. Probate Fees: 5. Accountant Fees: 6. Tax Return Preparer Fees: 7. INHERITANCE TAX RETURN FILING FEE TOTAL (Also enter on Line 9, Recapitulation) ~ $ If more space is needed, use additional sheets of paper of the same size. ADMINISTRATIVE COSTS: Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City Year(s) Commission Paid: 3,500 1,000 15 10.826 REV-1512 EX+(12-OS) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES 8~ LIENS ESTATE OF FILE NUMBER Eva S Fox 161305251 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. If more space is needed, insert additional sheets of the same size. REV-1513 EX+ (01-10) Pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Eva S Fox ~a~~n~~~a RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] SEE DETAIL ATTACHED ~ ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUG H 18 OF REV-1500 COVER SH EET, AS 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. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. 0.~~ If more space is needed, use additional sheets of paper of the same size. Schedule J -Beneficiaries Estate of Eva S. Fox SSN: 161-30-5251 Name Relationship Share 1. Walter Fox Son 1/1 lcn 1104 Briggs Spicer Rd, Himrod, NY 14842 2. John David Fox Son 1/1 lcn 408 Hill Rd, Denver, PA 17517 3. Aaron Fox Son 1/1 ltn 14336 Savannah-Spring Lake Rd, Savannah, NY 13146 4. Elizabeth Zimmerman Daughter 1 / 11 in 3086 Rte 414, Clyde, NY 14433 5. Susan Martin Daughter 1/1 ltn 64756 Cty Rd 3, Wakarusa, IN 46573 6. Lydia Shirk Daughter 1 / 11 cn 2033 Ritner Hwy, Shippensburg, PA 17257 7. Mary Ella Martin Daughter 1 / 11 cn 509 Reidenbach Rd, New Holland, PA 17557 8. Eva Jane Horst Daughter 1 / 11 to 1743 Himrod Rd, Penn Yan, NY 14527 9. Weaver Fox Son 1/1 ltn 622 Chestnut Hill Rd, Denver, PA 17517 10. Verna Nolt Daughter 1/1 ltn W4634 Willow Rd, Owen, WI 54460 11. Ervin Fox Son 1/1 lcn 1026 Steffy Rd, Stevens, PA 17578 page: i Enclosures: 2 4.. _ t~~/ Y G ~ !1 - P.G. BOX d57 ~ EPHRATA. PA 17522 ~ 717-733-418 i v,~w,v.ephratanationalban'r..com Statement Date: 06/14/2011 Account Number: 841250 ******************EXCLUDE-CLOSED• 2008 0.7690 EX 0.000 13 4 2 CLOSED EVA S FOX C/O WEAVER FOX 622 CHESTNUT HILL RD DENVER PA 17517 Checking PERSOIVAL MMDA Beginning hate 0.20000 ACCOUNT NUMBER 0000841250 PREVIOUS STATEMENT BALANCE AS OF 05/14/11 ....................... 29.331.42 PLUS 1 DEPOSITS AND OTHER CREDITS ..................... .17 LESS 2 CHECKS AND OTHER DEBITS ........................ 29,331.59 CURRENT STATEMENT BALANCE AS OF 06/14/11 ........................ .00 • Account Transactions Date Description Debits Credits 05!16 WITHDRAWAL 26.831.00 05!17 INTEREST PAYMENT .17 05/17 CLOSING Lr'ITHDRAWAL 2.500.59 Balance By Date Date Balance Date Balance Date Balance Date Balance 05/14 29,331.42 05/16 2.500.42 05/17 .00 PAYER FEDERAL ID NUMBER ................. 23-0559393 INTEREST PAID YEAR TO DATE .............. 20.17 • Summary of Overdraft and Returned Item Fees -----------------------•---------------------------------- ~~k1~~,rowr~ In o,dvar~c2 TOTAL FOR TOTAL ~~ ca~a~-l~ ~'nr {p'~\~5, THIS PERIOD YEAR-TO-DATE ---------------------------- ------------------------ 'C vanR.ra~ Q~t~ ¢inS~S, onc~ TOTAL OVERDRAFT FEES : .00 _ .00 TOTAL RETURNED.ITEM FEES .00 .00 ---------------------------------------------------------- *** INTEREST EARNED THIS STATEMENT PERIOD *** DAYS IN PERIOD ......................... 2 INTEREST EARNED ............. ......... .17 ANNUAL PERCENTAGE YIELD EARNED ......... 0.20 LOCAL REGISTRAR'S CERTIFICATION OF FAT WARNING: It is illegal to duplicate this copy by photostat or phot~~g Kph. Fee to= ttlis certticale, Sfi.O0 P 172~9~08 Certification 'titzmher ~j~A~ZN OF p~=~; ' ~ ~ ,~.. ~ z • OF/.i~ ~ '~~j ~`~~rMfNT C14~~Qf,~, -._ ~fl)t, i, )~~ ~_, LL/rrcrtl~ ~~,/-~i~_~i Multi ±il tl f c riifi-tai ~ ~~ i K . ~'tirtl It: p~lr~i ''~~~ ~,if~, tla.1!r', ~ , . i1'_ , ;t~ T ~I 1~ l 1,,, .. lr(' 13 I' c~- MI05~143 REV 112006 TYPE / PRINT IN PERMANENT BLACK INK V 7 V~ 0 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) __ - --.. 1. N =e Deredeeanrl (FVSI, m ~o x suflu) ~~ _ 0 Q 3. Social Number 4. Date of Dee1N (MOnN, da , er) ', L J U.(, ~b~" _ 30 _ 5251 May 17, 20~~ 5. Age (Last Bintday) Ihtder i year Untler 1 tley 6. Dale d Birth (MOmh, da ,year) 7. dnhpuce (CXy erd stale a foreign camry) 6a. Place d Death (GherA only one) &5 "'""'" °"` "°"'° M"'"° June 11, 1925 Fp~'~ 7owrushi.p Haapnd: char: Yrs. Lanea.b~en Cauwt ^Inpatiem ^ER/OulpaM1ent ^DOA ^NursagFlome ®Resitlenra ^Omer-Specity: ' 6b. County of Death fic. Cby, Boro, Twp. of Deem 8 ~FO ~yy~ a (II red irliWbn, ' atresl and nunber) 8. Was Decetlem d Hispanic OriguR ®No ^Yes 1g. Race: Amedran Intlen, Black, While, etc. apedy cmen R.i roan I~~ vcg mYea ghway SGii ppenl, bi CumbenCccnd Ca. Nahth NeuLtan 7w . p . , , , , fi 1' A 17 Y 5 7 Me~aan, Pwna Ryan, a~) ( e 11. Decedent's Dsual Occu anon 'M d w,nk dare dun rtM)d d work' IAe. Do not stale T2. Was Decatlenl ever in ma 73. Decetlenl'a Etlucelbn (Spedly Dory Nghest grade rompleudl 11. Merdel Slalw: Married, Never Marred, 15. Surviving 5pouw (II woe, give maitlen name) IXgy. Nomemalz~i W°~ Uwn o& e~/I~' U.S. Armed Forces? ~ / wry (0.12) Cdlege (7d a &) Widoweq Divorcetl (Speci/y) ~~ . ^Yaa ®N~ i w.i.dowed - 16. Decedent's Maikrp Amreac (Street, pry / bet, date, rip catle) 2033 R.{,tnen Htighway Sh~,ppenebwig Decetlenl's P A pi0 pace0em AdudReeiderce ,7ase1. /1 ~e~a na.pYaa.Daa.denlt;ratl~Non~h New~tan 7wr~. T , PA 17 2 57 „~ Cumbe~L.?and T°"'~hip? i7d.^No,DecetlenlLivetlwilNn 17D' D""'a Adwl limns d Cny l Born 16. Fa r'a Name (Fks mitld olio' ~anan (~. ~~u~be~i g. s Name ( midge, maiden sumeme) 1 w. ~Senaen,cg 20a. IMOmtanl'b Name pe / Pmt) Ivan ~~h 206. hdomMd's Manitg Addeo ISUee4 rAy /tam, stale, ' cotle) 2033 iZ-ttnen H~.ghway, S~ii.ppenbblvig, PA 17257 2fa. Melted d Duposinon I ^ Cremation ^ Datdd'mn IX , ^ RemwdfremSMte ~ W 6or,:ad ® B U 21b. Date d Dupwbion (Moon, day, year) 21c. Pup d Dupodlion (Name d cemde , cremebry a other place) S6u:ppenbbuhg 0 2e~ On d¢ M n oi~ute 21d. LoraOan (Chy I bwn, state, Lp cotle) ^ ~ DIX~ ~ M~ ~ ^Yaa^Np S Pacrh May 21, 2011 . . ~em ~ ~ Sluppen~sbiuig, PA 17257 77a. 5 Furer I S ~ ( such) . 22b. lianw Number 1=x014351-L 22c. Name aMAddresa d FedMy 112 tVeb~ KI n S~. S hti ehen FH 9 ppenbblvi.g PA 17257 Fage~eangv ~c-Bni ~ . . omplde Kems 23ac Dory wliwl cedMymg glysidan u red avaiude al Imo d deem b aediry aweddeam. 23a. To d of my knowledge, tleem ocaurad the tines, dale end puce dated. (SigreWre utd g0e) 7Yl tit 23b. Uceme Number 1Q/1/o~73893~ 23c. Dal Slpred (Month, day, year) Q I ~ ao~%. Items 2426 mud he canplautl M parson who pronounces death 24. Tana of Deem /• ' `9' M 25. Date P tl (Moon, my, year) / 26. Was Case Reurred b Medcd Eaamirer / Conner for a Funs (her Ihan Cremation or Donation? . • , / ' ? ~ / ^Yes ~No CAUSE OF DFJLTH (See InaWCllone and a mpks) r Appmtimate interval: 6ern 27. Pen I: Enur the cha.n d w.m. _ dsayy, kyudea, or cerrplirs6ona -that dredy cauaetl the deem. DO NOT eMar lemiiwl wens such as cerduc aned, r Onael to Deam resp'relory enesl, a ven6iadar fipilulion wNwd showki0 dla alaloN'. ltd ody ore reuse on kre. Part II: Erder o0wr d~laem mndtlbrw callri6dMp to tleam. 6d not resuninp in die undenyillp pose given m Part I. 2B. Ditl Tducro Use Gonldbde b Deem? ^Yes Prdta6ly IMMEDIATE CAUSE (Final tliseaae a ~ o ^ Unknown coMdnrt resdlVp m deem) __' e. ~ i 1 ~ / /~ '~'L T9. If e e: Dw 10 (IX 8a a Carlae wllce ~ Nol pregmnl wdlan past year ~ SegwnOaMy list cendlrons, n any, p, leatl' b Ilre ceuae ksted on Gne a. r ^ Pregrunl al lime d tleath Emer iha UNDERLYING CAUSE Due to (a as a consequence d): r nenL 6ul preptunl wAhin 42 tlays ^ pre (dsease or injury Thal initiated me c, r events resulting m tleath) LAST. d dsat h pus to (a u e conaequertce on: ~ ^ Nol Dregrem, bd pregnenl 43 tlays to 1 yoar d, r belore death ^ Unknown X pregnant wnNn me past year 30x. Was an Adopsy Pedomtetl7 306. WereAUbpey Fndngs AvdeoW Prbr m Campldion 31. M d Deem 32e. Dale d Iryuy (Monet, day, Year) 72h. Descrme How I 'u Ocametl nl ry 32c. Place pl kgury: Hone, Ferm, Slreel, Fadpry, ~ d Cause d Death? Newral ^ Momiptle O6ce Builtling, e¢. (Spell J ^ Yes ^Yes ^ No ^ Acdtlenl ^ Pendnp Invesllpatbn 324. Time d Injury 32e. kMnY el Wok? 321. II Trompalalbm injury (Specify) 32g. Laceuon of Injury (Slrwl, dly /tam, slab) ^ Suki4e ^ Coultl Nd be Detemmetl ^ Yss ^ No ^ Omer l Operetor ^ Paeaenger ^Pedesaun M' Olher• Ty 33x. Cenilier Idleck Dory ore) • CenilYing physiclak (PMeidan cennyirp rxuw of death when amiher phydden has pmnolamed death and canpleled Gam 23) . Sigrobxe end T0M d Cerlilier , ~~ 7o lM beard my ggwletlqe,dulh ocwnM tlwto the aune(e)and menmmusYlerL________________________________ ~ • Pronouncing and certNying phyekun (Physkden bdh pranoulxvp deem ell cedilyup m ratae of deem) To lM heal of my krwwktlge, dell occurredd me llme,WU, and place, and des btlle ceuae(e)and manrer as eMkd__________________ ^ 33c. License Number f 33tl. Dale Sigretl (Month, tlay, year) • Medial Eaemirerl Corewr Y i I D ,/~ ~ [, ~ J get on, On me beau of eaamiretbn end I or ures n my oPinlon, deem occurred M ill lbw, sate, end puce, end des to the quae(s) W manner ss smad_ ^ ~. Name and A dae sa d Person W~ o @ Cali m p ~ ~~ 2 Type /Print Registrar's Sigrelure a Number I ~J I ~ I I ~ ~ ( Q ~ ~ 36 FNed (Moon, day, Year) ` ~, , 1 Q V Y r ` ~ O yV ~~ ~ q 1 ~ - ~--- , Zo/ r ~ a 5 , l ~' ~ j 1 , - VJ 1~ I l- 4. E ~~~ UbV ~F7L / Diapodlron Permit No. i~ R r ~ ~ C ~ :~ ~ .~ ~ r ~, 1 ~~ 1 ~ ~rII ~, ~rr ;, ~~f ~~ I i ~ -' r ~ ~~ i ~ ~ ~~ i ~ i ~^ ''~`~ ~ it !~ ~,:F ` L.~ 1r ~ ;~;: ~~ ~u7 ~~ u^~d /~ ~ t p t,i ' ~e;: l ~ ~ ~ ~;? ~ ~ t ., i G ~-s w ~' ~ F- ~ ~~ ~~_: t{ CA 4 ,~ ti.: i ~ 'N ~_ ~ CJ~ ~' ' _ ~ i __ C1J ftilJ l' `~ »'. *'~'~. - .-sus. U ~ ..n~ 0 ~ ~. _. _ __ ~ v 0 .~ M ~ U~ .--i o o NOa ~ '~ r" U °o ~ U•-~ C~U