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HomeMy WebLinkAbout12-22-11 (3)15D5610148 -" REV-1500 Ex (°'-'°' OFFICIAL U3E ONLY PA Oapanment of Revenue County Code Year File Number Bureau of Individual Texas INHERITANCE TAX RETURN Po sox 2aosot 21 10 1033 Harrisburg, PA 17128-°601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date Of Birth MMDDYYYY 09282010 09231920 Decedent's Last Name Suffix Decedent's First Name M I METZ FRANCES E (if Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name M I 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 ^ 2. Supplemental Retum ~ 3. Remainder Return (date of death prior to 12-13-82) ^ 4. Limited Estate ^ 4a. Future Interest Compromise (date of ^ 5. Federal Estate Tax Return Required death after 12-12-82} ® 6. Decedent Died Testate ^ 7. Decedent Maintained a Living Trust ~. 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust} ^ 9. Litigation Proceeds Received ^ 10. Spousal Poverty Credit (date of death ^ 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRE3PONDENCE AND CONFIDENTIAL T'AX INFORMATION SHOULD 8E DIRECTED TO: Name Daytime Telephone Number r-. CRAIG A • HATCH, ESQUIRE 71?-731-~~j] ""~ '~ ~~ REGISTER SE ONt7 ~. - ' First line of address ~ ~.7 C J ~"'~' - 1013 MUMMA RD, STE - 100 '~' ~ ~ ~~`' Second line of address -~ ~ --x-- C:m., City or Post Office State ZIP Code LEMOYNE PA 17043 correspondents a-matt address: C• H A T C H a1 G A T E S L A W F I R M• C O M Under penalties of perjury, I declare that I have examined this return, inGuding accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration or preparer other than the persona ntative is based on ail information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN j DATE ROI BAPTISTE, EXECUTOR .~~`~ ----- ~ ~/~~/i 144 HUMMEL AVENUE T' e 'L~6YN PA 17043 / SIGNATURE OF PREPARER OTHER THAN REPRESEN A ~- .-"" ~~~ " DATE CRAIG A - HATCH, ESQ • ~~„ ------ ~r~~s ~Lv// ],013 MUMMA ROAD, SUITE 100 ~ ___ LEMOYNE, PA 17043 ASE USE ORIGINAL FORM ONLY Side 1 t,~„~ 15 0 5 61014 8 aMasa~ a.ooo 15 D 5 61014 8 J 1505610248 REV-1500 EX Decedent's Social Security Number Decedent's Name M E T Z FRANCES E RECAPITULATION 1. Real Estate (Schedule A) 1. $ 517 , 5 $ 8.4 7 2. Stocks and Bonds (Schedule B) . 2, 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) , g, 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) ~ Separate Biding Requested g, 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ~ Separate Billing Requested 7. 8. Total Gross Assets (total lines 1 through 7) g. $8D4,83D • 9D $D•oa $0.OD $225,88D•71 $0•DD $?7,66D•66 $1,625,96D•?4 9. Funeral Expenses and Administrative Costs (Schedule H) , , y. $13 2 , 5 9 9.6 6 10. Debts of Decedent, Mortgage Liabilities, and liens (Schedule I) , 10, $ 9 , 312.5 4 11. Total Deductions (total Lines 9 and 10) , 11, $141, 912.2 D 12. Net Value of Estate (Line 8 minus Line 11) 12, $1, 4 8 4 , D 4 8.5 4 13. Charitable and Governmental BequestslSec 9113 Trusts for which an election to tax has not been made (Schedule J) , , 13, $ ], , 16 D , 6 3 7.8 8 14. Net Value SubJect to Tax (line 12 minus Line 13) . 1 a. $ 3 2 3 , 410.6 6 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 16. Amount of Line 14f~xable at lineal rate X .0 . $ D • D D 16. 17. Amount of Line 14 taxable at sibling rate X .12 $ D • D D 17 18. Amount of Line 14 taxable at collateral rate X .15 $ 3 2 3 , 410.6 6 18. 19. TAX DUE 19. 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505610248 1505610248 9M4648 4.000 $0•DD $D•DD $D•DO $48,511.60 $48,511.60 REV-1500 EX Page 3 r~_~~J~.~ar~ /•.......L.a.. AAd...~•Q. File Number ai. -I.n i.n~~ DECEDENTS NAME M T F AN STREET ADDRESS CITY E OY STATE A ZIP 4 - Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. CreditslPayments A. Prior Payments $ 4 6, 0 0 0.0 0 e. Discount $ 2 , 4 21.0 5 (1) $48, 511.60 Taalcr«litetA+a> (z) $48, 421.05 3. Interest {3} $ 0.0 0 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 requeat a refund. (4) $ 0 ' ~ a 5. If Line t + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5} $ ~ 0 • 5 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 a. retain the use or income of the property transferred: . b. retain the right to designate who shall use the property transferred or its income; c. retain a reversionary interest; or . . 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. 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 j72 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 T2 P.S. §9116(1.2) j72 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 i5 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 deceden#, whether by blood or adoption. aM4671 2.000 REV-15o2 EX + (1)1.10) Pennsylvania OEPARTtuENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF: FILE NUMBER: Frances E Metz 21 10 1033 All real property owned solely or as a tenant in common must be reported at falr market value. Fair market value is defined as the price at which property 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 fads. Rsat property that is Jolntiyowned with Hght of survlvorehip must be disclosed on Schedule F. Attach a copy of the settlement she~trf the property has been sdd. ITEM InGude a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER DESCRIPTION OF DEATH t. 144 Hummel Avenue, Lemoyne, Borough of Lemoyne, Cumberland County, Pennsylvania; being Tax Parcel No. 12-21-0265-363. $160,53?.50 Value is assessed value of $128,430.00 multiplied by Cumberland County Common Level Ratio Factor of 1.25. 2 219 Hummel Avenue, Lemoyn®, Borough of Lemoyne, Cumberland County, Pennsylvania; being Tax Parcel No. 12-21-0265-291. Value is estimated net sale proceeds. $110,000.00 3 218 Hummel Avenue, Lemoyne, Borough of Lemoyne, Cumberland County, Pennsylvania; being Tax Parcel No. 12-12-0265-416. $94,398.76 Value is net sale proceeds. 4 206 Hummel Avenue, Lemoyne, Borough of Lemoyne, Cumberland County, Pennsylvania; being Tax Parcel No. 12-21-0265-413. $74,407.29 Value is net sale price. 5 98 Hummel Avenue, Lemoyne, Borough of Lemoyne, Cumberland County, Pennsylvania; being Tax Parcel No. 12-21-0265-339; $78,244.92 Value is net sale price. TOTAL (Also enter on Line 1, Recapitulation.) ' S $517 , 588.47 swass5 z.ooo If more space is needed, use additional sheets of paper of the same size. REV-1503 EX « (698) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS ~ BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Frances E. Metz 21 10 1033 All property Jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION of ~-~ t. 660.221 Units We1lsFargo Acct. No. 5468-4120 (Investment Company of America, Class A shares) $17,271.38 MorganStanleySmithBarney Acct. 2 2,000 Shares Abbott Laboratories common stock $104,400.00 3 100 Shares Accenture PLC Ireland, CL A, shares $4,174.00 4 96 Shares Alcatel-Lucent ADS common stack $326.40 5 300 Shares American Electric Power Co., common stock $10,962.00 6 200 Shares American Int'1 Grp, 7.7~ $4,736.00 7 2,000 Shares Amish Naturals, Inc., common stock $20.00 8 200 Shares Archer Daniels Midland common stock $6,521.00 9 677 Shares AT&T Inc., common stock $19,531.45 10 100 Shares Automatic Data Processing, Inc., common stock $4,214.00 11 25 Shares Broadridge Fin Solutions, LLC, common stock $567.75 12 1,000 Shares Cisco Systems, Inc., common stock $21,780.00 Total from continuation schedules I $610,326.92 . r TOTAL (Also enter on line 2, Recapitulation) I $ $804 , 830.90 3waes5 ~.ooo (If more space is needed, insert additional sheets of the same size) Estate of: Frances E. Metz Schedule B (Page 2) Item No. Description 13 400 Shares Citigroup, Inc., common stock 14 150 Shares Citrix Systems, Znc., common stock 15 400 Shares Clorox Co., common stock 16 454 Shares Comcast Corp., New, Class A shares 17 200 Shares ConocoPhillips common stock 18 600 Shares CVS Caremark Corp., common stock 19 7 Shares Developers Diversified Realty, common stock 20 200 Shares Donnelley RR 6 Sons Co., common stock 21 1,600 Units Eaton Vance Tax Mgd Div Equity Fund 22 100 Shares E1Paso Corp., common stock 23 1,050 Shares Environmental Svc Pro, Inc., common stock 24 400 Shares Fannie Mae 8.25 Ser T Pfd., stock 25 200 Shares Ford Motor Co. New, common stock 26 11 Shares Frontier Communications Corp., common stock 27 5,000 Units GECC bond, 5.5~, due 02/15/2015 28 400 Shares General Electric Co., common stock 21 10 1033 Value at Dat of Death $1,552.00 $10,504.50 $26,448.00 $6,892.50 $11,346.00 $18,786.00 $76.37 $3,432.00 $17,472.00 $1,222.75 $157.50 $172.00 $2,480.00 $89.32 $5,429.00 $6,532.00 Total (Carry forward to main schedule) $112,591.94 Estate of: Frances E. Metz Schedule 8 (Fags 3) Item No. Description 29 400 Shares General Mills, Inc., common stock 30 100 Shares Google, Inc., C1 A, shares 31 200 Shares Hologic, Inc., common stock 32 400 Shares Home Depot, Inc., common stock 33 100 Shares International Business Machines Corp., common stock 34 103.634 Shares Invesco Technology, Cl A shares 35 500 Shares JNR Res, Inc., common stock 36 200 Units JPM Chase XXIV, 6-7/8~ 37 200 Shares JPMorgan Chase & Co., common stock 38 200 Units M6T Capital Trust, 8.5~ 39 200 Units Marathon Oil Co., common stock 40 10,000 Par N. Allegheny School District, C1 A shares, 4.74, due 11/01/2020 41 200 Shares News Corp., LTD (DEL), C1 B shares 42 400 Units Nextera, 8.74'k 43 1,000 Shares PanAmer Silver Corp., common stack 21 10 1033 Value at Dat of Death $14,656.00 $52,602.00 $3,720.00 $12,684.00 $13,443.00 $477.75 $110.00 $5,286.00 $7,802.00 $5,374.00 56,456.00 $10,218.00 $3,108.00 $11,844.00 $29,060.00 Total (Carry forward to main schedule) $176,840.75 Estate of: Frances E. Metz Schedule B (Page 4) Item No. Description 44 200 Shares Penn National Gaming common stock 45 400 Shares Penn West Energy Tr Units 46 534 Shares PNC Financial Services Group common stock 47 2,000 Shares Qchina Cable & Comm, Inc., common stock 48 100 Shares Safeway, Inc., Com New stock 49 150 Shares Staples, Znc., common stock 50 125 Shares Tyco International Ltd. New common stock 51 510 Shares Unit VK Preferred Securities 52 200 Shares USEC Inc., common stock 53 48 Shares Verizon Communications common stock 54 300 Shares Williams Co., Inc., common stock 55 10,000 Units National City, 4,5~, due 2/01/2011 56 10,000 Par Philadelphia Municipal Authority RV 57 7,157 Shares PPL Corporation common stock 58 730 Shares PPL Corporation common stock 59 10,000 Par Clear Channel corporate bond 21 10 1033 Value at Dat of Death $5,914.00 $7,764.00 $27,782.69 $20.00 $2,068.00 $3,094.50 $4,711.25 $4,380.48 $1,032.00 $1,578.72 $5,616.00 $10,100.00 $10,100.00 $197,425.85 $20,137.05 $5,075.00 Total (Carry forward to main schedule) $306,799.54 Estate of: Frances E. Metz Schedule B (Page 5) Item No. Description 60 2,066.67 Units Franklin U.S. Government Securities, C1 A 21 10 1033 Value at Dat of Death $14,094.69 Total (Carry forward to main schedule) $14,094.69 REV•1508 EX * (6-98) SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, $~ MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Frances E. Metz 21 10 1033 Include the proceeds of litigation and the date the proceeds were received by the eatale. All property jofntly~owned with the right of survivonhlp must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Orrstown Bank Certificate of Deposit No. 1730047691 $4,907.90 2 MetLife Annuity No. 9200127595 Owner/Annuitant: Frances E. Metz Beneficiary: Estate of Frances E. Metz $95,089.68 3 Sovereign Bank Certificate of Deposit No. 2335129132 $65,629.31 4 PNC Bank Certificate of Deposit No. 11020045888 $4,787.55 Interest accrued to 9128/2010 $2.61 5 PNC Bank Certificate of Deposit No. 31600279557 $5,670.89 Interest accrued to 9128/2010 $0.38 6 PNC Bank Checking Acct. No. 5140042862 $4,636.39 Interest accrued to 9/28/2010 $0.03 7 Mutual of Omaha refund $6.55 8 Integrity Bank Checking Acct. No. 21007780 $2,768.49 9 Integrity Sank Certificate of Deposit No. 3002735 $33,650.93 10 Internal Revenue Service 2009 federal income tax refund $3,418.00 11 Miscellaneous Personal Property net proceeds from auction of personal property $5,112.00 $225.880.71 3W46AD 1.000 {It more space is needed, insert additional sheets otthe same size) ..c- laue IX~ (Ot-10) Pennsylvania SCHEDULE F bEPARTMENT OF REVENUE INHERITANCE TAX RETURN JOINTLY-OWNED PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Frances E. Metz 21 10 1033 k an asset became Jointly owned wkhin one year of the decedenPs date of death, k must be reported on Schedule Ca SURVNING JOIfJf TB~WIYr(S) tJ4N!'jS) I AODF7ESS I f~ATItNSFAPTU [JECr~BJT JOINTLY OWNED PROPERTY: rc~ IFTTER FOR ,JOINT TENANT t~4TE ~~ JOINT O[~CRIFt10N OF PROP@ZT`r INCLUDE MANE OF FlNANOIAL INBTITUTKIN AND BANK ACCOUNT NUAHER OR BIMUR IOENTIFVINONUAeER. ATTACH DEED FOR JgNTLY HELD REAL ESTATE. ~~ ~ t~ATM VALUE OF ASSET % OF t.ci ltJi$~T ^ATE OF QFATFi VALUE (~ l~{:H')BJi'S NJI'ER~ST None TOTAL (Also enter on line &, Recapitulation) S $0.00 9wa6AE 2.000 N more space is needed, use additional sheets of paper of the same size. REV-1510 EX + (08-09) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY Frances E. Metz 21 10 1033 This schedule must be completed and filed if the answer to any of questions 1 through 4 an page three of the REV-1500 is yes. ITEM NUMBE DESCRIPTION OF PROPERTY WCLLOEThENAMEOFTVfTRANSFEREE,iHEIRRELATION3HIPTOOECEDENTANO TFE DATE OG TRAF6FER ATTMJiACOGV OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET %OFDECD'$ INTEREST EXCLUSION iF AaPUCAe~E TAXABLE VALUE ~• PNC Investments Acct. No. 6055-7339 (MetLife annuity contract) $77,660.66 100.0000 $0.00 $77,660.66 OwnerjAnnuitant: Frances E. Metz Beneficiaries: 40ik to cousin, Jean Kolhaas and 60~ to friend, Roi Baptiste TOTAL (Also enter on line 7, Recapitulation) $ $77,660.66 If more space is needed, use additional sheets of paper of the same size. 9W46AF 2.000 REV-1511 EX+ (10-09) Pennsylvania SCHEDULE H DEPARTMENTOF REVENUE FUNERAL EXPENSES AN D INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Frances E M®tz 21 10 1033 Decedent's debts must be reported on Schedule 1. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: t Women of Grace food and services at funeral luncheon Total from continuation schedules . B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Names} of Personal Representative(sy Roi Banti s to Street Address 144 Hummel Avenue City Lemoyne State PA ZIP 17043 Year(s) Commission Paid: 2011 2. Attorney Fees: 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) Claimant $427,26 $135.00 $60,000.00 $45,000.00 Street Address City State ZIP Relationship of Claimant to Decedent a. Probate Fees: $643.50 5. Accountant Fees: 6. Tax Return Preparer Fees: 7. 1 Cumberland Law Journal publication fee $75.00 2 Patriot-News publication fee $265.57 Total from continuation schedules $26,053.33 TOTAL (Also enter on Line 9, Recapitulation) $ $1321599.66 9W46AG 2.000 If more space is needed, use additional sheets of paper of the same size, Estate af: Frances E. Metz Schedule H Part 1 (Page 2) Item No. Description 2 Rice Memorial cemetery inscription 21 10 1033 Amount $135.00 Total (Carry forward to main schedule) $135.00 Estate of: Frances E. Metz Schedule H Part 7 (Page 2) 3 Verizon phone service 4 Miscellaneous administrative expenses incurred for cleaning and maintaining properties. 5 Register of Wills short certificates and photocopying 6 PPL Electric Utilities utility service for 219 Hummel Avenue 7 Richard L. Boyer repairs contracted for prior to date of death and paid after date of death, plus additional plumbing repairs made 8 Vital Records death certificates 9 PAWC utility service for 219 Hummel Avenue 10 Montour Home Comfort Services heating oil at 218 Hummel Avenue 11 PPL Electric Utilities utility service for 218 Hummel Avenue 12 Borough of Lemoyne utility service at 218 Hummel Avenue 13 PAWC utility service for 218 Hummel Avenue 14 UGI utility service at 219 Hummel Avenue 15 Horough of Lemoyne utility service at 219 Hummel Avenue 16 UGI utility service at 218 Hummel Avenue 17 Borough of Lemoyne utility service at 144 Hummel Avenue Total (Carry forward to main schedule) 21 10 1033 $47.?4 $714.oa $81.00 $1,170.67 $25.00 $180.00 $891.60 $2,601.40 $222.64 $563.00 $1,212.04 $126.98 $281.80 $308.04 $281.50 $8,707.49 Estate of: Frances E. Metz 21 10 1033 Schedule H Part 7 (Page 3) 18 Borough of Lemoyne utility service at 98 Hummel Avenue 19 Century Spouting Co., Inc. roofing repair at 219 Hummel Avenue 20 Superior Plus repair at 218 Hummel Avenue 21 Superior Plus repair to 206 Hummel Avenue rental property 22 US Postal Service postage 23 Sammy Riverea cleaning properties 24 Kathleen Kramerich cleaning properties 25 Century Spouting Co., Inc. repair at 218 Hummel Avenue 26 Faith A. Nicola, Tax Collector 2011 county/boro taxes on 144 Hummel Avenue 27 Faith A. Nicola, Tax Collector 2011 county/boro real estate taxes on 218 Hummel Avenue 28 Faith A. Nicola, Tax Collector 2011 county/boro real estate taxes on 219 Hummel Avenue 29 Faith A. Nicola, Tax Collector 2011 county/boro real estate taxes on 98 Hummel Avenue 30 Faith A. Nicola, Tax Collector 2011 county/boro real estate taxes on 206 Hummel Avenue $241.00 s1o2.o0 $688.13 $156.10 $191.35 51,747.Oa $2,350.00 $198.00 $710.87 $654.81 $719.39 $514.67 $659.28 Total (Carry forward to main schedule) $8,932.60 Estate of: Frances E. Metz 21 10 1033 Schedule H Part 7 (Page 4} 31 Superior Plus Energy Services service at 218 Hummel Avenue and 219 Hummel Avenue $2,447.37 32 Musselman Funeral Home death certificates $72.00 33 H&R Block 2009 ~ 2010 income tax preparation $1,341.00 34 Tiger Trash dumpsterJtrash removal service $1,940.00 35 Hon. Barbara A. Clare court costs to file complaint against tenants at 206 Hummel Avenue property $122.08 36 Sovereign Bank bank fee $20.00 37 PODS Storage storage for personal property $616.92 38 Borough of Lemoyne utility payment for 206 Hummel Avenue $43.09 39 Patriot-News ad for sale of personal items $26.00 40 Penn Waste, Inc. trash removal at 144 Hummel Avenue $45.00 41 Penn Waste, Inc. trash removal at 218 Hummel Avenue $90.00 42 Penn Waste, Inc. trash removal at 219 Hummel Avenue $90.00 43 Penn Waste, Inc. trash removal at 98 Hummel Avenue $45.00 44 Terminix termite plan $846.94 Total (Carry forward to main schedule) $7,745.40 Estate of: Frances E. Metz 21 10 1033 Schedule H Part 7 (Page 5) 45 The Hartford return portion of payment paid to decednt prior to date of death (no death benefit gayable on this golicy.) $161.34 46 MetLife return portion of payment paid to decedent prior to date of death (death benefit reported on Schedule G.) $506.50 Total (Carry forward to main schedule) $667.84 REV-1512EX~(12-osl Pennsylvania SCHEDULE i DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENrDECEDENT ESTATE f~F FILE NUMBER Frances E. Metz 21 10 1033 Report debts incurred by the decadent prior to death that remained unpaid at the date of death, including unreimburaed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1• Orthopedic Institute of Pennsylvania medical bill $114.39 2 Home repair contracted for prior to death and paid after date of death. $325.00 3 Verizon phone service $23'98 4 United States Treasury 2010 quarterly income tax payment $2,075.00 5 Golden Living Center medical bill $75.00 6 PPL Electric Utilities utility service for 219 Hummel Avenue $63.93 7 Richard L. Boyer repairs contracted for prior to date of death and paid after date of death, plus additional plumbing repairs made $725.00 8 Richard Hallock, MD medical bill $114.39 9 PAWC utility service for 219 Hummel Avenue $40.49 10 Smith Radiology, Inc. medical bill $2'72 11 PPL Electric Utilities utility service for 218 Hummel Avenue $12.71 12 PA Department of Revenue decedent's 2009 state income tax liability $227.00 13 PAWC utility service for 218 Hummel Avenue $49.28 14 UGI utility service at 219 Hummel Avenue $17.34 Total from continuation schedules ~ $5,446.31 -T ewesAH ~.ooo TOTAL (Also enter on Line 10, Re If more space is needed, insert additional sheets of the same size. 54 Estate of: Frances E. Metz Schedule I (Page 2) Item No. Description 15 Internal Revenue Service decedent's 2010 income tax liability 16 UGI utility service at 218 Humorel Avenue 17 PA Department of Revenue decedent's 2010 state income tax liability 21 10 1033 Amount $4,340.61 $27.74 $1,0?7.96 Total (Carry forward to main schedule) $5,446.31 REV-1513 EX+ (01-10) Pennsylvania DEPARTNENTOF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF: FILE NUMBER: Frances E. Metz 21 10 10 3 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116;a) (1.2).] 1. Roi Baptiste 144 Hummel Avenue Lemoyne, PA 17043 PNC Investments Acct. No. 6055-7339 (MetLife annuity contract) Inventory Value: $46,596.40 144 Hummel Avenue, Lemoyne, Borough of Lemoyne, Cumberland County, Pennsylvania; being Tax Parcel No. 12-21-0265-363. Inventory value: 5218,750.00 None $265,346.40 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. [[ NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SEC110N 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1• See Attached 1 TOTAL OF PART II • ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. ~ S $1,160 , 637 9WeBA1 2.000 If more space is needed, use additional sheets of paper of the same size. Estate of: Frances E. Metz Schedule J Part 1 (Page 2) Item No. Description 2 Jean Kolhaas 2007 Highland Circle Camp Hill, PA 17011 General Bequests: $10,000.00 PNC Investments Acct. No. 6055-7339 (MetLife annuity contract) Inventory Value: $31,064.26 3 Carl Jeffrey Metz 232 Painter Avenue Greensburg, PA 15601 General Bequests: $1,000.00 4 Joseph G. Metz 4485 Valley Road Shersnans Dale, PA 17090 General Bequests: $1,000.00 5 Norman R. Metz 1649 Mt. Road Port Royal, PA 17082 General Bequests: $1,000.00 6 Sara Hipple 502 Maple Avenue Marysville, PA 17053 General Bequests: $1,000.00 7 William Harold Metz 4585 Blain Road Loysville, PA 17047 General Bequests: $1,000.00 8 Sylvia A. Michener 1330 Ironville Pike Columbia, PA 17512-9509 General Bequests: $1,000.00 Cousin None None None None None None Relation 21 10 1033 Amount $41,064.26 $1,000.00 $1,000.00 $1,000.00 $1,000.00 $1,000.00 $1,000.00 Estate of: Frances E. Metz 21 10 1033 Schedule J Part 1 (Page 3) Item No. Description Relation Amount 9 Boyd Metz, Jr. 14345 West 191st Street Spring Hill, KS 66083 General Bequests: $1,000.00 None $1,000.00 10 Clyde Metz 6409 Lexington Drive Mechanicsburg, PA 17050 General Bequests: $1,000.00 None $1,000.00 11 Harry Metz 354 Mitchell Road Newport, PA 17074 General Bequests: $1,000.00 None $1,000.00 12 Mary Louise Smith RD #1 Box 241 25 Rolling Hills Lane Blain, PA 17006-9425 General Bequests: $1,000.00 None $1,000.00 13 Rebecca S. Metz 233 S. Lincoln Avenue Greensburg, PA 15601 General Bequests: $1,000.00 None $1,000.00 14 Paul Metz 442 Walnut Bottom Road Carlisle, PA 17013 General Bequests: 51,000.00 None $1,000.00 15 Richard Dale Metz 4969 Tuscarora Path Loysville, PA 17047 General Bequests: $1,000.40 None $1,000.00 Estate of: Frances E. Metz Schedule J Part 1 (Page 4) Item No. Description 16 Dean A. Metz 385 Eden Road Etters, PA 17019 General Bequests: $1,000.00 None 17 Vonny R. Latchford 11 Latchford Lane Loysville, PA 17047 General Bequests: $1,000.00 None 18 Glenn Siegrist 4023 Holly Drive Columbia, PA 17512 General Bequests: $1,000.00 None 19 Robert Siegrist 3804 Hillcrest Drive Columbia, PA 17512 General Bequests: $1,000.00 None Relation 21 10 1033 Amount $1,000.00 $1,000.00 $1,000.00 $1,000.00 Estate of: Frances E. Metz Schedule J Part 2B (Page 1) Item No. Description 1 Grace United Methodist Church 309 Herman Avenue Lemoyne, PA 17043-1940 206 Hummel Avenue, Lemoyne, Borough of Lemoyne, Cumberland County, Pennsylvania; being Tax Parcel No. 12-21-0265-413. Inventory Value: $164,500.00 219 Hummel Avenue, Lemoyne, Borough of Lemoyne, Cumberland County, Pennsylvania; being Tax Parcel No. 12-21-0265-291. Value is net sale proceeds. Inventory Value: $177,812.50 2 Zion Lutheran Church PO Box 127 Blain, PA 17006 218 Hummel Avenue, Lemoyne, Borough of Lemoyne, Cumberland County, Pennsylvania; being Tax Parcel No. 12-12-0265-416. Inventory Value: $191,662.50 3 Stoney Point Cemetery Association 170 Arrowhead Lane Loysville, PA 17047 98 Hummel Avenue, Lemoyne, Borough of Lemoyne, Cumberland County, Pennsylvania; being Tax Parcel No. 12-21-0265-339; Inventory value: $39,122.46 4 Blain Cemetery 301 Big Spring Road PO Box 128 Blain, PA 17006-0128 *See attached. 21 10 1033 Amount $342,312.50 $191,662.50 $39,122.46 $0.00 Estate of: Frances E. Metz ~ 21 10 1033 Schedule J Part 2B (Page 2) Item No. Description Amount 5 Good Samaritan Hospital 209 Hathaway Park Lebanon, PA 17042 98 Hummel Avenue, Lemoyne, Borough of Lemoyne, Cumberland County, Pennsylvania; being Tax Parcel No. 12-21-0265-339; Inventory Value: $39,122.46 100 of Residue to Good Samaritan Hospital 209 Hathaway Park Lebanon, PA 17042: $548,417.96 $587,540.42 ~, LAST WILL AND TESTAMENT OF FRANCES E. METZ r.,~ .- 'i (^, Y~~~}~ ~~ ` ~ ~~' LAST WILL AND TESTAMENT ~ ~ . ~f. - - OF . . ~ METZ FRANCES E r ; ~~ :~ <: -: . , ~, .. I, FRANCES E. METZ, now of 219 Hummel Avenue, Lemoyne, Cumberland County, Pennsylvania, 17043, do publish and declare this to be my Last Wi11 and Testament, hereby revoking all other prior wills and codicils made by me. FIRST: Family Baclr,.+rround and Appointment of Executor. (A) Family and Background Inforatation. I am not married. I have no children. (B) Appointment of Executor. I appoint as my Executor and Successor Executors (all hereinafter referred to as Executor) under this Will, the following named persons to serve without bond and without being required to account to any Court: Executor: ROI BAPTISTE. Successor Executrix: SEAN KOHLHAA5 Second-Successor Executor: CRAIG A. HATCH SECOND: Funeral and Last Illness Expenses; Taxes. (A) Expenses of Funeral and Last Illness. I direct my Executor to pay my funeral expenses and the expenses of my Iast illness from my estate. (B) T_ axes. I direct my Executor to pay any and all estate, i,,reritance, succession, legacy, transfer and other death Caxes or duties, by whatever name called, i ~ eluding any and all interest and penalties thereon, imposed under the laws of any jurisdiction by reason of my death, upon or with respect to-any and all property included in my gross estate for the purpose of such taxes, whether such property passes under or outside of this Will, out of my resit, nary estate, without being prorated or apportioned among or charged against the respective deg :es, legatees, beneficiaries, transferees, or other recipients of any such property or charged against any property passing or which may have passed to any of them. The Executor shall not be entitled to reimbursement for any portion of any such taxes from any such person. THIRD: Tangible Personal Property. Except for those items enumerated in the Letter of instruction, I leave my tangible personal property fox distribution according to the terms of the Residuary Gifrs of my estate under Article FOURTH. Notwithstanding any other provisions in this Article THIRD, I may leave a separate, dated and unsigned Letter of Instruction, which I shall place with my Will, containing directions as to the ultimate disposition of certain of the property bequeathed under this Article THIRD, and such Letter of Instruction shall determine the distribution of such items, provided such list is found together with my last ~'ilI and Testament. :~ LAST WILL AND TESTAMENT OF FRANCES E. METZ PAGE 2 FOURTH: Residuarv Gifts. (A) I direct that my executor shall have the discretion, in the sole discretion of the executor, to sell the real estate that comprises my estate or distribute the real estate to the designated benef ciaries below. The executor shall distribute the real estate or the net proceeds of the real estate as follows: After the furniture and belongings have been removed from 219 Hummel Avenue, Lemoyne, Pennsylvania, this real estate shall be sold with its proceeds being distributed to the GRACE UNITED METHODIST CHURCH, Lemoyne, Pennsylvania, with the proceeds placed into an endowment fund to be used for the upkeep of the church property, not including the parsonage. 2, The property I own at 205 Hammel Avenue, Lemoyne, Pennsylvania, shall be sold with the proceeds distributed to the GRACE UNITED METHODIST CHURCH, in Lemoyne, Pennsylvania, and the proceeds placed into an endowment fund to be used for the upkeep of the church property, not including the parsonage.. The executor shall provide up to six (6) months notice to the O'Neil family or any other tenant to remove themselves from the premises. 3. I bequeath the property I own at 218 Rummel Avenue, Lemoyne, Pennsylvania, to the LUTHERAN CHURCH in Blain, Pennsylvania. 4. If ROI BAPTISTE survives me, I bequeath to him the property I own at 144 Hummel Avenue, Lemoyne, Pennsylvania. If and in the event ROI BAPTISTE should predecease me, then there shall be no distribution to him and the executor shall sell the real estate and appl}~ the n.et proceeds to the UNITED REFORM CHURCH in Blain, Pennsylvania. 5. I bequeath the property I own at 98 Hummel Avenue, Lemoyne, Pennsylvania, to the STONEY POINT CHURCH, in Perry County, Pennsylvania. (B) I give the following amounts to the respective named and designated beneficiaries: (1)TWO THOUSAND DOLLARS ($2,000.00) of the residue of my estate shall be distributed to BLAIN CEMETERY, (located outside of Blain where the Hartman, CrutshalI and Metz cemetery lots are located) to be used for upkeep of the graves and cemetery markers. (2) TEN THOUSAND DOLLARS ($10,000.00) of the residue of my estate shall be distributed to JEAN K4HLHAAS. ~,~ _ r, ` ~--_- :.~- LAST WILL AND TESTAMENT OF FRANCES E. METZ PAGE 3 (3) ONE THOUSAND DOLLARS ($ I ,000.00) or ONE PERCENT (1 %), whichever is the lesser, unto each of the following individuals having survived me: JEFF METZ JOSEPH METZ NORMAN METZ SARA RIPPLE WILLIAM HAROLD METZ SYLVIA. MICHNERE BOYD METZ, JR. CLYDE METZ BARRY METZ LOUISE SMITH BECKY METZ PAUL METZ RICHARD DALE METZ DEAN METZ VONNIE LATCHFORD GLENN SIEGRIST ROBERT SIEGRIST (C) I give, devise and bequeath all the rest, residue and remainder of my estate, of every kind and character, real, personal and mixed, tangible and intangible, and wherever situated, including any lapsed or renounced legacies or devises (and including any property over which I may have a power of appointment), to TAE GOOD SAMARITAN HOSPITAL, in Lebanon, Pennsylvania. (B) Distributions During Administration. Prior to final distribution of my estate, the Executor, in his discretion, may make partial distributions to one or more beneficiaries or Trusts. As a consequence, the Executorship and any Trusts created under this Will may exist contemporaneously. A distribution may be made subject to any indebtedness or liability of my estate. FIFTH: Powers of Eaecntor. In addition to the powers and dutiE;s as may have been granted elsewhere in this Will, but subject to any limitations stated elsewhere in this Will, the Executor shall have and exercise exclusive management and control of the Estate and shall be vested with the following specific powers and discretion, in addition to the powers as may be generally conferred from time to time upon the Executor by law; (A) In the management, care and disposition of the Estate, the Executor shall have the power to do alI things and to execute such instruments, deeds, or other documents as may be deemed necessary or proper, including the following powers, all of which may be exercised without order of or report to any Court: (1) To sell, exchange or otherwise dispose of any property at any time held or acquired hereunder, at public ox private sale, for cash or on terms, without advertisement, including the right to lease for any term notwithstanding the period of the Estate, and to grant options, including any option for a period beyond the duration of the Estate. (2) To invest all monies in such stocks, bonds, securities, mortgages, notes, - ,• r,s ~ )~-. ;; .,. i "r.~. ~- . ~. ,( ; .r ~~ LAST WILL AND TESTAMENT OF FRANCES E. METZ PAGE 4 chows in action, real estate or improvements thereon, and any other property as the Executor may deem best, without regard to any law now or hereafter enforced Limiting investments of fiduciaries. {3} To retain for investment any property deposited with the Executor hereunder. (4) To vote in person or by proxy any corporate stock or other security and to agree to or take any other action in regard to any reorganization, merger, consolidation, liquidation, bartlmiptcy or ather procedure or proceedings affecting any stock, bond, note or other security. (57 To use attorneys, real estate brokers, accountants and other agents, if such employment is deemed necessary or desirable, and to pay reasonable compensation for their services. (6} To compromise, settle or adjust any claim or demand by or against the Estate and to agree to any rescission or modification of any contract or agreement affecting the Estate. (?} To renew any indebtedness, as well as to borrow money, and to secure the same by mortgaging, pledging or conveying any property of the Estate. (8) To retain and carryon any business in which the Estate may acquire an interest, to acquire additional interest in any such business, to agree to the liquidation in kind of any corporation in which the Estate may have an interest grid to carry on the business thereof, to join with other owners in adopting any form of'management for any business or property in which the Estate may have an interest, to become or remain a partner, general or Limited, in regard to any such business or property and to hold the stock or other securities as an investment, and to employ agents and confer on them authority to manage and operate the business, property or corporation, without liability for the acts of such agent or far any loss, liability or indebtedness o:f such business if the management is selected or retained with reasonable care. (9) To register any stock, bond or other security in the namE: of a nominee, without the addition of words indicating that such security is held ira a fiduciary capacity, but accurate records shall be maintained showing that such security is a Estate asset and the Executor shall be responsible for the acts of such nominee. (B) In the disbursement of the Estate and any division into separate trusts or shares, the Executor shall be authorized to make the distribution and division in money or in kind, or both, regardless of the basis for income tax purposes of any property distributed or divided in kind, and the distribution and division made and the values established by the Executor shall be binding and conclusive on all persons taking hereunder. The Executor may in making such ,~ ,, ~' .~ (.,. LAST WILL AND TESTAMENT OF FRANCES E. METZ PAGE 5 distribution or division allot undivided interests in the same property to ;several trusts or shares. (C) The Executor shall be authorized to sell or purchase at the: fair market value as determined by the Executor, any property to or from any trust created by me during life or by Will, even though the same person or corporation may be acting as Executor of my estate or as Trustee of any of my other trusts. (D) The Executor shall have discretion to determine whether items should be charged or credited to income or principal or allocated between income and principal as the Executor may deem equitable and fair under all the circumstances, including the power to amortize or fail to amortize any part or all of any premium or discount, to treat any part or all of the profit resulting from the maturity or sale of any asset, whether purchased at a premium or at a discount, as income or principal or apportion the same between income and principal, to apportion the sales price of any asset between income and principal, to treat any dividend or other distribution of any investment as income or principal, or apportion the same between income and principal, to charge any expense against income or principal or apportion the same, and to provide or fail to provide a reasonable reserve against depreciation or obsolescence on any assets subject to depreciation or obsolescence, all as the Executor may reasonably deem equitable and just under all the circumstances. If the Executor does not exercise the above discretionary power, the cash or accrual allocation shall be in accordance with Chapter 81 of Title 20 of the Pennsylvania Consolidated Statutes, or the corresponding provisions of subsequent state law. (E} If at any time the total fair market value of the assets of any trust established or to be established hereunder is so small that the corporate Trustee's annual fee for administering the trust would be the minimum annual fee set forth in the Trustee's regularly ,published fee schedule then, in effect, the Trustee in its discretion shall be authorized to terminate. such trust or to decide not to establish such trust, and in such event the property then held in or to be distributed to such trust shall be distributed to the persons who are then or would be entitled fro the income of such trust. If the amount of income to be received by such persons is to be determined in the discretion of the Trustee, then the Trustee shall distribute the property among such of the persons to whom the Trustee is authorized to distribute income, and in such proportions, as the Trustee in its discretion shall determine. (1E+~ Except as otherwise provided in this Will, when the authority and power under this Will is vested in two (2) or more Executors or Trustees, the authority and powers are to be held jointly by the Executors or Trustees, respectively. A majority of the Executors or Trustees may exercise any authority or power granted under this Will or granted by law, and may act under this Will. Any attempt by one such Executor or Trustee to act under this Will on other than ministerial acts shall be void. The action of one such Executor or Tru: zee under this Will may be validated by a subsequent ratification of the act by a majority of the Executors or Trustees. STXTIi: Rights and Liahilities of Executor. .~, i' "' U ,~ LAST WILL AND TESTAMENT OF FRANCES E. METZ PAGE b (A) No bond or other security shall be required of any Executor. (B) This instrument always shall be construed in favor of the validity of any act or omission by any Executor, and any Executor shall not be liable for any actor omission except in the case of gross negligence, bad faith or fraud. Specifically, in assessing the propriety of any investment, the overall performance of the entire Estate shall be taken into account. (C) Each Executor shall be entitled to receive reasonable compensation for services actually rendered to my estate, in an amount the Executor normally and customarily charges for performing similar services during the time which helshe performs the services. SEVENTH: Spendthrift Provision. Na beneficiary shall have the power to anticipate, encumber or transfer his or her interest in the estate in any manner other than by the valid exercise of a power of appointment. No part of the estate shall be liable :For or charged with any debts, contracts, liabilities or torts of a beneficiary or subject to seizure or other process by any creditor of a beneficiary. EIGHTH: Tai Elections. (A} In determining the estate, inheritance and income tax liability relating to my Estate, the Executor's decision as to alI available tax elections shall be conclusive on all concerned. In accordance with IRC Section 2632(a) and without regard to whether a Federal estate tax return is actually filed, my Executor shall allocate so much of the Federai Generation Skipping Transfer (GST} exemption amount as will fully exempt any generation skipping transfer which may occur under this Will. (B) The Executor may, in its discretion, determine the date as of which my gross estate shall be valued for the purpose of determining the applicable tax payable by reason of my death. (C) The Executor may, in its discretion, decide whether all or any part of certain deductions shall be taken as income tax deductions (even though they may equal or exceed the taxable income of my estate and whether or nit claimed or of benefit on rrry estate's incame tax return) or as estate tax deductions when a choice is available; and in the event that all or any part of such deductions are taken as income tax deductions, no adjustment of income and principal accounts in my estate shall be made as a result of such decisions. NINTH: Defini#ions and General Provisions. (A) Survival. Any beneficiary who dies within sixty (60) days after my death shall be considered not to have survived me. (B) Cations. The captions set forth in this Vl~iil at the beginning of the various 'I n f /if' LAST WELL AND TESTAMENT OF FRANCES E. METZ PAGE 7 articles hereof are for convenience of reference only and shall not be deemed to define or limit the provisions hereof or to affect in any way their construction and application. (C) Code. Unless otherwise stated, all references in my Will to section and chapter numbers are to those of the Internal Revenue Code of 1986, as amended, or the corresponding provisions of any subsequent federal tax laws applicable to my estate. (D) Other terms. The use of any gender includes the other genders, and the use of either the singular or the plural includes the other. (E) Fowers of Appointment are Exercised. By this Will I exercise any and all Powers of Appointment which I possess at the time of my death. IN WITNESS WIE~REOF, I, FRANCES E. METZ, the Testatrix, have to this my Last Will and Testament, typewritten on eight (8) pages, including the Acknowledgment and Affidavit, set my hand and seal this:~~:~'iday of May, 2010. .~ l _ r" •Y '~ ~ ~,~ y 1 ~`tt~~ ray~a.i ~ i FRANCES E. METZ Signed, sealed, published and declared by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who have hereunto subscribed our names at her request, as witnesses hereto, in the presence of the said Testatrix, and in the presence of each other. Each of us further declares that he or she believes the Testatrix to be of sound mind and memory. The preceding instrument consists of this and seven (7) other consecutively numbered typewritten pages including the Acknowledgment and Affidavit. ///tom r ~' i ,„ ` r ~.,t. ~, ~.. I residing at ~ - (print name) residing at _ ~ `• , ~, . ; ~,;~ -- C .._t. ~_ 1 _ ~: ta~-~ ~~ i.~- r- .~j- (print name) ACKNOWLEDGMENT AND AFFIDAVIT' COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND The Testatrix and the witnesses whose names are signed and subscribed to the attached or foregoing instrument, being first duly sworn and qualified according to law, do hereby acknowledge, depose and say to the undersigned authority, that the Testatrix signed and executed the instrument as her Last Will in the presence of the witnesses; that she signed it willingly or willingly directed another to sign it far her; that she executed it as her free and voluntary act for the purposes therein expressed; that each of the witnesses were present and saw the Testatrix sign and execute the instrument as her Last Will; that each subscribing witness in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of their knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Testatrix ,~ ~~~~ -~- l ,~~`,~==-- Wrtness /,:• Witness , Sworn to or affirmed, subscribed to, and acknowledged, before me by the above-named Testatrix and witnesses, this , - day of May, 2010. ~.. f j ~~~~ /~~~ ~ ` r,~;l,CdC~J7J~klT~i ~' ^~NN~YLJANtA Nota"r~.~'ublic Notarl>3useal ,.~My,Commission Expires: Teri 1. Walker, Notary Public L.BrCZ~yne Boro, Cumberland Courriy .° ~Il~/ !.iOrra'R1BS10R E.~IreS daR. ZO, 2Qt'E Member, Pennsylvania Associatlcm of Notarlea CERTIFICATE of GRANT of LETTERS REGISTER OF WILLS CUMBERLAND COUNTY PENNSYLVANIA ~.: ~' ,. ,~_ M. •. •/, ;. CERTIFICATE OF GRANT OF LETTERS No . 2010- 01033 PA No . 21- 10- 1033 Estate Of : FRANCES E METZ (fuel, MJddh, Lsrl .Late Of : LEMOYNE BORDUGI-I CUMBERLAND COUNTY Deceased Social Security No: WHEREAS, on the I4th day of October 20.20 an instrument dated May 28th 20I0 was admitted to probate as the Iasi will of FRANCES E METZ /fJrst, Middle, Gsr1 late of LEMOYNEBOROUGt-l, CUMBERLAND County, who died on the 28th day of September 2010 an WHEREAS, a true copy of the will as probated i,s annexed hereto. THEREFORE, I, GLENDA EARNER STRASBAUGI-I Register of Wills in and far CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to: ROl BAPT/STE who has duly qualified as EXECUTOR(RIX) and has agreed to administer the estate according t:o Zaw, aZZ of which fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VAN/A. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 14~h day of October 201 D. * *NOTE* * ALL NAMES ABOVE APPEAR (FIRST, MIL>DLE, LAST) SAFE DEPOSIT BUX INVENTURV 11/12/2010 1.0:01 7177834447 PA UEPT_OF REIIEIJUE P(~GE 03/05 485CID04~ON6 REV-485 EX (1~G7) ~ O n ~~ SAFE DEPOSIT ~~> O ~•--' 1J( BOX INVENTORY PADoparfinento{Revernra t-~ ~ - ~ i'.-- ~- c f ~' PLEA3~ U-SQ ORIGlNAi, i^ORM ONII,X Social Securer or Death Certificate Number pate of Death County Code Year FII® Number `~ • 1 ~ ' ~ ` ~ y'I (~i ~I ~ • av~ i-.r~r.,•:,... ? iGsssa le~r~; F.~e: ~ri~ e~x:. >s~-r. i;~.i~,~+. , f?eoedenta ta~st Name Suffix First Name MI ` g ~ ~ ~„R-~ ` '' • ~ ~ d~~` ' ~, i~ •_G s tn 5 ~~ f s_; ~ M ::.. - ~ _.~=.._ . s_• __~ : _..!. ~ADDRI=BS OF DEC1;dENT STREET: . ~ M . .. CITY: .. STA ZIP CODE: ~' ';'/ G c i ~ "~ i ~' ~ ~ ~~ is ~ `% ~ ` : i.. •"G l f:~ ~ ~ ~~r 7 C.' ~ / 1.:_ f "'/ (^'// _ /, : NAME AND ApaFi&SS OF PERSON RtsiiUESTING THE OPENING OF THE SAFE GLPOSrr BOX ~ NAME: j ~~ , ~ f •*-- -- STREETADD~S~; ~ ; an fN ~. •L, i ~ ~ CITY: B~'A7E: ZIP~OOD@:,~ • NAARE, ADDRESS AND RELATIONSHIP (IF ANY} TO DECEDENT, OF PERSON(S) PRESENT AT THE tlOX QP8NING - ~ a. NAME: ) , ~y / R~L{A-TION6FitP: - f ,1 • STREET ADOBE`S/S: / ) d CITY: STATEp: 71P C O DE; y t(( ~/'(: 4'Yf • / ~'''~} (. f~l t. 't5` r ~'~C ~ ii L-.~ s'L'tt~ j!%4 f - ~ J ~ I~" r%f l ! 4' ~J I b. NAME: / /,~f // ~. c . Y .~ -C ~ . '/~. / ~' .~ ?C- F7 RSLATIONSIH IP: /'f /7~' ~ i ~~ ,~ + ~. ~-.,. 6TREET ADptits'$S: CRY: /c`'; ~ ,/Jar .rf ,~i 7i'- ~ ~~.rt~.J ~~...~' /U~? ~' ti~/6c^.v/ 's STATE: ZIP CODE: ry / ~G'C/ <' c. NAM@: RELATIONSHIP: 5TREET ADDREBS: i CRY; STATE: ZIP CODE: NAME ANO AfiCRESS OF FNiANCfAI.INSTlTVT10N WHERE TH7; SAFE I?t:POSR BOX IS LbCATED ~~ 4 I NAME: 'f~ ~.,. ,~ ,, STREET ADDRESS: CITY: STATE: ZIP CODE: NAME QF PERSON tJIAKiNG tAt;<1' ENTRY LATE AND, TIMIE ,p~ LAST ENTRY DATI: OP CONTRACT TO RENT EIOX NUIIMBER OF BOX Tri'LE UNDER MVHICN BOX IS I~l?GtSTER$p ^~ NA4AE AND ADDRESS OF PERSON(S) HAIANG ACCE6S TO 80X a. NAME: 7 -_ _ b, NMAt£: -- STREET ADnR>=5s: ~ /, /NCI ~~'i'"cl: ~v r r~~ L.• ~.•~`L. t- lUt • ~.. sTRE>ST ADDRESS: / --fit ~i f7Ll rxJ,/-t..i! C •~ f~~~e>. ~c ~<~ cRV: srp~E: zlPCOnI:: l t' , ~ ~.G: - ~[. ~-- ~~' / ~. ~~ ~ °°~~1f;<~.4 COLLE:CTION3 ICES s`r~.TE: ZlPCOaI:: ~•:`~ / 'G., c~ NAME ANp TITLE OF EMPLOYEE TAKING 7 MNEN1'ORY tHA6 A tM[1 IN THE 90X? C~ YES NO M Yom. a. Oats of h~ Nerno end address o! personal repieaentatlva, if natnad in !hs tWll NAME; ~ ~ _~ STREt-1'At)ORESS; . ~, ~ D DiS7 ~ ~~~ STATE: ZIP CODE: t. Nah1e and address of atterne8'N any .~ NAME: _ /1 :, STREETADDRESS; ., ~ - CITY: 6TATE: ZIP COLE: ~85D0t)4~CI~t6 k85DDD41D46 11l12/2~f1U 1Ei:Fi1 7177834447 FA 17EPT_OF RE'~1ENLJE FI~GE E~4ft~5 R~~~85 ~x S~,~F`E DE~'dJ-StT B~~C~~ I~VVEI~T~-RY Page / r5f - INSTRU~T~ON~ _ _ • (1) Cash: Report tOtat only, - (z} Stooks: List th detr~(I every commOh or preferred certificate, warrant ar okher rights found in box- Stooks are to be.deslgnated by nam5 of company, certlfi0ate number, date of OettiflCate, name in which stock is reglstaretl, and number of shams and class of Mock. (3) Obligations of U.S. Government: Number of items, date Of issue, feoe vglue, nameR'in which regletered and type of ownership, • i.e:, )oltttly held, payable on depth, etc. ' (4} 9ond9: boatgnrate by name, amount, serial number, or other dosipnation. (Bearer Bonds) (5) Bank and Savings and Loan Passbooks; State name Of depositor, number of book, last data appearing in book, name of bank and branch, and ba(anr~. (t3} dowelry, Golns, S#amps, Manuscripts, etc: fiat and describe as fully as possible. (T) Qeods, MotYgages, Currant lnsurancp Policies or other evidences of Indebtedness: List and describe as fully as possible. (B) AN other oontAnts. (tit} Return comple#ed form to: oEaARTMENT of REVENUE INHERRANC£ TAX D1vi91GN PO BQX 2801301 ~ . HARRtSBURQ, PA 17'128-0801 REM NO. ITkM DESC<~1PTIGN F // ~ '-'i= c•~ f~c" ~' _~r Gl Yr ll7lf~~f' /`~L-L''i-r c.r. r. ._ _ ~ ~r-~--+-( oft-'/t•, ; •-~ c C~l ~ : t. ~ ;.:f,/_+ /~ ` F 7 2 ~ ~ l'~ ~~ ,•L ! ~ iZ~~, i"'. . ~. _ .~ ~-- - ( ~.'7 I ~.S t.'TC. I~J-~:..:r~l..~ r~~~"~~ ,~i~' f,G. .'7~+i1!l7st l_ F'S`""<'C'~srLf~. s' ~~~~ 1L"~t; ~ ~~~ _~C.''CG" ~'G,/~i~',r.li~E":/ ~'t`'L/f'c7L.C:, 1~1- ~ ~'~; i1. ~ Lam,=- ~ .~_ ~- +''l'~ ' a_ ~~ ~ ^ ~~~ Sr~l.~l~.r<'•:> J~31c_~ i~ 7c :9:,;;>--l -- c_'..L~~.i :, ~~ 7~, ~ J~ ~C ~ '' y _ ~/ ~ ~~ c_, : j C....,~..,1 r1,-,7 a, l- j : [ '%~ . , ~l ~P .~/<!" 6s 9.- f J ~ ~ •~.: ti ~ [ ~, f+ i : ~C''C' F` ~%+~ ~.- ~ . ~, t: r ' ¢ "71~ :•,' S ~ ~ ( i;i _T ~. - Gt' S f-(.>4~'f S ~ ~ ~ ~ f ~ ~ . L ~ u ~,i ice.; `L. ! f ~ 77 // _ J. ~ G /~ yC- T/•77 ~ ~~4-4~' ~ /~~.~7:Y .\' `. `JC 4L sl iJ~~7!/1 '7 ~~~L'! ..'1~ I J. 4%~~ , t CER7tFY UNDER PENALTY OF PERJURY THAT THE ABpVE RECORD 15 P RSON R IVI ,60PY OP CORR$CT AND COMPLETE TO THE gHST OF MY KNOWLEDGE AND 9£LIEF SAFi; Lf NVEN'C RY: I 810NATURE j j' ~`~~/~_ ~ ' y ~ 91CaN - . L 'j-~". PRINT NAME , ' / ` P ~ E AND CHECK A~P oPR(ATE 80x BELOW: PRINTTiTLE DATE CHECKAPPROPRIATr ROX: ,)_~/.- ' J ~, ~ ~/mar '~ ~L`2 y _ ~ ~ - ~ ~" - ~~' ~xewtor(1r6i) ^ Admtnteuntnr(trEy [] E.etete Repro:.nnK+tNe i_] Joint a~mncot etde tlepxn bex NOTE: Attach additiona- 8'/a" x 11" sheet;isj if necessary or use dupiicat®s of this page of form. Tho Department is authorized by Isw, 42 U.S.C. §a05 (c){z){C)(I), to require disclosure of 6oclal Security numbers In connection with adrnlnlstering$tate tax taws. The Department uses the Social Security number to Identifyr the decedentand personal representatives of the estate. The Commonwealth may also use the Inforrfration h bxchanps of tax informatbn Agreements with Federal and Iooal taxlnp authorities. The state law orohihks the Commonwsallh's eeisonnel from dlsel,Sina confidantlal tax Infcttnation excoot for o{tCde{ riurooses. 71 / 1 ~; 261 C 10: E~1 ?177634447 Ff~ DEFT_OF REVEhJUE F~GE f~5! C~5 v ~. + -` ~ I V,1+ u fv U ;~ C ' n ,1 , ('r) -9 ~ •~ ~ :~ :~ ~/~ 'vim ~ ~ `~ U ~ 'v V J ~ jr ~~ ' LU }- m >1 ~ ~:` ~~ ~ U ~~ ) •. Z ? a W F. o ~ ~ v h^ W LL (~ ~~ O ~ F V R'^ ~ t: v , t J" 1 1- ~. ~ ~ ._ .f. .. ~ : ' `~~ • • :. ~~ V` + ~ ~~~ ~ `.` t ~ .:may C~ a ~ rX' ;'.4' ~ I_ LL 1 1_ ~ ~ ~ 1 V J',+ `~ ~,~-i ~,'.i ~~ J •~`_ ~ \~ ~ !ti's ~ _l ~., ~ + ~ , tt) vt ~•~ \\ a ~,~ p,, V ~ ~ ~` t ~1 t i ~ v \~ ~v ~`~ ~ `,~i ~+ 1 ti ~,~ ~y` V r i C •.i ~ ~ \L ,,j .'S I ~ J ,~ ~ i\ .~ y, ~ $ ~ `y ~ , ~ y ~'•~ . ~ W N ~ a \ ~ fV J J :J C~ ` ' J ~ a '`1 ~ '~ Y J ~ J V ~ ~ . u~ ~_ $ z s G 7 ., ~n r.\; r ;` U ;fin f~~ ry ., ~1j'1 `„j (h .. , '.J ice` ~•\~n 1 1 ~,; ,. • 1 `.~ •, a "~ i~. ~ . .r; ~~l .. ,' r PA REV-1500 SCHEDULE A REAL ESTATE 98 HUMMEL AVENUE LEMOYNE, PA 17043 201-CT-Warranty Deed-Bhoi~ 'm-Act 1909 ^~/~-~' °~ r^)~ ~A~/~r ,ceJ,,. Henry Hall, Inc., Indlaas, Pa BOOYt ~,~~. ~. i ~My,1C~ 1 1 MADE THE - 7 ~ day oj' A u ga s t of our Lord one thousand nine hundred Fifty-six RECORD&D-bfFICE 0 CLERK Of COURT.. RECORDER OF Dt GG~SG C~. ' MBERLAND COI: PENNSYLVANId in the year BETWEEN DAVID P. PBETZ and IOLA B. PRETZ, his Wife, of the Boroug~ Of Lemoyne, County of Cumberland and State of Pennsylvania, parties of the first part, Grantor s , and FEANCES E. HETZ, single, of the same place, party of the second part, Grantee WITNESSETH, that in consideration of Ten Thousand Six Hundred ($10, G00.00) Dollars, in hand paid, the receipt whereof is hereby acknowledged, the said grantors do hereby grant and convey to the said grantee , ALL that certain lot of ground situate in the Boroagh of Lemoyne, County of Cumberland and. State of Pennsylvania, being Lot No. 19, Block "A" of the Plaa. of Lots known as Plan No. 1 of Eivertoa, Cumberland County, Pennsylvania, and recorded in the Office of the recorder of Deeds in and for avid County of Cumber- land in Deed Book "J", Vole 4, Page 40, said Lot No. 19, more fully boaaded sad desoribed as folloxss BEGINNING at a point, the southeast corner of Hammel Avenue and First Street; thence by the eastern line of First Street in a southerly direction one hundred. and fifty (150) feet to Peach Alley; thence by the northern line of Peach Alley in an easterly direction forty (40) feet to land of Nilliam E. Kimmel, Jr., and Cora E. Kimmel, his wife; thence by the western lice of said land in a northerly direction one hundred and fifty (150) feet to the southern line of Hummel Avenne; thence in a westerly direction by the southern line of Hummel Avenue forty (40) feet to a point, the place of Beginning. Having thereon erected a two and one-half story frame dwelling house and frame garage, known and numbered as 98 Hummel Avenne, Lemoyne, Pennsylvania. BEING the same premises which Samuel P. Stephenson and Sasan P. Stephenson, his rife, by Deed dated Jnne 1, 1951, and recorded in the Office of the recorder of Deeds of Cumberland County in Deed Book "S^, Vol. 14, Page 87, granted and conveyed unto David P. Pretz and Iola B. Pretz, his rife, Grantors herein. AND the said grante do the property hereby conveyed. _.. - ~nUL 1. t hereby convencant that the will WARRANT generally IN WITNESS WHEREOF, said grantors licve hereunto set their hands and seals the day and year first above written. ,,/ // iipued, ~ralsn axe ~eltarreD . .~ ~=-__. ~~ ~ ~ ~--. ---•° -- -°- ------------•- --- - ---------------- smst V ~` ~~ -°-----------------°---°-°-•-•----------•°--°----------------------•-------. lmAL State of PENNSYLVAX3IA ss. County of _ . , On this, the - 7 ~ day of August the undersigned o,~'icer, personaclly appeared David P. Pretz and Iola B. Pretz known to me (or satisfactorily proven) to be the person s whose name s in instrument, and acknowledged that they executed same for the g IN WITNESS WHEREOF, I hereunto~t my hand and offtieial sec f?"fzISTERED BY THE r ~ ~n.r•.'f 9 ,.~r ~• ... ..1.... 19 58 ,before me, ubscribed~to~dh~ with- ~es.~ t~te?r'~iv~ tl~ned. •~ ""' f°"~ ~~ :.h ~s .-.____-- ___. K ~ . ~ bf'(~cer. ,~,,, , ~~ ~~~~ ~.. ~. ,~ I herek~y certify that the precise residence of the within / p named Gra ee is Z Iq ~,,w.u,,~~~..~~-Q Q~e,~ L.fuco.~..L~ /Y, ttorney "" ° OMB ApprovaU No. 2502-0265 =~• A. Settlement Statement (HUD-1) 1. ^ FHA 2. ^ RHS 3. ^Conv. Unins. 4. ©VA 5. ^Conv. Ins. 6. File Number: 11-01-2.19170CAP 7. Loan Number: 201116010 8. Mortgage Insurance Casa Number: 10-10~8~0621576 C. Note: This form is famished 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 Dosing; they aro shown here for Informatbnal purposes and are not InGuded in the totals. D. Name 8 Address of Borrower: Kenneth Leroy Myers 98 Hummel Avenue, Lemoyne, PA 17043 E. Name & Address of Se11er. Estate of Frances E. Metz 219 Hummel Avenue, Lertroyne, PA 17043 F• Name 8< Address of Lender: Howard Hanna Mortgage Services 119 Gamma Drive, Piltslwrgh, PA 15238 G. Property location: 98 Hummel Avenue Lemoyne, PA 17043 Lemoyne Borough H. Settlement Agent: Barristers Land AI>siract Company 3310 Market Street, Camp HiB, PA 17011 Telephone: 717-761.6190 Fax: 717-761072 1. Settlement Date: Otif12/2011 Disbursement Date: 08/1172011 f Place of Settlement: 3310 Market Street, Camp Hill, PA 17011 TiUeExpr~s~ Printed 08!12!2011 at 1:05 pm by dE .:.. 100. Gross Amount l3ue tram torrower 400: Gt~s.AntouMi)ue:to Seller . 1 1. Contract sales prx~ 90, .00 401. Contract sales pace 90,000.00 102. Personal property 402. Personal property ;103. Settlement charges to bonovrer (line 1400) 5,862.59 403. 104. 404. -105. 405. Ad OstmeMs for items aid b sailer in advance Ad ustmenb for Itxns b seller in advance ,106. Cityftovm taxes to 406. Cityftorrn taxes to 107. County saxes 08/12/2011 to 1?/31r'Z011 204.31 407. County taxes 08/1X201 t to 12131/2011 204.31 108. School Taxes OBJ12i2011 to 06/30/2012 1,009.45 408. Sctwol Taxes 08/12!2011 to 06/30!2012 1,009.45 109. Trash 08!12/2011 to 09130!201 t 24.46 409. Trash 08!12/2011 to 09/30/2011 24.46 110. 410. 111. 411. '112. 412. X120. Gross Amounn Due tram Borrower 97,100.81 420. Gross Amount Due to Seller 91,238.22 200. Amounts Pak! or M BehaH of Borrower 500• ; ltaductlons.In Amourtt Dtw to Setter -20 . Deposit or earnest money 500.00 501. Fxcesa depos8 (see instructions) `202. Prinapal amount of new loan(s) 91,900.00 502. Settlement charges to seller (line 1400) 7,717.49 :203. Exis' s Taken su 'ect to 503. Exist! I s taken su 'ed to :204. 504. P off of first kran '205. 505. P off of second mat a loan ;206. 506. x207. Seller Assist 5,275.81 507. SeOer Assist 5,275.81 '208. Good FaiOr deposit 375.00 508. .209. 509. Ad ustmenb for Items un id b seller stmenb for items un seller 210. Cityftown taxes to 51 . Cityftown taxes to t211. County taxes to 511. County taxes !o 112. School Taxes to 512. School Taxes to 13. 513. x.214. 514. `215. 515. 1216. 516. '217. 517. -218. 518. '219. 519. ~• 7oW Pak! r Borrower 98,050.81 520. Total Reductlon Amount Due Seller 12,993.30 Cash at Settlement (rornlto Borrower 600. lash at Settlement tolirom Seger ~; ~, Gross amount due from borroHrer (line 120) 97,100.81 601, Gross amount due to seller (line 420) 91,238.22 2, Less amounts paid byftor bararrer (fine 220) 96,050.81 602. Less reductlons in amount due seller (line 520) 12,993.30 03. Cash ^ From ^X To Borrower 950.OD 603. Cash X^ To ^ From Seler 78,244.92 are obsolete page 1 of 4 HrokerFeea to Borrower's Seller's Funds at Funds at :I RM M.me PavaMe in Cnnnac4inn wiFA Lean 1 ~ 801. Our origination charge (Indudes rigination Point 0.000% or 50.00) 520.00 (from GFE #1) 802. Your credit or charge (points) for the specific interest rate chosen 5112.50 (from GFE #2) 80 . Your adjusted origination charges (from GFE A) 132.50 ' 804. Appraisal fee to A sisals E.J. K haver (from GFE #3) 375.00 805. Credit report to CBC Innovis Inc. (Gom GFE #3) 20.90 806. Tax service to from GFE #3 ' 807. . Flood cerlfication to FDSI (from GFE #3) 13.00 808. VA unding Fee to Veterans Administration (from GFE #3) 1,935.00 809. Final Inspection to A sals E.J. haver (from GF #) 100.00 Com acison:of Good'faNh Estimate GF and:HUDy1:Ch ea Cha es ThatOannotlnereasa HUD~1`~itie.. Ujfifrer . Out originafion:charge: #801 Your credit ar charge(points) for the specfic interestlate ciosen # 802. our arf usted originafion charges q 803 Transfer taxes #. 1-208 - i Cha es That Can.Cha Initial deposit aryour estxow account.. #. i90t ' 'Daily interest charges from ~ ;~: 901 41: . (Homeovnrer's insurance #.:,903 #, ,r Loan Terms . > GoodFil~i;Ea{imate =! . :' HUf~1: . 20.06 20.00 112.50 112.50 132.50 132.50 900.00 900.00 "Gbod Sahli HURL! 190.00 157.Q0 375.00 375.00 59.00 20.90 13.00 13.00 1,935.00 1,935.00 75.00 100.00 1,023.75 1,035.75 0.00 0.00 3,661.75 3, .65 $ -25.10 ar -0. % ;' Goio :1=41fh'~tt . :. Hll~'1- 1,950.00 521.04 165.30 220.40 450. 452.09 • ourini6alfoan:anrauntis-:~ $91,900.00 ;Your loan terra is , . 30. years our initial interest rate is 4.3750% our initial monthly amount owed for pnnapal .interest; and'any matgage~ $458.84 inclukies 'nsurance is ' r ^X Pdndpal ,^X Interest ,. ^ Mortgage Insurance Carl your ihterestrate rise? - ^X No. ^ Yes, it can rise to a maximum of %. The first change will bean ! / and can change again every years after 1 1 . Every change date, Your interest rata can increase or decrease by %. Over fhe life of the low, your interest rate is guaranteed to never be lower than % or higher than %. Even if you; make payments on tame; pn your ban balance rise? ~ X^ No. ^ Yes, A can rise to a maximum of $ * ven if you make payments on bme;;carr.your montltiy,amount owed for ^X No. ^ Yes, the first inaease can be on / / and the monthly 'ncipal,`interest, and nprtgage insurance rise? amount owed can rise to $ The maximum it can ever rise to Is $ your b~ have a.prepayment penaltl/t [X~ No. ^ Yes, your maximum prepayment penalty is $ your ban have a balloon.payrnent7 ^X No. ^ Yes, you have a balloon payment of $ due to years on / / Tolat monthly amount owed induding:ea~ow account payments ° ^ You do not have a nanthly esaow payment for items, such as property taxes and honteovmer's insurance. You must pay these items directly yourseN. Q You have an additional monthly esaaw payment of $173.68 ti that results in a total Initial monthly amount owed of $632.52. This includes principal interest, any . naAgage insurance and any items checked below,. ^X Property taxes Q Homeowner's insurance ^ Flood insurance ^ `?, ^ ^ ote: If you have any questions about the Settlement Charges and Loan Terms listed on this form, please contact your lender. r 1 ~h ~' ~: k t ,revious editions are obsolete Page 3 of 4 HUD-1 HUD CERTIFICATION OF BUYER AND SELLER :f have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and beNef, it is a true and accurate statement of ali receipts and ;disbursements made on my account or by me in this transaction I further certify that 1 have received a copy of the HUa1 Settlement Statement tlisbursed in accordance wfth tfiia statement $ETTL T A NT or will cause the funds to be -ARNING: IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM PENALTIES UPON ONVICTION CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE TITLE 18: U.S. CODE SECTION 1001 AND SECTION 1010. Devious editions are obsolete Page 4 0 4 HUD-1 ~~ • • 1 1 • 1• Name of Borroa+er. Kenneth Leroy Myers Name of Seller. Estate of Frances E. Metz File Number 11-01-2-19170 raleexpreas Prepared 08/12!20'11 at 11:59 am Note: This page is furnished to give you an itemization of the amounts shown on Lines 1101, 1103 and 1104 of the Settlement Statement (HUD-1 ). This page accompanies but is not a part of the settlement statement. If a discrepancy exists, the information shown on the Settlement Statement (HUD-1) applies. y~ fitWd 1101. Title servloes and lenders title insurance 1,035.75 a. b. c. d. 1102. Settlement or doses fee 1103. Owner's title insurance 1104. Lenders Otleinsurance pd' 810.75 E 1,035.75 a. Endorsement900 EPL-Residential 50,00 b. Endorsement 300 Survey 50,00 a Closing Service Latter 75.00 d. End 100 50.00 (Total 1103+1104} 11t>,5:°:1.eta7ierSttlle" Ibriif`..;90¢:00,ai"',,. x`r ~ ~<;;F:: ;tiorr s uae~or '°Noui'~4uittoana ~,~, 11 7 'A .C.§• , ~~~tatal_tide''irt~lrtAhte' Lm - '1:108 tlndervdters` : 'of th9,tot~f:OtC~iiYdOrafice ' ° ~Z9~'? 1109, Basic Rate 1110. 1111. 1112. ,r Date 8/12111 Kenneth Lero ~.. . . 1 144 HUMMEL AYENU~E LEMOYNE, PA 17043 r~ L, _~~y, :"~. i. , aooiiR i~ ra,Fz52 ~.~tr tieriD-r.....ra ~~~ ~~cbpt~ure, ~ttdr i~hr .tc~a - dy t/ Fchruary 1e W ~ y w. Le.J pet riwta.r 1Vear 8t.r-t1 e.r Sixty (19 601 ~IUfptl MARY 5. ELDER, Widow, and NORMAN P. ELDER, HER Son, and MARIAN C. ELDER, his wife, of the Borough of Lemoyne, County of CumberLnd and State of Pennsylvania, as joint teeianta with right of survivorship, - A N D - FRANCIS E, METZ, of the Borough of Lemoyne, County of Cumber- land and State of Pennsylvania, Grantee and Party t/ tit serest cart, ~~>a1! r4t tie eair Md iaf q ut JErd Met, je..tr is etseirenfioa e/tieesets/ FOURTEEN THOUSAND DOLLARS (514, 000.00) ---------------- Obitart, +afd atesq N W UaiW de.t., N d.erf..,..ri.r tretp Mir ip tie t.tr MdY ./ eb ..ee.r Md a tie esY MN i.t/ tb jint Md. at ear M/wr tit teaRq .ar r.Ortp p tiers paresM, W tt«ep eeietta j 4 iw.ig eri.reteJp/, have ~tadl. ~/ raid, sWerd, ayesryed, tsiea'ad, eeswMd, asr sae/irad aer y tllae lwsW L !n'ef. ii.ryfa. eeu. ~. Mt'/lr relew, eery. asr eaaJis era tie stir M't Y d tit tteesr Md hi^ iein asr aeey.a ,~ there certain lot of ground situate in the Borough of Lemoyne, County of Cumber- land and State of Pennsylvania, bounded and described as follows, to wit; BEING Lot No. 11, Block "B", of the Plan of Lots known as Plan No. 1, of Riverton, Cumberland County, Pennsylvania, which said Plan is recorded at Carlisle, Pennsylvania, in Deed Book "J". Yol, 4, Page 40, reference being thereunto and will more fully and at large appear. The said Lot No, 11, Block "B", frosting forty (40) feet on Hummel Avenue and a=tending back the same width one hundred fifty (lSQ) feet to peach Alley. HAVING thereon erected a single brick dwelling house, No. 144 Hummel Avenue, Lemoyne, Pennsylvania, BEING the same premises which Mary S, Eldas, by Deed dated September 11, 1957, and recorded in the Recorder's Office in Deed Book "A", Volume 18, Pegs 486, granted and conveyed unto Mary S. Elder, et al., Grantorr and Parties of the First Part herein. G~' , _. g{pl l'u iut .....r.r; fMX n. S I T-c ~.~ .. .1 ~ aG 4 L' Aac~~l ~f^'E i~tU:rl,l'~• 7 J V 7 J C c c C eooK ~ 1y i'Afii.2t/t) e~ugtt~rr ~~ ~.rd rieyrlr., e-r teve~eds, AerrdiHirer}e rd rpprtewree« b w ...r brLy- i'M « w rryadrr rpperlririoy, red tkr rewrsior rwd reoereiov, rrwriwdn red rrrwiwdrn, rrrte, iserer red pro/itf tAneo/; ~1aDtlsis.u tAr rrlnr, rigAt, Ntle, ialrrrel, proprrlp, clriw red drwrrd ~Arfeoeoer, 6rtA iw lr~ red rgril~, of !Ar rid pet iee e/ tAe flirt pet, o/, ir, to « w! rJ tke reid prewirrr, ad rem pwe rwd purl tAnro/ ~p ~~s g1tY i~ ~D~a tAr aid prrwiut. tritA dl .wd rirprl« tAe rpprrtrrrreer, r+Me /A. reid pet y y the ,creed pA, 6 [~ Arirr rwd nrip-, tr nd J« tAr wly peeper ..r rwd M1rAeo/ of ~Ar erid p.t y of !kr record pert, lire Arirr wd arilpr /«evrr, ~~ THB 9A/D parties of the Ftret Part, for thetiieelvee,their C ~/ C C Aria, errntrrr red rdrlieirtrr!«i, de y tAtu prerrrl+, eevewrwt, part rwd spree le rwd tritA tAr reid pet y o/ tlYr neowd pst, hi• Aein rwd r-rigwr, !Ar! IFr reid parties of the Fi:et part, for fhetaulvas,their Rehr dt rwd risprl« tAr Aereditrwoslr swd prewba Amisr6nrr drre.iArd and yrrfrd o. wertierrd, rwd iw- tesdeJ N b br, r-BA epprrtrrrssr~, rsto !Ae reid pet y o/ lAr erevsJ pet, hi• Arirr tsd sre/pu, ryriwrt fAr reid pet ie! o/ !Ae Jhrt pet rwd their Arin rsd rprisrt rU red every rtAn pnea. « pr.rerr ~4erteeee.., lrrr/rtt~ rtrt.dp « !r alrin IAr eswr « wp pr.e tAeresf, rAd! rsd ~ifl, by tAeu prrerwle, 7VARRA:YT AND 1MREtER nBFENA ,~![ ~fltBB ~~lnnf tAr ,.id prretee eI eAe /se pet Arr Arrrsrfe n! Aesd a ssJ reel • ~tAe dy rwd pm (ire! rbrwe rrriClrn. ~:.c1-~~ Signed, Seakd and Delivered -'"'t''~'"`~ .G- ~ (SEAL) in the 1'trxna of (SEAL) ................._ .. .. .. ........_ . _ ...... (SEAL) .~ _,. _. ..... _. .. ........ .._. (SEAL) . .._ ._......_. .. ( .A ) ........._...........___......._....._.__..._ ..............._..._.....-' (SEAL) . _... ....._._ ._.. .. .. (SF.ALt (SEAL) ........._. ........... ........................................................_ (SEAL) O ' l . t ~/~ ~` ~ 80ttM~ly P'ti+F~S~ yc..,,.i."'" r,•r INt W A. CI L!^. .• 5 h ...,. ~,•,~OfiYf COI[YONWEALTH OF FENN37FLVANIA tUMttpu a ::~ •,Tr ddt r(nx;~i ._ne COt7NII'F Ol r.~..,(..~ne Oe {ii, tit __.Zs _._ ~! y _..._~_ Fabruarv y !0 b0 itlr-t sw . ~Yw...-- w es/trsyed stet, I~~~! ~~ _, Mary S. Fldar, Widow and Norman P. Elder he: eon and Marian C. Elder hie wifeyae joint tenants with riEht of survivarehip, d+lM~'G.f4 (tt MtLlw~l !~•) a k tit pees s triter eNa(e • are N.6r.aeJ M tie .. ~:; y si14L ~• ,.~ d eriess~I~ljr! t W _.._.J b 1C_.... et<asld t4 MwA Jei tit NrPwe tie+eis ewai(e/. Ef l~~ll4PBdd IIBHB80P, I iwwlW ter wt imind rd. ,vi t r A Ay •Py0 • Y AL RFD C. MOORE. N+INry Pux:~ w ! wwwi+~ie. ei - -- , ,. r ~l ~/7 ti.t tit Fvreite y fit O.wt , t tir ~ yl.,~l~ x. e. fer fieeiMe. -- p"' "w„ ~ay I ~ i ~ j i I a o~ E ~ ~ ~ ' ~ ( ~ "',FP~~s V " Y . ~ a ~ o . Ot ~ •~ _ ~ 0. ~ I ~ ~ N • o ~ ~ s ~ w ~ - ~ ` K.~ ~~ j ~ i b ~ Z »Y .. E ~ , :J,it~ ~ i w O O •pC ..~. qq Z ~ ^^ t ~ " •i°' 000 " " e ~ a I le, ~ r - YYONWEAL~TH OF//~~ENN87LVANIA - ... rr.!6~l~__..._..._... COUNTY, } sa: ~P~;ta t OtfjA for R~ozding of Deeds. blortanges, ctc. in and for the County o~ ...... .,.........._....~/........ in Deed Boot........ ~ ol......_.~.~_ ..................... Pape ,..~~.',o~d ~iflltlil yy-~Isyn~d,,snd Sesl of Ottke. 16u ........... ................o~G?N............._..............., day of ~ iZ®1,e~ ~~-c c.....C/../ 7 J TaxDB Result Details Page 1 of 1 Detailed Results for Parcel 12-21-0265-363. in the 2010 Tax Assessment Database DistrictNo 12 Parcel ID 12-21-0265-363. MapSuflix HouseNo 144 Direction Sheet HiIMMEL AVENUE Owned METZ, FRANCES E C/O PropType R PropDesc LivArea 1964 CurLandVal 33700 CurImpVal 141300 CurTotVal 175000 CurPrefVal Acreage .14 C1GrnStat TaxEx 1 SaleAmt SaleMo SaleDa SaleCe SaleYr DeedBltPage 0019R-00252 YearBlt 1913 HF File Date 12/30/2008 HF Approval_Status D http://taxdb.ccpa.net/details.asp?id=12-21-0265-363.&dbselect=l 3/24/2011 206 HUMMEL AVENUE LEMQYNE, PA 17043 7/~ Ilwr- NK W. I~II.r. h Iw-•~Y1 1MF-ewW ~.P ~- lG~ - ,~ !- ~j,~( ~ yj~ ~fji~ ~eeb, MADE TBE 10th 4s a/ Oat obsr ;N =~ ~~ O~ Oar Lard ew hloNaad M1Nf ANMd/ftil sixty-one (1961) r ~ BS1'WSEN HOiD S. FREESE aad RELSN L. FRBESE, his xife, of tho Dorough of Lsnoyae, County ot~Cnnberland, State of Peaaaylxania, parties of the fist part, elm FRANCES E. BETZ, single xoaaa, Of the saae pisae Qnafer a . i ~ ik ._~;~~ -: i ~~ t , .,~1 :~!: t CrsafN lYiT7VE3S1~'B, fAst JN eosaiJeratisa o/ tho sm of , Fifteon Thousand (=15,000.00)-•-------- DelJat, iN AsN! ystd, tAf reesipt eoAmeJ 1e Aenby eeiawwAdpel, tie cold !/a+lloA is 8ereb/ Omlt eel eorwep to tAs sail Y+sata . , ALL 4hat aortain Sot of ground situate is tho Borough of Lonoyna, County of Cunberiand, State of Ponnsyivania,tn xitt DSING Lot No. 13, Dloct: H, in the Plan of Iota knoxa as iPlan No. 1, Riverton, Ps „ said plan being recorded in tho,Offiee of tho Recordor of Doods of Cnmbariaad County in Dood Book J, 901. A, Pago ti01 said lot hawing a frontage of thirty fire (35) foot on tho south side of Rususel Avenue and extending back an oven xidth one hundred fifty (150) foot to sa a11ey1 IIA9ING thereon orsetod • txo aad one-half story brink dxeilinp house, No. 208 Rmlarei Aveane, Leiso~ao, Pennarivaaia. DBING the saae pranisea xhiah Rayaand E. Snyder et al by dead dated Jannsry 31, 1952, roaordod'iu the Ca~borlaad County Rocordorls Office in Dood Boolt id.Y, PRGe 418, Granted and convoyod to Boyd 8. Frooae and Ralea L. iseasa, craatora heroin. `R pu~t- ~ 5~hcrl p'. ,Curve, Ce. Yet. 1, 1+• r.rirlAr 7naAr Lt 11i IylEdd~ 1 ubr iu hU ~ NI ~ I~t~ abet. ~ ~~ ~. ,.. rr„ •..... ~ .. r ~ . eo~ 20 ~ 553 - - --- aoav~ ZQ PACE 551 AND tho ostd tn'a~o* s , de ho»by eoroaeat thst they adR N'ARBANT 6RN1;8ALT.Y t1-o sroyertY Aoreby eonfnffo4 IN WITNESS A'H6RSOF, osid 0ea+der s As •eherofafts ut thsir~ a end Kal e the dsy snd rie! }tree show weietaff. {' ilprl !sets/ ni iAWni 6 ~/I,ot~_ ~s„r w dR ~ewoee fft ° 7~ L' ~ .,r,~,r ru, _ ~~~ s. r•,.r~.'f" that thA `~~"'"-. '_' ~" 19~ ~ rrcl-~ h.,~ .~..i. ci t!u ;tityin ~,Q. .._ _ ~ 4 /!va-~rJ ~ -, Stste of Peaneyivaaia 1I N. Cwnfty o/ Cafaborland On tA$ the ~ o ~' dsy W October . tlBi ~ hd~ fns, tke+n~dentyt~eloQlar,penonaRyspyeMed Hoyd 13, Freeso and Reiehi.s~rifeooo, UN.N,;,„ f~, ••"~ ip Jlt:~,o ins (er al4/attority P-ooen) to N thr P~~ whea wad ar oeabeaetbod 14 the +ntlk- •. r~.... ;:`~, yh•~fjy~prxt, eed a~R'»awtedped tkat they eseoaled afnne lo- the ParPaoee therela eontstned. ~: ? ~, i i~'dTNESS St'NEREOF, 1 hererwte at ay hand sed e~leJe1 eee1. ,~I ~ `~`1~:'r .' ~MetDOfnG Ot Un ••Y L.. Y 1. 14 S ~,• ~ b. ~aCdaA~i •hd ~ •r . dj ..q ~ ,.v , t3s~oa oT ocfw ~.M.., -. r~. t°a"rgYW OAar. ~. ~.,~.~ !0, /4d/ slot. of etfufmww ee. Coffffty o/ On tkie, the dry el t-e af~entoaed e/ksr, pa-aonet:y syyesnd 1I , tieJon fns, hnsfoa b fns for+aetel trowa) ti M the yeaon evlleee Haas ea8efnrAed t9 the rith- ta in.lsr+neat, sad sew thu eseafted aeae Jer she tfarveeee ehereta firwtsined. IN W/77w'8~ WBrRR01-, 1 hsrwfate «e fay hand sai e/t+etst .efu. • was d oMe• • IN TA6 COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PBNNSY[.VANIA ORPHANS! COURT pIVISION N0. '11-89-393 ESTAT$ OP Glenna P. Mots, Deceased •'~ Late of Borough oY Lemoyne ' Cumberland County. Ponnsylvanta DBCRE$ AWARDING REAL ESTATE ~~ . And now~~~~'~' ~7 , 1990, the First and. Final Account and,Ftoposed Diatributlons t' o geaafi8iarisa of Frances $liaabsth Mote, Pacecu£tix'~of the Mill of Glenna P. Mete, the decadent above named. having been filed, adverttsed and confirmed by the Court on January 9. 1490. IT IS ORD8R8D AND D$CR88D that all the right, title and interest of the decadent in the real estate of said decadent distributed in kind in said Sropased Distributions to Beneficiaries, to Mitt ALL 'that certain lot of ground lying and swing situate in the Borough of . Lomoync, County of Cumberland nud 8tato of Yunnsylvsnia. baundod and duacYibad as follows, to Witt BOIRiUL+D on the east by lot. nuw or formerly of Victor Shopei on tho south • by Hummel Avenues on the west by lot of B. R. Baalo. fortnarly of $. K. Fraxari and on the north by Apple Alley. !laving a frontage on Humaol Avenue of fifty (SO) feet and running back to Apple Alley a diatanco of one hundeed and fifty (150) feat. Being all of Lot No. )1 and fifteen (IS) fast of Lot No. 72 in Dlock "B" in the Plan of Lota known as Plan No. L of.Rivet`ton,' Cumberland' County. Patmsyivania, recorded 'in •tho Recorder's Office at Carlisle, Pennaylvan,ia. in Deed Hook "J", Vol. 4, Page 40. . Having thereon erected a single two and one-half story brick dwelling house, No, 219 Hummel Avenue, Leswyne, Yennaylvania, B81NC the aamo premises which Donald Porbea Monath and Eleanore J. Motutth, his wifo, 6lisaboth Joan Monath, singio, and Jeannette Mae Monath, widow, by Lhoir deod .dated January 11, 1950,•and recorded in the Office 'of the Recorder of Deeds of Cumberland Gounty, Pennsylvania, in Dead Book "'H". Valuore lf~. Page 155, granted and convoyed unto Earl F. Mess and G.lanna P. Mats, his wife. Tho said Eacl F. Meta died November 25, 1968, his undivldc~d one-half interest thereby vaseing in Manna •P. Meta, ae surviving tenant by the entireties. Is hereby awarded to FrinCrfa Eliaaboth Mots, her heirs and assigns. BY TH8 COURT, A TRUE COPY FROM RECORD In Testimony whereof; i hereunto~set my hind / e ~ /' . ~ thea~o$~ots~a~~:c~~ou~i.ai~cart~a~Y PA. jC~ ~IQR,O.C1'.t ~. ~k~ ~ "~, =~ y '•qa .,~ 1M,~Pnanti cow . •• .•..Otl~tibAAand~GountY -. ~~~ ~~ ~ <~:~~~~- ~~ I L I do certify that the precise residence and complete post office address of the within named grantee is 219 Husmel Avenue, Leawyne. Pa. 17043. ~ `~ 1990 ~~~ ~ Robert L. Hyers III Attorney for Grantee 8E61S~EREO BY THE so~ouc~ ~ ~or~q~a ~~a 'n xx .,.•'~ •iir 1 • vl ~A ~ t ..~, •;;; jd •Ci. %~~ ! r ~: Stale... C,: - . ~~; i:. L~~ ~ ~ ~~ e~a~~ ~ PACE 490 ~~ r A ~ m ~_~ c., m v mna -~r~q r- ao m _ov •re ~ C./ ::! (~ ~~ r: o 'n ~ t. .,~ 'n .:7r~ _ ~ .r •rnci' ~,~, ~~ V '~'1 ~~ 4ay v y • i• ~~ A.' Settlement Statement (HUD-1) OMB Approval No. 2502-f 1, ^ FHA 2. ^ RHS 3. ^Conv. Unins. 6. File Number: 7. Loan Number: 8. Mortgage Insurance Case Number: 11-0f-0 1 0 - 8 45CAP q. ^ VA 5. ^Conv. Ins. C. Note: This form is famished to give you a statement of actual settlement costs. Amounts pain to and by the settlement agents are shown Items marked " (p.o.c)"were paid outside the closing; they are shown here for informational purposes and are not 1nGuded in the totals. D. Name 8 Address of Borrower: E. Name ~ Address of Seiler: F, Name 8 Address of Lendef: Charles E. Cain II, Christina L. Cain Estate of Frances E. Metz First NaBonal Bank of Marysville,aldfo 126 Creekside Drive, Erwia, PA 17025 206 Hummel Avenue, Lemoyne, PA 17043 Riverview National Bank, 500 S. State Road, Marysville, PA 17053 G. Property Location: H. Settlement Agent: I. Settlement Date: 06/15!2011 206 Hummel Avenue Hamsters Land Abstract Company Disbursement Date: 06/15x2011 Lemoyne, PA 17043 3310 Market Street, Camp Hiil, PA 17Di1 Lemoyne Borough Telephone:717-761.6190 Fax:717-761.41172 Place of Settlement: TitleExpTess 3310 Market Street, Camp HAI, PA 17011 Printed 06J15/2011 at 8:02 am by JE . :~ ;100. Gross Amount Due from Borrower ~. Grmss t}i{e gii SeOpr ;101. Contract sales price 80,000.00 401. Contract sales price 80,000.00 102. Personal 402. Personal 103. Settlerrrent charges to txxrower (line 1400) 4,365.50 403. 104. 404. 105. 405. Ad ustrnents for Items aid b sailer in advance Ad ustmenta for item b seller in advance 106. CityAowntaxes to 406, CityRowntaxes to 107. County taxes 06/15/2011 to 12/31/2011 369.62 407. County taxes O6H512011to 1213112011 368.62 108. School Taxes 1)61151201110 06/30/2011 61.21 408. Sdwol Taxes O6I15/2011 to O6I30C1011 61.21 ' 109. Trash 06!15/2011 to 06130!2011 7.91 409. Trash O6M5/2011 to 06!3012011 7.91 110. 410. 111. 411. 112. 412. :120• Gross Amount Due from Borrower 84,803.24 420• Gross Amount Due to Seller 80,437.74 200. Amounts~Patd b or In Behalf of Borrower 500:.• Redactlgris In Amouri4Due-2o Setter :201. ' rx earnest money 2,000.00 501. Excess deposit (see nstrur3lons) 202. Prinapal amount of new loan(s) 100,000.00 502. Setllernent charges to seller (Ana 1400) 6,030.45 :203. FxisAn b s taken su 'ed to 503. Existin 1 s taken su act to '204. 504. P off of first maf ban °205, 505. Pa off of second loan 206. 506. 207. 507, 1208. 508. 209. `~. Ad ustments for Items un d h seller Ad uatments for items un aid seller • 10. CityRowntaxes to 510. CityRowntaxes to 211. County taxes to 511. County taxes to '212. School Taxes to 512. School Taxes to 213. 513. 214. 514. ' 215. 515. 216. 516. .217. 517. ;218. 518. 219. 519. 20. Tots! Paid b r Borrower 102,000.00 520. Total Reduction Amount Due Seller 6,030.45 1100. Cash at Settlement fromRo Borrower 000. Cash,st SNtlema-tt tolf-om Seller _ 01, Gross amount due from tanower (line 120) 84,803.24 gp1, Gross amount due to self (line 420) 80,437.74 2, Less amounts paid by/for txxrower (line 220) 102,000.00 602. Less reductions in amount due staler (line 520) 6,030.45 X303. Cash ^ From ^X To Borrower 17,196.76 803. Cash ^X 'io ^ From Seller 14,407.29 801. Our origination charge (Includes Origination Point 0.000°k or $0.00) $1,000.00 (from GFE #1} 802. Your credit or charge (pants} for the speaflc interest rate chosen $ (from GFE #2) 803. Your adjusted origination charges (from GFE A) 1,000.00 804. Appraisal fee to First National Bank of Ma sville (from GFE #3) 500.00 805. Ccedit report to (from GFE #3) 806. Tax service to from GFE #3 i 807. Flood certification to from GFE #3 :: 808. Document Prep Fee to First National Bank of M sville (from GFE #3) 500.00 i 809. to (from GFE ) ~@ 9no Mom::Ronuirod.6v Lonelortn he~PaGl.an.Advanco ~ ~ 901. Daily interest charges from from 0611 11 to O7H11I2011 ~ $O.OO/day (from GFE #10) r' 902. Mortgage Ins. Premium for months to (from GFE #3) 903. Homeowners insurance for months to (from GFE #11) 904, months to from GFE #11 HUD CERTIFICATION OF BUYER AND SELLER !'I have carefully reviewed the HUo-t Settlement Statement and to the best of my knowledge and belief, h is a true and accurate statement of all receipts and p'disbursements made on my account or by me in this transaction I further certlty that I have received a copy of the HUD•1 Settlement Statement The HUD-1 Settlement Statement which I have prepared Is a true and accurate account 'disbursed in accordance wkh this statement. ETTLE GE ~.~- ~ ~-= Christina L. Cain transaction I have caused or wih cause the funds to be 6~ // DAT WARNING IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STASES ON THIS OR ANY SIMILAR FORM PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE TITLE 18: U.S. CODE SECTION 1001 AND SECTION 1010. Previous editions are obsolete Page 4 of 4 HUD-1 218 HUMMEL AVENUE LEMOVNE, PA 17043 11i .d ..l1':. .-~ . \, u ~ n~na'"" r~`~ -- wr-e..~.... CCAC # i ~~~ .. ., Y ~ ~ ~ ~ .. .; A[AD6 THB < •.~~ ~ dqr of Cc. C.C.--C •rv ~ ". t yew 01 orr Lad oas tkoasssd ai+W Aaerdrs! aixtT-siz (1986) ~: ~~ 3' -~ a ,. ~: ,.. BETWSb1V HElI[AN N. BEISTLINEr Atterasr-ia•taet ter Sss~ jl B'S'ist~i~ • K tz (slao fasts as Sarah 8. Bsistliw.), by ~irtao et Teter sf Attilae~ reeerdsd is Crnbsrlaad Csrat~ lfiaoelisaeora Boeit /7S Tase 9S(~ Graatsr, 6www~ , sad TPANCES E. NETZ of tbs Borersb et Lereyas, CeaatT of Cr~berlaaa aad Stata et penasyirania Graretes WITN~SSSTA, tkst is roasidsnetioa o/ Terrtsen Thoraasd Dollars (614,000.00) Dslisre, is tread paid, tAs rsuip[ +oAsrooJ is karebY aekrrero!ladotd. !ks said orawtor doss ker+ebu eras[ ssd tosvsy [o tks said peawtsr , ALL TAat eertaia lot of srorad aitaats is tbe'Besersb of Lsaorae, Coraty of Crrbsrlaed aad State st leaasrlrasis, borndsd sa8 dssosibsd as foliorsr On the aortb b~ Hraaei Arssa~{ ea the saet br Let No. 15, Bleet "Bs[ea the reatb br Teaeh Allergy aad oa the rest br issd nor er late et Robert J. Stapp. Said Iot of srerad eestsiae fertr-tro (4Z) fast i4 front oa Raastei A~enrs aad extends baol[ sa e~sa ridth eae hrndrsd fifty (150) tact to lsaeb Alisr[ sad is Lot Ne, Iir Bleak•'rSs aad acres (7) tset et the eaatssa part of Lot No. 17, Bloat e8• sf s piss. et lela knows sa Tlaa No, 1 of lii,.ertoa, Ta.r acid Ilan betas seeerdsd is tM office for the reeordiss of deeds is asd.fer Casbsrlaad Cerstr in IN ed Bost Js Yel, 4, lase 40. Said iet of sroaad hae thsesod eseeted a tre aad oas-bait story brief drsiiias betas and accessary ert•briidiass. • HHING the sarc preaiscs rbiob ~eat.r'D. Uase aad A. boss Leaser hie rife, br~dssd dats8 Dceeabsr.4s I91B~ ssoorded is the Cuabsrian4 Coratr lceordsrrs Office is Deed Best S, ~e1. S, Paso 455, ssantcd aad oesrarod aato Aces Hiiicr Bsisiliu aad Sarah H. eeiatiias, his rite. Ths acid Armes 1[iller Beistiiac died the 5tb dalr et Nonenberr 19Bi~ leariss to srrrire Saeab B. Beistliae, is rhos title to said coal estate r.asia.d rested ec the aur~iriss tsesst N by the entireties. C4:E_ :e4a1 NI. iCwo1. Cs. h. ,`~~ y~ ssr [rut. T,wHU Trr ~, s!+ .. ~ ..a. s * ~' ~ '' 1.; ~ . Ntnp rf Ctxs s. ~~ j~ t1rN [rtgr TrrrUrr Tar a t. "~ •~ s ~~..p..rt~•. :. :VfMr IYq 4~~~ I/ ~r~1.J ~? zo~oalinas IM Il[S\T \N1 p(N.ijKR,I NI ~~~ r ~I ~ ' `. ~:. ~ -~..nmA~RT-.~ Ijn~m~ s ~~IWnr~' AXO tie aot~ yrgto- , Jeoa ier~IdY eeaeasat fist ha ~oiti li'ARRANT =osarsll~ tie ProPe-'lY ieseby toaoeyed. IN iVJTNr88 WBARSOT, anti /-~ata- Asa inrw!!e aet aia isat ss~d Beat tit dsy aad yNr Jim oiore ~orttba. awlw a~a Reuuera s~.'r~~~Li~I3RYC1S`ist ._.. wL ~'~r~""""~ Attersay-i •faot for Sars H. -~iOLfa-ii..4~ti~.~ OLL 1i. Boistiias) ~ ..._..r..~....~.._...._._.._~.... vaL Y..._..~~ .,......~_...._._......._.._.,..~_. ~saL s ai ~~ . .•'7 [v YYE ~•:-^r;^~~ ''• _+iJl '::'3 171 {~~Cc..iy 19 ~ /~'~. ~.C^~ _.......~..._..._. i.tnwlr Attorney .. Stab e/ Teuaflruin ~ } a.. ~ a/ CuAariaad ~ ~• ~ Z~ ~ M ~•c-~-~w . 1Y66 . bsJon wr. tie >~arat/aeQ aDtear,'s-esaaDy o~aara! Dorua K. Doiatliao a Atteroey-in-Tao t !or Tara 8. Doistliao (also ~aeMa as Sara- 8. Haiatiiaa)' iasa+a fe au tar aatiaJaatarDy yraraaJ q k tie yersoa ~nieaa assn is. wireis'bed b lir +oftiilfiiiNwaeat, sad eekaowL.3yOd fiat IatierteQ asau /a tie yr*9eae+ tiereiw . ... .... ,f.~`r, J7V'11Y~~88' WAJCRAOF, l ierwato ssl ~y ised ,ad e,~telat iaol.` ''o~at~t~~ :1• ~ ~ ...._.....~.~...,~e;~iagncti.....~+.~_.sl-. .wrs:.2...r.... /s~L .~ ~. v ,Y t: •.~ ~TA~ ~'•`VlI tY~' ~V ......~.~t~Y~a4rw- ~ of OQPeer ''kk y' .. .. ,. ~ ..:........ . Ojia+. f~ .Stela o1 ~ ' 1 Qwwty of n. . ' tie r+~darstoMed e~far, fa++oMW apearad iwoiva b as (e* aattrliaterCy y.e..aJ to ba tie yawew arieaa wawa wbaaiied b tie ~oit~{a taalnaaaat, awt eciwavWpd fiat asaerta! a.aw !ar tia popeee. tierrio aeataiaed. JN WITIVA38 WAARb'Ol,.l iMatab Ht fwy iaad 'sad o~taial aeai was 2YNs e/ O~lesn DOOIC~' 22MILE 776 -------- j\ U.e.pEPNirMENTOFH0U31NOANDUq&wUEVELOPMEM B. TYPE OF LOAN SETTLEMENT STATEMENT 1, FHA 2. FMHA 3. CONY. UNINS. Abstract Land Associates, Inc. 4. p vA 6. ^ coNV.INS. 3912 Market Street 6. ESCROW FILE NUMBER: 7. LOAN NUMBER: 01115872-001 MA2 Camp Hill, PA 17011 8. MORTGAGE= INSURANCE CASE NUMBER: (717)763-1450 FINAL c. NOTE: This form is famished to give you a slatemerd of ecdra! settlement costs. Amounts,paid to and by the settlement agent are shown. Items marlesd "(P.O.C.)" were paid outside the clasing; they are strown hers for inlhrmatarrat purposes and are rat ixluded in the totals. D. NAME OF BORROWER: ~ Cllaflle V4lrlgtlt ADDRESS OF BORROWER: E. NAME OF SELLER: Estate Ot FranceS E. Metz ADDRESS OF SELLER: F. NAME OF LENDER: ADDRESS OF LENDER: G. PROPERTY LOCATION: 216 HUmmel AVenue Lemoyne, PA 17043 Cumberland County 12-21-0265-416 Parcel #12-21-0265-416 H. SETTLEMEN7AGENT: Abstract Land ASSOCIateS, InC. PLACE of sETTLEMENT: 3912 Market Street, Camp Hill, PA 17011 1. SETTLEMENT DATE: 12/6/2011 PRORATION DATE: 12A3/2011 DISBURSEMENT DATE: 12/6/2011 J. SUMMARY OF BORROWER'S TRANSACTION K SUMMARY OF SELLER'S TRANSACTION ~m anne¢ eunr ur ro m Bann nntlnrwuea :.. ~ . . tfN .tYU-e¢ airrr tMt it e m ~n co, 101. Contred Sales Price 102,000.00 401. Contract Sales Prica 102,000.00 102. Personal Properly 402. Personal Property 103. Settlement charges to Bonower (line 1400) 2,225.75 403. 104. 404. 105. 405. an_w~TUCwrs ona rccus aam wV cri i ca iu enveuco en a irn,nrurc cno'rru¢ e.,., e.. ter. , ~e ,., ..,....,,..-. 106. C' fTOwn Taxes 406. Cit /Town Taxes 107. Coun Taxes 12106/11 to 12)31111 44.85 407. Countvl'axes 12/08111 to 12!31/11 44.85 108. Assessments 408. Assessments 109. School Tax 12/06/11 to 06!30112 806.32 409. School Tax 12/06/11 to 06/30/12 806.32 110. Trash 12106/11 to 12/31/11 12.33 410. Trash 12/06/11 to 12/31/11 12.33 _111. 411. 112. 412. _113. 413. 114. 414. 115. 415. 120. GROSS AMOUNT DUE FROM BORROWER: 105,089.25 420. GROSS AMOUNT DUE TO SELLER: 102,863.50 icw. Aw~uLnrarwue~vnmeerw~r ur wnra.weec: eau_ecerna:rax~~nA~~.xyrutm~~~Fr.• ~ 201. T~eposit or mast money 5,000.00 501. Excess de osit see instructions 202. PrincipoLa nt of new ban(s) 502. Settlement charges to Seler (Ilne 1400) 8,464.74 203. Existing ban(s) taken subject to 503. Exists ban(s) taken su 'act to 204. 504. Payoff of Orst mort age loan 205. 505. Payoff of second mortgage loan 206. ~ 506. 207. 507. 208. 508. 209. 509. en a isrucurc rna rrcuc ~ fuoe~n Qv eci i rc. ... 210. City/TownTaxes 510. Cif /Town 'Taxes 211. County Taxes 511. Coun Taxes 212. Assessments 512. Assessments 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. TOTAL PAID BYtFOR BORROWER: 5,000.00 520. TOTAL REDlN:T10NS IN AMOUNT DUE SELLER: 8,464.74 JW. l.AJ17 A 1 .7C r r IiNGIr r r'I(UIIY r g-tlUKKL/YMtt(: 6W. GASH AT t3@T I IJ:NIEMT TUVFROM 8E4LEfC 301. Gross amount due from Borrower (line 120) 105,089.25 601. Gross amount due to Seller (line 4201 102,863.50 302. Less amount paid by/for Borrower (line 220) 5,000.00 602. Less reduction in amount due Seller (line 5201 8,464.74 303. CABH (!~ FROM) ( ~ TO) BORROWER: 100,089.25 603. CASH (^ FROM) (®TO) SELLER: 94,398.76 BASED ON PRICES 102,000.00 @ ~ %_ 57,365.00 PAID FROM PAID FROM 130RROWER'S FUNDS SELLER'S ONISION OF COtJkA1SSION (LINE 700) AS FOLLOWS: AT SETTLEMENT FUNDS AT 701.3 4.305.00 to Howard Hanna Oetweiler Realty SETTLEMENT 702.E 3.060.00 to Keller Williams of Central PA 703. Commission paid at settlement 7,365.00 704. Add'I Broker Fee to Keller Williams 250.00 880. ITEMS PAYABLE 81LCONNECTION NRiFI LOAN: P. .C. 801. Loan Orig(nation Fee 802. Loan Discount Fee 803. Appraisal Fae 804. Credit Report 805. Lenders Inspection Fee 806. Mortgage Insurance Application Fee 807. Assumption Fee 808. 809. 810. 811. 1 aW. IICa1.7 RGWU1RLUtli LGIYUGR IUtlC YAIU aII AUVAItiL' Y. U.I:. 1 901. interest From to (~ S lday % (days) 902. Mortgage Insurance Premium for Month(s) to 903. Hazard Insurance Premium for Years(s) to 904. 905. 11000. fifSERVE50EPO5ffEDYNTNLENDER: i 1001. Hazard Insurance - months ~ t - --per monM -- 1002. Mortgage Insurance months ~ S per month 1003. City Property Taxes montlla ~ S per month 1004. County Property Taxes months @ S per month 1005. Annual Assessments months ~ S per montll 1006. montlls ~ S per montlr 11x17. montlls ~ S per IrlWitll 1008. nantlla ~ S per month 1 ~ 10U. nrLF cruRGes: r.vl.. 1 1101 Settlement or closing fee 1102. Abstract or title search 1103. TNIe examination 1104. Tkle insurance binder 1105. Document preparation 1106. Notary fees to Settlement Officer 10.00 10.00 1107. Attorney's Feea (tndudea stave kerns numbers: ) 1108. Title Insurance to Abstract Land Associates, inc. 868.75 (Includes above Items numbers: ) 1109. Lenders coverage § 1110. Owners coverage y 102,000.00 1111. Overnight Fees to Abstract Land Associates, Inc. 15.00 1112. Tax Cert Fee to Abstract Land Associates, Inc. ~ 7.00 1113. 1 7LUU: CiWGKN1ACTll ICi:U-YApIl9 ANUIIiANSFfJtI:FI/Ui(3C5: ~ - Y.U.1:. - I 1201. Recording Fees: Deed S 62.00 Mortgage i Release y 62.00 1202. CkylCounry taxlstamps Deed S 1,020.00 Mortgage S 1,020.00 1203- State taxlstamps Deed S 1,020.00 MoRgaQe S 1,020,00 1204. 1205. 1 73UQ AUUITIOArJ1L SETTI FaaGari CMARC~ES! P.D.r:. ~ I 1301. Survey 1302. Pest Inspection 1303. Sewerll/3111-12/2111 to Lemoyne Borough 62.74 1304. 1305. 1306. 1307. 1400. TOTAL SETTLFMENT CHARGES (Enter on the toa,Secdon J -and- Ana 502, Section q 2,225.75 8,464.74 1 have carellNy reviewed the HU0.1 Settlement Statement and tithe best W mykrxavledge and belbf, It is a we a 5cwrata s ementot at receipts dlsbulsements made on my acoount or by me in His trensactlon. I /urlher aertlfy Ihal 1 have mcelved a copy of Ule MU0.1 Settlement Stat L ~ _ ._..~ i Gharke Wright t ra E. tz eorlovrern Sellers Tile HUD-7 Settlement Statement whbh 1 lave prepared Is a Vue and saturate account oT thistrensadion. 1 have qu:red or wiA cause the funds to be datwned h accoroance with This statement. Settlement Agent Date Abstract Land Associates, Inc. WARNING It is a afineto wawinyy melee false statements to the Uated Staten m this or any simlar form. Ponaroes upon convictlon can Include alia and imprbonmenL For details see: rue 1 e u.s, code Section 1001 and season Coto. 219 HUMMEL AVENUE LEMOYNE, PA 17043 • IN TH6 COURT OP COMION PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS'• OOURT DIVISION N0. '.1-89-393 ES?ATE OF Glenna P. Mats. Dacaaead Leta of Borough of Lanoyrs~ ' Cusbsrland County, Ponnsylvania •'~4. . DSCR$6 AWARDING REAL ESTATB And now t~ , 1990, the First and•Final Account and'P'r'opoaod Distributions to~iarisa of Fsancaa Elisabeth Mots. Exacutria'•nf the Mill of Glenna P. Meta, the decedent sbow naau,d, having boon 1f~led, • advertised and conflrasd by the Couse on January 9, 1990, IT IS ORDERED AND DECREED that all the right, title and•interest ciY the decadent in the real aasats of said daoedent distributed in kind ini aaid 3'ropassd Distributions to Bansfiotarfes, to vlti ALL that certain lot of ground lying and !icing attuata In the Baeough of . Loaoyna, County of Cua<berland and'gtato of Pennsylvonia, bounded and 4oseYSbad as follavs, to vita BOtf)fi)tiD on the eau by let, nuv or Posawriy of Victor Shapet on tho south by Hw,aial Avenust on the wet by lac of B. R. Beale, foc~wrly oP E. K. Proxort and on the north by Apple Allay. !laving a frontage on Huaa-ol Avenue of :fitly ISD) feet and running back to Apple Allay a diatanea of one hundred snd fifty • i150) feat. Being a!1 of Lot No. 7t and fifteen 113) Lost of hot No. 72 in Block "g" in thV Plan of Lois known as Plan No, 1 of Riwrtan, Cuatberland ' County. Pannayiwnia, rooordad '!n •tho Recorder`s Offlcs at Carll.sla, Pennsylvania. in Deed Book "J", Vol. 4, page 40. Having thereon ssaotsd • si~la two end one-half story beick dwlling house, No, 219 Huamesl Avanua, Laaoyna, Pennsylvania. BEING ttw sane presfaea vhieh Donald Paeboa Monath and Kloanore J. Monath, hla vlfo, Elisaboth Jeatt Nonath, ainglo, and Jaannatto Nae Nonath, uldov, by thoir Band doted January 11, i950.•and recorded in the Offiea'of tha Recorder of Daads of Cu+sberlsnd County, Pennsylvania, in Deed gook "H", Yoluwa !4, Page 155, greeted and convoye8 unto Satl F. Nets end Dianna P. Nrts, his vife. Tho aaid Earl F. Nets died Nov~bar 25, 196A, hi^ undivided one-half interact thereby veacing !n Glenaa •P. Nets. as aurviving tenant by eha anUratias, Ia hereby awarded to Frsncrs Elisabeth Nate, her hoira and saalgns, ' BY THE COURT, A 7'FiUE COpY FROM REC0Rt3 • M Teatlmony vvhereol;l heraBntoltet my hand , and th~e~s~esi.of spld:Cour~•:att'Catfsle, PA. k(..P~ , ~~•Ctatkr Si~a.~ liens Ccu .4Qu~nb+Aand'County r I do certify that t?n precise residence and coeplata past office address of the•vithin nae+ad grantee is 219 Nuoaal Avenus, Laawyne, pa. 1704]. • ~ `~ J 1990 ~~ • ~..~.~ Robert L. Hyszs III Attorney for Grantee RECISfEAEO By nIE ]~~..~ U ~~~.~ 10.a •Y1~1 ~ry ~,,..~~fU`.,,~, o ~~• ~~qK ~ ••• y~+ w~ se.,u. ~,.. ,~, f:.- ~r ~,~1 ,.11_°.3+'..,.. . soorQ 3~f ~~cE 4~0 0 ~ ~ ~n c .,•e, m~ ~ s, r.~ V `. fly D U • ni i,~ :u v !ea rs o ~ , ; •. ~~~~ ~-- ~ „ •+~ .Y. . " ~+~ V ~ N (O i i• REPLY TO INSPECTIONS/REPORTS ADDENDUM TO AGREEMENT OF SALE Thi: Porn teeom~eoded and eQpro~~ed ra, 6W cot teslrigsd to use by, Ike mernben of lhs Pennsylranis Auocistiem o[RSALTORSs (PAR). ~ PROPERTY 219 Rumnse! Ave, Lemoyne, Pa e SELLER The Estate of Frances E Metz z BUYER Scott Gib:on & Hannah White Gibson ~- DATE OF AGREEMENT November 8, SOll s ~; In roply to the following inspedions/reports only: ~ ^ PropeHy Inspection: (Home Inspection, ~ Wood Infestation ('erHflcate of Occupancy Plumbing, etc.); ^ Radon ^ Property Itiunrance O Lead Ba:ed Paint Otber; ~~ O WaterService Apralsal } ~ ^Appraisal/Mortgago Lender Inspectbn O Individual On-Lot Sewage Dispo~ral ^ _ ~ -~ other: other. RR ~' l.O Accept: Buyer accepts the Property in the condition reflected in the above report(s). ~. is 2.0 Terminate: Buyer terminates the Agreement of Sale (only if provided for by the tams of tho Agreement). ~~ ~ ~ 3~'1 Written Corrective Proposal: Buyer accepts the Property and Seller agrees to satisfy the toms of the following Written ~ ~+ Corrective Proposal(s): i ~ (A) ~orrectlont/Repairs: Seller, at Seller's expense, will make the following eorredions/ropairs to the Property in a :.„ workmanlike manner prior to settlement: _1.Seller to purchase 2 Duron Primer Paint S Oallaa container. 2 The Buyers agree to scrape and paint the exterior chipping paint as required by Appraiser and to address and repair any rotted a -- '- `'- - ""d - J ~ ~r, not previously addressed in the home inspection .Newly identified repairs are at Buyers expanse. 3.Seiler agrees to complete the previously identifier! Hama Inspection identified repsvs at his expense. 4 Seller and Buyer agree to proceed in a timely manor to settlement ` -,~` ~~• O Sea attached Proposal(s) ~~ ~t• (B) O Credit: Seiler will credit S •~'° the mortgage len.der(s),.towards thecorredions/repairs to the Property, as acceptable to sa {C) ^ Seller Assist: Salter assist is changed to S , or % of the Purchase Price, maximum, +~ toward Buyor's costs as permitted by the mortgage lender(s), if any. 3~ (D) ^ Settlement Date: Settlement date is changed from To :~~ (E) O Purcbase Price: Purchase price is changed from S to S -+•~ (F) O Mortgage Amount: Mortgage amount is changed from a to S ~!~ (4) O Other: zc ;i ~3 ~ .._. 37 ao _ _ .t~i 4.Q Change of Tlme Perlod(aj (changing of any time period in the Agreement of Sale does Holt constitute acceptance of the ~iz Property unless otherwise stated): Time periods stated in the Agreement of Sale are changed as follows: •• a'l (A) The time period in paragraph ,line of the Agreement of Sale is changed to •~~~ (B) The time period in paragraph ,fine of the Agreement of Sele is changed to ~~ ~ (C) The time period in paragraph .tine of the Agreement of Sala Is changed to a6 •~~~ Alf other terms and onditions of the Agreement of Sale remain unchanged and in full force and effect. is +s WITNESS BUYER ~' DATE /Z 3 so W]ITIYESS BUYER G~ DATE f2~3 ~ I ) '~~ WITNE53 EWER DATE '>> WITNES S R WITNESS ELL DATir •~ + ~,T1~TESS SE DATE Dnnnevlrrania Aeee~ria}inn of AF~ITl1QC REPLY TO INSPECTIONS/REPORTS ADDENDUM TO AGREEMENT OF SALE 'Ibis faro recommended sod approved bet, but rot 7estricled l0 use b5: the members of IM Pennsylvania Association otREALTORSr (PAR). 1 PROPERTY 219 Hummel Ave, Lemoyne. Pa 17043 z SELLER The Estate of ~trtZ Fra a e: t s E• ~ 31'L 3 BUYER Scott Glbaon & Hannah White-Glbsolt 4 DATE OF AGREEMENT _November 8, 2011 s s In reply to the following inspectionslreports only: ~ ~~! 7 `~ Property Inspections (FIome Inspection, Wood infeatad / N O (:ertiRcate of Occupancy s Plumbing, etc,): O Radon `~ O Property Insurance s D Lead-Based Paint D Other: 1o D WaterSorviee D Other: 17 O AppraissUMortgage Lender Inspection O Individual On-Lot Sewage Disposal (] Other: 12 13 1.^ Accept: Buyer accepts the Property in the condition reflected in the above report(s). 14 1s 2.0 Termlitate: Buyer terminates the Agreement of Sale (only if provided for by the terms of the Agreement). 1s RR 17 3~ Written Corrective Proposal: Buyer accepts the Property and Seller agrees to satisfy the terms of the following Written 1s Corrective Proposal(s): 19 (A)`9i;~Correcdons/Repairs: Seller, at Sellet•'s expense, will make the following correcttons/repaira to the Property in a ZO // workmanlike manner prior to settlement: 1 Repair leaking sewer pipe in Basement. 2. Repair and replace the Z1 ~ outside electric meter to a single service and the Inside to a single updated 200 amp papal box, Replace all knob and tube wiring where exposed In attic and basement .and repair any Improper splices or connections. 3. Vent the gas hot water heater to the outside. 4.Replace and reglaze broken window panes. 5, Repair rubber roof as noted. 8. Properly attach right front corner pillar and railings. za 2s 2s ~ See attached Proposal(s) 27 2a (B) O Credit: Seller will credit S towards the costs of corrections/repaas to the Property, as.aeceptabk to sa the mortgage lender(s), if any. 30 (C) D Seller Assist: Seller assist is changed to S , or % of the Purchase Price, maximum, 31 toward Buyer's costs as permitted by the mortgage lender(s), if any. s: (D) D Settlement Date: Settlement date is changed from To » (E) D Purchase Price: Purchase price is changed from $ to $ s4 (F) D Mortgage Amotmt; Mortgage amount is changed from $ ~ g 3s (G) D Other: ss 37 38 3a 41 4.0 Ci~ange of Time Period(s) (changing of any time period in the Agreement of Sak dots not constitute acceptance of the 4s Property unless otherwise stated}; Time periods stated in the Agreement of Sale arc changed as follows: '4s (A) The time period in paragraph ,line of the Agrewuent of Sale is changed ro u (B) The time period in paragraph ,line of the Agreement of Sak is changed to 45 (C) The time period in paragraph ,line of the Agreement of Sale is changed to 46 47 All other terms and conditions of the Agreement of Sale remain unchanged and in full force and effect. 49 4 fZ ` ` 9 WITNESS BUYER ~ '~ so WITNESS BUYER DATE DATE • Zo 1/ / ~ 18 / s1 WITNESS BUYER DATE ss WITNESS SE D>~ L/ ss WITNESS SELLER DATE sa WITNESS SELLER ___ DATE COPYRIGHT PF.N1~•SYLVAiVIAASSOClAi10T OFRF.ALTORS~ 1005 I Pennsylvania Association of REALTORS o9ros ADDENDUiVllE1VDORSEMENTTO AGREEMENT OF SALE ASA PROPERTY 219 Hutnmet Ave Lemoyne. Pa 1?~4~~ SELLER ~tlq~ of Franct~ C M~ rte, EIUYER .~~~~l~tI11. ~. DATE OFpGREEMt;i~fT ~IpVO,l~i,ier 8.2011 $uyer alxl 5elfer herebyy agree to adds I:laanah White-Gibsoli, wife ofScon Gibson, to the Aglecmont of Sale above; referenced.. By signing This adtt4ndu~n,:Hannah White-Gibson, acknowledges that s11e has.read all ofa~id Agceelrant of Sale and is bound to and accepts Ilse provisions stated llierein. Ail other te:nns and con 'lions o1'the Agrecmalt of Sate remain unct-a11Bal and in full force; and. eR'ect. ~ ~ WITNESS. BUYER X DATE 1~: j,~: 0~1 _ WITNESS: .. BUYER X ~ - DATE 11-1•t-2011 WITNESS BUYER DATE WITNESS. SELLER DATfr WITNESS ,,( ~~ SE D/~ / W1TN1?SS SI; DATE COYYRIrII't' Fl:IYNRYI.ViU~t1AASSOCMTION OF HYAL9'OR'Sr 1493 ~/ ~ Penrisyivania Association of REAL70RS ~'0~ STANDARD AGREEMENT I''OR THE SALE OF REAL ESTA'T'E ASR Th!! fono nxomo-endtd and apyrored for; Intt not -eeVieted tv ux by. the ratmMts of the temeylranie Aeeoaletioe ofRBAL7~DaS9D (PARj, - - -- - - .. :. .: :: ... ... ~ :. . t ~ ~ . _..... _. .. .. -.. :BUYER S MAII;ING ADDRESS: . SELLER'S MAILTNC AI)biRE$S: - ~~~ .... ". =~ PROPERTY ADDRESS '"'~. in the School District of Identification (e.g,, Tax ~,~ ,~,T, County of • . ~.,.,...:.! .:.. ~.... _.. _ . -''(•-. ~ ` ~ in the Commonwealth of Pennsylvania. Deed;7iook, Page, Recording Date): :, ': ;..:~..q~<( BUYER'S RLrLATIONSHitP WITH PA LICENSED I3IZOKER Broker (Company) ~:°~X`:~;,.~~~~lc7i~-'~i1r,' ~,'~_.~~~: Licensee(s) (Natne) _ ~~` ~::ic ~ ~'{ k~~~~,. . Y ,- - Y-rt:r: .r ~~r. :~ .- __ -~QN~#~~' ...~~. , :fix:... a ,.; _ -~- ... ; Direct ne() ~ 1"1 -._.. . _ ... _ . ~.~•~ Pho s .. ., _ . .. • :. ..' -- - Cell Phone s ... ~ _ () ,. •:. . . ., .. ., y . , ;,. _. . ~- .' :.:; .:. .. .. ,::. Broker lst; ` . .. ~Liccns s 'ts: r--, •. --- ... - - ~)~.. ~~ Buyer Agent (broker represents Buyer only) ^ Buyer Agent with Designated Agency ^ Dual Agent (Sec Dual and/or Designated Agent box below,} ^ Buyer Agent without Designated Agency ^ Dual Agent (Sea Dual and/or Designated Agent box below) .. ~~7'3anseoEiorr~bansee i:dker;and;~i ~ ' ~~ _ ~• .. S.S~~~k-~dt~t":tit'l:~St~ti~5tlr•V`l~s:k~.~tl6:'ti'~Af:.f~titisnrsirt.BavEir! .. . SELLER'S RELATIONSHIP WITA PA LICENSED BROKER ~. Buslnesas Relationshl oiler 1 .not.re reset brok .. . ,...... y) ...'. ' 1JU Broker{Compan _.: ~;~ •.: ~ ... ...~: ~.' : , , ..-, 1,icensee(sj (Name) ' `; ,.r~• ~,~V ,r._ ~~~.~,_ ~t~i>~~rtn$~~-ddl!~eg• - .. ~ : ", ~~..,._ _ _.... Direct Phone(s) ~~_... ... ....... ~' r~ ' ~~ ' ~ '- ~ - Celi Phone{s) ) 4 ~- .... ... . Company Fax.. •_ ~~ ~ jj); ~ker is: ..-...........: ' w.~~....~-----, Licsnsee~s) s: • ~ - - ' . .. _ ._. Seller Agtnt (Broker represents Seller only) ^ Seller Agent with Designated Agency ^ Dual Agent (See Dua! and/or Designated Agent Vox' below) ~ ^ Se!!cr Agent without Designated Agency .~ .. ^ Dual Agent (Sae Dual and/'or Designated Agent box below) 1 DUAL AND/OR DESIGNATED AGLrNCY A Broker is a Duai.Agent when a Broker represents both Buyer and Seller in the same transat:tiott. A Licensee is a Dust Agent when a ' [:icensee rcpresttrtts Huyer and Seller in the same transaction. All ofBrokel's licensees are also Dual Agents UNLESS there ere separate Designated Agents for Buyer and Stiller, if the satne~Licensee is designated for Buyer and Seller, the Licensee is a Dual Agent. By signing this Agreement, Buyer slid Seller each acknowledge having been previously informed of, and conseuted to, dual C r.. ~ ,- Buyer iNtltb: 4P~ - _ ASR Page 1 of ] 1 Setter iultlals~!__ .g, Revkal l/10 .. '''. . ~~ ~ !'211R5)IlV8t118 ASSgCIdCtOt1 Of REALTORS' COPYAiGHTFLNJYSYLVAAIIAASStk '!'IU11 prR6ALTOR8® I~JIn Ft>trn Qanented by. True Forms" www.TrueForats.tom BOO~l99-A812 1: ~- .......:... .:.• - ed-• _ •. ~Q•~- 2 '~Tle"' a~ti~SCi' ' ;'to-e :RU~~~r~.~y tb $.~.3+u~xy'iv~dg~i~3ti~ fit! ed P'i'g :3 •~- iPfiTlfCtA~:>f~C . , T, ,• n 'al<a~t;'th2• i`tt1• - erty. ~~ -Piuxliasc`A~irc~: ~~ - _ ~, - - ---'="4+a..4 AGns~YR~ ~'fi'iLIrT~!~i... _ '~ •~. ~ .. •.. •.' , ~• I .: •. . _, .. _... .. __ . .~, ~ : y •• ~ ° .. .... •.,,,,. ' - - - - -. - :.,r,'Cl.$. D iars}, to be ~ d~by Buyet-as Po ows: -1~epasii~4t~itjJa+laB.o •~he~.~_ t: • ~. '~ ..yy '~. l ..~.,..,_ day a#'~We'.~ictc4tiC~t~3Da(g~of•:tblk Aaat; -~ ai 7. rw~.. --.,.. _..y..,...rdr...~w~_ ~M.1.•.b .. .,-~~.,+....p.y,~.~.• 4. ' 8000• Wl A' •~ •' ~ •. .. - :. „ .... .. "ter: 1i {$)- ,~!l~tti~dtf ~'b,Y~>i~p?e~pt]~~.d~iisita,;w,~I[~ti~.:~f(p'bx•c~eciyr'~1f]il+er'~-ch,P.r-g'tr~cl:fis~nd~,..~,lt<trludep~Id•.~Auyer ~ ~Win~bD~1YS~:efce~elnenit;ip~i~ti-g~uut~s~atd~~-~etl~bt~Ot~ kdli~ti~by+-or~~1~[`acbec~~i-r•~vi~edfVibda,bdtn~tlry-per-• ~s:. sopra~:clfitCk. . ' ~}. if3~irositi~ •rir~pird{~se-#if"th~i-fo`~m o~fpatymhiit~aia!~:ttai~pe~aq~ desilll{~tt~;as:'phy~ vi+ili:'be.~atiid`sd.Lt:S~~ Dollars~to Dr'okrr for Seller ~ - •(iaialest cjtfierc~li~~iprC:.y~yy„~ __...... ~,:... -' .:... _-~.•.. ..^.,_ =~ t6. - .,.~. -...... w~p :W~f ,~h!ih sttg ~~ c~?i~!! pc+Dpy~ : •- . pTjljp~ ~~ A Pk's4~ ~•Tor,-~~ • i?4gui•. ens vnk Cciisilnai'nZatixm at ite~- 't~ minastoa~i. oi'tli~~ . ex-t., t~nl~y treti! .tst~{a- 'ralua'-. are.•Fe~ared to~o•' •• Os(ts sh. •• e~ ~.: ~- f ~ ~• a•~saliit~n~ tixitta~t]te.cvks:and r )atioaas of tg ih.~~ta)e~l];c~ila~nmisgion.:~lite>te1ca ten(66red;as depoa~1 moniesmaieba,hrad;unoe~ahed:pendiug the exertion oFtlils ~r~ a ~ • -•• ~ . ~tl1rP• vKili p y,~~„s„t a~ ~ww+:t -~ , ::;s~.~,+.,~.:~~-- •..•-: ~.-~.y'~. ~'RVt~hdltb,P~rPcai(A'ifnot-spedifipd} toward ?~ ~uyeP's: coSiB, a41~ ~~~~ mbct~~r']antr~;. i~`anX; &vlfe~:• i~ ~1y obligated :tb pay uP• ta• tii~-$mount or pacxntaga which is '28' ~ ~~~°a~4t •~`• I' ~ ~-nriat~bt~~#fl~ryeer~ndSaHei-etg[ae, t1S,'di}6tr10o`t`t}NC~I. 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Ail. c6argea;: xv}H !ie paw- at' raled:fatllie=piu+itit~s~~cavcie~t Sailer,: , ~U pny yp•to sand including ihe~dato af.settlo~tiait anil~Buycr will pay, foi-al) days~fo!!pw- az ai4~'actifeinehh iln1esa:otti~ervriss s#ateid~Y ., - ~~~ '~~a~c r"i.?~~'fIer"':. , ~~~t~'• 316 . s' ;weat'.iity~ ultle~,.. ~~ ~ , r~~ ,•. , .• • w...,.._ •~.yl. se. ~ ~~ ~ienc o~:~~... ~~~ sr'i~v~r(i •dtvl`~~1-agusil~ ...... _...._.~..,~:.-,._:..:~...: ~al•i$a5gri~x~i~a ~.l~itiiC~~anl ~ •.>a aS.~tl•lfcro: ,~. 09 i0. - A~f•' .as ,~. is ' •~n ~~• .q: sae ~- - ~S~G~4;Pt~;au~t~tggitng:, . .. 4ir. {~ T1a~~ic~y,.iijtu`lAat~3fi~•~t1b?~pcrard~tti~•tl~d~~b~~tt~:•13,. ~ird¢ter.t-Ba¢#id~~te~;.tip'ootat~i~e.#i~lhfisA~ie~ncrit ~1 ink-artd~orati[fg'1F'fat.pcCti~osbz.i~Y'''iliis~A~ettlit,itt, ~rutii'~~ a?`It~ay,~:tw~1~ b~ ¢~til~{.+Oin''ttt,¢_'$atgcut#~t'!D'ata b?Eb s2 'ttia~dtiy this Ame-~riilaa exec#stal•airil~ircludiagth6•laxt day o~ttio t)ano~oriod. ~i11'tK~iigei to• tttlr Agreement-•:boatld7ia;(a!- •sk~ (~~ T'li¢~Cl~tlcpeait':~ 7tf~:itrhut~~~;tbri~~•53+•-i~nx ti>rit~pai~!tsta><=b~~thi~.i1B#~ediietit t~st~'.r~iay ob],y b~~e~ctbi>.d~d by.rtnuNd) -uMttau.:agcc~s sl>xiil'c~`t1tQ`P~.ftc~' . 49' (#s°j - treataiti tr~ha •atbd ~}iate pa~oda'•at}~;y>Ta-~irited i/t•:lti~.*~i~~if ~ie-a' boaveuFeace. to~tha~,Buy~ mac! ~,e}lox: Afl praprit-tad term ~;si cud.,litaaK•,psxjo~;•ai~~uc~itaEf(a aeid'AU~}r~t.clvmj~d by al>~n$~~irt iho pre~tttesd ¢pft aiid'cpsertip~ dfffcrayt:terms ~c4piable ~9 -~:~lv}~~.,~ t~a~ ~~gi~i~catf, ~o: {;oa~l~tir`ttu tou fit Fon• {?Rf•' i~.''r,~t~• ~r]i4f4' {',~e .tip aatl•.l iberepf 'i)' s~- '~)'. .ilivlda~sle~~a;`•avati :+co- ~ ~o. 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C O 3 .2 ~ 3 ~~ _~ 8 ~~ 0 Q r m 00 0 0 c~ z Ocnz mm m a ~ S ~ a ~fD~ ~ ~ a m ~ a n a ~C 'Z ~ ~ o ~ m a < 4 cv+M ~ ~ pp~~ 7 7 N ' ~ o H e 1( O n -w ~ n ~ m a ~ ~ a ~ 3 ~ n 3 » ~ a s m w ~' ~ ~ ~ o d ~ ~ ~ m ~ m ~ ~ n w aNaoo~ c~oNCn- ~o~cwo0 o c°Di+ ni o°Of''a~ cod 3 ~ c6 ~ N ? m o a m ~ N (C ~' C ~ ~ s m 7 a a v m m n a N Z D S O DC nr ~ O '~ n Z fA N •I z~ c m ~ ~m ~ m N -~ 7° m ' x ~ ~ ~o ' ~ m ~ ~, c oc0°ii o ~ ° c o 00 ~00 _ N~ W N W _ N ~ N H -+ ~ fJl .+ ~ (J1 ~ T 1„ J D ~ 0 ~ ~ _ ~ ~ _ T ~ T ~ ~ ~ ~ ~ ~ m c~ N ~ N A N Page 1 of 1 Traci Sepkovic From: Kempf, Michael [Michael.Kempf@morganstanleysmithbarney.comJ Sent: Tuesday, duly 12, 2011 10:11 AM To: t.sepkovict~gatesla~rm.com Cc: Kempf, Michael Attachments: Metz 2010.x1s; Metz 2011.x1s Traci, Here is the information you requested. Please confirm receipt of this email. Also, if you should need anything else, please don't hesitate to contact me. Take Care, Michcre/ E. Kempf Financial Advisor Morgan Stanley Snuth Barney 4507 North Front Street, Suite 201 Harrisburg, PA 17110 Direct717-255-6680; Toll Free 866-588-4613; Fax:717-255-6651 htto:/lfa. morganstanlevindividual.com/therosenblattkempfgrouo/ ~j Please consider the environment before printing this a-mail BE ADVISED: It is important that you do not use a-mail to request, authorize or effect the purchase or sale of any security or commodity, to send fund transfer instructions, or to effect any other transactions. Any such request, orders, or instructions that you send will not be accepted and will not be processed by Morgan Stanley Smith Barney. Important Notice to Recipients: The sender of this a-mail is an employee of Morgan Stanley Smith Barney LLC. If you have received this <:ommunication in error, please destroy all electronic and paper copies and notify the sender immediately. Erroneous transmission is not intended to waive confidentiality or privilege. 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G ~ N-C y W (N'~ O .a ~ 00 te Oa ~- W N i N O J r .i J . a .+.1 (~ ...~ J .i W w 3 = ° Q 3 m y ~• V V o 0 N 0 N :..v N o C. w V O O p0 O 0 O 0 O 0 O 0 O ~~ w: O O O O O O O p p ~~ ~''~ m t`O ~ t0 ~ t0 ~ L" ...~ N r ~' N N r ~D .~ i U1 m 0 0 0 "~ o 0 0 _ o D a ; m 0 0 0 ~~ o p '' c p , C: p ~ '~ ~'~ ~' ~'~' ; m m ~ "~~' -~i ~ ~ ~-` ` ~ ~ _ tD j N v O O ` ~ Q1 N Of p) ; N O VI N O IV O ,~., W 13 O ~ N ~ t;J N O t0 O O N O ~, ~; W N V N tN7~ tNJi fN ~~' ~' R; .~ -~ A_ C A ~ A ~ O c V o O 0 O 0 O "c~ V o 71 o p1 . -~ ~ 7 ~ n~ V c Z ~' V c O o O °o O ~ O o O ° o O O o o ' (qj ; 'y.~ ~ ~p 0 rn ~ s D V g D w ° ,tNi, o V .~ N o fNJi o N ~ N o ~ ~:, C ~ ~ G o °o c ,,°o o g c $ y a o 0 0 °o ° o o° o° G. w O O .+ O O N O O ~ O v v p O tNi~ ~QO w O ~ cNii V O /- O ~: ~ p p ~ ~ °o ~ °o g a° 00 00 0 o N m O m w ~ ~ ~~ W n W K O c~ ~ ` ~ ~~~ o a w °-' r- C -p y ~ Z n W ^` ? R 3 r r Kl to ~ ~ 3 5 $ n C~ "` W y w m C al ' n ' ~ ~' c N O 131 ~ -- t i> ~ W N ~ .'4 y.. O ~ ? `~C N N "~ m' . ~ ?~ LT O N~ 3 C ~ y a i ~ C ~ y C y w C ti f >~~ m a 3 4 O ~ ~ O C n S O y "', N ~ n ~ ' 3 M~ a ~ ~ N a Q 4 ~ TI ,,, r T ~Wy O a O "t1 O ~ a' sD N 'ti '~ 3 N ~ , ~' ~ y ~ ( ~ ~ ~ w C ~ y ~ m ? ~ t9 ~ , _ n ~ n ~ ~N ~ r` .+ O ~~ y w y m Al N 0, ~ 3 ~ ~_ N' N d m 3 d to C R W cfl ~ W ~ 3 w ~. O f~D Q w fyil i a W 7 y~ c O p O m W flD ti 3 ~ ~ N n a ~ . m ~ o; y, o~ ~ C 1J ID m~ -e? v a N-1 O. p ~ y ro 4~ b m~ ~p ~~ y• a y y 3 w= a ~ ~ 0/ 3 (p ~ m ~ ~ n 0 ~ C ~ n A y ~ ~ `~. ~ W C ~ C D y cD a 't~n -w ~^ O ' UwY <_ ~ ~ Ct ~ t W ,~ m m s m y V1 q ~ y , W 3 = y a ' m °,~ C ~ ° w ~` 3 ~ i ~ v~ ~ m n ~m~ . 3 O ' ~ m t i~ ~' ~ N D W G CYO SD W ~ ~ ~ O m CD C y a ~m ~ 3c o ~+~., ,ti~» -, O .t W O O W ~ ~, y~ 3' ~ N (~ C `4 ^ ~ C C V1 ~^~' ~ ~ ~ N ~ 7 L'S, ~ ~~ N '.' n ~ C ~ W ~ O d (D 1~ ' ~ C] K C . 7 ~ ~ .,~, O "'~ p m ~p O ~ 'p a G Ti "` ~ 3 Q ~ ~ 3 ~ ~Cy ~ '~ ~v, 0 .. c a 3 c~~ c R o ~ m h ~ m ~ ~ ~ a a y c~ ~' ~ o y ~~ ~ ~. W N y W a T OD 3 y p~ ~ 0 N SO C d'~ a ~ D p ~ y N ~ ~ 3 QI y a v "ti n N ~ N ~ Q C -~ m co y m tD y~ W Rip N ~ x ~ m~ ~ n n W 0) ~~"• C y n C C1 y N 7 y ~~' i° ~ ~m a~ ' '° ~ ~ ?.~ ~ K W 'yp ~ y ~ O n fn "' rt ... ~.. O O r d q~D N O Oo O OD N O O O O O PA RED-1500 SCHEDULE E CASH, BANK DEPOSITS 8z MISCELLANEOUS PERSONAL PROPERTY NOV-16-2010(TUE) 14;50 Vl~t(? 1 VVV1V BANK A Tradition of Excgllerzce November 16, 2010 Ms. Traci L. Sepkovic Gates, Halbruner, Hatch & Guise, FC 1013 Mumma Road Suite 100 Lemoyne, PA 17043 Fax 731-9627 Re: Estate of Frances E. Metz Social Security Number 190-26-6621 Date of Death Septez~nber 28, 2010 IT IS HERER$Y CERTIFIED THAT THE ABQVE NAMED DECEDENT' HAD TIE F10LLOWIIVG AGCOUNTS WITH ORRSTOWN BANK.• CERTIFICATE DF DEPOSIT Account No. Account Type -- Date Opened -- Joint Account (name/date) - Balance Accrued Interest -- 1730047691 30-35 Month Growth 12/29/04 None $4,907.90 $7.70 Best Regards, Vicki L. GuUixon Customer Service Specialist P. 001 /001 77 East Kind Street P.O. Box 250 Shippensburg, PA 17257 1.888.ORRSTOWN W W Wrl~?r~'$r~dWl~rtiON1 MetLife P.O. Box 10366 Des Moines IA 50306-0366 MetLife October 7, 2010 Copy to:: GATES HALBRUNER, HATCH 8~ GUISE PC ROSENBLATT JENNINGS ATTN TRACT L SEPKOVIC MORGAN STANLEY SMITH BARNEY 1013 MUMMA ROAD STE 100 4507 NORTH FRON STREET 2ND FL LEMOYNE PA 17043 HARRISBURG PA 17110 RE: METLIFE INVESTORS USA INSURANCE COMPANY CONTRACT 9200127595 OWNER Frances Metz Dear Ms. Sepkovic: We received your letter dated November 11, 2010. According to our records fur the above referenced annuity, the beneficiary is:the Estate of Frances Metz. Available claim options are detailed on the enclosed beneficiary claim form. In order for us to settle the contract(s), the following is required: • Completed ~ signed beneficiary claim form for the beneficiary • EIN Taxpayer ID # for the Estate You had requested some information about the account, which is provided below: • Contract effective date is October 13, 2009. • Account Value as of September 28, 2010: $ 95,089.68 • Interest Earned from January 1, 2010 through September 28, 2010: $1,761.24 If you have any questions, please contact your representative or call our Customer Service Center at 1-800-255-9448 Monday through Friday between 8:30 a.m. and 6:30 p.m., ET. Sincerely, Sean Herrick Sr. Annuity Representative -Post Issue Processing MetLife Annuity Operations and Services ~ Sovereign Court Ordered Processing \ Decedents - MA1-MB3-02-10 - P. O. Box 8441005 -Boston, MA 02284 December 15, 2010 Gates, Halbruner, Hatch & Guise, P.C. 1013 Mumma Road -Suite 100 Lemoyne, PA 17043 RE: Estate of Frances E. Metz Date of Death: 09/28/2010 Dear Ms. Sepkovic: Per your request, enclosed please find the account information as of the date of death for the above-named decedent. For your information, accrued interest is not included in the date of death balance. Please feel free to contact me if I can be of any further assistance. Very truly yours, Helen Alboth Lead Specialist 617-514-5189 J Sovereign Bank ESTATE OF Frances E. Metz SOCIAL SECURITY #: 190-26-6621 DATE OF DEATH: September 28, 2010 Account #: 2335129132 Type: CD Open date: 6/26/1997 In the name of: Frances E Metz Date of Death Balance: $65,629.31 Int.(YTD) from 1!1!2010 to 8!31/2010 - $409.42 Accrued interest to date of death: $49.03 Other Info: Page 1 of 1 V Dec, 31. 2010 10:53AM PNC BANK 412-705-2747 ~PNC December 31, 2010 Ms. Traci L Sepkovic Gates Halbruner Hatch do Guise 1'.C. 1013 Mumma Rd Ste 100 Lemoyne; PA 17043 1tE: Frances 1r Metz ssrr: 19x26-6621 DOD: 09-28-2010 Dear Ms. Sepkovic: No, 6503 P, 112 In response to your request for Date of Death (D()D) balances for the customer noted above, our records show the following: Certii;cate of beposit Account # 11020045888 FRANCES E METZ DOD balance: $ 4,787.55 + 2.61 accrued interest Interest paid 01-01-2010 thru 09-28-2010 $ 35.69 YTD Account # 31600279557 FRANCES E METZ DOD balance: $ 5,670.89 + 0.38 accrued interest Interest paid 01-01-2010 tbru 09-28-2010 $ 7.62 YTD Checldng Account Account # S 140042862 FRANCES E METZ DOD balance: $ 4,836.39 + 0.03 accrued interest Interest paid 01-01-2010 thru 09-28-2010 $ 3.65 YTD Established: 07-08-2004 Established:.12-12-2005 Established: Ol-O1-1978 ~ Please note that this office provides date of death balances for deposit accounts (rR.As, CDs, Checking and Savings). We do not process any financial transacdons or provide statemet~. If you need assistance with aay of these items; please call 1-888-PING-BANK (I-888-762-2265) ar stop by your local l?NC aaztk branch office. sincerely, National Financial Services Center PNC Bank, N.,A.. Member FDIC Page 1 of 2 Dec. 31. 2010 10;54AM PNC BANK 412-705-2747 No. 6503 P, 2/2 Thu message is intended for the use of the individual or entity to which it is addressed a»d may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient yr the employee or agent responsible far delivering this message to the~intended recipient, you are hereby notified that arty disseminatiorti distribution or copying of this communications is strictly prohibited. If you have received this communication in error, please note me immediately by reply or by telephone at 800-762-1775 and immediately destroy this faxed document. Page 2 of 2 Integrity B A N K May 12, 2011 Gates, Halbruner, Hatch & Guise, P.C. 1013 Mumma Road Suite 100 Lemoyne, PA 17043 Dear Ms. Sepkovic: In response to your letter dated, February 2, 2011 regarding Frances E. Metz. The date of death balance for checking account number 201007780 on September 28, 2010 was $2,768.49 and the interest earned for 2010 was $31.50. The certificate of deposit account number 3002735 and the balance on September 28, 2010 was $33,6.50.93 and interest earned for 2010 was $298.01. The checking account and certificate of deposit were both closed on September 28, 2010. The checking account and certificatf; of deposit were both individual accounts in the name of Frances E. Metz. Frances E. Metz did not have a safe deposit box with Integrity Bank. If you.should need further assistance, please contact me at (717) 920-4900 extension 230. Sincerely, Barbara L. Tome Senior Customer Service Representative 3345 Market Street, Camp Hill, PA 17011 • Phone: 717-920-4900 •877- I-MAVEIT • Fax.• 717-920-119G4 • www. integritybankonline.rom l f, II II r t II R I I CORDIER ANTIQUES F~~ne art AUCTIONS APPRAISALS ESTATES Onsite Auction 219 Hummel Avenue Lemoyne, PA 17043 Final Report aid Settlement June 18, 2011 Prepared For: Estate of Francis E. Metz c/o Roi Baptiste 144 Hummel Avenue Lemoyne, PA 17043 July 18, 2011 Estate of Francis E. Metz On-Site Auction ~Settie"tnent Income Personal P,ooerty Live Auction --Saturday, June 18, 2011 Gross Commission (20%) Due Consignor Budgeted Expenses Personnel $15/ hr Clean-out /Auction Setup: 3 Staff @ 30 hours each Day Qf Auction: 8 Staff @ 7 hours each (Actual -11 Staff) Advertising (inc{odes Real Estate -see detail) Tent Renta) Signage Total Budgeted Expenses Due Consignor $ 10,560.00 $ 8,448.00 $ 1,350.00 $ 840.00 $ 1,146.00 $ 0.00 $ 0.00 $ 5,112.00 Net Due Consignor Advertising 6/13/11 5/21, 6/4, 6/11/11 5/25, 5/29, 6/5, 6/12, 6/15111 5/25, 6/8, 6/15111 5/25, 618, 6/15/11 Website AuctionZip Email Notices TOTAL Antiques & Auction News Patriot News/Welcome Home Patriot News Classified•~ ~---~ Guide Paxton Herald $ 148.32 $ 408.00 $ 125.50 $ 360.00 $ 104.26 No Fee No Fee No Fee 1146.08 PA REV-1500 SCHEDULE G INTER-VIVOS TRANSFERS and MISCELLANEOUS NON-PROBATE PROPERTY PNC 1NVESTIVIENTS Memher FINRA and SIPC November 24, 2010 Traci L. Sepkovic, Paralegal Gates, Halbruner, Hatch & Guise, P.C. 1013 Mumma Road, Suite 100 Lemoyne, PA 17043 RE: Frances E. Metz, deceased, SS #190-26-6621 Date of Death: September 28, 2010 PNC Investment Account 6055-7339 Dear Ms. Sepkovic: In reply to your letter regarding the date of death valuation for Frances E.:Metz, enclosed please find the valuation and a copy of the September 30, 2010 PNC Investments statement. The MetLife annuity was established on Apri13, 2002. The interest earned on the annuity from January 1, 2010 to the date of death on September 28, 2010 was $1,746.66. The beneficiaries on the annuity are as follows: Jean Kohlass, cousin - 40% Roi Baptiste, friend - 60% If you have any additional questions, please contact me. Sincerely, Todd Perry Financial Advisor Vice President TP/ho Enclosures The information disclosed is intended for infortnatioo purposes only, is time sensitive and is subject to change. Also note the information is provided from sources we believe to be reliable, however we are not responsible for errors or omissions. IrrvestmeM decisions should be based on approved published research. Clienb need to refer to PNC Investments' confirmations and statements for accurate information pertaining to the specifics of their account as of the published date. PNC Investments LLC Member of The PNC Financial Services Group 4242 Carlisle Pike Camp Hill Pennsylvania 17011 www.pnccom t t yaytose Value Important Irnestorlnformation: Securities and brokerage services are provided by PNC Investments LLC, member FINRA and SIPC. ® ~~10 ~r'k t"'~~'~` Annuities and other insurance products are offered by PNC Insurance Services LLC, a licensed insurance agency. P'~v. 24. 2010 1:12PM No, 9393 P. 2 ESTATE OF FRANCES E. METZ Account #60557339 DOD VALUATION 28 SEPTEMBER 2010 ?he information provided in this report is believed to be reliable, but its accuracy cannot be guaranteed. A mean price is calculated as an average of the high and low on the valuation date when available. If these prices are not available, such as on weekends or holidays, the mean price is the inversely weighted average of the high and low on the nearest trading dates before and after, when these prices are available within one week of the valuation date. If actual trades are not available, the nearest bid and ask prices are substituted. Note that securities traded on the Toronto Exchange are in Canadian dollars. If an equity is ex-dividend for a cash distribution ors or before the valuation date but is of record after the valuation date, the dividend is included in the valuation report and is added to the security's value. This is reported as an adjusted value on the report. If the date of death is on or after the record date and the dividend is payable after that date, the accrued dividend is listed separately on the report and added to the portfolio's total value, Prices for which daily updates are not available are priced according to a Corporate Pricing Cycle. These pricing dates occur on the last business day of the week, and the last business day of the month, unless the end of the week update falls within three business days or less, of the end-of~month update. Prepared 24 November 207 0 No v. 24. 2010 1:12PM No. 9393 P. 3 RSlgtA Valuation Date of Death: 09/29/2010 Estate of: S'AANCE5 E, tdTZ Valuation Date: 09/2g/2010 Account: 6055 7339 Processing Date: 11/2!/2010 Report Type: Date of Beath Number of Seauritiea~ 1 File Ib: METZ,FAaNCfi8 8harea 3ecvrity Mean 8nd/or Div and Int 8eaurity or Par beeaription Nigh/Ask Lov/Bid Adjuetmw:ta Accruals Value 11 77660.66 I~TL'IFE INVB U8A (591567890) a_ INStiRAA1Q0E 88(a FIND 11t-W[IITY 09/29/2010 1,00000 1.00000 x•.000000 77,660.66 Total Value: 577,660.66 Total Accrual: $0.00 Total: $7'7,660.66 Begs 1 This report vas pYOduced with BetatiV81, a pYOduct of Latate'ValPatiOhs 6 Pricing Systems, Ino. If You have questions, piaaee contaoE EVP Sy9to:ps at (818) 313 6300 or MvM.AVpsye.com. (Aavlaion 7.1.1) i~ PA REV-1500 SCHEDULE H FUNERAL EXPENSES and ADMINISTRATIVE COSTS ~° i ~~ ,~ ~ ~ ~ 7 ~ L:t-~ ~'-~ ~~ `~~~~~ c.~~~ ~P~~' ~ / t ~~ T v ~~~, oar, ~,"' o ~` ~.; i, ~ J~~ ~~~ v ~. ~~` G' ~~ ~~ ~ 1 ~~ ~ ~ ,~ ,~ i0. ~~~ ~ ~~ ~ i LO INL ~ MFf.F~`I~A~ 1T~ 71T-766-2508 2T~' Ikrchant ID: 27ABBB002~ *** Sale M~ "~~ , {ry Method, Saiaed - VISR, 10/02 S 4,82 ~~ :19125 Total: 8746 ~;~;20 `' 1~1@ pppr Code: 881815 1 87461 l~q; 8 9atchp:98~~3 Onlil~ ~pKT (:ppY ~~ CDI'E pGplNt ~ Creeli ~/ Card s __ !64.82 ~, ` Karns Quality Faods 1200 Market Street Lemoyne, PA Tom Malesic Store_Manager 763-0165 Gary Barna Meat Manager 763-0173 Store:4 Cashier: Rachel McD 10J03J10 Member card number: 1.51 lb ® 1 lb GRAPES-WHITE SEEDLES 1.82 lb ® 1 ib / GRAPES-BLACK 8 # ICE BAG SUBTOTAL TOTAL TAX 14:56:03 XXXXXXX1736 .99 1.49 FD .99 i 1.80 FD 1.49 FA 4.76 .00 ~ weis i THANKS FOR SHOPPI,NQ,-WEIS MARKETS #125 1195 Lowther Roed Camp Hill, faA. 17011 TELEPHONE: i717-737-7.091 ~ _ . YOUR CASHIER TODAY WAS ACM LANE #4 WQ 2X MILK OT NP 1.01 F BAILEYS CREAMER PC 3.39 F SC BAILYS 0.89-F P BRANDS-:. PC 1.79 F SC PILL56i~Y DISC041NT 0.10-F MM ORQ ~7uICE ` ~ . PC 2.99 F SC MM ORANO,E JUICE 0.30-F CARD 3.99 T 2.40 l b ! 1..99 /,l b WT g016~ RD DE,.L A 4.78 F 2.40 lt~ ®:0.99 /lb 2.3 SC 4016 RD DEL A SC 2.40-F TAX :*:* BALANCE 14.50 WEIS MARKET5`~ 125 1195 Lowther Road Camp Hilt, PA 17011 DEBIT PAYMENT ACCT: ************9456 EXP: XXX SEO: 204641 REF: 527787 PURCHASE.: 14.50 CASHBACK: 0.00 i/e~~aas ~ I .~ .. ra+ i ~ _ Duality.6ele..t/wt.. ~"criving~. ~+ery Day. t ~~ Vlslt us an the Internet uvW.GianifuaciStnres.com li r My soai-is to ensure you. saflsfac#lon every tll+e you shop with us,+~~1wProNe is enathln9 ,: nark S c~rii.rlr. bout experience pleelse call ar'.arite. Mlchsgi Youngs S1~ure Kanaser Glanf hoed ytar'e u guy 3$01 Tn9ndle Road _ Gtiwp H1I1. PR _ 17011. . ~'~~~' Store Telerhone: ~ "(t r ~ tL9~1 tb6 `~"Pharrleca Telephone: (TiT) 774-1170 10!01!10 1t:11aH THANK YOU 48007559585 DC 12.99 i 1 BIG CB PUMS.. 2.00•-T SC BONUSBUY SAVING5 10 99 Price you Pea TOTAL OE:FOttl: SAU [IdGS • ~~ " 5`~ YOUR tG1FlL SRVING`i 2.00 TOTAL ETF""itrt ~+~vila~', 10.66 Tt1X Ptlt D t l n5 **e*TOTAL 11 .b5 yF -DEBIT C~+FtU it If k IE iE IE iE * It * ik * IFlf~ i~ fi R .>: +1'^ ~ M ~~ '~"R *~ * a - 01 b `! `F .r :t ~ w GIANT FOUD ._" 3301 TRINDLI: hutitl • CAMP HILL, PA 17Qi1 ' DEBIT CARD PAYMEt+i Coed ;{Xi~X ;i?:tinw_H.`{v, Y, ti~5b ,. . ~ N .17 .'O OD- _ t1D f7 ~ Q7 N G7 f7 T 3 i>aNm~ tam mm issa tsr~m mN~ H r~ca ma D m to O tD O o 0.2 - O Z r lm O O w) 9 O r m O ~U a:lor z z z~ zam ztocl z ~COZ z-1 m~ co cc~ cz czSLN c "c~N-~ cmc-, c-~+ R- CO- 'QN~'9V1~'d.Vl9'OfA9-C\17N- O• ~NZS~fAZ OJ ~D7 0797 m97 reN9'ODH W~~ W,rdS? t>otnN7.mVf . ~ /'1 ,Q~ (~ Tr `" T.~'~_.: r-~ ,..._~ 4..+111 r~ ~ i:~ r . c a n <mn -emo ~e-en ~< Ott < <n <san <c~ ~ s ww vlrr mw m ol~ o• cc• x ~ ~ h y yr::Nr N ~ HNV/ tn~-+ o a tc a rc s r< ~ r IC a r +. a -~ tc a --I -1 C a ~o -+ o c o c O COO co o c No ciao cln ~ N C M C M C .-1 t-' C H t. 7 H O C I+t ~~ C I-1 ~ Z Z Z Z = N ZOO _ 9O bO X61`O t7 NR7 'OiA bO i ~ O N d H O N a N w a N r y £ IC ~ IG t. fC S iC. t. E t= IC C j'" t N N -+ ~ ~t 01 ul .a -~ o o .o O Oa N ~~ - t!f O O .gyp m m ae m m ~ ao m n n n n n n c~ n w W CA W O+ .~ ~ .r ~ _. ~ 00 ~O 10 Cif t10 ~ N. ~J N W Cn W \O Ci7 N N 10 01 d i10 Oi CT ~O CT1 ~ -~ W 00 O tp 00 •D ~O ~O 1D O ~O 1 i I I 1 1 1 TI Ti T! 'T{ 1'1 't1 T '17 TIT Ti ~ T TI T Tl Zi T ~, . r . ~~ Oualtty,i~lectiorl~: eavin4s, ivory Oay. ' Vlalt us on the Internst •wr~r.GiantFoodStoree.caR r Mb soal Ls to !ensure flour satisfaction everb t1Re aou' shop pith us. If there le anathinq Fore I can do to l~Prove sour exPertence Pltdfe call or trite. Michael Youns. Store Mgnaser Giant Fao.d Store 1t 269 3301 Trindle Road' Capp Hill , PA 17011 . , .Store.:;tYephone, t717) 724-1166 `~ Phar~acs+ Telephone: (717)"724-11?0 1.0!01/10 10:37AN ,, THANK.YCIU 48007559585 PARTY TRAY 59.99 F PARTY TRAY 59.99~.~F 1/2 SHEET CAKE 20.99 F 1/2 SHEET CAKE 20.99 TAX PAID eiiititTOTAL 161 .96 VF .CREDIT CARD 61.96 t~~~te~~~t*iEilitil~it~it**IFitIt lklt~F1ElFIFIFIF** iE GIANT FOOD ~ 0264 3301 TRINOLE ROAD CAMP HILL; PA 17011 ~ VISA PAY MENT f Gard XKXX XXXX XXXX 9554 Payment F1~ount S +~***161.96 , REF ~ 035838 _ _-__ ~ _. :~ ~ -fit -o o • < Ic S C w s iailo 7 N 7 IC O ~1 ! •~ Z A IC d a n~ ravS:- Z iC ;w 61 S • r f ~- ?S' S'! ~'t~RL+ -1-t r ww a .-m < • w a w. ~ .- w ac -.~ O ~^- ~- 9 0 -r O 0 0 e we + -cnsc v'o m~'owo w x -~ S S •- -t O C 7 a~ O O'O r-7 O O A Sa ~ 33 ~-•-a my oc o ww - 3 ~HV~ -+ d N • w ~s a o .+ a a .- ¢ o ~+~ ~ o w s ..o ~~ yaw ~ Sc -- o w n o. ~ -a -a -a r ~s o o c ..... oa z•- a a ~ o -~ N tr .- r • 0o to •.1 •.1 -~ o+ ~ -. + O 9 NN ~D _ a00 O z ~ .t- 10 7 .-i a -d ~ 1 1 w. .• +r ~r O1 7 E i d cn , ~ v .~ n ~o 1 a ».- ~ ~ -~ N O 01 ~-.- O w ~- 00 R < '7 O t77 w w 7 = r ca . .- G7 .f- 7 M t O 3 n. -r tq S ow e ~ as ~ i °s M 0 t D s~ >D RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Sqquare Carlisle, PA 17Q13 METZ FRANCES E Receipt Date: 10/14/2010 Receipt Time: 12:25:42 Receipt No.: 1062925 Estate File No.: 2010-01033 ROI Paid By Remarks: BAPTISTE T ----------------------- - Receipt Distribution ------- ------- -------- --- Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 560.00 CUMBERLAND COUNTY GENERAL FUN WILL 15.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 40.00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 23.50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5.00 - ----------- CUMBERLAND COUNTY GENERAL FUN Check# 4007 --- - $643.50 Total Received......... $643.50 ~ l - CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Tale: (71 T1248-3188 Fax: (717) 249-2883 November 19, 2010 Cumberland Law Joumal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Craig A. Hatch, Esquire RE: Frances E. Metz Estate Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Joumal. Advertisement inserted on following dates: November 5, November 12, and November 19, 2010 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 75.00 Total Amount Due $ D.00 Becky H. Morgenthal, Executive Director ~k , PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland La~~~ Journal on the following dates, viz: November 5, November 12, and November 19, 2010 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. `-~~/ y Li a Marie Coyne, E~or SWORN TO AND SUBS(://RIBED before me this 19 of November, 2010 _ Notary Mats, lrranees E., deed. ~ Late of the Borough of Lemoyne. Executor: Roi Baptiste c/o Craig A. Hatch, Esquire, Gates, Hal- bruner, Hatch ~ Guise, P.C., 1013 Mumma Road, Suite 100, Le- ~~ moyne, PA 17043. NOTARIAL SEAL Attorneys: Craig A. Hatch, Es- DEBORAH A COLLINS quire, Gates, Halbruner, Hatch & Not2ry Pu01iC Guise, P.C., 1013 Mumma Road, CARLISLE BOROUGH, CUMBERLAND COUNTY Suite 100, Lemoyne, PA 17043. My Commission Expires Apr 28, 2014 The Patriot-News Co. 2020 Technology Pkwy Suite 300 Mechanicsburg, PA 17050 Inquiries - 717-255-8213 GATES, HALBRUNER & HATCH, PC 1013 MUMMA ROAD SUITE 100 LEMOYNE PA 17043 c2l~e~latriot-dews NOw you know THE PATRIOT NEWS THE SUNDAY PATRIOT NEWS Proof of Publication Under Act No. 587, Approved May 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 and existing under the laws 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 interested 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 behalf 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 the office for the Recording of Deeds in and for said County of Dauphin in Miscellaneous Book "M", Volume 14, Page 317. PUBLICATION COPY yLETTER$ TEfiTAMENTARY for the ~afwffe of Francis E. Metz, deceased, ate of tM 8orouah of Lemoyne. Curti ted to those BRUN~1't3. HATCH & Rom Suite 100 This ad # 0002107165 ran on the dates shown below: November 05, 2010 November 12, 2010 November 19, 2010 ~ ~ ~ Sworn to subscribed before me i 19 c~a of November, 2010 A.D. Notary Public COMMONW~-r}~ pp PENNSYLV/~ylq Nr~~ seal Lowery pax~onL ~ ~ ~~ry~ hilt MY Commf~ 6~plres Nov, 26~ OtY Member, Pennsylvania AssoclaNon of N otarles Rice Memorial Works 421 W. Main Street New Bloomfield. PA 17068 ' (717) 582-2512 Frances Metz Estate r/~V~/Ce c/o Roi Baptiste 144 Hummel Ave Lemoyne, PA 17043 13-31110 11 /29/2010 Frances Metz 1 1 Cemetery Inscription ~~~ y01Lf Memo~'ia~o~' `~~ Order Total: t1~SCflp~ion ~s fished Payments: Balance Due: y~ 6/14/2011 Lynne Trace $135.00 $o.oo $135.00 Please include contract # with your aayment Image Print ,. ,~~~ . ,.. ._ . ~r aF t~s ~ Ivy E101 R dAP'1'1lRL toe HUa~~~ ~O'YtdELP tD~llt pry ~,~ ~. ~ ~~~ ~' ~, ~~~ ~ e ~r~~. ao ,., x:03 i31 ~7~8~: SaA448~4 `,K ~~ >~. ~- ~ , ..r "",+' j ".1"K'..,~. ~. .u-.111' +.L' ~k. C '~- i Gi i 3 >d31315036< Oxxsto~rn Sank Shippansbaxg, P2l 1?257 Phone: 717-532-6114 Bna Data: 11/19/2d1d Bxanah/Tellex 0448/42$1 11/19!'2010 14;55:26 https://www.cct.pncbank.com/IMGPRINT.html X013 eat~~ it7 nda~ ~ ~. ~~~~ ~i t'~ ~~ ~~~ t~ p~p ~ -~ e~ G ~'° ~ ~~~ ~` Page 1 of 1 1/6/2011 \ RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Receipt Date: 12/27/2010 Cumberland County - Register Of Wills Recei. t Time: 09:07:09 One Courthouse Sgware Recei.~t No.: 1063777 Carlisle, PA 17613 METZ FRANCES E Estate File No.: 2010-01033 Paid By Remarks: ROI BAPTISTS HMW ------------------------ Receipt Distribution ------------------------ Fee/Tax Description Payment Amount Payee Name PHOTOCOPIES 1.00 CUMBERLAND COUNTY GENERAL FUN ---------------- Cash 1.00 Total Received......... 1.00 ~k ;~~~. =': ,i° s ~~~ 8 certified death certificates @ $9.00 p~~ 't 1' ALLLLL~~I.~~u1Lll~LLLY TOTAL ............... $72.00 ~Il.IlIl71~~ ®IlIlII~, ~lCik~. Please make check payable to: Established 1895 Brian C. Musselman, FD. Supervisor Thank you. William G. Pegan, FD. ~.0-8ox-137 ---------_ -_- _ ~ ------- - __ _ ~ G~---~-------- r/~~-- _ ~: - 324 Hummel Avenue ~ ~- l.emoyne, PA 17043-0137 ~t,~C. ~~'"! (717, 763.7440 rte, ~ ~ FOR APPOINTMENT PHONE 717-163-7440 l f i ~1 (. ~~ `.. t~ i G~ J Image Print 4:K'a^^~ F $: ...1~. lam' ~~ .,~ ,t ,y - >.(2l ra 3r¢ -r: r+ I(( . ~' I EST ~F ~RAd~t~E6 E EIETl Rt~l R BAPTISTS ~DM$TR t~ .~ ` ~ LEAAOYNE, p1A-1704~-19+18 Par w thr ~~ Order a[ ~e' 1~oC1IMk.NA 610 CauallA Far ~:03~3i2?38~~ 5004 _.... .v.ran,. t~~f ~. ~ .. ,' pi a'•v.. vwar 'ar w~ ..z. r ~r°O ~ii~w ~d~4t. = Lan L~. .;f ~. _ ±'~i.J ' _ _1°~~ .~ .a i. ~ , R` 6. ~ `~ - n~ .} ~J~n• t ._ xr _ _ I i." ~.'GT- ~iH _ ,:: _ _ _ - ~'-~_' _`' e kr i _ n - ~ •r ~ r M J i~ ~+!~ •~ r {_ ~> V y ~,;. ~~ ,`~ ~4 "1 i~:, p.:K c.. .ti ~. y zz ~ i _. L`8 1~~~. ...~. -. ., i r~'~ httns://www.cct.nncbank.com/IMGPRINT.html n~ 0 i4 Page 1 of 1 1014 e~m~~ n~ ~~ ~~~ .IaoTlars ~ ~'~'.~t,;. ~~; ~ ~ .. ~ .. : ~'~ ~ ~'~ f ': ~ .Q x '~ ~_ ~ f~ ~ m a =- '. ~i "~ ~ , i - _. W Ir ~ i r r . .. ~. 1 1/6/2011 \ The Patriot-News Order Confirmation (Step 5 of 5) Your selected Ad Category is: 3 Days West Ad Preview 219 hunnel 6/244/35 Frances' lad yardsale! ALL tff3~ PRICED lt] SB.L!! pla9swrare, antiques, hasehdditems.too mrchto 4st? 219 hunne~6~ Frances' last yardsale! ALL IfE1VL5 PRti+ED TD SEl l!! plaeswane, antigres, horselddilens, ioo arch ip list@ 6/23/11 - 6/23/11 6/24/11 - 6/25/11 Order Confirmation Number: 0002152569 Ad Run Schedule(s): • 3 day(s) starting 6/23/11 in The Patriot-News • 3 day(s) starting 6/23/11 in --Your ad may extend for addRional days, included in the pricing. -- PN Plus is a weekly publication delivered to non-subscribers. Total Price: #26.00 Your order is complete. An order confirmation will be e-mailed to you shortly. You may wish to print this page for your records Page 1 of 1 ~ ~~~,~~ ~ ~ ~ V'~"l Y°~ r ~ Yom'" . r,~ v s ..~ https://www.patriot-news.com/webbase%n/std/j sp/WebBaseMain.do /` /, , ~ ,~ ,~ -~~ ~ ~~ ~ v ~ ~ ~ ~~ ~~' ~ ~ ~ ~~ 6/21 /2011 X002/002 ~overeig~ Court Ordered Proccssingl Decedents - MAl-MB3-02-10 - P. O. Box 841005 -Boston, MA 02284 December 7, 2010 Gates, Halbruner, Hatch & Guise, P.C. 1013 Mumma Road -Suite 100 Lemoyne, PA 17043 VIA FACSIMILE 717-731-9627 Re: Estate of Frances E. Metz Date of Death: 0 912 8/2 0 1 0 Dear Ms. Sepkovic: We have received your request for date of death balances on the accounts of the above-named decedent. Please refer to the additional item(s) indicated below that are required to complete your request; some of which are required in order to comply with privacy laws affecting bank accounts. We need to ensure that we provide account information only to those individuals authorized to receive it. Please send the documentation checked off below to my attention at the address listed above. _x_ $20.00 Date of Death Balance Fee payable to: Sovereign Bank (effective 6/1/09) Death Certificate Court Appointment of Executor(trix) or Administrator(trix) ("Certificate of Appointment") Authorization from Executor/Administrator/Joint Owner/Beneficiary to release information Other: Ve~ry~t~ru~ly y/,our~s~,~.~'' Q~~ C~~x/`d~fi Helen Alboth Lead Specialist 617-514-5189 phone 617-5331931 fax } T~u"y~ia. Bitters Lemoyne True Value Hardware 1200 Market Street Lemoyne, PA 17043 1-717-731-1070 Transaction#: A53390 Associate: JACKIE Date: 11/29/2010 Time: 01:14:1 PM *** SALE *** 24CT45GALGRY Contra Bag 113124 2.00 EACH @ $15.99 T $31.98 013700224454 Subtotal: $31.98 6t - State Tax: $1.92 TOTAL: $33.90 VISA: $33.90 ' CHANGE: $0.00 BUYER AGREES TO PAY TOTAL AMOUNT ABOVE ACCORDING TO CARDHOLDER'S AGREEMENT WITH ISSUER Apppproval:481767 CNUM:VISA-************8064 EXP:**/** NAME:ROI R BAPTISTE AMT:33.9 / r~ (X) u or ze igna ure Thank You! CAMP HILL POST OFFICE CAMP HILL, Pennsylvania 170119998 4134870011 -0097 12/30/201(1 (800)275-8777 02:01:54 PM - Sales Receipt Product Sale Unit Final Description Qty Price Price 2009 Forever 1 $8.80 $8.80 Stamp PSA Dr,;-Sd Bklt Total : ~ $~ 0 i Paid by: ' Cash $20.00 Change Due: -$11.20 Order stamps at USPS.corn/shop or call 1-800-Stamp24. Go to USPS.com/clicknship to print shipping labels with postage. For other information call 1-800-ASK-LISPS. xxx~~xxxxxrrxrrsx~rxxxx~rxxxxx~rx~r~~r~r~rcrrrc~rx~rx xx~rxxx*xxx*x**xx***xr~~~rxx***tcxxxxxxxzxx~r Get your mail when and where you want it with a secure Post Office Box. Sign up for a box online at usps.com/poboxes. xx~cx~rc*xxxxxrc~c~x~r~,r~c~r~crc~~rx~*x~r~r~~r~r~xx~rr~r x~r*,r~rsxrrx~x~rx~r~c~rxxx~r~rrx~rxzx~rx~~rr~rxr~~c~rxx~ j Bili#: 1000304182024 Clerk: 10 All sales final on stamps and postage Refunds for guaranteed services only Thank you for your business x~rxxx~r~~rrarxxx~r~~r*xa~tr~ax~rxxrcx~cx*xxx~~~r~r~~ xzx*xrr~rxx,r~cx~cr~~r~rrr~ex~r~xxxx~t~c~~x~e~t~x~r,rxx~cz ' ~ HELP US SERVE YOU BETTER Go to: Inttps://postalexperience.com/Pos TELL C( ABOUT YOUR RECENT POSTAL EXPERIENCE YOUR OPINION COUNTS ~cx*~~rx~r~xr~~c~*rcx~x~~xxx~rr~r~x~rx~rrcx~rx*~t~rxxx~c Customer Copy i~'~~~~~uy~M~~ ~ ~~ ~~,, ~ ~k a nt- ura a ~ unC ylrakak**alt*****~F**akak*akakakak *** TX REPORT *** ********************* TRANSMISSION COMPLETED TX/RX N0. DESTINATION NUMBER DESTINATION ID ST. TIME COMMUNICATION TIME PAGES SENT RESULT 157034$1666 25$1 01/03 13:48 00.:4,3 0 ~uu ~ 1uxo~srP $~I~~~l11 ~'' ~l~-.L mo 7-~~ ~i~' j 7. ~ti~~ ,~ ~~~ :~~~a ~~ ~^ ~3~ :~~ QCs ~ ~~~, ~ o ~~ ..~- ." 6~Ot •1156h~~hh005 :~~"EZ2 t ~t ~C ~d~.~~ otio ,~•H ~g ~xa ,,~ ~ ...~~.,.a , saEll°Q ..,~~.., ~~~,.,.9 ~_ aaeQ [<< E LE/ELZ L'09 6~~~ -~o a ay; c 91-6 L-£bOL l tld `3NAO1 antl -IawwnH a1SW~tl 31Si1dV9 ~1 1 Z13W 3 S3~NVad d0 J ~uno~stp d1z~sraquray~ ~ ayd~.rs .rno ~nogv a/s~r /, 9 / // ~ p ~ ~ /s, :.iagiunu gs3 a~gQ ~~ ~ ~ ~~' %. ~> :oiaay~ ~~9~ ~, (.~aeoa uipniaaT)~ :sa~ud ~rsi ~ ~~~ I ~ :1uoa3 tJ ~7 A '~~ iuoo•aio~ss naq~Un 9~bSla~o~S 9IIL-L£L-LTL :xE3 LLL9-L£L-LIL :auo~id £~OL I ~'d `au~ouzaZ i I I a~S ~aa~uS ~a~T~Y1i L IL ~ a~o~S Sd(1 a41 L , W RI~1 US, ItS ~011(~. ,~ Store #01074 1137 MARKET STREET LEMOYNE, PA 17043 t717> 737-3359 Register #7 Transaction #462243 Cashier #10749767 10/17/10 1:OOPM 1 ONE HOUR DEVELOPING 11.80 T 1 ONE HOUR DEVELOPING 11.80 T 1 ONE HOUR DEVELOPING 11.80 T 1 ONE HOUR DEVELOPING 11.53 T 1 ONE HOUR DEVELOPING 11.80 T 5 Items Subtotal 58.73 Tax 3.53 Total 62.26 *DEBIT * 62.26 DEBIT card x #XXXXXKXXXXXX8064 App # AUTO j Ref # 632244 ~ Card Present Tendered 62.26 Cash Change .00 i - T -Taxable Te 11 us about .our sere i ce ~„ ~ ~ ~~' ~~J ~~~ r l ~~ ~ THA~YOU FDR SHOPPING AT HEPFERS ACE HOMECENTER (717 761-7722 SOME MSDE NOT RETURNABLE ! ! ! !CHECK STORE SIGNS FOR DETAILS ! 11JO1/1 12:13PM JD 553 SALE z 40287 -1 EA 3.99 EA R STRAINR BSKT#66-i011CD -C.99 4fi579 1 E.4 5.49 EA BASKET STRAINR AH820-22 "`~'-~~ 5.49 6038574 1 15.59 E TRASH BAG CNTRCT42GBX2 5.59 SUB-TOTAL: 17.09 TAX: 1.03 TOTAL: 18.12 CASH TEND: 20:00 CHANGE: 1.88 __» JRNL#H89621 «__ COST # *5 ACE REWARDS ID # 19023176256 SEASONAL MSDE MUST BE RETURNED IN 7 DAY ALL OTHERS-30DAYS,IN PAK,WiTH RECEIPT Pc $lTl~!11e:1~~1a1: THANK YOU FOR SHOPPING AT HEPFERS ACE HOMECENTER (717) 761-7722 SOME MSDE.NOT RETURNABLE,SEE STORE SIGNS FOR DETAILS ! ! ! 3/19/11 11:43AM PS 554 SALE 5192539 2 EA 1.99 EA ~' KEY YALE Y1-ACE 250PK 3.98 SUB-TOTAL: 3.98 TAX: .24 ' TOTAL: 4.22 CASH TEND: 5.00 CHANGE: .78 1~~ ~~~~~1~~~~~~~~~~~~li~~~~~~~ __» JRNL#I25684 <t== CUST # *5 ACE REWARDS ID # 19023176256 SEASONAL M5DE MUST BE RET11tNED IN 7 DAY ALL OTHERS-30DAYS,IN PAK,WITH RECEIPT '~ .. ~ ru p~ ~ s t1.05 X11 ~ - ---- Postmark (Endormeatuireal f0.00 '~ : `ff~ Hare ~. ~_ X0.00'..:. ~, s~ ~, ,~ o ~~°e~n"~ya.vu-- a°- O Total Postage ti Fees $ s<3. 135 ~ ';'93/15/2011 m ° of _..rP cLZ N~ ~__... _..1.~~ .. .. .... _ . .s. ~~._--_ t~t's_~1 ~~~ l ~1/l~i~~sa /-1 S ~ Issue PVI:~ $3.85 ~~ Total: $3.85 Paid~~by: Cash $20.00 Chenge Due: -$16.15 `Order stamps ~t USPS.com/shop or call 1-800-Stamp24. Go to USPS.com/cliclcnship to print'shipping labels with.postagei For other information call 1800-ASK-LISPS: *****~t>rat,~,~x*:*~~~~~t**:~****,~***,~~***~*~t~ ~ Get your mail when and where you want it ' with a secure Post Office Box. Sign up for a box online at usps.com/poboxes. ~*~*~~**x>r*xxx*,~~*>r*~~**~,t~t>r*~t~t*~~**~~t~t~ ~ Bi11M: 100050494J135 Clerk: 16 Al-1 sales final on stamps ,and postage / ~~efunds for guaranteed services only v Thank you for your business HELP US SERVE YOU BETTER Go to: https://postalexperlence.com/Pos TELL US ABOUT YOUR RECENT POSTAL EXPERIENCE YOUR OPiNION COUNTS *xxz~rr~x~rxx~rrr~tr>t*xx>rx*x>t*~r~rxrcx,rx*x~rxrc~r>rax xxrcxx~~~~~*x*~*~,~~~*axtcrcrcexxx~crcxrcr~rcxx~cxx Ct.wstom~ Copy CAMP HILL POST OFFICE CAMP HILL, Pennsylvania 170119998 4134870011 -0095 03/12/2011 (800'>275-8777 1_^^:13:40 PM Sales Receipt Product Sale Unit Final Description., Qty Price Price 2009 Forever 1 $8.8^ $8.80 Stamp-PSA Abl-Sd Bk)t Total: $~ 0 Paid by: Cash $10.00 Change Due: -$1.20 10rder sumps at USPS.comishop or call 1-800-Stamp24. Go to USPS.~om/cli^.knship to print shipping labels wish postage. For other information call 1-800-ASK-LISPS. xxxxitxxxxxxxxxxxxxxxxxxxx~rxxxxxxxxx~rxxxx xxxxxxxxxxxxxxxxxxxxxxxxxXxxxxxxxxxxxxxx Get your mail when and where you want it witn a secure Post Office Box. Sign up f~ ,a box onlime at usps.com/poboxes. xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxx~rxxxxxxxxxxxxxxxxxxxxxxxxx Billie: 1000504945063 Clerk: 22 All sai_s ~;nal on stamps and postage R~ t, ,ds For gu,ranteed serve ces onl y "bane ~~,u for your business xxxxxxx ~ xxi~wx, cxx~ .~r~rxxxxxxxxxr wxxxxxxx xxxxxxxx>rxY~~*Xxxx7Kxx~xxxxxx7Kx~xRx*xxxxx HE~~ US SERVE YOU BETTER Go to: https://postalexpe~ie~ice.com/Pos 1 ELF US A30LIT YOUR `_(.c iT P~~STAL EX~ERIEI~.' OUR 7T~,~h~,' ^OUN' xxxxxxxxxxxx~c*>. xxxxxx. + . r~rx zxx xxxxxxxxxxxxxxxlCxlk+'kKX*x *xn 1~;; .;7 zxx ~ustamer Copy ~_ ~UIE LUYE'S HONE CENTERS, INC. 5500 CARLISLE PIKE NE^4ANICSBUR6, PA '?050 (717) 610-9230 ~HL.E - SALES N: 52223R81 1147268 03-17-11 224272 42 GAL 3NL 24 Ci CONTR CN 29.96 2 1 14.98 SUBTOTAL: 29.96 rAZ: 1. Go INVOICE 08907 TOTAL: 31.76 DEBIT: 31.76 DEBIT:XXXXXXXXXXXX8064 AMOUNT:31.76 AUTHCD:808749 SYIPED REFId:803995997 03/17/11 14:21:51 iRACE:00953200 PURCHASE CASH BACK TOTAL DEBIT 31.76 0.00 31.76 STDRE: 2223 TERMINAL: 08 03/17/11 14:21:53 4s p.F ITEMS PURCHASED : 2 EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS HELP TINISE IMPACTED BY THE RECENT DISASTER IN JAPAN BY VISITING YYY.LOVES.CON AHD MAKE A DONATION i0 THE AMERICAN RED CROSS. THANK YOU FOR SHOPPING LOVE'S. SEE REVERSE SIDE FOR RETURN POLICY. STORE MANAGER: JIM DUNKELBERBER HAVE A COMMENT OR FEEDBACK? LET US KNOY AT: MiM.L~IES.COM/FEEDBACK STORE CODE: 22230-31711-08907 YE NAVE THE LOYEST PRICES, GUARANTEED! IF YOU FIND A LOVER PRICE, YE PILL BEAT Ii BY 108. SEE STORE FOR DETAILS. * YOUR OPINIONS COUNT! * REGISTER TO YIN R 15.000 LOVE'S GIFT CRRD! ~ RE6IS'fER BY COMPLETING A GUEST SATISFACTION SURVEY * YITHIN ONE PEEK AT: aaa.loaes.iarsuruer.coa ~ Y O U R I O A 08907 2223 076 * NO PURCHASE NECESSARY TO ENTER OR YIN. / ~ VOID YHERE PROHIBITED. MUST BE 18 OR OLDER TO ENTER. ~ a * OFFICIAL RULES d YINNERS AT: aaa.toaes.iarsurueY.com *~**~**~*~**~******~***********~***~***********~***sx*** DUlE R LOWE'S HDNE CENTERS, INC. 5500 CARLISLE PIKE NECNANICSBURG, PA 17050 (717) 610-9230 - SALE - SALES iI: 52223EY1 664412 02-16-11 147971 12"CRC KITCH BATN i9 FLU 13.96 2 W 6.96 _ _. 224272 42 GAL 3NL 24 Ci COUNR CH! 14.96 ~ 1 f i c_ _/~1 ~ ~~ ~~ ;` ~ ,~~ suerorAL: _ 2e.9'a~ j _, i TAX: 1.74` ~'` ~` ~NIVOICE 0678 TOTAL: 30.68 J DEBIT: 30.68 DEBIT:XXXXXX%XXXXX8064 AMOUNT:30.68 AUTHCD:673291 SWIPED REFID:603996013 02/16/11 14:00:08 TRACE:00521445 PURCHASE CASH BACK TOTAL DEBIT 30.66 0.00 30.66 STORE: 2223 TERMINAL: 06 02/16/11 14:00:10 # OF ITEMS PURCI~ASED : 3 EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS ~~ iHANK YOU FOR SHOPPING LOWE'S. SEE REVERSE SIDE FOR RETURN POLICY. STORE MANAGER: .JIM DUNKELBERGER HAVE A COMMENT OA FEEDBACK? LET US KNOW AT: MMM .CONIES . COM/FEEDBACI( STORE CODE: 2?130-21611-08578 WE HAVE THE LOWEST PRICES, GUARANTEED! IF YOU FIND A LOWER PRICE, WE WILL BEAT IT BY 10$. SEE STORE FOR DETAILS. ~1 UII E LOWE'S HOME CENTERS, INC. 55110 CARLISLE PIKE MECHANICSBURG, PA 11U50 (717) 610-9230 -~ SALE - SALES N: S22?3NY1 14065 03-03-11 224272 42 6AL 3NL 24 CT COUNR CH 14.96 SUBTOTAL: 14.96 raz: 0.90 INVOICE 101116 TOTAL: 15.88 CA5H : 20.00 CHRIIGE: 4.12 STORE: 2223 iEI1MINRL: 10 03/03/11 13:40:35 # OF ITEMS; PURCHASED: 1 EXCLUDES FEES, SEIIUICES RND SPECIAL ORDER ITEMS THANK Y011 FOR SNOPPINfi LOWE'S. SEE REVERSE SIDE FOA RETURN POLICY. STORE MAN116ER: JIN DUNKELBERGER HAVE A COMMENT OR FEEDBACK? LET US KNON Ai: IIMM.LOMES.CON/FEEDBACK STORE CODE: 22230-30311-10616 WE HAVE THE I.OWESi PRICES, GUARANTEED! IF YOU FIND A LOWER PRICE. YE MILL BEAT IT BY 108. SEE STORE FOR DETAILS. **********~******~*~*~r******x***s*****~****************~ * YOUR OPINIONS COUNT; * REGISTER i0 WI11 A 15.000 LOWESS GIFT CARD! * ~ * REGISTER BY CONPLET:[NG A GUEST SATISFACTION SURVEY * iJITHIN ONE VEEK AT: awu.loaes.iarsurwer.coe * Y O U R I D t 10616 2223 062 * NO PURCHASE NECESSARY TO ENTER OR WIN. ~ * VOID WHERE PROHIBITED. MUST BE 1B OR OLDER i0 ENTER. * OFFICIAL RULES d WIIINERS Ai: aua.lowes.iarsuruer.coA *********a~~*~~******,a******K*~~~********~***~****~****~ STORE: 2223 iE11MINRL: 10 03/03/11 13:40:35 r~-i. Ritters Lemoyne True Value Hardware 1200 Market Street Lemoyne, PA .17043 1-717-731-1070 Transaction#: A63772 Associate: JULIE Date: 01/19/2011 Time: =:~~9:24 PM *** SALE *** SafeStep lOLB IceMelter 114655 2.00 EACH @ Q', ":; r $9.98 073841568107 .:: X9.98 6% - Stata Tax: $0.60 TOTAL: $10.58 CASH: $10.58 CHANGE: $0.00 Thank You! ~~. Ri:;:ars Lemoyne True Value Hardware 1200 Market Street Lemoyne, PA 17043 1-717-731-1070 Transactions, A62539 Associ~1. u.1LIE Date: u, 011 Time: 03:12:24 PM gar: S.'._E ~** !ceA,Way .:~! a Dt' _i Salt 594906 2:.00 EACH @ $4.98 T ?9.98 041462792007 Subtotal: ~J.98 6% -State Tax: $0.60 TOTAL: $10.58 VISA: $1G .58 CHANGE: $0.00 BUYER AGREES TO PAY TOTAL AMOUNT ABOYE ACCORDING TO CARDHOLDER'S AGREEMENT WITH' ISSUER Apppprova1:06404A CNUM:VISA-************8191 EXP•**/** NAME:ROI BAPTISTE AMT:10.58 R -~~ (Xj u orize gna use ----------------------------------- • Thank You! IIAI911I IIII IIIII~II III ICI NI .~ r~-1. Ritters Lemoyne True Value Hardware 1200 Market Street Lemoyne, PA 17043 1-717-731-1070 Transaction#: A65285 Associate: JACKIE Date: 01/27/2011 Time: 12:04:23 PM *** ;iAL~ :~* IceAWay 25LB DeIci Salt 594906 3.00 EACH @ $4.99 T $14.97 041482792007 TV FastMelt 10LB Melter s527as 1.00 EACH @ $4.59 T $4.59 073841260520 Subtotal: $19.56 6X - State Tax: $1.18 TGTAL: $20.74 VISA: $20.74 CHANGE: $0.00 BUYER AGREES TO PAY TOTAL AMOUNT ABOVE ACCORDING TO CARDHOLDER'S AGREEMENT WITH ISSUER Apppprova1:02312A CNUM:VISA-************8191 EXP:**/** NAME:ROI BAPTISTE AMT:20.74 (X) u or ze Igna ure Thank You! l/ R~ III II~NII~III ~ ~I RI DUlE LOVE'S NONE CENTERS, INC. 5500 CARLISLE PIKE MECHANICSBURG, PA 17050 (717) 610-9230 - SALE - SALES t: 52223RG1 1147268 02-10-11 213793 13 GAL 45 CT RED NAX KITC 5.98 224272 42 GAL 3ML 24 CT CONTR CH 14.98 20705 SPECIAL DONATION PROfiRAMS 1.00 N SUBTOTAL: 21.96 TAX: 1.26 INVOICE 08778 TOiAI: 23.22 VISA: 23.22 VISA:XXXXXXXXXXXX8191 AMOUNT:23.22 AUTNCD:02782A SNIPED REFID:803996221 02/10/11 13:44:25 ~~7 STORE: 2223 T RMINAL: O6 02/10/11 13:44:37 ii OF ITEMS PURCHASEp: 2 EXCLUDES FEES, SERVICES AND SPECIRL ORDER ITEMS THANK YOU FOR SNOPPIN6 LOVE'S. SEE REVERSE SIDE FOR RETURN POLICY. STORE MANAGER: JIM DUNKELBERGER HAVE R COMMENT OR FEEDBACK? LET US KNOY AT: MIIM.LOMES.COM/FEEDBACK STORE CODE: 22230-21011-06776 YE NAVE THE COYEST PRICES, 6UARAHTEED! IF YOU FIND A LOVER PRICE, tlE tlILL BEAT IT BY 10~. SEE STORE FOR DETAILS. V CAMP H LL POS ICE CAMP HILL, Pennsylvania 170119998 4134870011 -0096 01/26/2011 (800)275-8777 11:46:33 AM Sales Receipt Product Sala Unit Final Description aty Price Price 2009 Forever 1 $8.80 $8.80 Stamp PSA Dbl-Sd Bklt Total: $8.80 Paid by: Cash $20.00 Change Due: -$11.20 Order stamps at USPS.com/shop or call 1-800-StamP24. Go to USPS.com/clicknship to print shipping labels with postage. For other information call 1-800-ASK-LISPS. z*x*x*~r~rarexx~rxr~xx*xxx*x~r~rx~r~xxxx~c~crcrrx~cxx xxxx~rrcx~r~r~rax~rx~cx~xrcxxxxxxxxzxxxs~x~xxrcxx Get your mail when and where you want 1t with a secure Post Office Box. Sign up for a box online at usps.com/poboxas. ~r~rx~rz~r~r~r~rxxaxxxx~~,rxxxxz~r~rx~xx~~xxr~rcxxxx xx~xx~*xxxxxxxxxx~ra~rx,rxxzx~r~r~r~cxxxxxxxx~rx 8111 iF: 1000403448490 Clark: 25 A11 sales final on stamps and postage Refunds for guaranteed services only Thank you for your business ~~~xx,~*,~~~wx~x:,~~r~x~~~x~x,~~x,~,~~*~rx,~xx~~~ ~xxxxrcxxxxzx*~r~r~rx:x~rxxxx~cxar~xxr~xx~rrxr~xxx HELP US SERVE YOU BETTER Go to: https://postalexpertence.com/Pos TELL US RBOUT YOUR RECENT POSTAL EXPERIENCE YOUR OPINION COUNTS xxxx~rxxx~x~r~r~r~xxsxxr~xxxxx~rr~xx~x~r~rxxxx~rxx r~r~r~xx~rx~r~r~r*xxxxxx~csxrcxxxxxa~r~r~rx~r~rx~rx~rr~xx Customer Copy ~. t .. i Rizit,., Lemoyne True Value Hardware 1200 Market Street Lemoyne 9 17043 1-717-;,,,-'ii70 Transact~n~~; A62243 Associal JULIE date: ~1,~,/2011 Time: 09:45:17 AM *** SALE * ~, 3'72626tMeIt 20L8 Mel ter $7.99 073841260506 $7.99 T IceAWay 25LB DeIc t 594906 $5.9.>. 04i4B279 007 $4~yy T 6% - 5tatetTax:$g1.08 TOTAL: 819.05 +iSA: ~i9.05 CHANGE; $0,00 BUYER AGREES TO FAY TOTAL AMOUNT ABJVE ACCORDING TO CARDHOLDER'S AGREEMENT NiRTH ISSUER Approva1:55228f CNUM:YISA-*****,:,~****8064 EXP:**j** NAME:ROI R BAPTISTE AMT:19.05 ~: r ~~ (X) u orize gna ure Thank You! • i~~~~~~~ t t, ~c~~,~t~t~~n %` ~U161'S: ~'/ ~~~~~~~~ ~: .-- w-~- . _ , - -_ .. - - ,,, R~. a y ~ ~ a" ® Summa of Cha ei ~ ; ~~ rg Service Charges: Subterranean Termite Pian: 5799.00 ~ ~~ Subtotal: 5799.00 ~ `~J ToWI: 5799.00 ~ Tax: 547.94 Total: ;846.94 Purchaser Pa manta Method of Payment: Check number 1099 5846.94 Subterranean Termite Plan By signing below, I, the cardholder, have authorized Terminix to process the one-time payment upon the completion of the initial service without further signature or authorization from me. ~ ANY ADDITIONAL PROVISIONS ATTACHED HERETO, INCLUDING THE MANDATORY ARBITRATION AGREEMENT AND THE OTHER TERMS AND CONDITIONS INCLUDED WITH THIS AGREEMENT AND IF APPLICABLE TD SERVICE, THE INSPECTION GRAPH, ARE PART OF PHIS AGREEMENT. Notice: You the purchaser, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See the attached notice of cancellation for an explanation of this right. In the event you have questions or complaints, you may umtact a Terminix representative by calling X800-TELLTMX (800-835-5869). Customer Name: ROI BAPIISTE Customer Signature: Date: b/28111 Raprosentative RapreseMatlve: MIKE B. SCOTT Signaturo: ~ Date: 6128/11 Call 1.800.TERMINIX or visit Terminix.com LEMOYNE BOROUGH 510 HERMAN AVENUE SEWER AND REFUSE BILL LEMOYNE PA 17043 Address Service Requested r SERYIrE LOCATION: ACCOUNT NO. r - --- -- ------------ - --- --- ------ ! 219 HUMMEL AVE 313075 SEWER SERVICE TO REFUSE SERVICE 01/01/2011 TO 03/31/2011 ~ - -- - --.- . . __ f -- --- -I CURRENT PREVIOUS ~ UTILITY READING READING USAGE CHARGES i r- - - ---- ---- ! SEWER ~ 0 0 0 50.00 REFUSE ~ 540.50 PREY BALANCE I - - ^~, i (5120.50f _ - ----- -- -- ---- -I ---- ._. ..: -~ - -~fz~~l oz/2eno11 ' ~ ~ 5 ! IF PAID BY ~ ~.. , ,---- ( IF PAID AFTER 02/28/2011 PAY (584.00 I FMOYNF ROROIIGH J LEMOYNE BOROUGH 510 HERMAN AVENUE LEMOYNE PA 17043 Address Service Requested SERVICE LOCATION: SEWER AND REFUSE BILL 218 HUMMEL AVE --~ ACCOUNT NO._ -{ 308100 j SEWER SERVICE ^---- ---- - TO -`- - - - _-- I~ REFUSE SERVICE 01!01!2011 TO 03/31/2011 j CURRENT UTILITY READING PREVIOUS READING USAGE i CHARGES ~ SEWER 0 0 0 - • 50.00 REFUSE _ _ ;81.00 PREV BALANCE j ~~ r,G~, L~ _ 50.00 I ~ \ ~ _ _ ~ ~ (_ - 02/2812011 `r lF PAID BY i 81.00 5 I IF PAID AFTER 02/28/2011 ~ PAY 585.05 ~ LEMOYNE BOROUGH LEMOYNE BOROUGH / 510 HERMAW AVENUE SEWER AND REFUSE BILL LEMOYNE PA 17043 Address Service Requested i SERVICE LOCATION: ACCOUNT NO._ I ~ 144 HUMMEL AVE 308475 I~ j --- --------- ~ SEWER SERVICE - --- - - -- -j TO I !REFUSE SERVICE 01!0112011 TO 03/31/2011 ~ r ---_--._-.------- ---- --, CURRENT UTILITY READING PREVIOUS ' READING USAGE CHARGES ! i _ __ ._ -~ _-- -._._ _; SEWER 0 0 ~ 0 ' `# 50.00 '; REFUSE - . _. . ~ 540 50 i !PREV BALANCE ~. jj , S ~ i - . _ __, _i. - - , ~ ~ {' -~~ -~~I 02!28/2011 j IF PAID BY i ) PAY 03 i IF PAID AFTER 02128!2011 PAY 5175.38 ' LEMOYNE BOROUGH 510 HERMAN AVENUE SEWER AND REFUSE BILL LEMOYNE PA 17043 Address Service Requested 201 SERVICE LOCATION: ACCOUNT# Inv# ', _ _ _. __~___. _ _ --- -- - --t t 218 HUMMEL AVE 308100 450158 `SEWER SERVICE 10101!2010 TO 12/31/2010 REFUSE SERVICE 10(01/2010 TO 12131/2010 CURRENT PREVIOUS UTILITY READING READING USAGE. !CHARGES SEWER 0 0 0 5160.00 , REFUSE ~~ ~ ~~~ 581.00 j ~~ ,PREV BALANCE ' _ ~ '•~, 50.00 ; , ._..; ~.~~~11 IF PAID BY 12H712010 ~ PAj~ 52 1. ~ ! IF PAID AFTER 1211712010 ~+rtiirp~~'+++irr. Sti0 ~ rir~ LEMOYNE BOROUGH 51o HERMAN AVENUE SEWER AND REFUSE BILL LEMOYNE PA 17043 Address Service Requested 202 SERVICE LOCATION: ACCOUNT# I-nv#-{ 144 HUMMEL AVE ! 308475 450163 - -- -----.~~_..._.. ---- - -_-_- -----------___ ___..__....I SEWER SERVICE 10/01/2010 TO 12131/2010 I REFUSE SERVICE 10101!2010 TO 12131/2010 CURRENT PREVIOUS UTILITY READING READING ' USAGE ;'CHARGES ~ -- - ....-----~ - SEWER i 0 --. -- 0 _.... --- ~ . - -._._ '--_. -'-1 ~ 580 00 ~i REFUSE "r°^- ~ . ~ ~ ~ 540.50 ~ ~ ~., '. PREY BALANCE ~ "~ - j ~ 4 ( ,y I 50.00 ;, ' ~~ -1--__._- ((,J -- --- ~---- --- IF PAID BY 12H7/2010 ~ PA Y ~ 1 0.5 ~ IF PAID AFTER 12117!2010 ~ i `` --+riii+f>~M++r it 11 ff U+~ +lu kl>~7 LEMOYNE BOROUGH 510 HERMAN AVENUE SEWER AND REFUSE BILL LEMOYNE PA 17043 Address Service Requested 216 SERVICE LOCATION: ^ ACCOUNT# Inv# 219 HUMMEL AVE J 313075 450219 i SEWER SERVICE 10!01/2010 TO 12131!2010 ; REFUSE SERVICE 10!01!2010 TO 12I31M010 _ , i CURRENT PREVIOUS ' UTILITY READING READING USAGE CHARGES ---- SEWER I 0 ~ a 0 -- '~; 0 i 580.00 REFUSE ~ ~' - `""`µ - 540.50 ;PREV BALANCE ~ ~ ~ ~ -°" 50.00 'i _ _.Lv-__..____ IF PAID BY - - 12117/2010 _.___.._.____ ~ i~ iii . ._. _-_~_._-___ PeV 5^ 0 ~ ii IF PAID AFTER 12/17/2010 _---- - - _____ __--- - r+ -+r +r ar ~ .~ i' --_-1 _--------- ---- LEMOYNE BOROUGH 510 HERMAN .AVENUE SEWER AND REFUSE BILL LEMOYNE PA 17043 Address Service Requested _ 206 SERVICE LOCATION: ACCOUNT# 1nv# ;~ 98 HUMMEL AVE 310375 450181 SEWER SERVICE 10/01/2010 TO 12/31/2010 REFUSE SERVICE 10/0112010lTO 12/31/2010 CURRENT PREVIOUS UTILITY READING READING USAGE !CHARGES I SEWER i 0 0 0 580.00 REFUSE 540.50 i PREV BALANCE ~ { 50.00 IF PAID BY 12/17!2010 5 PAY 120 IF PAID AFTER 12/17/2010 - ~-- ~ii _ +rr +Df~~i+-+ r. 1 .~~ .~ Payable To: FAITH A NICOLA, TAX COLLECTOR Office Hours: TOES 9:OOAM-11:OOAM 8 WED 'h00-3:OOPM Bill No: 1083 510 HERMAN AVENUE CLOSED MAY 2425, SEPT 20-21 Bill Date: 3/1/11 LEMOYtVE, PA 17043 DEC 20-30 & ALL HOLIDAYS Control No:12000480 Phone: (717) 761-7785 PHONE (717) 761-7785 MAP NO: 12-21-0265-339 Desc: 98 HUMMEL AVENUE Acres .140 Deed: 00171-00177 LOT 19A I' ~{~ ~{ pResidential(Unde''rI10Acrw) i II~~ IHf! {NII ~{II ~ ~{ ~ {Ni $1.Q0 FEE FOR ADDITIONAL RECEIPTS Tax Payer Assessed Value: Land: 34,300 Improvement: 92,400 Total: 126,700 Discount Face Penalty COUNTY R/E 1.90200 $236.16 _ $240.98 $265.08 COUNTY LIB .14300 $17.76 $18.12 $19.93 MUNIG. R!E 2.10000 $260.75 $266.07 $292.68 TAX AMOUNT DUE if Date Of Payment Is On $614.67 3/1!11 thru 4/30!11 5525.17 5/1/11 thru 6/30111 $577.69 7/1/11 or Later METZ, FRANCES E 219 HUMMEL AVE LEMOYNE, PA 17043-1949 ~, .. / r1j G - /~ b(Jy TAXPAYER'S COPY -KEEP THIS PORTION FOR YOUR RECORDS Payable To: FAITH A NICOLA, TAX COLLECTOR Office Hours: TOES 9:OOAM-11:OOAM 8 WED 1:00-3:OOPM 8111 No: 1085 510 HERMAN AVENUE CLOSED MAY 2425, SEPT 20-21 Bill Date; 3!1!11 LEMOYNE, PA 17043 DEC20-30 8 ALL HOLIDAYS Control No:12000562 Phone: (717) 761-7785 PHONE (717) 781-7785 MAP NO: 12-21-028513 Desc: 206 HUMMEL AVENUE Acres .150 Deed: 00201-00553 LAND R~identfal(Under 10 Acres) 1 ~~{ i(~I ~~ N~ I ~~ ~f ~ III $1.D0 FEE FOR ADDITIONAL RECEIPTS Tax Payer Assessed Value: Land: 35,000 Improvement: 127,300 Total: 162,300 Discount Face Penalty COUNTY R!E 1.90200 $302.52 $308.69 $339.56 COUNTY LIB .14300 $22.75 $23.21 $25.53 MUNIC. R/E 2.10000 $334.01 $340.83 $374.91 TAX AMOUNT DUE if Date Of Payment Is On 5669.28 311111 thru 4/30111 5672.73 5/1/11 thru 6!30!11 $740.00 7/1/11 or Later METZ, FRANCES E 219 HUMMEL AVE (/ LEMOYNE, PA 17043-1949 ,r' /• ~(j . ~ Jf f ~i, TAXPAYER'S COPY -KEEP THIS PORTION FOR YOUR RECORDS • ~ ~~,J Payable To: FAITH A NICOLA, TAX COLLECTOR Office Hours: TOES 9:OOAM-11:OOAM 8 WED 1:00-3:OOPM Bill No: 1084 510 HERMAN AVENUE CLOSED MAY 2425, SEPT 20-:?1 Bili Date: 3/1/11 LEMOYNE, PA 17043 DEC 20-30 & ALL HOLIDAYS Control No:12000508 Phone: (717) 761-7785 PHONE (717) 761.7785 MAP NO: 12-21-0265-363 Desc: 144 HUMMEL AVENUE Acres .140 Deed: 0019R-00252 LAND Residential(Under 10 Acres) f II~II ql~ gill lllq lilif III Iilil 11111 I~1181 $1.00 FEE FOR ADDITIONAL RECEIPTS Tax Payer Assessed Value: Land: 33,700 Improvement: 141,300 Total: 175,000 Discount Face Penalty COUNTY R/E 1.90200 $326.19 \ $332.85 $366.14 COUNTY LIB .14300 $24.53 $25.03 $27.53 MUNIC. R!E 2.10000 $360.15 $367.50 $404.25 TAX AMOUNT DUE If Date Of Payment Is On 5710.87 3/1/11 thru 4/30111 $725.38 5!1/11 thru 6/30!11 $797.92 7/1!11 ortater METZ, FRANCS E 219 HUMMELAVE % ~) LEMOYNE, PA 17043-1949 ~ l~ ~(,, I TAXPAYER'S COPY -KEEP THIS PORTION FOR YOUR RECORDS Payable To: FAITH A NICOLA, TAX COLLECTOR Office Hours: TOES 9:OOAM-11:OOAM & WED 1:00-3:OOPM Bilf No: 1088 510 HERMAN AVENUE CLOSED MAY 2425, SEPT ZO-21 Bill Date: 3/1/11 LEMOYNE, PA 17043 DEC 20-30 8~ ALL HOLIDAYS Control No:12000565 Phone: (717) 761-7785 PHONE (717) 781-7785 MAP NO: 12-21-026516 Desc: 218 HUMMEL AVENUE Acres ,140 Deed: 0022D-00775 LAND Residential~A+p~al Irt~ments 1II~~~~N~IHN $1.00 FEE FOR ADDITIONAL RECEIPTS Tax Payer: Assessed Value: Land: 34,600 Improvement: 126,600 Total: 161,200 Discount Face Penalt)r COUNTY R/E 1.90200 ' $300.47 $306.60 $337.26 COUNTY LIB .14300 $22.59 $23.05 $25.36 MUNIC. R/E 2.10000 $331.75 $338.52 $372.37 TAX AMOUNT DUE If Date Of Payment Is On 6654.81 3/1/11 thru 4130!11 5668.17 5/1111 thru 6/30/11 ;734.99 7/1/11 or Later METZ, FRANCES E 219 HUMMEL AVE /// LEMOYNE, PA 17043-1949 ~ ~ j ~ / ~(, / >~ TAXPAYER'S COPY -KEEP THIS PORTION FOR YOUR RECORDS Payable To: FAITH A NICOLA, TAX COLLECTOR Office Hours: TOES 9:OOAM-11:OOAM & WED 1:00-3:OOPM Bill No: 1087 510 HERMAN AVENUE CLOSED MAY 2425, SEPT 20-21 Bill Date: 311111 LEMOYNE, PA 17043 DEC 20-30 8 ALL HOLIDAYS Control No:12000427 Phone: (717} 761-7785 PHONE (717) 761-7785 b1AP NO: 12-21-0268-291 Desc: 219 HUMMEL AVENUE Acres .170 Deed: 0034)-00489 RIVERTON LOT 71 PO LOT 72 BL B PL 1 OB4 Residential Apartments i X1111 ~h qiq Ihil 1111 ~N I~ gill III ICI $1.00 FEE FOR ADDITIONAL RECEIPTS T P Assessed Value: Land: 38,000 Improvement: 139,100 Total: 177,100 Discount Face Penalty COUNTY R/E 1.90200 $330.10 $336.84 $370.52 COUNTY LIB .14300 $24.82 $25.33 $27.86 MUNIC. R/E 2.10000 $364.47 $371.91 $409.10 TAX AMOUNT DUE If Date Of Payment Is On 6719.39 311111 thru 4/30/11 $734.08 5/1/11 thru 6/30/11 6807.48 7/1111 or Later ax ayer. METZ, FRANCES ELIZABETH 1' 219 HUMMELAVE LEMOYNE, PA 17043-1949 ' J ~~~~~ ~~:~ ~~ ~ ~~ TAXPAYER'S COPY -KEEP THIS PORTION FOR YOUR RECORDS ~ t~~ /~ Manage Your Account 'Phone Number Account Number i Notice Date ~~ My Account at v. r n.coMpayonline 717-763-8749 717 Z63-8749 593 95 Y 01/06/2011. i MISS FRANCES E METZ ~'1/V~{i `!~ I % _ ~ / l 219 HUMMEL AV T`` ~ ~~ , l< Cf l LEMOYNE PA 17043-1949 )<~ %~ ) L: 1 ..`ti,j~ -~~ ~ Valued customer, Our records show atone time you were enrolled in or you have recently requested to be enrolled in Verizon's automatic direct payment option. Unfortunately, we have been unable to successfully obtain payment under this plan. As a result, your account is now past due with a balance due of $47.74. If you recently requested to be enrolled in the direct payment option and you are aware that your bill is past due, there is no action required at this time. Please understand that the first payment deducted from your account will be for the full amount of your Verizon bill. ~~ . ~ ~~ ~. %; ~. Payyouibi//quiafrtyby~ ne / Grll 1-800-345-6563 any time day or night. ~, ~ ~ /~ Save Time! Manage youraccount online at verizon.com Yerizon Direct Payment Option. To enroll, please read and sign the agreement on the reverse side of the payment form below If you are currently enrolled in the direct payment option, the plan will be removed from your account, and it will be necessary for you to submit a payment in full by 01/16/11. If a payment in full cannot be made by 01/16/11, or you believe you have received this correspondence in error, please contact our business office. To pay your bill online, visit our website at www.verizon.com (no fee).Or arrange for electronic funds transfer from your bank account by calling 800-345-6563, (24/7) (third party fee applies). If paymern has been made please disregard this notice and accept our thanks. If you have questions regarding this matter please call us toll free at 1-800 281-8584 (Continued on Page 2.) Direct Payment Enrollment Online B~Iling & Payment Questions about your bill? verizon com/bilipay - ~ ' I yerizon com/billview ~ vemm~.com or 1-800-VERIZON {1-800-837-4966) J ~/. MISS FRANCES E METZ 219 HUMMEL AV LEMOYNE PA 17043-1949 ' ~ ~ .=~ Payyo~rarrrQ~i~ryaypl~~e C<~+11 f-800-345-6563 any time day or night. Valued customer, Our records show at one time you were enrolled in or you have recently requested to be enrolled in Verizon's automatic direct payment option. Unfortunately, we have been unable to successfully obtain under this plan. a result, you ccount is now past due with a balance due of $23.98. If you recently requested to be enrolled in the direct payment option and you are aware that your bill is past due, there is no action required at this time. Please understand that the first payment deducted from your account will be for the full amount of your Verizon bill. If you are currently enrolled in the direct payment option, the plan will be removed from your account, and it will be necessary for you to submit a payment in full by 11!15/10. If a payment in full cannot be made by 11/15/10, or you believe you have received this correspondence in error, please contact our business office. To pay your bill online, visit our website at www.verizon.com (no fee).Or arrange for electronic funds transfer from your bank account by calling 800-345-6563, (2417) (third party fee applies). (Continued on Page 2.) '-.:t Save Timel Manage your account online at verizon.com Verizon Direct Payment Option. To enroll, please read and sign the agreement on the reverse side of the payment form below If payment has been made please disregard this notice and accept our thanks. If you have questions regarding this matter please call us toll free at 1-800 281-8584 Direct Payment Enrolment ~ Online Billing & Payment ~ Questions about your bill? verizon.com/billpay I verizon.corrUbillview verizon.coni or 1-800-VERIZON (1-800-837-4966) . TRAVELERS,` Automobile Account Bill Account No. 979059592 ALAN HOSTETLER AGTS 300 S PROGRESS AVE HARRISBURG PA 17109 o~a» 818 FRANCES E METZ 219 HUMMEL AVE LEMOYNE PA 17043 Please refer to this billing account number when calling or making payments. Billing Date: FEBRUARY 01, 2011 Due Date: FEBRUARY 28, 2011 QUESTIONS? CALL US: Automated Billing and Payment Information 1-800,550-7716 Available 7 davs a week C-aim service 1-800-CLAIM-33 Policy Questions or Change of Address t;717) 657-3141 Ta view or pay your bill online visit mytraveiers.com Save money, compared to direct billed monthly installments, and get peace of mind knowing your policy premiums are paid automatically. Enrol{ to pay automatically by credit card or bank account, using the form on the reverse side or go to www.amp.travelers.com. Policy Payment Information Minimum Unpaid Policy -Name Policy Number Po{icy. Period Amount. Due Balance Automobile 979059592 101 1 02/28/11 to 02/28/12 $48.25 $579.00 Service Charge This Month $5.00 Total $53.25 X579.00 G//// I J J~' ~~ j -~ °' ~'~~ t Please read important information on reverse side. Please detach and mail the lower portion of this bill with your payment in the enclosed envelope to TRAVELERS, ONE TOWER SQUARE, HARTFORD, CT 06183-1001. Thank You. ' ~~ ;Petty dash Receipt No. ;Date -i ~ ~ ~ ~ ~ f ,il G C / ~ G,~ G(~ Amount ~ ` r~r~ ~% d Description i ~z ~f ~~ Charged to ' Received by ~- - ~~c'_ ~' Approved iri ROI BAP'TISTE ~~~~/ Petty dash Receipt ~~ ' D,a~ No. ~~~~ Amount $_ Descriptio / ~ ~ ~ 4 V Charged UO Received by ! ~~~ t'~ ~~~~ ~ Approved iri ROI r i i i i i i ~~ _, ~Cj ~ili~-~~'~~' h sec°~` 1-~ t"? pate: Hand' ~1-J .7 •~~ Cash ° Cash; y/J/`({n/" ~ ~~ r Cons. I R ~~; ~ ~`7 n" `f J v~ ~ /1 ~~ f 2 ~~~ Petty Cash Receipt ;Date No. ~ Amount $ ~,~~ Description ~ f~ c ~~, Q ~n/y!s Charged to ~ /' ~~~ Received by . Approved by ROI '~ 1 i 1 =-----------------------------------------------------------------------------------i ;~ ,i 3 I~ s ,, ,~ Petty Cash Receipt ~~~~: ~®e~a~= ~~l,~I~' i ~., _ l ~ ~; ,~ .,- .4~ ~~ .:t_ -/ ~~~; ~~ ,~fi !~ i ~f r ,f ~ / ..~~ . _--~' mr`' ~ ~,~ ~- .~ ~~ ~ ~,~/ 1 t ~ ~~ (~ /~ ~/ l ~ ~ ''~ . petty Cash Receipt ,~ / :~ Date i ' -• ' ~~ Z •1;2 Description ~ . ~ ~ /1~ /} ~ :-,, ~~~, Received by Approved by ~ ROI BAP"R$TE ; ~~ No. ________ -~~ «~ Amount $ G' -,3 ' __~ ` L i `_~~ I~ ------ ; ,_. __ -------------- s pe~y Cash Receipt ' ~ No. ~ ______ ; Date , ~ ~ ~' Amount ~--~..~~'--~ '- -- /.,~ ~ ~' ' ~. ' •~ ~ 3 .~-1~ ~- .~ c - ' ~~peon _ ' Chapped t0 ~'•' ' ~,1 ~ - ~ -- i ' ROI BAirTIS'IE ' Approved by ' ~ .-----J ~--.......-----.....-----~-~-----------------..------..r.-----~..~----- THANK YOU FOR SHOPPING AT HEPFERS AGE HDMECENTER • (717) 761-7722 SOME MSDE.NOT RETURNABLE,SEE STORE SIGNS FOR DETAILS ! ! ! 2/24111 1:38PM NM 554 SALE ---------------------------------------- 6038574 1 EA 15.59 EA TRASH BAG CNTRCT42GSX20 15.59 SUB-TOTAL: 15.59 TAX; .94 TOTAL: 16.53 CASH TEND: 20.55 CHANGE: 4.02 1111111111111NNlilllilil11111111 __» JRNL#120450 «__ CUST # ~i$3 `V~ ACE REWARDS ID # 19023176256 SEASONAL MSDE MDST BF RFTI~RNFi1 rU ~ nnv Pe~~ ~ ~as~ Reconci~iat~an q ,, i, Cash on Hand: _ Dade: ~,`/ l , Cash: Coins: ,-°-"" /7 ., ; f: ~/ " f ~ ,~. i ~ ~ ~ %, Paf-fi~ f'ach Ra~raini- i l ,`~(~ Date ~ =~- i No. ~_ r ~c ;, i f bescription / ~~- -~ . Charged to - Received by -- __ ~~- ~ _ . ,~ _ l ~ Approved by ROI~ APTISTE 1 1 Petty Cash Receipt ~ ~-~ l~~"~~,~ Date ~ ! ' / / No. ~'t 1, ,.~ ;~ Amount $_ -_~ ...--- Description , fi C r. ~ ` ~ Charged to .-r ~ Received by ~ ~ Approved by ROI BAPTIStE I ------- ------ -A - ----- ------ ----- ~ - -i- ~ . ' ~ ~ Q ~ 8 ' a = N o ~, , ~ _ f , ~ ~ 1 ~ ~ ~ 1 ~ ~• , ~ t ~ J ~ ~° ~.. ~, z o ~ - 3 o c ~ ; rt ~ ' ~ ~ o ' C ~~~~~ '~ C g ,~ ~ ~• ~, '~ ~ ~ o. o ~ M ~, ~~\ o -iR r ~~ •~ ~. n c ~ v`~ .~ I` ~~ ~i,iation sh Rec°n ~tt~ ~~ pate: P Cash ~ C shd: Coins: ~~~~~ ,5, ~- t y ~. a ~ ~` 3 { ~~ ~~ -~- j~, ~~- , 1, ~,~~ ~ ~_ r°: ~ ,it. /L ~'``' r~ G ~~ ~~J+ ~ ~~ `~~ cr ~~ r~`ll I /C ___-~ - R C~.~p~ E N-aN ~ ~ ~ o 3 `$. w `= .~' ~ v~ ~ 3 ° ~ ?~ ~' Q _ ro ~ ~ ~ ~ rn -- Y E~~IPT Mai o 3 ~, ~, ~ ~ o ~ ~ ~~ ~ v ~. ~ 7D ~ ~ ~ W --~ ~. ~ ,_ rn d °~, 1 ~ ~ ~'~~, c~,, `..: o a~ r .~' ~~ ~ ~..~ .~ ~. ~~ ~ ~. ~+-j ~- ~-- '~ M M ~V , Z Q ro m m ~ ~ "~.. ~ ~~ ~N ~~~ ~',~ Ji" - pates. h ~~'~°~ P Cash ° Cashd. Coins: ~..._ tLl/~.. b_.._. ~-f t a"~ ~ v ~ r~-,~ a a~' e UO ci~~at-°~ ~ ~~,~,on "~i+~5~` pate: , Petty Cash ° C s~-a. Coins: 1~ I ~~~ ~ l 1 ~~ 'G~ G~?~ __--- !!`.._ ~~ .~ ~ G~---'- ~JJJ ---- 1 ^.-~' ___-- s ~~ ._ 1,; ~~~~ ----------------------------------------------------------- Petty Cash Receipt f ;Date 1 No. ' c- Amount $_ ~ ~' `f /c ~ l Description ~~ S, ~,~ j Charged to , ~ ~~ Received by Approved by ROI BAPTISTS Petty Cash Receipt ;Date ~ .~_~ No. ,~ ~ Amount $~ Description ~ 1 J j ~ ~~2 Charged to ~ "/~~~'~° Received by Approved by ROI BAPTISTS s------ Petty Cash Receipt //~~//~ ' Date~~ No. ' Amount $_._,~~ `"~ ~~ ~~~ h~~ Description ~ ~~~~'~ Charged to r .~ Received by Approved by OI BAPTISTS I ..~ g~,cilia~~+~n ~a5~ ~,ec ~~~~ pate: - Cash on Hand Cash: ~~ Coins: ------'" w= .~ t, j G ~~~~ ~' G ~ ,, f1 f f1 h ~ ~ ~~ ~~~ ~1~~. G,, j G, .~ ~ ~ ~ ~~ ~~ ~,, t /i/4 ~~ r ~~ ,~ ~~ 4.~ ~ ~~ ~~- ~~ Petty Cash Receipt 'Date l' i22 U No. G ~2 ~~- Description ~~~ s`,~l~E'Z Charged to / v~f ~ ~~ Received by ~ Approved by ROI BAiaTISTE Petty Cash Receipt ~' Date No. i i ~ ~~ Amount $ ~~ (f``-' Description ~ ~~ ~ /~ fj Charged to / / p ,/ Y r ld'1 Received by Approved by ROI BAPTISiE 5-----------------------------------------------------------------------------------~ Petty Cash Receipt ;Date ~ No. ~ ~ Amount $~a~~-Q ~' Description ( ~~ Charged to ~% ~ ~ Received by ~~ Approved by ROI BAPTI . J ~~ Petty Cash Receipt ;Date r~ ~- r /~-"`~ ~ No. _.L.S1_-- ------~ ---------------------------------------- Petty Cash Receipt Date ~ ~ ~ No. ~ / _ -_ / -• ~~ Amount $_ Description ~ ~, ~~ '~~ LF /1~'~1/~ ~ Charged to ~ ~~ Received by L, ~ v,~~ Approved by ROI B [„ ~j'~ Description ~~ ~ ~ C-~ ~:~$2h Amounf $_ 2 P~~ ~, ~ ~Jf~ Charged to ~, Received by ~ ~,~~ Approved by ROI BAPTISTS V~VV^ VMIJ/• V~f//''~~r•~~f irh~s~i~ ~I Fp~S i I. tL'.Of~FI~; ~G~~ 1 ~~~ ~ 3 `~-' ;'-- x THANK YDU FOR SHOPPING AT ~~~ HfPfERS-ACE HDMECENTER my family. my family dollar. ~ (717} 761-7722 STORE #7768 335 S 10TH ST Lem~yne,PA, 717-761-3930 '"' SOME MSDE.NOT RETURNABLE,SEE STORE FUJI FILM QUICK SNAP 2PK SIGNS FOR DETAILS ! ! ! 074101008111 $,00 1 _... FUJI FILM QUICKSNAP ONE TIME 5f26/11 $:42AM PS 554 SALE 074101019209 p5.0a T GULAR PRICF. 6.OU ~ SUBTOTAL 2010916 ~"-l ~l EA 11.99 EA tAxi $13.00 DISPOSABLE SAG fj5-6-8G 11.99 $o .7s TOTAL $13.7s 7175730 1 EA 18.99 EA CHANGE $20.00 CRITTER KIDDER OZ 18.99 ,/~ $s.22 _ 7215635 l 1 EA 8.99 EA . ACE HOME F - OZ CAN 8.99 ~`~ 6038574 ~~~ 1 EA 15.99 EA y ~' TRASH BAG C 42GBX20 ~~ 15.99 ~~ ~ ~ --- SUB-TOTAL: 55.96 TAX: 3.36 ~i + ~ i TOTAL: 59.32 99077680120290151143 ~. DEBIT/ATM: 59.52 TC7TAL ~At,~I:hJCaS ~ i ' ~~ DEBITIATM: XXXXXXXXXXXX8064 Ms 2 ~"' ID: 670121225899 2a-201'. 10:14:08 07768 U1 73ii'lg 2029 RUTH: 200304 AMT: 59.32 Finer to win $500 Family Dollar Gift ~'"- S~dIPED "d. Take a quick survey on your visit CARD TYPE:DEBIT EXPR: XXXX ithin 7 nays. Call ]-800-454-8807 or Debit network id: >g on to www.cmiresearch.coin/fds~arvev"""-"-^ Host reference #:848026 Bat#4045 Tambien Disponible en Espanol c ~ Trarc$ ~ 11 p i~ ~ N Oda ~ ONN N ~ ,~ N-~ ~ u.l i d ~ '~ ~ "d ~ N M c ~ C9 X 4V N +-~ a~-+ C O .l ~ tl1 W L.1.1 X O t0 G Q C~ ~ i N ~ ~ d ~~~yy ~p N U ~ [.~.1 v~ ~ V' d ~ .. ~' S~C CO N ~~ O Q ~ ~ Z W ..-. 1.f] ' r- CL Q 1` Cy .~ l1J I.L"7 r~~ ~ a W W 00 'd C'7 aT~ +- ~Ohl"- --!^-'i i W~W~Wf~ m yXG ~ ~ ,~ ~i Cn 'X r Q d ~ N ~"~ ~ CG W X C'"1 wr ~- 1- ,i ~ _ _ N O ~ •et Cn C!~ P [.> >p ~ O Q i r-- 'd. N `.- ^cf- m X ~ .. ~ ~ i..- u7 ~ Q ~ ~/~i ~ ~ ~ ~ O ~ 1 1 d, ~ y~,< ~ Cp H ~ Mri~~ M '~ LL1 C] Q t.3 ~ ~ ~ t1. Q O Q 3 i- ~ J~ V ~ .J W i F- 4S ?~ ~ ~ C/? ~ 4 J ~~O d ~~ U ~~~ ~ ~ ~ r- ~ X ~ l~l- CD Lam.] ~ ~..~- ~ Cw, h-- ~""i N ~O? ''`~~. Q "'.` i CO 4L CS7 C7 t' H S t1 C] ," -~'~ ~ G1 h W ~ ~ i ~C~f~O~Dt0.!)c~~C~.1 ~ W G]~g6 N 4~ it O ~ t N4NdQ'd ~ G3r-tdCJ'SC.JC~S - - ~~ my family. my fiamily dollar, sroRE ~77ss 335 s 10TH ST THANK YOU FOR SHOPPING AT Lemoyne,PA, 717-761-3930 HEPFERS ACE HOMECENTER (717) 761-7722 FUJI SINGLE USE FLASH CAMERA 074101218343 5.00 7 FUJI SINGLE USE FLASH CAMERA SOME MSDE NOT RETURNABLE ! ! ! !CHECK 074101218343 5.00 T STORE SIGNS FOR DETAILS ! FUJI SINGLE USE FLASH CAMERA 074101218343 5.00 T iBD r,ARMENT RACK 400610169720 30.00 T 10/13/10 11:53AM JD 553 SALF 3 Q 10.00 --------------------------------------- SUBTOTAL 3289659 -1 EA 6.99 EA TAX1 $2.7~ INDOR 24HR MECH TIMER WH -6.° T O T A L_ $47.70 ;3289659 1 EA 6.99 EA CASH $50.00 CHANGE ;[NDOR 24HR MECH TIMER WH 6.9 $2.30 SUB-TOTAL: TAX: TOTAL: .0 sso77ss0165i31o148973 ' IIIIIIIIIIIIIIIIINfilillflllllf!! _~_» JRNL#H84616 «__ ITEMS 6 COST # *5 io-15-2010 11:03:52 o77ss o1 541775 6581 SEASONAL MSDE MUST BE RETURNED IN 7 DA Enter to win $500 Family Dollar Gift Card Take a quick surv ALL OTHERS-30DAYS,IN PAK,WITH RECEIPT , ey on your visit within 7 days. Call 1-800-454-8807 or log on to www.cmiresearch.com/fdsurvey Tambien Disponible en Espanol ~~ ~ ~ l I Il v~f l l ' THAI( YOU FOR SHOPPING AT HEPFERS ACE HOMECENTER (717) 761-7722 ' SOME MSDE NOT RETURNABLE ! ! ! !CHECK STORE SIGNS FOR DETAILS ! 10/21/10 2:OOPM NW 553 SALE 42821 1 EA 6.99 EA SEAT TOILET 4VQOD WHT 6.99 ' SUB-TOTAL: 6.99 TAX: .42 TOTAL: 7.41 CASH TEND: 10.50 CHANGE: 3.09 11111~11111111fif11111fii11111~1 __» JRNL#H86783 «_= OUST # *183 ACE REWARDS ID # 19023176256 SEASONAL MSDE MUST BE RETURNED N 7 DAY ALL OTHERS-30DAYS,IN PAK,WITH ECEIPT ti M+~re sawing. II`` II ~I~~~1IIll `` ~~~IIItII~I I` I 1~I~II~~ II~~~I~~I~~ 4113 02 38535 09/29!2010 2629 RETURN POLICY DEFINITTONS POLICY ID D90S POLI12i28P2010 ON A 1 THE HOME DEPOT RESERVES THE RIGHT TO LIMIT / DENY RETURNS. PLEASE SEE THE RETURN POLICp~A~ISIN STORES FOR GLO~tNFORDHUNDREDB OF LOWER PRICES STOREWIDE ENTER FOR A 5 HOONOCE TO WIN A HOME CARD ! taIFT . Mire d~in~," 4200 DERRY ST HARRISBURG, PA 17111 STORE MGR. MARK ULRICH 717-558-8105 CASHIER~ASHON 53LX04439/29/10 11:36 AM 0 236y39843~ GL3210ROTR<A><Ay 19.98 SUBTOTAL 29.96 SALES TAX 1•~ TOTAL $31.76 XXXXXXXXXXHX4933 VISA 31•TA AUTH CODE 421298/8028530 Share Your Opinion With Us! Complete tnaandienterrfor achanceutoswineatisit www.homedepot,.comlopinion iPARTICIPE EN UNA OPORTUNIDAD DE GANAR UNA TARJETA DE R DE ~5 ~O©O t D a iComparta Su OpinlBnl Complete la breve encuesta sobre su visits a la Benda y tangs la oportunidad de ganar en: www.homedepot.comlopinion Oscar ID - 81472 773fs1 „(\ Password- ~" 10479 77359 Entries must be entered by 10/29/2010. Entrants must be 18 or older to ante . Sae complete rules on website. No purchase necessary. ~j THANK YOU FDR SHOPPING AT HEPFERS ACE HOMECENTER (717) 761-7722 SOME MSOE NOT RETURNABLE ! ! ! !CHECK ' STORE SIGNS FOR DETAILS ! 9130/10 8:56AM WF 553 SALE 54055$4 1 EA 15.99 EA NIGHT LATCH BRASS 15.99 ` SUB-TOTAL: 15.99 TAX: .96 ~ TOTAL: 16.95 BC AMT: $16.95 1 BK CARD#., XXXXXXXXXXXX4933 ID: 670121225899 AUTH: C-82009 AMT: 16.95 Host reference #:181009 8at#0225 S4~IPED CARD TYPE:: VISA EXPR: XXXX i IliI1~II111lllllil~lllllllllll~ i __~> JRNL#H81009 «__ COST # *5 THANK YOU RICHARD L BOYER FOR YOUR PATRONAGE Acct: CASH. CUSTOMER I agree to pay above total amount according to card issuer agreement (merchant agreement if credit voucher) SEASONAL MSDE MUST BE RETURNED IN 7 DAY ALL OTHERS-30DAYS,IN PAK,WITH RECEIPT Customer Capy ~~ ,~~y~~~ CAMP HILL POST OFFICE CAMP HILL, Pennsylvania 17oilsss8 4134870011 -0098 10/26/2010 (800]275-8777 12: 29:23 PM Sales Receipt Product Sale Unit Final Description Oty Price Price Forever 1 $8.80 $8.80 Holiday Evergreens PSA Bklt Total: $ Paid by: Cash $10.00 Change Due: -$1.20 Order stamps at USPS.com/shop or call 1-800-Stamp24. Go to USPS.com/clicknship to print shipping labels with postage. For other irformatlon call 1-800-ASK-LISPS. Get your m~~il when and where you want it with a secure Post Office Box. Sign up for a box online at usps.com/poboxes. x~~rx~x~~r~r~~~r~c~~xx~~r~rxx~x~x*~r~rx~t~r~rx~rx*x~rx Bill#: 1000201840104 Clerk: 09 All sales final on stamps and postage Refunds for guaranteed services only Thank you #or your business 1t 7t 7C Yf 7CYC7K 7C 1C Yf7K1t X7t1tX XYf KYf YCYf 7t7k7K7K7K7K K1k7tX 7C7t7~X~CYlYCW HELP US SERVE YOU BETTER Go to: https://postalexperience.com/Pos TELL US ABOUT YOUR RECENT POSTAL EXPERIENCE YOUR OPINION COUNTS x*~*xxx~r~~r~rx~r~rx***xx*x*xxxxx~rx~rxxr~r~~r*~tx~c 7t 7C7KY[7C Yf Y(W 7C 7K 7C7k 7k W7C 7C ~7C'X 7KX'IC 7K'X7C't7f*7C %7t*7C 7CA"k 1r X Yf 1C I ~ I THANK YOU FOR SHOPPING AT HEPFERS ACE HOMECENTER (717) 761-7722 SOME MSDE NOT RETURNABLE ! ! ! !CHECK STORE SIGNS FOR DETAILS ! • 10/05/10 9:42AM JD 553 SALE 3289659 2 EA 6.99 EA INDOR 24HR MECH TIMER WH 13.98 SUB-TOTAL: 13.98 TAX: TOTAL: DEBIT/ATM: DEBIT/ATM: XXXXXXXXXXXXB064 ID: 670121225899 AUTH: 100482 AMT: SWIPED .84 14.82 14.82 '. 14.82 CARD TYPE:DEBIT EXPR: XXXX Debit network id: Host reference #:782291 Bat#3587 Trace# Qebit Card 14.82 11111 110111IIIIIIIIIIIlIII111~ __» JRNL#H82291 «__ (:UST # *183 ACE REWARDS ID # 19023176256 ** Payment from Primary Account ** SEASONAL. MSDE MUST BE RETURNED IN 7 DAY customer Copy ALL OTHERS-30DAYS,IN PAK,WITH RECEIPT Customer Coav ,, ,`1 \ ~y/ L ` ~~ ~ ~\" V r Ritters Lemoyne True Value Hardware 1200 Market Street Lemoyne, PA 17043 1-717-731-1070 Transaction#: A54148 Associate: MEGAN Date: 12/02/2010 Time: 01:28:44 PM *** SALE *** 5PK Non Toxic Dust Mask 541233 1.00 EACH @ $3.29 T ,~ 29 IceAWay 25LB DeIci Salt 594906 2.00 EACH @ $4.99 T $9.98 041482792007 Subtotal: $13.27 6% - State Tax: $0.80 TOTAL: $14.07 VISA: $14.07 CHANGE: $0.00 BUYER AGREES TO PAY TOTAL AMOUNT ABOVE ACCORDING TO CARDHOLDER'S AGREEMENT WITH ISSUER Apppprova1:891700 CNUM:VISA-************8064 EXP:**/** NAME:ROI R BAPTISTE AMT:14.07 r'~ 1X~-~uf~iw ~ ~ igna ure Thank You! ~. '~'WNB~~IVN~RMIN r Ritters Lemoyne True Value Hardware 1200 Market Street Lemoyne, PA 17043 1-717-731-1070 Transaction#: A53389 Associate: JACKIE Date: 11/29/2010 Time: O~.,a.30 PM *** SAIE *** 30CT39GALGRY Conte Bag 113127 1.00 EACH @ x,'5.99 T $15.9. 0137002i193~ I Sub±utal: $15.99 C;~ - State Tax: $0.96 TOT4:.: $16.9 -1: $20.OG Thank Y i! ~~,i ~ IIII~I ll Iill lull ilIII Illll ~ ~~ +,~. A 3 8 v 1\ ~~~ my family. my family dollar. THANK YOU FOR SHOPPING AT STORE #7768 335 S 10TH ST LemQyne,PA, 717-761-3930 HEPFERS ACE HOMECENTER (717) 761-7722 IBD GARMENT RACK 400610169720 10.00 T SU6TOTAL $10 00 SOME MSDE NOT RETURNABLE ! ! ! !CHECK . TAx1 $0 60 STORE SIGNS FOR DETAILS ! . T O T A L $10.60 CASH $11.00 CHANGE $0.40 12/07/10 1:12PM NW 553 SALE 6038574 2 EA 15.59 EA ~ TRASH BAG CNTRCT42GBX20 31.18 SUB-TOTAL: 31.18 TAX: 1.87 TOTAL: 33.05 99077680166280148973 DEBITIATM: 33.05 ITEMS 1 10-15-2010 13:19;14 07768 01 541775 6628 DEBIT/ATM: XXXXXXXXXXXX8064 ID: 670121225899 Enter to win $500 Family Dollar Gift Card Take a quick surv AUTH: 100504 AMT:. 33.05 ~ . ey on your visit within 7 days. Call 1-800-454-8807 or = SWIPED log on to www.cmiresearch.com/fdsurvev CARD TYPE:DEBIT EXPR: XXXX Tambien Disponible en Espanol Debit network id: Host reference #:800701 Bat#3711 Trace# Debit Card 33.05 , I_ (~I~~~~I~i~~l~~~~~l~~l~~~~~~~~f~~~ ~ . ~ __» JRNL#I00701 «__ ,. ~~ i OUST # *183 THANK YOU FOR SHOPPING AT ACE REWARDS ID # 19023176256 HEPFERS ACE HOMECENTER ' (717) 761-7722 ** Payment from Primary Account ~ SOME MSDE NOT RETURNABLE ! ! ! !CHECK STORE SIGNS FOR DETAILS ! 11/16110 1:O6PM NM 553 SALE SEASONAL MSDE MUST BE RETURNED IN 7 DAY 6038574 1 EA 15.59 EA ALL OTHERS-30DAYS,IN PAK,WITH RECEIPT TRASH BAG CNTRCT42GBX20 15.59 Customer Copy SUB-TOTAL: 15.59 TAX: .94 TOTAL: 16.53 CASH TEND:" ~ 17.00 CHANGE: .47 ~~~ ~~) ~~ ~~~~~~~~~~I~~I~I~~~~ I~~~ __» JRNL#H93699 «__ CUST # *183 ACE REWARDS ID # 19023176256 SEASONAL MSDE MUST BE RETURNED IN 7 DAY ALL OTHERS-30DAYS,IN PAK,WITH RECEIPT /''~ ~~~ ,; ~~ ~' .~ THAIGIf~YOU FOR SHOPPING AT HEPFERS ACE HOMECENTER (717) 761-7722 SOME MSDE NOT RETURNABLE ! ! ! !CHECK STORE SIGNS FOR DETAILS ! 11/01/1 12:13PM JD 553 SALE r 40287 -1 EA 3.99 FA R STRAINR BSKT#6~u-1O11CD ' ;~~ 46579 1 EA 5.49 iFAV BAS,~ET STRAINR AH820-22 ~-'• ~~~ ~ ~ 5.49 6038574 1 ~ 15.59 I TRASH BAG CNTRCT42GBX2 -___._~ 15.59 SUB-TOTAL: 17.09 TAX: 1.03 TOTAL: 18.12 CASH TEND: 20.00 CHANGE: 1.88 I l llii it lll~lliiliilli#li#llil ili __ » JRNL#H89621 «__ CUST # *5 ACE REWARDS ID # 1902317625Ei SEASONAL MSDE MUST BE RETURNED IN 7 DAY ALL OTHERS-30DAYS,IN PAK,WITH RE[;EIPT C~ ~~l INVOICE Penn Waste, Inc. PO Box 3066 ~ York, PA 1 T4Q2 ~ www.pennwaate.com ~ ~ ~ Phone (717) 767-4456 ToIlFree (866) 575-8720 ° i Fax(71T)767-4285 13736 2 AV 0.465 E0207X 10212 D329290433 P785587 0001:0002 ~'IIII~~1IIINf~11~~r~~I~IIIJn~llll~l~lulrhlrlrl"1~I111'~I" METZ,FRANCES 219 HUMMEL AVE LEMOYNE PA 17043-1949 Invoice Number: 0001809847 Page Numlwr: 1 of 1 Date: 05!31/2011 Customer Number: RS737173 Slte Number: 0000 Reference: Invoice Total: $45.00 Total Due: $45.00 http://pentrvvaste.billtrustcan FRY QPP MPP Online Billing Now Availabiel ~~ Receive your invoices faster ~, ~~ ', and help save the environment by enrolling in our free online service. See enrollment details above! Cow Descri on Dats Reference QuaMtty Amount (0001) METZ,FRANCES 98 HUMMEL AVE LEMOYNE, PA 01 Curbside Trash & Rec 05/31/11 1.00 45.00 32.OOGA 07101/2011-09/30/2011 1~ 1 V i Penn Waste ,Inc P O Box 3066 York, PA 17402 ~ www.pennwaste.com ^~ t~A/~~C~T~ ^A/"~a~G Phone (717) 767-4456 V To1lFree (866)575-8720 Fax (717) 767-4285 Invoice Number: 0001778683 Page Number. 1 Date: 03/07/2011 Customer Number: RS737173 Site Number: 0000 Reference: Current 30 - 60 Days 60 - 90 Days Over 90 Days $45.00 $0.00 $0.00 $0.00 lurllln~lllnnlninllnull~~ln~inll~lun~lil~lnnl~~l METZ,FRANCES 3 219 Hummel Ave Lemoyne PA 17043-1949 Note: Please visit our website at www.pennwaste.com for holiday schedules and collection information. Code Description Date ~~ Invoice Total: $45.00 i Total Due: $45.00 Reference Quantity Amount (0001) METZ,FRANCES /98 HUMN~EL AVE LEMOYNE, PA 1 ~1 Curbsid Trash & Rec 03/07/11 1.00 45.0 32.OO~A 1/2011-06/30/2011 ~'~ G ~ ~~ PLEASE DETACH AND RETURN BOTTOM PORTION WITH PAYMENT Image Print ~y 1420 ~'! !~ rr~ur~a1~ ill ,n~i~~ ~ .. ~~~~~~ r Praco.t.~u. ago 6or ~ ~ ~ E:03L3iC?3$~ 5QOw483495~' 10 Page 1 of 1 ~s~r ~ ~niwc~s ~ Utz R~ R BAPTI8ZE ADIIR6'iR t+N 1~Et~ ~,pM0Y1+lE. P,it 17tas - ~' .- - - ~~ ~.~ ~ (17 ,~'"' f~ A l ~i ~o~~ ~ ~D ~ ~ ~', _7 ~ ~ ~! , ~~ ~. `~'~' 3~-G~ i1. ~~ ~~~-~7 ~,~ l ~J~ ~ ~~ ~~ .,oK+ : cD tnc '1 ~~•~Rpp l'f05`+ 717-766-2500 27400082 ryerchaot ID: 274000002 *** Sale ,: . ~~ 8ethod~ Seined VISR 10/02, ' •. ~ q,g~ `_ 19125 local: 8746 ~;~,~ ~ Code: 881815 s746~ Inva: , ~~ . 4nli~e ~}aer Coav ~~ qp~ p6pIN1 Credit/ Card X4.82 ~. . Karns Quality Faods 1200 Market Street Lemoyne, PA Tam Malesic Store .Manager 763-0165 Gary Barna Meat Manager 763-0173 Store:4 Cashier: Rachel McD 10103/10 Member card number: XXXXXXX1736 1.51 ib Q 1 ib / .99 GRAPES-WHITE Sl:EDLES 1.82 lb Q 1 lb ! .99 GRAPES-BLACK e p ICE BAG SUBTOTAL TOTAL TAX 14:56:03 1.49 FD 1.80 FD 1.49 FD j 4.78 .00 I ^ ~~~ ~~/ v - ~. THANKS FOR SHOPPI,NQ.~WEIS MARKETS N125 1595 Lowther_Road Camp Hitt, pA. 17011 TELEPHONE: 1717-737-•7091 ' _ , YOUR CASHIER. TODAY WAS ACM~LANE N4 W4 2X MILK DT NP 1.01 F BAILEYS-CREAMER PC 3.39 F SC BAlLYS 0.$9-F P QRANDS PC 1.79 F. SC pI~I.SBj1RY DISCOt1NIT:,. Q;Q-F MM Of~f~ `•;IyICE . RC 2.99 F SC `MM ORANQE"JUICE ~ 0,3Q-F ,OARD` 3.99 T 2.40..1 b Q! 1.99- /,1 b WT 4n15~ •RP 'DEL A 4.78' F 2.40 1b x.:0,99 /l;b 2.3 SC 4016 RD DEL A SC 2.40-F TAX ::** 14.50- **********~********:********:** **xx*** WEIS MARKETS;SN 125 . 1195 Lowther Road Camp H111, PA 17011 DEBIT PAYMENT ACCT: *********~**9456 EXP: XXX SEO: 204641 REF: 527787 PURCHASE: 14.50 CASHBACK: 0.00 TOTAL :1.4.50 ~~er3a~rs ~ I I .arn• ~~~ Ci~plify,6ele:ticrr~, r;uvin~::. Er«ry 1?wy. Vlsi.t uri on the Internet wuu . 6 i gntFaciiSt ores . ca+a F{y 9oai '-is to ensurk your sat lsf ac4lan every t11+e you sisUw ,with: us. .>IF there la anath'tn5 More T can d~ ±^_inpr0~e 'sour exeer,ience please call. or .~rit,e. Michspl`Youn9, Sti~re Mansge~ • Glsrt`t:wood yt.ore u ,guy 3301 Tr:Indi¢-Read CaaP. H-11, pA..: 17011 ~'-~~' Snore' Te`1e~hane: i r.t r ~ r19-1'Ibb ~Pherwacy Telephone: (117) 7?x-1170 YO/al/ia 11c1iAM THANK YOU 4800755.9585 ~ BIG CB POMS• UC 1`'99 1 SC BONUSBUY SpVING5 2.OO~T Prite you ~+ay 10.99 ' TOTAL .BtFiIItE 5Fl~! (WGS ~ 4~2 . S~~ YOUR TOTAL SAVINGS 2.00 TOTAL FriLrt aNV1wu~ ~U.66 Tax--p+~ i n i t : 65 ~--*~-TOTAL - i t . b5 VF DEBT CAki1 - 1k !f !t 1P !f * $ ik'lE ~ 9E * iF * +~ !i 'e J: Yc' ~ Y.:~ ~' k iF'..:f ~~ % # R 8 ~:f `r. % it t GIANT FOOD `-; b U269 3301 TRINOLE . kiiail . ~ CAMP HILL, PA i'7~i1 DEBIT CARD t~AYMENi i Oar•d ~.yXXX ?i"K~ H`rvy 5a~;o - :. : • :. i. ~'~"tn-'-`oi-'_TTi" ~, to -~__ _ _ ~----- C7 ~9 t7 A n n f7 n ~N ~ ~ W.. - mC7 -~ b7NG) .G77'1. ~ 3 W N m '" Ot! m tD m p4 ~ 00 a m dZf N 70 ' r, OO c 70 os 9 D m10 00 00 QZ CJZ 1"10 O - 0109- Orm 070 =wir' z z z~~ 7=am r1oc~7 z Zvz z--1 - m-- cc7 CG7 "C:z C2~N C ''C7N-i cmn c.-. n- 0- -01N70~V1~'ONa~N3>-C\'Oy- G• 'pyZS~NZ OJ aoTm97 tr197 OD IA 37:70H w7 ObJ-ras7 ODVlv77`totn -,e c-~ .r ~ ~.,, .. a t,.~. ~.. `.c .- e,e ~ .e r - c - e < a n< m n -t m n -~, -cam ~ -< o p< -c n t s s n< c-i ~ w cn w N w tmw m o w o 1~ c c.w x A ~ H 4/ ~ N'r'.- , Nl r. y ~ v1 to t%f - vl rr 0 o ec a 1c x rc a 1- c: a r -.~ a ~ ac a -, -i a: a v -+ o c o_ c o <oo co o c No caao ccn + Vf CH CH C-•aZCFdE 7H OCH.Z7~Cr.a ~ Z 2 -`t' ~ Z Z N-. ZC70" z ~6f 7C'7. 9.61.'00 NO 967 4O ' • N OT tq Ol N - w f/i fA O fq w v~- ~' . N N ~+ ~, .r - -v o~ ~n j -•r o o .o O O~ N ~... . V1 O O .}O ao m m m m m m . m n n n ~ ~ n n n . w wo+ wrn -. ~... a b ~O [J7 00 ~. ~ N,~J N W tJl ,p ~O fI7 N N ~O V1 a ~~ VT V7 LO V7 ~O -~ W OD O OD 00 ~O b ~O ~O O t0 t t 1 1 1 1 1 T T T T T 'ti T T7 T 'il ~7 T Ti I T T '1'1 T 1 s a Z F 0 c ~o _O \_ O o 0o vt o a O S u1 ~D [tl on N ~: -~ ~ ~} OuaUty;idectlon', tnvin4s, /very fDay. Visit us on the Internet ~wi,GientFoodStore/.coa. i Na eoai is to!ensur~ hour satisfaction every ti~a stou tahop with us. If there to anYthin~`.r'ore I c~A do to iaprove hour /xP/r!lnca pleitCa cbll ow Trite. Mic,h~al.Youna; Stor• s~/Wager iiignt, Food Stora E 269 3301` Trlndte °Rosd ` . Capp Hill, PA 1701 1 ` Stor.a TtYePhpn~~- (71TJ T2A-1166 !~ Phareacy TRl~pho~e: (717) T3~-.1170 tp/01!10 10:37AM 'I THANK:YQU ~800T559585 PARTY TRAY 59.9 F PARTY TRAY 59.99•F 1!2 SHEET CAKE 20.49 F i/2 SHEET CAKE 20.99 TAX PAID ' ii+iiiiiTQ.TAL 161.96 VF .CREDIT CARD 61.96 eeiE*a*~-*iE**eea--tee*ee~~~~~~~*e~re GIANT FOOD it 0269 330't,TRINDLE ROAD CAMP HILL; PA 17011 VISA PAYMENT [:ar:d XXXX XXXX XXXX 9554 PayMen# rir7o4nt S ***+~161.96 REF >t 035838 1c ~• w - ? o•<¢ C w 7 01 7 10 7 N ~ a-+ swlt w ~' ...x...,..... nv~:- r~, rs e -1 --1 r w • ~ ~, m 'ww' asNO w ~... cm •-- •- v o w• ~ o o '` w w -~ -c n a c ~ v'v x m~~owo w c ~ xs •--•ia c ~ m ~ .m _'~ ~O 7~. w Tm ~ ~ ~ -. -r10 ww 7 ~M77 ~~ a 4 O -a- m 01 -- IC •F w ^ ••+ 7 010 1 10 ~~l ~w 7 SC ' 1-1 w O ' -J~ ~w w~ d C- ~~ ...+ o a =.- m m n~ 0 ~- ! A .v ~f -+ ~ .w . .f ~ NN ~D 01 O O r "F .~- a m -7 w m ~>E,s d __ .+. n 0 0. .r- a w ~- w « o • - w w 7 01~ C 3 °~ e ~' ~ Q COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND Mag. Dist. No: MDJ-09-1-02 MDJ Name: Honorable Barbara A. Clare Address: 1901 State Street Camp Hill, PA 17011 'Telephone: 717-761-0583 Payor: Roi Ross Baptiste Roi Baptiste Executor Estate of Francis E Metz 144 Hummel Ave Lemoyne, PA 17043 Payment Source: Window Receipt Receipt Number: Recorded Date: Receipt Date: Manual Receipt No: 09102-2011-R0001868 04/29/2011 11:07:59AM 04/29/2011 'ayment Date Payment Method Check /Money Order Bank Transit Number Void Payment Number Amount 1/29/2011 Check 1086 No $122.08 Items Receipted: Responsible Participant: Baptiste, Roi Ross Docket Number: MJ-09102-LT-0000047-2011 Baptiste, Roi Ross v. O'Neill, Michael J, et al Complaint/Citation Number: Lead Offense: - -- -9.---- Ori mal --- 9. - -9 .. ----- -- --yp - -- - --- -- Be innin Transaction T e ---- -. Amount . __ __ _ 9 Endin Assessment Balance Paid Balance Server Fee -Unassigned Server $122.08 $122.08 Payment ($122.08) $0.00 ATJ -Case $3.00 $0.00 $0.00 $0.00 Civil Filing -Commonwealth Cost - H6627 $23.60 $0.00 $0.00 $0.00 (Act 167 of 1992) Civil Filing -State Court Costs (Act 204 of $15.75 $0.00 $0.00 $0.00 1976) CJES -Case $2.25 $0.00 $0.00 $0.00 Constable Education Training Act (Act 44 of $5.00 $0.00 $0.00 $0.00 1991) Constable Education Training Act (Act 44 of $5.00 $0.00 $0.00 $0.00 19911 Filing Fee (Civil) $47.15 $0.00 $0.00 $0.00 JCPS -Case $10.25 $0.00 $0.00 $0.00 Judicial Computer Project -Case $8.00 $0.00 $0.00 $0.00 Server Fee $25.04 $0.00 $0.00 $0.00 TOTALS $267.12 $122.08 ($122.08) $0.00 i oral amount owed by responsible participant on this case: $0.00 Total amount owed by responsible participant on all non-archived $0.00 cases in this Court for Participant Account No 1024-3192416: rayment Summary: Total Payment Received: $122.08 Change Amount: $0.00 Retained Unapplied Amount: $0.00 Payments Less Change: $122.08 fli a~ i '~ ~% i ~ .~ ~ '1 ' MDJS 120 1 Printed: 04/29/2011 11:OS:OOAM i Receipt Date:4/2912011 11:07:59AM Receipt Receipt Number:09102-2011-R0001868 RETAIN THIS RECEIPT FOR YOUR RECORDS You can make case payments online through Pennsylvania's Unified Judicial System web portal. Visit the portal at httpJ/ujsportal.pacourts.us to make a payment. MDJS 120 2 Printed: 04/29/2011 11:08:OOAM Z -`-... ~ O ~`'" -i a n, a. cn --r--; _ _"~..,~ -n 9 rn '~ ~ ~ ~~ , ~ ~ o ~ ~., 1~ j~~ s~ ~ s ~> ; i -- -~ ---~- --,c~R A ~ ~~ -_ ~_ -,. ~ ~ '~ ~` i t ; 4`± ---; __ ~ __~ 1 ~_ ~ --~- ~ 1 1 ~ ~ o I ', h9 ; ~ ~> i -i `' ~ '~ I ~' ~____ !___t_ ' ?`~ ~ t,,, ~A ~• z ~„ p . ° ~ ~ O ~ ~ W ~ ^. ~ ~ ~ INVOICE 36419805 Roi Baptiste 144 Hummel Ave Lemoyne, PA 17043 ~v S ! -i~ ~~ 'PODS' Storage Mobility of Eastern PA, LLC 9325 East 33rd Street Indianapolis IN 46235 ACCOUNTING #888-892-9338 SCHEDULING # 800-776-7637 tilrww.PODS.com Due Date: 6/20/2011 Invoice #: 092-042373 Account#: 36419805 Print Date: 6/20/2011 Terms: Due upon receipt QTY SKU DESCRIPTION RATE AMOUNT 1 16WD Initial Delivery & Return to Storage Facility $69.00 $69.00 1 16WDS FREE Base Delivery Special -$69.00 -$89.00 1 16S Monthly Rental for WH 16 (3 Month Minimum) $194.00 $194.00 - PODS Container: -Located: - Rental Period: 6/202011 12:00:00 AM-7/20/2011 Notice: Additional transportation fees may apply to future moves of your PODS container. Minimum duration of container rental may be required to qualify for certain discounts depending on your local franchise requirements. Seasonal or promotional terms and conditions may apply. ~r1,~) ~~O 11~ v~ f 1~ ~~ ~"I~B~~ ~° ." ' Sub Total $194.00 Manage your account online at m Tax Amt $11.64 THANK YOU FOR CHOOSING PODSI between: NI-F 830a-7p Easbrn TOTAL $205.64 Pbaee notify us of any changes in address or phone number. Axount wiN be subject to a S151eM fee ,5 days after the axount due date. "'""""""'TO WSURE PROPER CREDIT, PLEASE RETURN THtS PORTION WITH YOUR PAYMENT'"""""'"""-• Harrisburg -Lancaster, PA ~ g ~~~ Chanoe of Address 6/2012011 Due Date: Invoice #: 6/20/2011 092-042373 Remit To: Storage Mobility of Eastern PA, LLC Amount Due: Enclosed: ea~c ~a~ ~z..~ SL!rmt _. __3205.64 TIGER 31627 Roi Baptiste 144 Hummel Ave Lemoyne , PA 17043 Return Top Portion with Payment To: Tiger Trash P.O. Box 2444 York, PA 17405-2444 Date Invoice Paae 4/13/11 119503 1 Total f nvoice $ 4 TIGER TRASH Customer ID nvolce a nvolce age PA 17405-2444 Box 2444 • York P O , . . (717) 699-1111 • FAX (717) 699-0309 3162 7 4 / 13 / 11 11515 0 3 www.tigertrash.com Purchase Order/Job QescriDtion Unit Price nce 1.00 DEL Delivery Charge 75.00 75.00 1.00 PC Pull Charge 200.00 200.00 3.00 TIP Disposal Fee Per Ton 70.00 210.00 PAI D Service Address: Metz Estate 219 Hummel Ave Subtotal 485.0 3118-H1 Sales Tax Lemoyne, PA 17043 Terms Due Date Total Amount Net 30 Days 5113/11 $4 .00 .. .. '. ~ ..~~, ,, TIGER T R A S H 31627 Roi Baptiste 144 Hummel Ave Lemoyne , PA 17043 Return Top Portion with Payment To: Tiger Trash P.O. Box 2444 York, PA 17405-2444 Date Invoice Paae 4/11/11 119523 1 Total Invoice $485.00 TIGER TRASH us Omer nvolce a mrolce Page PA 17405-2444 Box 2444 • York P O , . . bz 4 11 11 1195 2 3 1 (717) 699-1111 • FAX (717) 699-0309 www.tigertrash.com urc ase r er o uan I o e escrl~ Ion Unit Price Ext. Price 1.00 PC Pull Charge 200.00 200.00 3.00 TIP Disposal Fee Per Ton 70.00 210.00 1.00 DEL Delivery Charge 75.00 75.00 s Service Address: Metz Estate 219 Hummel Ave Subtotal 485.0 3118-H1 Lemoyne, PA 17043 Sales Tax erms ue ate Total Amount Net 30 Days 5/11/11 $485.00 ~ _ _.:, _ ~ ~..~ .. ~ ._ ~.~ - ... .. t . s GocaJly ~wr~~al` ana ope~fed, _ _ _ . .. ~,:. . i~ TIGER TRASH ~~~~ P.O. Box 2444, York, PA 17405-2444 (747) 699-1 i 11 ~ I-~//-/4J-IJ04 0309 FAX 699 7 ORDER NUMBER SEFNICE DATE - (71 ) Locally Owned and Operated SERVICE TICKET AGREEMENT/NON HAZARDOUS WASTES ~ ~. ~ ( ; I TIME IN TIME OUT ACCOUNT NUMBER- SERVICE RO ^ TYPE FEL ^ J ( ~-, `'`, .,ca..., ~~ .. c ~-~` ~~:__ ..~~ ~ ~> ROUTE ID DI TICKET CUSTOMER ~'~".U E ~,, l~._ (-'~ ' ~ '~ Y ^ A ~ ~ } NO. ADDRESS ~ `: ~ `"7`-•"~'''~ `""'~ t' 4- _, ~ 'f SIGNATURI= COD MOUNT`.. QUANTITY SIZE 3ERVICEQESGRIPTION WASTE TYPE ~ : ' AMQUNT } - `[~ t~ } ~ y `ai f ,l S ' ~,4 ~~ 1, '~!-" F:•-3, ~~.,""'^_ ~ ~ > t.-r " , COMMENTS •I ~I I T _-.~. SERVICE5 ACCEPTED_SU8.1~CT TO PHE TERFAS AND CONDITIONS ON THE REVERSE SIDE AND PAYMENT AGREED TO BE MADE IN ACCORDANCE WITH THE CONTRACTOR S Otli~iRENT RAT 5CHS0ULE. ~ i i ~ ,..._....._.,..._.-..,..__.... ii- ~__ CUSTOMER ~~._,.r, ..''~-" _.~.-. j t..-,-- _.. TIGER TRASH ,r~ ,~,~ I' ~ ; " ~~~t,~-t... \. SIGN!\TfJRE • ' t.~•P' SIGNATURE t' ~ ~~•--"' -'' j " WHITE -OFFICE YELLOW -CUSTOMER -' • ~.,.. , _ TIGER TRASH P.O. Box 2444, York, PA 17405-2444 (717)699-1111 1-877-743-1382 (717) 699-0309 FAX ORDER NUMBER SERVICE DAT Locally Owned and Operated : < r. ' ( ! SERVICE TICKET AGREEMENT/NON HAZARDOUS WASTES , ! ACCOUNT SERVICE RO ^ TIME IN TIME OUT " NUMBER TYPE FEL ^ L - _i. .. ~ -a F "~ ~` F 'i ~ ROUTE ID DISPOSAL TICKET CUSTOMER ~ ~ . ,-~ 1 :6- _ Y^ ADDRESS ;%' ~~~ ~..-' .,~.~..,_~.~"~" '. i/i .,_.(' N^ - ~ SIGNATURE COD AMOUNT . QUANTITY SIZE SERVICE DESCRIPTION WASTE TYPE AMOUNT ' ~ ~ _. ~~ 1 COMMENTS SERVICES ACCEPTED S,UBIECTTOTHE TERMS AND CONDITIONS ON THE REVERSE SIDE AND PAYMENT AGREED TO B MADE IN ACCORDA WITH THE CONTRACTOR;S.CUR€iF.PI'f R9TE~HEDULE_ CUSTOMER• "~ ~ - ~ ~ c" SfGNATURE ?% ~. / ` ? TIGER TRASH ~ ? ~ { ~ ± ,; ;- ~ t.. SIGNATURE •~~ r' " t" \ WHITE -OFFICE YELLOW -CUSTOMER TIGER TRASH P Sox 2444 • York PA 17405-2444 O . , . (717) 699-1111 • FAX (717) 699-0309 www.tigertrash.com _ 316 27 6 l 2 2 / 11 _. 12182 5 1 1.00 DEL 1.00 PC 3.00 THB Service Address: Metz Estate 206 Hummel Ave 3118-H1 Lemoyne, PA 17043 Delivery Charge Pull Charge Disposal Fee per Ton 75.00 75.00 200.00 200.00 70.00 210.00 Subtotal 485.00 Sa].es Tax i INVOICE 36419805 Roi Baptiste 144 Hummel Ave Lemoyne, PA 17043 c~~ S ~i'~ ~~ PODS. Storage Mobility of Eastem PA, LLC 9325 East 33rd Street Indianapolis IN 46235 ACCOUNTING #888-892-9338 SCHEDULING # 800-776-7637 ttlrww.PODS.com Due Date: 6/20/2011 Invoice #: 092-042373 Account#: 36419805 Print Date: 6/20/2011 Terms: Due upon receipt QTY SKU DESCRIPTION RATE AMOUNT 1 16WD Initial Delivery & Retum to Storage Facility $69.00 $69.00 1 16WDS FREE Base Delivery Special -$69.00 -$69.00 1 16S Monthly Rental for WH 16 (3 Month Minimum) $194.00 $194.00 - PODS Container: - Located: - Rental Period: 6/202011 12:00:00 AM-7/20/2011 Notice: Additional transportation fees may apply to future moves of your PODS container. Minimum duration of container rental may be required to qualify for certain discounts depending on your local franchise requirements. Seasonal or promotional terms and conditions may apply. ^t ~IO~ F' ~lr~ us ~a~ ~i , ~ . V Sub Total $194.00 Manage your account online at www. .com Tax Amt $11.64 THANK YOU FOR CHOOSING PODS! between: M-F 830a-7p Eastern TOTAL $205.64 Please rrotity us of any changes in addross or phone number. Account wiN be subject to a S15 late fee ,5 days after the account due date. """""""'TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH YOUR PAYMENT""""""""""' Harrisburg -Lancaster, PA ~ 8 '` ~~>~os Chanae of Address tmazo~~ Remit To: Storage Mobility of Eastern PA, LLC 9325 East 33rd Street Indianapolis IN 46235 .... Due Date: 6/20/2011 Amount Due: $205.64 Invoice #: 092-042373 Enclosed: ~` f SERVICE INVOICE Page No. 1 Su error P us ~ iI~. P ~~ EtlergY Services 373192. 00017191 11/03/10 EVALUATION FEE ZONE 1 , Replace Oil Burner Nozzle, Oil Filter, and 156.10 GOES OFF ON REST: .. •.. 280 OHMS, l40 PUMP PSI. ~ ~ 1 ACCOUNT: 373192 A~DDNT DUE: $156.10 RE: FRANCES E METZ/HU:206 HUMMEL AVENUE/LEMOYNE QUESTIONS? CALL CUSTOMER SERVICE: 888-666-8687 OUR PAY11fENT ADDRESS: Sage Time, Stamps 8 Paper Superior Plus Energy Services LLC Pay Online at vlr'ww.superlorplueene com PO BOx ~ rgY• MARCX NY 13403-0722 We accept the fagowing credit cards: Superior Ptus Energy Services appreciates your iwsinessi Thank Youl For Your Records: Payment Anwunt: Check #: V Date: SEE REVERSE SIZE FOR IMPORTANT INFORMATION aMtto~2ota.otw,xaooaoooso ~kJ Image Print :~. ;J~ ~ _;~. ;~- ,~: 7:.~ {. OF1 z .:.L ` ) -%I .~ htmc-//www_cct_nncbank.com/IMGPRINT.htm1 Page 1 of 1 ~; t9,~ ~. 1/6/2011 To: Estate of Frances Metz 2/11/11 PRQPETY: 218 Hummel Ave. Apt: 2 Lemoyne, Pa. ' 17043 Subject: Repair of water leak at toilet cut off and inlet valve Material was provided thus the labor was the only charge. Labor: $ 25.00 ~~~ ~ ---- ------------- RLBoye ` , `'`(717) 370-3732; INVOICE Penn Waste, Inc. PO Box 3068 ~ ~ ~ ~ York, PA 17402 www.pennwaste.com Phone (717) 767-4458 -~ ToIlFree (866) 575-8720 I~ Fax (717) 787-4285 ;---7 137371 AV 0.340 E0208X 10214 D329308556 P7855810001:0001 I~Illlr'II~~~i'~~Irl~ll~l~ll~lrll~~l~'~Ilrl~r~~rl~lllllllllll'I" METZ,FRAMCES 219 HUMMEL AVE LEMOYNE PA 17043-1949 Invoice Number: 0001828166 Page Number: 1 of 1 Date: 05/31/2011 Customer Number: RS737213 Site Number: 0000 Reference• Invoice Total: $45.00 Total Due: $45.00 blip://pennwaste.billtrust.com FLZ QPP MPH Online Billing Now Available! • Receive your invoices faster • '~ and help save the environment by enrolling in our free online service. See enrollment details above! Cods Description Data Reference Quantity Amount (0001) METZ, FRAMCES 218 HUMMEL AVE LEMOYNE, PA 01 Curbside Trash 8 Rec 05/31/11 1.00 45.00 32.OOGA 07/01 !2011-09/30/2011 `. Please visit our website at www ennwaste com Current 30 - 60 Days 61 - 90 Days Over 90 Days .p . for holiday schedules and collection information. $45.00 $0.00 $0.00 $0.00 PLEASE DETACH AND RETURN BOTTOM PORTION WITH PAYMENT Penn Waste ,Inc ~ t ~,`~ . - P O Box 3066 , ; York, PA 17402 ~ www.pennwaste.com ~ Phone (717) 767-4456 ~`~ / TollFree 1866)575-8720 Fax (717) 767-4285 Invoice Number: 0001778723 Page Number: 1 Date: 03/07/2011 Customer Number: RS737213 Site Number: 0000 Reference: Current 30 - 60 Days 60 - 90 Days Over 90 Days $45.00 $0.00 $0.00 $0.00 lu~llln~lllnnlnlnllnulll~lurinil~lnn~lllrlnnl~ll METZ, FRAMCES 219 Humme! Ave Lemoyne PA 17043-1949 Note: Please visit our website at www.pennwaste.com for holiday schedules and collection information. r.,.~e flac~nnfic~n 3 Invoice Total: $45.00 Total Due: $45.00 Date Reference Quantity Amount (0001) METZ,FRAMCES "? 01 218 H~MMEL AVE LEMOYNE, PA Cur~t'side Trash & Rec 03/07/11 1.00 45.0 32.OOG 04/01 /2011-06/30!2011 .~ / ( -~: PLEASE DETACH AND RETURN BOTTOM PORTION WITH PAYMENT Image Print P`~'~ Page 1 of 1 ~~~7 ~i~71! H? prdergf_ s ..~,. ~,~~~~ ` PliGtre~.N:A. ti1D A fOr ~ MT E;03L3~~?3Bt: 5004483495~' i0~i? ~~ `-.~ .. ]03130164b4 '~~ ~~~~ ~~fJU .~Cr~ rna~~ w ~~ m https://www.cct.pncbank.com/IMGPRINT.htm1 ~k 1/6/2011 E~7" OF FRAI~ICE$ E #AER ROI R ATE ADYS~t 144 Ht11~M1E1. AYF: ~ at ~~lpYFE~ FA 1i0~1~-1Mb w ~y to t1K ~ [7~[t~h C~ Loyt~e Service Call as per contract: ~ $100.00 Deposit _ $0.00 Sub Total $100.00 Tax $0.00 Total Due ~ $100.00 Invoice Notes: Please Call to pay by MasterCard Visa or Discover Location: 218 Hummel Ave. Lemoyne Seal slate roof and repair spouting Service Call: $ 90.00 Materials: $ 10.00 Total Due: $ 100.00 j~a f~ C>Icn~~Co.; It1C: 1°tii~ay, :)wrw 1i3;'2E111 ~ Pagb'1 Of=1 1 ~` ~~ SERVICE INVOICE Page Wo. ~ Su error Plus Energy Services 373192 00017365 12/29/10 Formerly Montour Home Comfort Services Precision Tune-Up And Cleaning: Residentia 158.92 ANNUAL TUNEUP/CT~EANING r~~ ~ ~f 3 T BR ED DOWN UNIT ACCOUNT: 373192 Ab~OUNT DUB: $158.92 RE: ./218 HUMMEL AVENUE/./LEM E•PA 17043-1949 QUESTIONS? CALL CUSTOMER SERVICE: ~ -----~ 888-866-8687 OUR PAYMENT ADDRESS: Save Time, Stamps 8c Paper superior Plus Energy services LI~C Pa Oniine at Mvwwsu rio lusene com Po Box c Y Pe ~'P r9Y• MARCY NY 13403-0722 We accept the foikn~ring credit cants: Superior Plus Energy Services. appreciates your bus/neast Thank Yaui For Your Records: Payment Amount: Check #: Date: SEE REVERSE SIZE FOR IMPORTANT INFORMATION ON1210201QO1R fG0000001BY ~` Montour Home Comfort Services ;~ 1 -888 - MONTOUR M O N TO V ~ c666 - 868'' A divlslon of Superior Plus Energy Services OFFICE =i`~! ~'_'~: -,}[,tr~. .. ~ _ :_'?:',~~~.;:,.. "i::n+;' ADDRESS ,. .._ _4~:u~4!L% ,J,t.-_.. ~ ..~''i ~L,.:~'` BILL TO ~~ i'.y ! '.i'1' '~',:..._.., .. `~ y.. ^+ ADDRESS '~ CI :^' `~ 1 ::~~ . _ _ _ G%i~;wi.,~~~'> DELIVERY ~Y~'ll~: ADDRESS ;a =-~~!~1~~~ i~•.'Ei'~~ ~~ s ~ ~T~.~? ~.JMEE~ Hari~l~Cjl~-' ~ $ y }~~iT I~ 51? ~ f~ a 8 i INVOICE H (r ~ DESCRIPTION OF CHARGE A ANT ~ ~ ~}~ : z ::a.=:~d ~ !r}11PrJ~'~'•`.f?~ l~ea~i~r~ t1' is ~ • m -:.;{,±~r's,r :~s~ is ~ d'~i~~~~,~^> ~~ ~ .. e ~ .i.-.3~•,ii3i1"~~1'v•-'. '1t' Stilt lt~{~ Ci"1 2E i~t , ; ~~~~~~ .~ ~~~ N~ Sg~ ~~ ~ ~~ ~ ~s~ m '~~ ~ ~ •• •~ • o ~ ~ `~ 11 1 1 PAYMENT RECEIVED BY ~ ' s CUSTOMER COPY \ 9 3 CUSTOMER SIGN ~ Superior Plus ~ TEAK HEKt ANU Kt I UKN I Ht Ak3UVt I'UK 1 IUN WITH YC7UK F'AYMtN 1 r B~3DGET STATEMENT Statement Date 12/28/10 Account No. 373192 tner~~rnce5 Pa a No. 1 Rfio„~t,~ll, 4X! ,dh~fF~IEJ./LEMOY 7043-1849 9 Po~ ~ 1s16.1scR Mt~ll:/atY'l1FEAR Ii~EIREAtCE t31~1 CUAtiTITY Pace TAX AIYIt;>1~iT e• /21 UMMEL AVENUE/./LE OYNE PA 1704 -1949 11/26/10 50228 H FUEL #2 46.2 3.0390 146.48 e: 19 HUMMEL AVENUE/./LE OYNE PA 17 43-1949 11/26/10 502288 HEATING FUEL #2 49.7 3.0390 151.04 12/09/10. 175333,,- :SERVICE PARTS 529.21 12/22/10 1033 'PAYMENT-THANK YOU (JPMRDS) 100.000R 12/22/10 1034 PAY NT-T K YOU (JPMRDS) 529.21CR e: ../21 UMMEL AVENUE/./LE OYNE PA 1704 -1949 12/23/10 551648 HEA FUEL #2 257.2 3.2190 827.93 e: HUMMEL AVENUEI,/LE OYNE PA ~.7 43-1949 12/23/10 551649 HEATING FUEL #2 195.1 3.2190 628.03 ~ ~:r s .,•w~x a. w ~ w::° ~r aY~ -air r. N . M •,.+w :. a;" 12/28/10 4674334 BUDGET INTEREST - .14CR $2 .00 $164.86CR Ses reuses side for lr»portant hrfonnadon concerrNny late /s ~ = QUE3710NS? CALL CUSTOMER SERVICE: SIIAny Rights end other terms and conditions that may a to your aceornrt /" /~,~ ~/~~ - 1 (888) MONTOUR 1 (888) 666-8687 IMPORTANT MESSAGES: ~ ~ IMPORTANT MESSAGES: IF YOUR PRIOR BUDGET BALANCE HAS BEEN PAID, Save Time , Stamps & Paper ~ ~ _ WE THINK YOUt Pay Online at www.auperiorplu PAYMENTAQDRESS: Mo>~tour Home Combrt Services cnn~rnk Russet Pay: 25.00 P.O. Box C ~~~ ~, Bva~~ ~~~ 0.0o Marcy, NY 13403-0711 ' ~ No -Sud et cda 528.21 We acce the folitnNi credit cards: TOTAL AMOUNT ~ ~ DUE NOW: Montour ~pretsiates your business! Thank you! For Your Records: Payment Amount Check 6: Dom; wz..i.mR~a.amm.n SEf REVERSE SIDE FOR eAPORTANT INFORNW170N V ~~ ~~ ~C~` ~k ~b S, Image Print ~~ ~~~ ~~ 10'~ Page 1 of 1 ~7 - -~ I7~~'~' ~~I~.Y Tyr 'i'R~ ~i~'~s"It~! ~~ P~tY~~ r~r[ £Tf~d~4~? ,,~ ~~~.. ~,; ,'~. 4, •S` ',.. ~ .; ~ l {~ ~.,Y^r https://www.cct.pncbank.com/IMGPRINT.html ~s 1/6/2011 Ticket# 1~1yy3 ~'~ Montour Home Comfort Services ~ Date Account No. ;~ 112 Broad Street I "~ ~ ~ , `~ ~- SUp~ r~ Montoursville, PA 17754 1-888-666-8687 Technician ~ Call ~o. ~ ~ 3 ~ ~, Name p^ f~ Service Type `'~ ~~ /j t'~ ~ '~'~~ ~ `~^~ ^ Heating ^ A/C ^ Plumbing ^ Other m Address -Street r ~ ~ Nature of SgrvicepRe~gyue ted \ Service Plan ~ City, State ZiP Arrival Time .Departure Total Time on Job V ~ Fue e / System Type Tank Size Condition Age of~ystem Oil ^ Propane ^ Nat. Gas ^ Elec. I ^ HP ^ A/C ^ FRN ^ WH ^ Boiler (,(~ ~ K ~ Make ~/ 7, Model `~ ~ _ S/N Make Model S/N ii,/~L. (~ / , ~~~ ._ _ ~;' {tea ~, Smoke Quantity 1 Draft -0 ~ CO2 ~ Temp. ~ $ TasWAdd-On Inventory e - Eval:.. Evaluation Fee Eff. 7 1~.~ Safety Standard Rate. ~ ~ Q S 9 a s ! ~ h'-S5 S . ~ ... _ ` ~,.~ rL L ~ ~ yj . tr~+ @ ~ f - r... Wkh Montour Best Value You Save $ Totals - ~ ~ Qg / 2 I ` Start Pressure ~ ae em End Prestire c Time Fold System Method of Pagment . .--. -_ .__.. Disposal Fee. $ (Inches W.C.) (Inches W.C.) , ^ Cash Amount $ ~~ - 5~ ^ Check No. Deposit $ (PSICi) (PSIGj^ •-,.,, ^ Credit Card Servi Pl $ tst ce an ~~ ~WC. • Additional WorK Required To Complete Job We Sua9est The Following To Improve Your Comfort Quantity TasWAdd-On Additional Work Recommended Standard Rate ~ r Terms and Condltlons I have authority to order work which has been satisfactorily performed, as Payment is du~at time of service, outlined above. It is ag that the seller will retain title to any equipment or There will be a 10% Cancellation Fee on all special order repairs. material that may be f ed until Fnal Payment is made. If settlement is not Prices quoted are valid for 30 days. made as agreed, the a will be hek! harmless for any damages resuRing from Warren Information the removal thereo Parts Warranty -All parts are warrented for one year as stipulated. X Labor Warranty -All labor is warranted for one year. n„°rnn,n. e.,. ,.e cusroME~co~r ; r_ . C1G~~r . 5~~ s ,~r~, Ticket # ~ ? ~. ~~' >` Montour Home Comfort Services Date ~/~ ~v ~~~, Accou ' 7 ~; ~ ~ 112 Sroad Street f rio SupFe r P~I-u~ Montoursville, PA 17754 Technician ~ } ~~-J~~° ~'~~ Cali -~ y ~ 1-888-666-8687 ~ ~, _ ~"' Name ; ,'+ " ~ ~ ~ ~ S~~entic/~e ~ ` , ~ ~. J.}Q.y~,p~ ,. /~ G~J/Reating ^ A/C ^ Plumbing ^ Other '~ ~ Address -Street Nature of Service Re nested q Service Plan s ~ ~ / ~ JJ I ~ City, State ..,~ rp Arrival Time Departure Total Time on Job U ~ :_9': ~ Fuel Type 1 System Type Tank Size Condition Age of System f~011 ^ Propane ^ Nat. Gas ^ Efec. IJ ^ HP ^ A/C AN D WH ^ Boiler ]''~.`D Make t~~ jt~ ~/ Model 'ti//~" J' >!- S/N ~ /`~ ~d~~ Model Make _. _ SM > > f ~~ Smoke t3 Gtuantlty 1 Draft ~ - ~'' C02 TasWAdd-On Inventory Eval Evaluation Fee Temp. Eff. Safety r • . Standard Rate as sm Start Preeswe End Pressure (Inches W.CJ (Inches W.C.) Single Stage (PSIG) (PSIG) 1st ~ ~' In. W.C. 2nd Whh Montour Best Value You Save $ Method of Payment Time Hold System ^ Cash ^ Check No. O Credit card Totals. - Disposal Fee Amount Deposit Service Plan e $ $ $ $ AODlilorl8l WOrK FIeQU1feO 10 C:Omplel@ JOD We Suggest The Following To Improve Your Comfort Quantity TasWAdd-On Additional Work Recommended Standard Rate Terms and CondHions I have authority to order the work which has been satisfaotority pertormed, as Payment is due at time of service. outlined above. It is agreed that the seller will retain tithe tb any equipment or There will be a 10% Cancellation Fee on all special artier repairs. material that may be furnished undi F11a1 Payment is made: it settlement is not Prices quoted are val'sd for 30 days. made as agreed, Seller wfltt5'i3 held harmless for any d8mages resulting from ~rre Information the removal tftereof. Parts Warranty -All parts are warranted for one year as stipulated. X Labor Warranty -All labor is warranted for one year. Customer Signature Ticket # ~ r Montour Home Comfiort Services Date Account No. '~ 112 Broad Street Superior Plus PA 17754 Montoursville Energy Services , Technician Call No. 1-888-666-8687 Name Service Type ^ Heating ^ A/C ^ Plumbing ^ Other d Address -Street Nature of Service Requested Service Plan(s) l City, State Zip Arrival Time Condition S/N S/N Total Time on J Fuel Type I System Type Tank Size ^ Oil C Propane ^ Nat. Gas ^ Elec. 1 ^ HP ^ A/C ^ FRN ^ WH ^ Boiler Make Model Make ~ Model Age of System Smoke Quantity 1 Draft CO2 Temp. TasWAdd-On Inventory ~ - Eval Evaluation Fee Eff. Safety Standard Rate as ystem Start Pressure End Pressure (Inches W.C.) (Inches W.C.) Single Stage (PSIG) (PSIG) E A tln. W.C. F= N 2nd With Montour Best value You Save $ ec Method of Paymeht Time Hold System ^ Cash ^ Check No. ^ Credit card Service Pian Totals Disposal Fee Amount Deposit • $ $ $ $ Additional WorK Required To Complete Job We Suggest The Following To Improve Your Comfort Ouantitv TasWAdd-On Additional Work Recommended Standard Rate Terms and Conditions I have authority to order the work which has been satisfactorily performed, as Payment is due at time of service. outlined above. It is agreed that the seller will retain title to any equipment or There will be a 10%, Cancellation Fee on elf special order repairs. material that may be furnished until Final Payment is made. If settlement is not Prices quoted are valid for 30 days. made as.agreed, the Seiler will be held harmless for any damages resulting from Warren Information the removal thereof. Parts Warranty -Ali parts are warranted for one year as stipulated. X Labor Warranty -All labor is warranted for one year. Customer Signature ~` ~ Superior Pfus Energy Services Fom+erly Montour Home Comtort Sm+ces SERVICE INVOICE ~ Page No. 1 Arcxoui'~ Nr,~ ' i~vaic~ !~: ir~aice fps. 373192 00017539 12/13/10 EVALUATION EEE ZONE 1 Install Tiger Loop **ULTRA** In Oil Line 529.21 UNIT SHORT CYC~TNG %~ x s~ ;` ~CI -sins ~ "' ..~ J STACK RELAY, 100 PUMP PSI a1D®OII11T AIIE: $529.21 RE: .x(218 HUNIlKEL AVENUF,~I/./LEMOYNE F'A 17043-1949 ~--.~_._._.--~ QUi:STIONS? CALL CUSTOMER SERVICE: 888-686-8687 OUR PAYMENT ADDRESS: Save Time, Stamps & Paper Superior Plus Energy Services LLC PO BOX C Pay Online at www.auperiorplusenergy.com MARCY NX 13403-0722 We accept the foHowtng credit cards: Superior Plus Energy Services appreciates your business/ TMank You! For Your Records: Payment Amount Check #: Date: _,- SEE REVERSE SRE FOR IMPORTANT INFORMATION OM72112010.01R-12-000000041 \~ ~\~ ~ ~~ Page 1 of 1 :< ~p~~~ ~=,~#IIi~YNw+ PR ~~~ '~A - - caa~r~ F~ti ~. ~:0 3 ~ 3 i ~'~ 38~• 5p,~448 ~~- .~`e4' ~gi1Lt e....,.....x~swtk <, "* s _~ft ~3 '.4; ~~?f -~ . 133 ~~~ ~i -' t17 ~,,~~~. 3 - __ _.....,,.~,ank_com~/IMCJPRINT.htm1 _ _ J~ 1/6/2011 Page 1 of 1 [mage Print .~ _ ;~ : , r ~~ ~~ ~'~ ~~~~ ~ aer-~~ ~ $ ~~ ~ '`' ~1FA ~ f/ ,~~ ~~~ ~Q~448,34 J°~ ~~~~i3 ~, X73 ,, ~~, ~.Q ~R d ~' ~„~~a !~~ yr~ ,~~' •~~ r ,F,t ~. _., ~ ,~ `« 3 ..~~~. _._._.. .~ .`: .,,, 1161201 Service Call Invoice Notes: as per contract: Deposit Sub Totat Tax Total Due $98.00 $0.00 $98.00 ----- $0.00 C - $98.00 ,Please Call to pay by MasterCard Visa or Discover. .Job location: 218 Hummel Ave. Lemoyne I`Repair slate on roof and seal. Service call: $90.00 Materia}s: $8.00 Total due: $98:00 I ~~~'3~ Fey= !`~_/~ u ~ ~~:~ r~--~ } x :,~,~ ' '1t'y~`~~-~ ~~ ~~~~ ~~t1~':~'~y.~T~{~Q~x~~, C@itttity~ Spout _ --~ . ~.~ ~ , , ~ ~ - _ - a Image Print ~ 1 ~ t'~ 1A (+~ v r !~T iDF ERAMC~ E YETI 1 O$S AKit Mt ~PTIiTE It~iT~t 1i4FN~pAE(.AV~ ~ ~~] L~IG~MPIEr POIE t70i3~1Nb 11! r.. ~.. `-~ ~ ~~A-~V~ ~..~~~ ~~ ~~ x:03 L3 ~ ~?3~~: S~D~~.w83t,95~' ~0 fit : 'ri.~w~f a~rf~r_~.a$~5 ~Iri== -i ~~~ ~~ L ~~~ ` . ~~~"' ~a ~ ~~ ~~ ~~ ~ ~' . ~~ i r, https://www.cct.pncbank.com/IMGPRINT.html Page 1 of 1 ~~ 1/6/2011 PPL Electric Utilities Electric S~iee- For: FRANCES E METZ- 218 HLJMI~+IEL AVE ~MOnviJ PA l~a_ Questions about this bill? Please cotttact us by A 23 at 1-800-342-575 {1-800-DL~I,-PPL) or write to• Customer Service 827 Hausman Rd Allentown, PA 18104-9392 www.pplelectric.com Electric Use This part of your bill helps you understand your electric use. Types of Meter Readings: Actual - Adjusted Estimated ~~.~..~~.~..~~~-.,'.~~-."`..~~. Customer 0 Page 1 i ~81~1i31C~Dtil~,,~~f8 `•r 73450-82015 ~~~: Summary Page Balance as of Aug 5, 2011 $0.00 Chargge~s: Tota1-PPL Electric Utilities Charges $14.80 Total Charges $14.80 Account Balance $14.80 New look coming soon In October, we'll debut a new bill design based on feedback p~rrovided by our customers. The new bill will make rt easier #o find the in~brmation you need. Please check out Connect, the monthly newsletter tncluded in your bill, for mare information. .. /~ 1 12 10 8 6 4 2 0 KWH -Average Per Day 6 5 4 3 2 1 0 -----Demand-------- FMAMJJA FMAMJJA 2010. Months 2011 2010 Months 2011 Other important information on back ~ PPL Electric Utilities Electric Service Far: FRATiCES E MET~FSTATE 218 HUIvIIKEL AVE LEMQYNE PA 17043 Questions about this bill? Please contact us by Jun 23 at 1-800-3A2-5775 (1-500-DIAL,-PPL) or write to: Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplelectric.com Electric Use This part of your bill helps you understand yaur electric use. T of 1 star Readings: Actual - Adjusted Estimated Customer 0 ,~~~ .~~~~~, ' ~: ..-- •.. :< pp '-- '.' ,~ Summary Page Page 1 73450-82016 ~:~ Balance as of Jnn 7, 2011 $0.+00 Char es: Tota~PL Electric Utilities Charges $20.39 Total Charges $20.39 .._. ... ... r . ............ -- AccountBalance $20.39 ~G'~ S KWH -Average Per Day 12 10 8 6 4 2 0 FMAMJ 2010 Months 2011 6 5 4 3 2 1 0 --------Demand-..----__ FMAM7 2010 Months 2011 Other important information on back ~ PPL electric Utilities Electric Service For: FRANCES E METZ-ESTATE 218 RUNNEL AVE LEMOYf1E PA 17043 Questions about this bill? Please contact us Apr 25 at 1-500-34~-5775 (1~00.DIAL-PPL) or write to: Customer Service 827 Hausman Rd Allentown, PA 18104-9392 www.ppleleciric.com Electric Use This part of your bill helps you understand your electric use. T of eter Readings: Actual - Adjusted Estimated Customer Page 1 pp~ ~~ 3450-82016 -:;_ Summary Page Balance as of Apr 6, 2011 $0.00 Char es: TotaJ~PL Electric Utilities Charges $29.21 Tota) Charges $29.21 ;. Account Balance $29.21 KWH -Average Per Day 12 10 8 6 4 2 0 i r~ /~,. _ ~ ~ ~ V , 6 5 4 3 2 1 0 ------Demand -- FMA FMA 2010 Months 2011 2010 Months 2011 Other important information on back ~ PPL Electric Utilities Electric Service For: FRANCES E METZ-ESTATE 218 H(IMMEL AVE LEMOYNE PA 17043 Questions about this bill? Please contact us by Mar 24 at 1-800-342-5775 (1-800-DIAL,-PPL) .. or write to: Customer Service 827 Hausman Rd. Alleyown, PA 18104-9392 www.pplelectric.com Electric Use This part of your bill helps you understand your electric use. Types of Meter Readings: Actual . Adjusted Estimated Customer Page 1 ,~ 73450 82016 .:.:... Summary Page Balance as of Mar 8y ZOIl $0.00 Charges: Tota.[-PPL Eleatic Utilities Charges $34.32 Total Charges $34.32 _. _, -"-"",$34.32 Account Balance ///66,,,-, , ~.' KWH -Average Per Day --Deufand - 12 10 8 6 4 2 0 FM 2010 Months 2011 6 5 4 3 2 1 0 FM 2010 Months 2011 Other important information on back ~ r PPL Electric Utilities Electric Service For: FRANCES E METZ-ESTATE 218 HUMMEL AVE LEMOYNE PA 17043 Questions about this bill? Please contact us by Feb 22 at 1-800-342-5775 (100-DIAIrPPL) PPL Electric Utilities Electric Service For: FRANCES E MET&ESTATE 219 HCTMMEL AVE LEMOYNE PA 17043 Questions about this bill? Please contact us by Feb 25 at 1-800-34Z-5775 (100-DEAL-PPL) n~ v.r:~n ~.~. ' Page 1 :~_:: pp ::......:::~~ =.. TM ~ 73450-82016 ~: Summary Page Balance as of Feb 4, 2011 $0.00 Chazgge_s: Tota1PPL Electric Utilities Charges $38.05 Total Charges $38.05 .,: Account Balance $38.Q5 ~ :~ .. ~~ "~~s~E ~~ Page 1 .: .. 91650-82001 Summary Page Balance as of Feb 4, 2011 $0.00 Charges: Total-PPL Electric Utilities Charges $193.25 Total Charges $193.25 ...; ;. Account Balance $193.25 I Image Print ~~~~ ~`~~ ~i~ c: F.~'~' t-F ~RANCE8 ~ ie~TZ 1~ R ~AP'TISTE JIb1~817t ~ ~. xv~ L~EMOYN~ pA ! 70~1~3-f~10 Ps~* to fiat 'Order of Page 1 of 1 a 1 ~ l -Ft,~c G~ ~ 1Q23 ~r r tea: ~` ~r, ~= 4 ~~~~~i ~1~ ,. ~~ N+c ati, i+.A ~o~o r ~.. x:03 i~~'?3$~. 5OO4y83b95p' ~ .~O OOO? L1..~ ~. f ,;. .~ . .. <. . PF'~ ~LE~~RIC U~'~~.ITIE~R A~Pq~S~ a~LY ~=~ n ~: T3•~Sfl8Zea7 _ 93~~, 4Q5 4Q5 ~ ~+ W T 1 -, ~ ~ ~. ,~ -' .. https;//www.cct.pncbank.com/IMGPRINT.htrnl c~. 1/6/2011 ~ PPL Electric Utilities Electric Service For: FRANCES E METZ 218 RUNNEL AVE. LEMOYNE PA 17043 Queationg about this bill? Please contact us Nov 22 at 1,8(10-34 5775 (100-DIAL-PPL) or write to: Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplelectric.com Electric Use These graphs show your electric use over the last l 3 months. Types of Meter Readings: Actual - Adjusted Estimated Customer Page 1 pp ~$~~: 73450-82007 :~ =~: Summary Page Balance as of Nov 4, 2010 $12.71 Chargge_s: TotarPPL Electric Utilities Charges $17.14 Total Charges $29.85 Account Balance - \ $29.85 IG~~ 1 12 10 8 b 4 2 0 KWH -Average Pet Day , ------Demand------ 6 5 4 3 2 1 0 NDIFMAMJJASON ND7FMAMJIASON 2009 Months 2010 2009 Months 2010 Other important information on back ~1 ,~ Image Print ~~ ~.~; - ~~,~ 4 -~ ill. Page 1 of 1 1t1U7 [a.+e ~>, Pier to tht Order '"' ~ ~9' ~ oon.n 8 .,. -°~ ~' ~e~c ~ ~+.~+. oa -~ ~ .,~ ,~ i:O 3 i 3 ~ 2'? 38': SU~448 349 S iQ~? ~'0 0 ~'9B 5~' ~~ ~. ~~ - ' ~ , - ~ ~ ~ ~ 11I 1~' j 1~ ~3f 29 Z22 . ~ ~ = ~ • ~ t ~ ~ ~ 1 ~ ~ - 4 ' Y ~ ~ . y ~ppR gas t r o~vt ~ .,`~.' ~'~'~ EtEC7R IC UT I~.IT IE5~ -334 23 ~~~~Q~~~~~ ~f~2~3 ~~~ 221 ~ Y 3 LL ~ .t ., }~ li ~~ r - 3 '~S~l'S Zit`~~lT•` w ~ w ~ httvs:/lwww.cct.pncbank.com/IMGPRINT.html 1/6/2011 EST ~h FRANCES E q~O1 R Sll-PTISTE AD~ISTA ,~ +~ ~~ 9 1„EtdlOYNE, P!t iT~N3.1411! Image Print 4; ~, es~r aF ~ s r~rz ~~~~ A01 R ~A~'T~A~Mg'!'R ~~: ~~~~ ~; ~!r o~ r ~/~1l~Gt...~~~}.' ~, .} ` Y Page 1 of 1 i~0~4 "~ ~~ y ~~~ f- rk 6I T, i. ^. l'1o11as ~ r, .. for .~~ j ~'~~.~, ~:03i3i~?38~: SOq~.~.83y~5~"~ Q ~' Oa0~2'~i~' •~ . ~ •L' •- T'C3R DEPQS i T [!'~L~- ~_ '-~:8 lU~I1@ ;` https://www.cct.pncbank.com/IMGPRINT.htm1 1/6/2011 ~J PPL Electric Utilities Electric Service For: FRANCES E METZ 218 HUMMEL AVE LEMOYNE PA 17Q43 Questions about this bill? Please contact us by Nov 22 at 1-800-342-5775 (1800-DIAL-PPL) or write to• Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplelecttic.com Electric Use These ggrtaaphs show your electssc use over the last l3 months. Types of Meter Readings: Actual - Adjusted Estimated Customer Page l <:;::::~ Yira_iii;Bi#1~~4ccsii~a~Ttttiibe[ ~>'::>i :~z~> 73450-8201)7 .........:............:.....:.........:..::.:. ~Q~:~ -~ Summary Page Balance as of Nov 4, 2UlU $12.71 Charges: Total-YPL Electric Utilities Charges $17.14 Total Charges $29.85 :..:. ,..:. .;:..:. ..::1:~:.::~:#a.~... ~~7~,,ww !~ qt. ,. .......... .....: ~ .::....,., .. ... :,~ fl~~~1~.~:I:~~' ~1GS~; ~;:_!~ ~V3.t~s `r [ < Cri~z~'5i~ `i~: [ ..... ..... Account Balance - \ $29.85 /G~~ 1 KWH -Average Per Day -Demand------ 12 LO 8 6 4 2 0 ND7FMAM7JASON 2009 Months 2010 6 5 4 3 2 1 0 N1;-J FMAMJ JA50N 2004 Months 2410 Other important information on back ~ ~~ ~. . ~. ~;; .` . ®Questlons? Please ~ Visit us online at Page 1 ~•s•••••~~ I, • f •.;-_ contact us by Oct 24. pplelectric.com ~~_~- 1-800-DIAL-PPL = ~~ •~ ~ , (i-800-342-5775) 73450-82016 Oct 24, 2011 $~~;.,37, ~~ ~~ aac uaun.• M-F: Sam to 5pm Your Electric Usage Profile Billing Summary/ (Billing details on back) Service to• Balance as of Oct 6, 2011 $0.00 FRANCES E METZ-ESTATE Charges: 218 HUMMEL AVE Total PPL Electric Utilities Charg $21.37 LEMOYNE, PA 17043 Your next meter reading is on or about Nov 4, 2011. This section helps you understand your electric use by month. Meter readings are actual unless otherwise noted. ro 0 a ~° 3 Y_ ~ zoo ~ 6 5 a 3 2 i 0 J F M A M J J A 5 O N D Montfis 6 5 4 3 z 1 0 ~ 2011 J F M A M J J A S O N D Months Total Charges ~ $21.37 ttiti{~te 1by Cltt ~ 7~1~ $~.' Account Balance $21. PPL Electric Utilities' rice to com a~ our rate is 10.184 cen Wh P P Y effective 9/1/2011 to 11/30/2011. For a list of supplier offers, visit papowerswitch.com orcall i-800-6846560. Your Message Center • Your bii{ has a brand new took. To learn more about how we changed the bill to better serve you, check out the enclosed brochure or pplelectric.com/samplebill. • Peak Demand, 0.60 kW. • With paperless billing, you can receive and pay your PPL Electric Utilities bills online. The process is free, quick, convenient and secure„ To learn more or sign up, visit pplelectric.com. • Before digging around your home or property, you should always call the state's One CaN notification system to locate any underground utility lines. You can do this by simply dialing 811, which will connect you to the One Call system. Be safe and call 811 before you dlg. Payment Methods i Online at: ~ By phone: i-800.342-5775 ppielectric.com or call BiIlMatrix (service fee applies) at i-800-67Z-2413 to pay using Visa, MasterCard, Discover or debit card. ®By Mail: Correspondence should be sent to: 2 North 9th Street Customer Services CPC-GENN1 827 Hausman Road Allentown, PA 18101-1175 Allentown, PA 181049392 Other important information on the back of this bill -~ H s B.ff fFIY/CF tillin Summary for Service to: =RANL~S E METZ EST ?iff HUMMEL AVE .EMOYNE PA 17043 fate Gasafflcation: tesidential General tilting Psrtod: )6!28/2011 to 07/28/2011 (30 days) Remote Device Read ~usstlonsY all 800-276-2722 or writs to UGI at b BOX 13009 lead"ing, PA 19612-3009 'our current UGI charges include ;fate taxes totaling about S 2.35. Past Bill Inforrnatlon - U61 Utlilty ~ (' The account balance on your cast r{I was $ 30.71 Thank u for ur a ent of ... -30.71 216542493 yo yo p ym ................................ 619 Your balance as of 08/02/2011 ................................. -~'d Current Bili Information -UGI Utility Customer Charge ............................................................ Commodity Charge (14 CCF at 50.75500}} ............. Distribution Charges (First 14 CCF at $0.45929) .. PA State Tax Surcharge ................................................. PA Sales Tax ..................................................................... Total Current Charges -UGI Utiti .......................... .., UGi Utlltty charges owed this b II .........._ ................ Total Amount Due by (O8t2Sl2011) ........_ ................ 8.55 10.57 6.43 -0.09 1.53 Rater Information -Next Rsad Date August 29, 2011 Aster Reading Information Meter Number Previous Reading Presort Reading CCF Ussd 1186009 4435 (remote} 4449 (remote} i4 Aassages iron 1~1 our currant price to compare is $ 0.773471CCF. our total annual usage is 229 CCF. Your a~nerage month{y usage is 19 CCF. lelp prevent pipeline damage, accidents and service disruptions. Cali 811 before you dig. r ike us om Facebook at www.facebook,comNGlUtiGties for energy conservation tips, exclusive offers and tasty summer grilling recipes. ^g ign up to view and pay your future UGl bills online at www.ugi,com. $ our bill does not display a usage graph because your average daily usage is too low, Keep this part for your rer~rds, Important iniormatfon is on the back of thla bill. UGI Utilities, Inc. Customer Number The amount due will be PO B~ 15523 216542493619 deducted from your Wilmington, DE 19888-5523 checking account on eIr tFlr/tF August 23, 2011. :. _ AG ~~ ~ -- , . . august 23, 2011 AV 01 004071 46969E 14 A**SOGT ~ ~ II, I~IS1~}~IIIt~~IrtJ~~idl~ri~fifl''~iN11~1`1~~1i~111i~~~llt'~~'~ FRANCES E METZ EST ABC PLAN 219 HUMMEL AVE LEMt3YNE PA 17043-1949 'x' ~,.,~' ABC PLAN .280 21654249361g082301000026990000340000000000000000000003 •~ i 26.l~ lH sir srswsE Illltl~ Summery for Ssrvlce to: RANGES E METZ EST 18 HUMMEL AVE EMOYNE PA 17043 tats passlflcatlon: residential General Illling Period: X5/27/2011 to 06/28/2011 (32 days} Remote Device Read prsations? X11800-278-2722 or write to UGI at 0 80X 13009 reading, PA 19612-3009 our current UGI charges include fate taxes totalirrg about $ 2.67. Past Bill Information -UGI Utlllty `~: The account balance on your last bill was $ 36.05 ~• ~ • '~ .............. Thank you for your payment of .......__ ........................ -36.05 216542493619 Your balance as of 07/01/2011 .................................-'~'"-'8':d~ Currant Bill lnbrmation -UGI UUllty Customer Charge ...._........_ ............................................ Commodity Charge (17 CCF at $0.75000) ............. Distribution Charges (First 17 CCF at $0.45765} .. PA State Tax Surcharge .,.....-...._.........._ ...................... PA Sales Tax.__ ..............___............................................ Total Current Charges -UGI Utilittyy ............................. UGI Utility charges owed this blll ..............__.._..-.._.._ 8.55 12.75 7.78 -0.11 ~q ....__...._.._........................_,._ ; x.71 Total Anwunt Due by (07/22f2011) ................................. _................................_....,,...... t 30.71 lsber Inoormation - Next Read Dabs July 29, 2011 Istsr Reading Irrfonaatlon Meter Number Previous Reading Present Rsading CCF Used 1186009 4418 (remote) 4435 (remote) 17 Isssages from UGI our current price to compare is $ 0.77347 /CCF. our total annual usage is 225 CCF. Your average monthly usage is 18 CCF. leip prevent pipeline damage, accidents and service disruptions. Call 811 before you dig. how your patriotism with UGI. Like us on Facebook in the month of July and we'll donate $1 to the U50. Veit nerw.facebook.com/UG1Utifities today for more details. ign up to view and pay your future UGI bills online at www.ugi.com. our bill does not display a usage graph because your average daily usage is too low. Keep this part for your records. Important information I: on the back of this b{It. UGI Utilities,lnc. Customer Number The amount due will be PO Bare 15523 216542493619 deducted from year wlmington, DE 19886-5523 checking account on sus sssr,er July 22, 2011. 216542493619072201000030710U~03800~0000000000000000007 ~ oer wirier illifg 8umrpary for ~rvlce to: LANCES E METZ EST 8 HllMMEL AVE :MOYNE PA 17043 ate ClasdficaUon: rsidential General Iling Period: 1/28/2011 to 05/27/2011 (29 days) Remote Device Read restlonaT Ali 800-276-2722 or write to UGl at )BOX 13009 rading, PA 19612-3009 wr current UGI charges include ate taxes totaling about S 3:14. Past Bill Information -UGI Utlli hank you fob~unc a~you ~ s billwas-^N.....,..:.. S_38 50 216542 ~ ry, ,~ P 493619 Your balance as of 06/02/2011 .................................... "--'Zi:~~ Current Bill Information -UGI Utility Customer Charge ...............__....,..,,................................... 6.55 Commodity Charge (22 CCF at 50,71682) .... 15.77 Distribution Charges (First 22 CCF at 50.44636) .... 9.82 PA State Tax Surcharge ................................._..........,..... -0.13 PA Sales Tax ..._ .............._..........,..................,....,............... ~Oq Total Current Charges -UGI Utility ................................~. ~ UGI Utility charges owed this bill ........_ ................_.._.._..................,.._...._.._,._........ S 96.05 Total Anwunt Dus by (06123/2011)..........._............_ .............................................._,.,... S 38.05 giber Infonnatlon -Next Rsad Dabs .Ions 29, 2011 star Reading Irrbnaation Mstsr Number Previous Reading Prsasnt Reading CCF Used 1186009 4396 (remote) 4418 (remote) 22 essages horn UGI wr current price to compare is S 0.77347 /CCF. wr total annual usage is 219 CCF. Your average monthly usage is 18 CCF. sip prevent pipeline damage, acadents and service disruptions. Ca11811 before you dig. gn up to view and pay your future UGI bills online at www.ugi.c~m, wr bill does not display a usage graph because your average daily usage is tao low. N Keep this part for your records. Important Information is on the back of thia b1U. UGI Utilities,lna CUStOmerNumber The amount due will be PO Bea 15523 216542493619 deducted fmm your H wtmington, DE 19886-5523 checking account on June 23, 2011. ova rurirr :~ June 23, 2011 AV 01 004427 222038 16 A**5pGT 1 i ~~ I tl~ Lu . l IIJI 1 ! r ~ lifl ~ t~~ull. ~ • s 11 11 Il .~ i~fl ~t ~ ( tl Ifl~ 11~ 1 IC l 1 11, FRANCES E METZ EST ~~~ 219 HUMMEL AYE ~`~ LEMOYNE. PA 1704*~-1949 ~ ~ ~' ABC PLAN 28b 216542493619062301D0003605000045000D000000000000000003 == sus sESVics iNinngg Summary for Service to: iANCES E METZ EST 18 HUMMEL AVE :MOYNE PA 17043 ate Classification: esidential General Illing Period: 3/01/2011 to 03/29/2011 (28 days} Remote Device Read uestionsT all 800-276-2722 or write to UGI at l BOX 13009 wading, PA 19612-3009 wr current UGI charges include ate taxes totaling about $ 3.24. Past Bill Information -UGI Utility CUStp~C16P ~Ui17~?ei; . '' The account balance on yoar last bill was ................ $ 40.77 Thank you for your payment of ..................................... -40.77 216542493619 Your balance as of 04/01/2011 ................................... ~a Current Bill Information -UGI Utility Customer Charge .............................................................. 8.55 Commodity Charge (23 CCF at $0.71696} .............. 16.49 Distribution Charges (First 23 CCF at $0.44609) ... 10.26 PA State Tax Surcharge ..................._...................._....... -0.13 PA Sales Tax ............................................._...._................. ~ .11 ~ Total Current Charges -UGI Utility ............................... ~__ ~~ UGI" Utility charges owed this bitl ...................._........_.........._............................_........ f 37.28 Total Amount Due by (04/25/2011) .... ................................. S 37.28 star Information -Next Read Date Aprf129, 2011 star Reading Iratorrnation Meter Number Previous Reading Pressnt Reading CCF Used 11860D9 4349 (remote) 4372 (remote) 23 essages from UGI cur current price to compare is $ 0.73453 /CCF. ur total annual usage is 209 CCF. Your average monthly usage is 17 CCF. rip prevent pipeline damage, accidents and service disruptions. Call 611 before you dig. N: u could save $750 or more per year on your heating bills if you switctuad to Natural Gas Heating. Far an instant, personalized estimate of ur savings, visit www.ugi.comPcalculator. ~! 1n up to view and pay your future UGI bills online at vrww.ugi.com. ur hilt does not dispiay a usagE graph because your average daily usage is too low. Keep this part for your records. Important information is on the back of this bill. ~~ ucl utilities, inc. Customer Number The amountdue will be P1) Box 15523 216542493619 deducted from your Wilmington, DE 19886-5523 rchecking account on css sesrisE April 25, 2011. ~ -~ ~ f HG AV 01 p04537 988596 14 A**5DGT II111'IIIII'I'I`fl'I111111'IP{11111'1{I"I'1~11'Illllllllllllll~ FRANCES E METZ EST 219 HUMMEL AVE LEMOYNE PA .17043-1949. Due Hate , April 25, 2011 '-M ABC PLAN 11Nitt1 Late Charge. ABC PLAN 280 216542493619042501DDOD372aD000470000D00000000000000003 _-- OAd sEr r~cc fillfng Summary for Service ta: =RANGES E METZ E5T '18 HUMMEL AVE .EMOYNE PA 17043 Late Classification: tesidential General filling Period: 11/27/2011 to 03/01/2011 (33 days) Remote Device Read locations? all 800-276-2722 or write to UGI at b BOX 13009 leading, PA 19612-3009 'our current UGI charges include Mate taxes totaling about $ 3.55. Past Bill Information - UGl Utility ~~.'il&tQl7l@i,1l~ltiTl~t; : °, The account balance on your fast bill was ................ $ 34.70 Thank you for your payment of ..................................... -34.70 216542493619 Your balance as of 03/03/2011 ................................... ~.~ Current 81111ntormation -UGI UUifly Customer Charge ....._..__....__ ......................................... 8.55 Commodity Charge (26 CCF at 50.71692) .............. 18.64 Distribution Charges (First 26 CCF at $0.43923) ... 11.42 PA State Tax Surcharge .................................................. -0.15 PA Sales Tax ..........................._......................................... 2.31 Total Current Charges -UGI Utility .................._........... UGl Utility charges owed this bill .............................................._.............._.................. = 40.77 Total Amount Que by (03124/Z011)._ .............................................................................. i 4o.r7 Meb I fo tt N xt Read Oats March 90 2011 1.30 1.17 1.04 0.91 o.lB 0.65 0.52 0.39 0.26 0.13 0.00 r n rma on - e , Mebr Number Previous heading Present Roading CCF Used 1186009 4323 (remote) 4349 (remote) 26 Measages from UGl "Your current price to compare is $ 0.73453 JCCF ^ Your total annual usage is 206 CCF. Your average monthly usage is 17 CCF. ^ Help prevent pipeline damage, accidents and service disruptions. Call 811 hefore you dig. ^ You could save 5750 or mots per year on your heating bills if you switched to Natural Gas Heating. For an instant, personalized estimate of your savings, visit www.ugi.can/calculator. FMAMJJASONOJF 2010 Months 2011 Last This verage Year Year ~/day 1.00 0.79 rily temperature 30°F 33°F =r '' ~ r.e. ^ Sign up to view and pay your future UGI bills online at www.ugi.com. Keep this part for your records. Important fnformation is on the back of this bill. uGl utilities. Inc. Customer Number ~ amount due vritl be PO Box 15523 216542493619 deducted from your Wilmington, DE 19886-5523 checking account on March 24, 2011. R6 Dlle'~G~~tt~. March 24, 2011 AV 01 004595 85950E 16 A**SDGT ~ ~ . ~IIIII~II~n1111111u~lllulllll~ll~~rll~l~l~11~11~~11!ill~llr~l FRANCES E METZ EST. - ABC PLAN 219 HUMMEL AVE W~th'.Lat~'Claatg@ ` LEMOYNE PA 17043-1949 ~ ABC PLAN 280 21654249361903240100D0407700D051000UDDDOOODDOOOOODODD3 ~~ eAS tE~v/cE Ilingg Summary for Service to: ANCES E METZ EST 8 HUMMEL AVE MOYNE PA 17043 ate Ctassltication: ~sidential General iling Period: '/29/2010 to 01/27/2011 (29 days) Remote Device Read iestfons? II 800-276-2722 or write to UGI at BOX 13009 ading,PA 19612-3009 ur current UGI charges include ate taxes totaling about $ 3.02. I Past BIII tntormation -UGI UUlit , ~r ~(` The account balance an y ~~~?~ , your last bill was ._ ............. $ 33.46 Thank you for your payment of ..............:....... .....::::.: ~~ 216542493619 Your balance as of 02!01 /2011 ............. ........_ Current BiU Intotmation -UGI Utility Customer Charge .................................................__.._...... 8.55 Commodity Charge (21 CCF at $0.71714) ..._......... 15.06 Distribution Charges (F~rst 21 CCF at $0.44000) ... 9.24 PA State Tax Surcharge ......................................._......... -0.12 PA Sales Tax ......................._............................................. 1.97 Total Current Charges -UGI Utility ............................... UGI Utility charges owed this b(II ............__ .........................._...,__.._...._.................... $34.70 Total Amount Due by (02122!2011)..._............_ ......................__.........,........_....,........... $34.70 Miler IMonaation - Nsxt Rsad Date March 1, ZOi1 1.30 ~e~ge CCF Pei Day Meter Number Previous Reading Present Raading CCF Used 1.17 1.04 0.91 0.78 0.26 0.13 0.00 Last This gage Year Year '/day 1.00 0:72 tytemperature 31°F 27°F ,.= CA~ /CE 1186009 4302 (remote) 4323 (remote) 21 Measages from UGI • Your current price to compare is $ 0.72776 /CCF. ^ Your total annual usage is 212 CCF. Your average monthly usage is 17 CCF. ^ Help prevent pipeline damage, accidents and service disruptions. Call 811 before you dig. N • You could save $750 or more per year on your heating bills if you switched to Natural Gas m Heating. For an instant, personalized estimate of your savings, visit ~ www ugi.com/plcutator. 8 ^ Sign up to view and pay your future UGI bills online at www.ugi.com. Keep this part for your records. Important intormation is on the back of this bill. UGI Utilities, Inc. Customer Number The amountdue will be i PO Bic 15523 216542493619 deducted from your Wilmington, DE 19886-5523 checking account on ~, February 22, 2011. i 216542493619022201000034700000430000000000000000000002 JFMAMJJA80NDJ 2010 Morrtha 20'11 ~.s seiriet 9N11ng Summary for Service to: FRANCES E METZ 2t1i HUMIMEL AVE LEMOYNE PA 17043 Rata ChtsslBcation: Residential Genera{ 9iliinp Period: 11/30!2010 to 12/29/2010 {29 days} Remote Device Read Qusstionst Call 800-276-2722 or vrrite to UGI at PQ BCJX 13009 Reading, PA 19612-3009 'Your current UGI charges include State taxes totaling about S 2.92. The account balance on your {ast bill was ................ S 66.57 Thank you for youripayment of ~tty ...._.,._...._ ............. -66.57 216542493619 Your balance as of 01!03!2011 ..............,.........._.._..... `~f'dd Currant 8iit Information - UGi Utility Customer Charge . .........._ Commodity Charge (20 CCF at $0.71700} . ... Distribution Charges (First 20 CCF at 50.43900} ... PA State Tax Surcharge ........._____.._......__........_....... PA Sales Tax . _..__.. .._..... .........:...._..... 8.55 14.34 8.78 -0.11 _190 Total Current Charges - UG1 Utility ......................__..... 33.46 UGI Utllity charges owed lhls bill .. _ S 89.411 Total Amount Dus by (01/24!2011).._......_ ........................_.._.............._..__.............. 4~' ~~ Meter Intorrsation • Next Head Dats January 28,,2011 1.30 ~a0° CCF Psr Day Meter Number Prsviaua Rsadin9 Present Rsadinp CCF Used 1.17 1186D09 . 4282 (remote) 4302 (remote). 20 1.04 0.91 Msae~ss from UGI n 7R `Your current price to compare its 5 0.72776 /CCF. 0.65 0.52 0.26 0.13 0.00 ^ Your total annual usage is 220 CCF. Your average monthly usage is 18 CCF. ^ Help prevent pipeline damage, accidents and service disruptions. Call 811 before you dig. `Sign up to view and pay your future UGI bills online at www.ugi.com. Keep this part for your records. Important information la on the back of this bill. e Last This Average Year Year CCF/day 1.03 0.69 Daily temperature 33°F 29°F ~~ k~~u 2~~' ~~ DJFMAMJJASOND 2009 Months 2010 ~~~ __ iAf fFI Y/tF 1111nngg Summary for &rviu to: iANCES E METZ 18 HUMMEL AVE :MOYNE PA 17043 ate Classffication: 9sidential General Illing Period: 9/29/2010 to 10/28/2010 (29 days) Remote Device Read usstionsT III 800-276-2722 or write to UGI at BOX 13009 sading,PA 19612-3009 wr current UGi charges include ate taxes totaling about 5 2.65. Past Bill Information -UGI Utllfty ~ h . Gr,. : x ,~ ..5' 4 The account balance on ur last bill was $ 27.74 ~ ~~Gr'~U~~ ' Thank you for your payment of ................................. ~ -27.74 216542493619 Your balance as of 11!01!2010 ........................_..........'-'~~b Currant Bill Information -UGI Utility Customer Charge ........................._........................_...._.... 6.55 Commodity Charge (16 CCF at 50.81375) ............... 13.02 Distribution Charges (First i 6 CCF at 50.45063} .... 7.21 PA State Tax Surcharge ......................................._......_.. -0.09 PA Sales Tax ......................................._.........._.................. 1.73 Total Current Charges -UGI Utility ................................ 3~.~2 UGI Utillly charges owed this bhl .................._................_............................................... S 90.42 Total Amount Due by (11122/2010) ............_...._........_ ...................._...._............__......... i 30.42 Miler Information - Next Read Date November 90, 2010 1,30 Avera~ CCF Per Day Meter Number Previous Rsadtng Prsserd Reading CCF Used 1.17 1186009 4246 (remote) 4262 (remote) 16 1.04 0.91 Messages from UGI 0.78 ^ Your current price to compare is S 0.82458 /CCF. ^Your total annual usage is 241 CCF. Your average monthly usage is 20 CCF 0.13 0.00 Last This stage Year Year ~/day 0.83 0.55 ily bmperature 53°F 56°F ^ Help prevent pipeline damage, accidents and service disruptions. Call B11 before you dig, ^ Sign up to view and pay your future UGI bills online at www.ugi.com. Keep this part for your records. Impwrtant Information is on the back of this bill. 'a ucl utilities, inc. Customer Number ~ amountduewiil be PO Bwt 71203 216542493619 deducted from your ~H Philadelphia, PA 19176 checking account on November 22, 201 D. --- fAf feArieF RC $ `:: ~4 November 22, 2010 ~I AV 01 004350 38735E .15 A**SDGT ` ~~~~~ILIIIII~II~IIII'I~~I(IIIII~II~I~IIUI~t~y~~l~~l'11'~~I{~~1~ • a~ FRANCES E METZ ABC PLAN 219 HUMMEL AYE ~'1 ~&~ ~, LEhIOYNE PA 17043-1949 . ABC PLAN 280 216542493619112201D0003D42DD003800DOOODDODDOOOOOOOD00? ONDJFMAMJJA80 2009 Months 2010 ~r-s - rrcr fillittl((~~~~Sursma for Sarvke to: 118 HUMMIEI A~VE~ ~ .EMOYNE PA 17 ~~.. late ClassHication: tesidential General Tilling Period: )9/2712011 to 10/26/201 i (29 days) Remote Device Read stionsY I{ 800-276-2722 or write to UGI at '0 80X 13009 leading, PA 19612-3009 'our current UGI charges include hate taxes totaling about S 1.46. Past Bill Information -UGI UUIi ., .• ~, ~ ...........„... ;4 ~ , Thank }~iounforbyour~payme t of s bill was . „. „. „. S 25.68 216542493619 ' Your balance as of 10/31/2011 ...................................--b66 Currant BNI information -UGI Utiliiy Customer Charge ...„..„„„..„.._..„..„ ..........................„„... 8.55 4 „„.. „. Commodity Charge (6 CCF at 50.75500) .....„. 4.53 Distribution Charges (First 6 CCF at S0. 5833) ...... 2.75 PA State Tax Surcharge .........................„....................... -0.06 PA Sales Tax .................„....................................„............. 0.9 , Total Current Charges - UGl Utility „„_ ......................... UGI Utility charges owed this bill ........................„....„„......„...........„..........„............., t 16.72 by i ;~ _-- Nster Information -Next Rsad Date November 29, 2011 Meter Reading IMormaflon Heiler Nnmber Previous Rsadlag Pree~rt Readlag CCF Used 1186009 4475 (remote) 4481 (remote} 6 Messages iron UGI 'our current price to compare is S 0.77347 ICCF 'our total annual usage is 219 CCF. Your average monthly usage is 18 CCF. ielp prevent pipeline damage, accidents and service disruptions. Ca11811 before you dig. N lign up to view and pay your future UGI bills online at www.ugi.cem. ~ 'our bill does not display a usage graph because your average daily usage is too low. ~ Keep this part for your records. Important Information Is on the back of this bill. UGlUtilities,lnc. Customer Number The amount due will be PO Bax 15523 216542493619 deducted from your Wilmington, DE 19886-5523 checking account on rrr rtrrreE ~I~vember 21, 2011. .. R6 hi. L ;,,~~r November 21, 2011 AV 01 004120 848778 13 A**5DGT 1 11. Ill tl rll.llll tlltt ill I I I t JI it ill I 1 1 III I I i i I III I I III II 1 1 I II III ~ ~ FRANCES E METZ EST ABC PLAN 219 HUMMEL AVE ~" '- LEMOYNE PA 17D43-1949. ~'' ABC PLAN 280 21654249361911210100D016720000210000000000000000000008 ~~ oes sEir/eE ~rv for Service to: ;ate ClaaNication: esidentiai General ,filling Period: 8/26/2011 to 09/27/2011 (32 days) Remote Device Read !uestlons? all 800-276-2722 or write to UGt at 0 80X 13009 eading, PA 19612-3009 our current UGI charges include fate taxes totaling about $ 2.24. Past Bill Information -UGI Utility ~, ~ The account balance on ur last bill was $ 25.68 °~ ' Thank you for your payment of ...................................... -25.68 216542493619 Your balance as of 09/30/2011 .................................... -mod Currant Bill Information -UGI Utility Customer Charge ............................................................... 8.55 Commodity Charge (13 CCF at $0.75482} _ .... 9.81 Distribution Charges (First 13 CCF at $0.45769) ~.... 5.95 PA State Tax Surcharge ............... ................................... -0.09 PA Sales Tax ...................................................................... .46 Total Current Charges -UGI Utility ................................ UGl Utllity charges owed this bill ..........................................................._,..............,.... $ Total Anwunt Due by`70/21/2U~11)..._ ...............................................................,,............ S titer Iniorrnatlon -Next Read Date Dctober 27, 2011 letsr Rsadinp Information Mster Nureber Previous Rsading Present Rsading CCF Ussd 1186009 4482 (remote) 4475 (remote) 13 ksarges from UGI our current price to compare is $ 0,77347 /CCF. our total annual usage is 229 CCF. Your average monthly usage is 19 CCF. elp prevent pipeline damage, accidents and service disruptions. Call 811 before you dig. N ign up to view and pay your future UGt bills online at www.ugi.com. N ; our bill does not display a usage graph because your average daily usage is boo low. Keep this part for your records. Important information is on the back of this bill. UGI Utilities, Inc. Customer Number ~ amount due will be deducted from your PO Box 15523 216542493619 checking account on wlmington, DE 19866-5523 October 21, 2011. ,= f.fl rE•r/eE October 21, 2011 AY 01 004423 70455E i4 A**SDGT ^ Ih',ill'1'~'I{1"•.1.t...1,}I~fl'1lt~ftf~'ii~~~~f1~t~lt~~tiilii ~ FRANCES E METZ EST ~ ~ X19 HUMMEL AYE ~~, LEMOYNf PA 17Q43-1949 ABC PLAN .280 21654249361910210100002568000D320000000000000000000001 .~ 00024062785780000000000016033018 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 152~n-7at~ ` For Serv+Ee To: 218 Hummel ,.I .hll,~mllhIIIIIPdrnl~rullllrl~illl~~hllurllul 1 AV 0.337 1485/29485/001485 119 1 NCD8V4 FRANCE TZ 144 HUMMEL AVE LEMOYNE PA 17043-1946 PENNSYLVANIA AMERICAN WATEi PO BOX 371412 PITTSBURGH, PA. 15250-7412 rlllll,ulllnyullh.,L.Ihnli~lnllllrll,lu,lll.hlllup Please check here to add H2O-Help to Others contribution to your monthly bill u ddress or tale one numb t h d i t i f ti id r a or o c ange yo er, an pr n n orma on on reverse s e. Customer Account information B/lling Summary For Service To: FRANCES METZ -----Prior Balance--------__..-_ 218 Hummel Ave Prior Water Balance Account Number: 24-0627857-8 Prior Wastewater Balance Premise Number: 24-0371014 Prior Balance Othar Payments prior to Aug 11, 2011. Thanks! B/l/ing Period & Meter lnformat/on Total prior balance, Aug 11, 2011 Billing Date: Aug 11, 2011 -----Current Water Charges----- Billing Period: Jul 06 to Aug 08.(33 days) Service Charge Next heading oNabout: ,Sep 07, 2011 Water. Volume ($„007880 x 4,500) Rate Type: Residential STAS PAWC Water 0.32Ro DSI -PAWC Charge 3.83% Meter readings in current billing period: Total water charges, Aug 11, 2011 Meter Number N041266839 is a 5/8-inch meter. -------Current Wastewater Charges---~ Present-actual 749200 Lemoyne Swr Svc Last-actual 744700 Lemoyne Swr ($ .000000 x 2100) Gallons used 4500 ($ .006000 x 1500) ($ .007000 x 900) Volume ($40.000000 x 1) Total Usage Billed 4500 -----Other Current Charges----- Customer Protection Sewer Line Customer Protection Waier Lira Total other charges, Aug 11, 2011 ------AMOUNT DUE --__-__-___ $43.12 $89.00 $14.50 -146.62 .00 13.00 35.51 .16 1.86 50.53 40.00 .00 9.00 6.30 40.00 95.30 9.00 5.50 14.50 $160.33 Do not send payment. Total Amount Du will be deducted from your bank account on Aug 31, 2011 ~~~ fi 0 u e O o e a e a p a u u u p o g p t v c n b r r y n i g 1 00024062785780000000000014662016 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 218 Hummel Ave III.III'III'1111111"'ll'lll~lllllll'lll'I~I~II~I~I"IIIIIIIIIIII 0223851 AV 0.337 23851223851002385 089 1 NCD4WE FRANCES MET2 PENNSYLVANIA AMERICAN WATEI 144 HUMMEL AVE PO BOX 371412 LEMOYNE PA 17043-1946 PITTSBURGH, PA. 15250-7412 „II'ill'11111111J1111~.I~III~LIhIhI1~11'IhIILLIJ~II~llll D Please check here to add H2O-Help to Others contribution to your monthly bill or to change your address or telephone number, and print information on reverse side. Cusrumer.4coaLryt Infaririatiorr 13iliirlg Summary Far Service To: Frances Metz 218 Hummel Ave Account Number: 24-0627857-8 Premise Number: 24-0371014 Billing Period & 1Neter Information Billing Date: Jul 11, 2011 Billing Period: Jun 07 to Jul 06 (29 days) Next reading oNaboitt: Aug O8, 2011 Rate Type: Residential Meter readings in current bil{ing period: Meter Number N041266839 is a 5/8-inch meter Present-actual 744700 Last-actual 741100 Gallons used 3600 Water Usage Comparison MonthN usage in hundred gallons. 5 ., 1 0 0 .-----Prior i3alance------------------- Prior Water Balance Prior Wastewater Balance Prior Balance Other Payments prior ro Jul t i, 2011. Thanks! Total prior balance, Jul 11,2011 ----Current Water Charges------- Service Charge Water Volume ($.007890 x 3,600) STAS PAWL Water 0.32 DSI - PAWL: Charge 3.83% Total water charges, Jul 11,2011 Current Wastewater Charges-----• Lemoyne Swr Sty Lemoyne Styr ($ .000000 x 2100} ($ .006000 x 1500} Volume ($40.000000 x 1) Total Usage Belled 3600 - Other Current Charges------ Customer Protection Sewer Line Cusromer Protection Water Line Tatar other charges, Jui 11, 2011 $52.82 $97.40 $14.50 -164.72 .oo 13.00 28.40 .13 1.59 43.12 40.00 .00 9.00 40.00 89.00 9.00 5.50 14.50 -----AMOUNT DUE ---------------- $146.62 0 1 1 Do not send payment. Total Amount Oue~ will be deducted hom your bank account on Aug 01, 20111 J A S O N D J F M p A M J ~ Ja I g p t v c n b a t y n I 00024062785780000000000016472018 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 218 Hummel Ave ~~~~~I~I~II~~~'~~~I~~~I~~~1~111~I1~~11~111~1'I~~~~III II11~~~1~1~~ 023622 1 AV 0.337 3622123622/003622 092 1 NCD375 FRANCES METZ 219 HUMMEL AVE LEMOYNE PA 17043-1949 PENNSYLVANIA A MERICAN WATEI PO BOX 371412 PITTSBURGH, PA. I~'~111111~11~11~~~~1~1~~111~~~111~'~1~~~11111~11 15250-7412 ~11~~1'~'~~II'~I Please check here to add H2O-Help to Others contribution to your monthly bill a and print information on reverse side. or to change your address or telephone number , Customer Account Information Bllling Summary F M t T F S i P B l i z rances e ce o: or erv -------- r or ance----------------- a 218Hummel Ave Prior Water Balance $51.18 Account Number: 24-0627857-8 Prior Wastewater Balance $ 96.00 Premise Number: 24-0371014 Prior Ba/anae Other $14.50 Payments prior to Jun 10, 2011. Thanks! -161.68 Bllling Period & A~Aeter Information Total prior balance, Jun 10, 20t1 .00 Billing Date: Jun 10, 2011 -------Current Water Charges-----_ Billing Period: May 05 to Jun 07 {33 days) Service Charge 13.00 Next reading on/about: Jul 06, 2011 Water Volume ($.007890 x 4,800) 37.87 Rate Type: Residential STAS PAWC Water 0.32% . 16 DSI -PAWC Charge 3.51 % 1.7 9 Meter readings in current billing period: Total water charges, Jun 10, 2011 52.82 Meter Number N041266839 is a 5/8-inch meter. -------Current Wastewater Charges-- - Present-actual 741100 Lemoyne Swr Svc 40.00 Last-actual 736300 Lemoyne Swr ($ .000000 x 2100) . 00 Gallons used 4800 ($ .006000 x 1500) 9.00 ($ . 007000 x 1200) 8.40 Volume ($40.000000 x i) 40.00 Total Usage Billed 4800 97.40 __-.--Other Current Charges------ Customer Protection Sewer Line 9.00 Cusromer Protection Water Line 5.50 Total other charges, Jun 10, 2011 14.50 Water Usag® Comparison Monthly usage in hundred gallons. 5 4 J 2 0 1 0 ------AMOUNT DUE --- -----_ Do not send payment. Total Amount from your bank account on Jun 30, $164.72 will be deducted u u u e c~ o e a e a p a u 0 n I g p t v c n b r r y n 1 1 Customer Account Information For Service To: Frances Metz 218 Hummel Ave Account Number: 24-0627857-8 Premise Number: 24-0371014 Blll/ng Period & Meter Information Billing Date: Dec 08, 20.10 Billing Period: Nov 03 to Dec 03 (30 days) Next reading on/about: Jan 06, 2011 Rate Type: Residential Meter readings in current billing. period: Meter Number N041266839 is a 5/8-inch meter. Present-actual 718100 Last-actual 714800 Gallons used 3300 Water Usage Comparison ~ ~ Mordhly usage in hundred gallons. 5 2..- Billing Summary - -Prior Balance--------------- Prior Water Be/ance Prior Balance Other Payments prior b Dec 08, 2010. Thanks Total prior balance, Dec~08, 2010 ------Current Water Charges-------- Service Charge Water Volume {007890 x 3,300) STAS PAWC Water 0:45% DSI -PAWC Charge 1.85/ Total ureter charges,. Dec 08, 2010 -------Other Current Charges-------_ Customer Protection Sewer Line Customer Protection Water Line Total other charges, Dec 08, 2010 ------AMOUNT DUE ----------- ~~ 7 E. i. 3 8 ggg a ~ o e . c n b ~ y n ~ g P ~ $37.52 $14.50 ' -52.02 .00 13.00 26.04 .18 .72 39.94 9.00 5.50 14.50 $54.44 )u will be deducted )1 Messages to you from Pennsy/vanlaAmer/can.Water * Approximately 3.90 percent or $1.55, of State taxes are included in your current bill. Effective January 1, 2010, the State Tax Adjustment Surcharge (STAS) increased from 09'o to 0.45%. Residential customers: Save time and manage your account when it is most-convenient for you. On My H2O Online, you can check your balance, pay your bill or even sign up for automatic bill payments. Sign up bday at amwater.com/myh20. `Effective October i, 2010, the Distribution System Improvement Charge {DS/C) increased /rum 0.96% b 1.85. The DS/C funds fhe replacement of water distribution facilities. 'For the latest news, check us out on Facebook at www.facebookcom/pennsylvaniaamwater and follow us on Twitter at paamwater. Customer Service ~ Emergencies 1-800-565-7292 (24 Hours) For Hearing Impaired Customers TDD 1-800-300-6202 (24 Hours) Visit us on the INTERNET: www.pennsylvaniaamwater.com AM4471AM1461 Do not send payment. Total Amount. hum your bank account on ipso 28, 2 ,a ~~~~~ 002790lW2790 PCMBEH TAV03 24 1 i A1M 7441 Image Print ~~ EST 46 FAAN~ES E EE:TZ ROI R dA~'T18TE ADMSTA 144 FMAMQ. AVE LPUAO'YIiE. PA ~i40 P~ l_ (r ~ ' J 1 !/h~-'~ ttf ~ ~~~ _ ~~.n 8 . .,.~~' ~1~~ =' ~r~ _ ~a ~~ ~:D3 33 L ~?38~: S00448349SN' i~03 i x'0000 ~444~' ~.a.. l ~1 ~1~ ~ ~ ~ ASS;' END ~E r. 7 httns://www.cct.pncbank.com/IMGPRINT.htm1 rn w~ ~l Page 1 of 1 ~t~31 ~~ 1/6/2011 \ 00024062?85780000000000012159015 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 218 Hummel Ave ~` IIIII'1'Illl'Il'Il 'i'illlil''IIIIIL~II~l~yllll'liilllll'i"I11 0216951 AV 0.337 iE95/216~3/907695 091 1 NCDAXN FRANCES ME1 144 HUMMEL AVE LEMOYNE PA ':7043-1946 PENNSYLVANIA AMERICAN WATEI PO BOX 371412 PITTSBURGH, PA. 15250-7412 L~I~IIuI~r~rIIIIiIIIInilPlhill,~l,~lli~nll"rl~il.lll~~i ~, ~,, Please check here to add H2O-Help to Others contribution to your monthly 611! or to change youf addre .ef-telepr~gge number, and print information on reverse side. -------------------------------•- ~-------------•-~ ~~ --------------------------------- g-------------- Customer count Mforma Bl/lin Summ For Servi To: FRANCES METZ ~ -----Prior Bala 218 Hummel Ave Prior Water Ba/an Accoun Number: 24-0627857-8 Prior Wastewater Premis umber: 24-0371014 Prior Balance Oth i ~---y` -~ Paymentsptior to Bl/!In clod & Meter I orma on Total prior balan Billing D te. t 14, 2 -------Adjustme Billing Pe :Sep 07 to Oc (29 days) Sewer Billing Erro Next reading on : -fVov 03, 2011 Total adjustment Rate Type: Residential --___Current W Service Charge Meter readings in current billing period: Water Volume ($. Meter Number N041266839 is a 5/8-inch meter. STAS PAWC Wat Present-actual 754500 DS! -PAWC Chaz Last-actual 752900 Total water charg Gallons used 1600 ------Current W Lemoyne Swr Svc Lemoyne Swr ($ Volume ($27.4000 Total Usage Billed --_--Other Cur Cusromer Protect Cusromer Protect Total other charg Water Usage Comparison 4 ~ Monthly usage in hundred gallons. ---_AMOUNT A ~: Do not send 0 from your ba [. [~t~ 4 2 O N D J F M A M J J A S 0 2 1 t v c n b a p y n l g p t 1 0 1 ary nce---__-_____-_ ce $43.95 Balance $ 7 7.10 er $14.50 Oct 14, 2011. Thanks! -135.55 ce, Oct 14, 2011 .00 nts----- rAdj 12.60 s, Oct 14, 2011 12.60 ater Charges------ 13.00 007890 x 1,600) 12.62 er 0.32% . 08 ge 5.44% 1.39 es, Oct 14, 2011 27.09 astettrater Charges--- -- 40.00 .000000 x 1600) .00 00 x 1) 27.40 1600 67.40 rent Charges------ ion Sewer Line 9.00 ion Water Line 5.50 es, Oct 14, 2011 14.50 DUE ----------_- $121 59 . payment. Total Amount Du will be deducted nk account on Nov 03, 201 Image Print (~ ~ EST OF FI;ANCgB E METZ as R s~STe ,~ ~~ LEMQ1ftiE. PA 1?043~1gIb paw ~ C~ Page 1 of 1 ~' ~ ~'~ ~ na a ~ ,S'r7~ ~„ ~~~~~~~{ ~ ~ ~'~~~ ~ ~ i :A If A OId s _ .~ ~,,~_ t:0 ~ i 3 i 2 ~ 3a~: ~~DOy ~,8 ~ 4 ~ 5~' .~ QOQ05 2D 2~' }# ~ ,_ :. r ~• - .. .y ~ ., ~'DI T T ~P~' t~ - . . @~` i ,. ....~, 1.aa~,./k.,..,~., ..~.+ aa..l~.naL n~mRAd(~Pl?rNT_hta,l _. ___ ___ _ ___ _ _ _ ~ /~7n~ ~ _ ~ 1~ Penn Waste, Inc. PO Box 3066 ~ ~ York, PA 17402 ~ www.pennwaste.com Phone (717) 767-4456 To1lFree (866) 575-8720 V Fax (717) 767-4285 137381 AV 0.340 E0209X 10215 D329305262 P785587 0001:0001 ~i~r~i~r~~~~llnl)Ir~~~ri)Illllilul~~i~~li~)I~~il~~lirilr~lr~~l METZ, E F 219 HUMMEL AVE LEMOYNE PA 17043-1949 INVOICE Invoice Number: 0001824832 Page Number: 1 of 1 Date: 05/31/2011 Customer Number: RS737214 Site Number: 0000 Reference: Invoice Total: $45.00 Total Due: $45.00 http://penmrasts.billtruat.com FLZ PPP MPQ Online Billing Now Availabiel ~/ Receive your invoices faster '~ ~~ '~ and help save the environment by enrolling in our free online service. See enrollment details above! Code Description Date Reference Quantity Amount (0001) METZ, E F 219 HUMMEL AVE LEMOYNE, PA 01 Curbside Trash 8 Rec 05/31/11 1.00 45.00 32.OOGA 07/01 /2011-09/30/2011 1 Please visit our website at www.pennwaste.com Current 30 - 60 Days 61 - 90 Days Over 90 Days for holiday schedules and collection information. $45.00 $0.00 $0.00 $0.00 PLEASE DETACH AND RETURN BOTTOM PORTION WITH PAYMENT Penn Waste ,Inc P O Box 3066 York, PA 17402 www.pennwaste.com ~~~ Phone (717) 767-4956 - To1lFree (866)575-8720 Fax (717) 767-4285 invoice Number: 0001778724 Page Number: 1 Date: 03/07/2011 Customer Number: RS737214 Site Number: 0000 Reference: Current 30 - 60 Days 60 - 90 Days Over 90 Days $45.00 $0.00 $0.00 $0.00 lurll~~nlllnulninllnn~lirlnrlnllrlnr~~lllrluulrll METZ, E F 219 Hummel Ave Lemoyne PA 17043-1949 Note: Please visit our website at www.pennwaste.com for holiday schedules and collection information. Code Description 4 Invoice Total: $45.00 Total Due: $45.00 Date Reference Quantity Amount (0001) METZ, E F 219 HUMMEL AVE LEMOYNE, PA 01 Curbside Trash 8 Rec 03/07!11 1.00 45.0 32.OOGA 04/01 /2011-06/30/201 1 7 1 . / ~. /~ ,~ fG PLEASE DETACH AND RETIIRN BOTTOM PORTION WITH PAYMENT nnv~~r..eiT nn, ennui l` `Superior Plus Energy Services 112 Broad Street Montoursville PA 17754-0128 -~ ADDRESS SERVICE REQUESTED 5675 000003163 - 'IIIIIIIIIIIIIIII'I"I'IIIIIIIII'IIIII'IIIII'II'Illllllr~ldlllll FRANCES E METZ 219 HUMMEL AVE LEMOYNE PA 17043-1949 BUDGET STATEMENT No. ~tato~+et~ D~ 373192 09/28/10 AMOUNT DUE: $50.00 AMOUNT PAID: $ PAYMENT DUE: 10/23/10 BALFWD PLEASE MAKE CNECK PAYABLE TO: 'll'I'1111'lllll~l~llll'1111'll'lllllllllllll'I'I'I"'11'11'11"' Montour Home Comfort Services P.O. Box C Marcy, NY 13403-0711 0302373192 000000 5 000005000000000000000005000 r TEAR HERE ANA ~E7li1tN YFiEA'~t3VE I~RTfOIT WITH YDiIR'PAYMENT ~- _ ~ ~ BUDGET STATEMENT TO MAINTAIN YOUR BUDGET PLAN, ~ Superior P I u s PLEASE PAY BALANCE PROMPTLY. Statement Date 09/28110 Account No. 373192 tnergy ~ervlces Page No. 1 RlBamerly Munaur Homc Comfort senn:e: PReviouseu..~wci~ 3,2aa.o3cR MOIi.tQAYtYEAR RC•fE4iENCE DESCti~7fON QUAIVTrfY PRiC~ TAx AMOUNT >; ~ ~, r 09/28/10 4651038 BUDGET INTEREST, 2.7CR ..._..._ _. ~~ A 1 ~ "g~ ~ ~ Y. 11. I ~ , , ~ $50.00 ~ ~~r5?~:: $3,246.73CR ~ TF ~,?- ;,• See reverts aide for Important lnfonnatlon conceming late teas, QUEST10NS1 CALL CUSTOMER SERV/CE: BlAing Rlghts and other terms and cond/dons that may apply to yoursccourrt 1 (888) MONTOUR 1 (888) 666-8687 IMPORTANT MESSAGES: 1MPORTANT MESSAGES: IF YOUR PRIOR BUDGiET BALANCE HAS BEEN PAID, Save Time, Stamps & Paper WE THANK YOU! Pay Online at www.superiorplu; y _ PAYMENT ADDRESS: r: ,,, , „ '~.r . , h Montour Home Comfort Services torrent Budgst Pay: 25.0o P.O. Box C Prior Budget Balance 25.00 Marcy, NY 13403-0711 _ __ 0.00 """-°"" °""'°'"°°' We acre t the follownn credit cards: TOTAL AMOUNT $50.00 DUE NOW: Montour appreciates your business! Thank you! For Your Records: Payment Amount: Check #: Date: B80Y2D-101 Rd677-0000 W 7 W SEE REVERSE SIDE FOR IMPORTANT INFORMATION 1` Superior Plus Energy Services +~ 112 Broad Street Montoursville PA 17754-0128 -_ ADDRESS SERVICE REQUESTED _ 5670 000003164 - IIIIII"?III'Ulllnl'IIIIIIIIIII'111'1iIIII'IIII'IIII'n'II"II __ FRANCES E METZ 219 HUMMEL AVE LEMOYNE PA 17043-1949 BUDGET STATEMENT AccDUnt Afo. Staterrlent Data 373192 08/28/10 AMOUNT DUE: $25.00 AMOUNT PAID: S PAYMENT DUE: 09/22/10 BALFWD PLEASE MAKE GNECK PAYABLE TO: 'll'I'III1'11111~1~1111'II11'II'III1111111111'I'I'I"'11'11'11"' Montour Home Comfort Services P.O. Box C Marcy, NY 13403-0711 0302373192 000000 5 0000025DDODDODOOOOOOOD02500 _ - - - - ~' - - - - - - - - ~ I TEAR HERE AND RETURN THE ABOVE PORTION WITH YOUR PAYMENT ~` BUDGET STATEMENT ~ Superior PI u s Acs ount No.ate 08/28/10 373192 'pE~~nergy Services Page No. 1 formerly Monco~r Homr. Corntort Services PRl~tovseAUwc~ 3,241.33CR tYlOti.iDAYIYtfil1R OgSCttIPTION QUANTI'rif I'RI~E TAX AMOUNT 08/28/10 4643102 BUDGET INTEREST 2.7CR R ~ ,PY=Tt•11~~- L&~~ ~ $25.00 ~~~t 53,24d.03CR II ~ ~.,, See reverse sJde for Important /Monr-atlon concerning late fees, Bllitng Rights and other terms and condJtions that may apply to youraccount. IMPORTANT MESSAGES: Save Time, Stamps & Paper Pay Online at www.superiorpl Current Budget Pay: Prtor Budget Balance QUESTIONS? CALL CUSTOMER SERVICE: 1 (888) MONTOUR 1(888) 666-8687 IMPORTANT MESSAGES: IF YOUR PRIOR BUDGET BALANCE HAS BEEN PAID, WE THANK YOU? PAYMENT ADDRESS: Montour Home Comfort Services 25.00 P.O. BOX C o.oo Marcy, NY 13403-0711 0.00 nvn-ovv a~ ~.nar aa. We atxe tp .the f0110_. wing_credlt cards: TOTAL AMOUNT §25.00 DUE NOW: Montour appreciates your business! T7tank you! For Your Records: Payment Amount: Check #: Date: SEE REVERSE SIDE FOR IMPORTANT INFORMATION eeoe~o-i maasmaoooa+ta Service Call Invoice Notes: ~~t~~~ `-SPo`~~~~ ~' 021 q _~Gf ~_ ~_ ~~ _ as per contract: ~ ____ ~ _ $102.00 Deposit _ $0.00 Sub To:~l _ ____ __ $1_02.00 Tax ~---- ---- $0.00 Total Due $102.00 ----- --~ Please Call to pay by MasterCard Visa or Discover. Repair shingles and seal rubber roof. Service call: $90.00 Materials: $12.00 Total due: $102.00 C~lj~ ~~~~ ~~~~ ~~ ,.entur~~~ j ~,~ Image Print Page 1 of 1 Fl~l~ E$T QF FRANCES E YE?~ ~ X37 AOI A sAPTI$TE ADYgTR !# F1uIMMEt.AYE w~~ri~u , t.ENA01Eli1~ PA tMQ ~-- ., ~ i~t P•r ro ehe Order of y ~ ~~~-,~' '~ ~ ~ Rollers $ ,~"" ~~~~ cr..rtix ~ For ~ ~ ~ ,1f ~:D313iC?~8i: QQ4~.834g5~i~' r ~ .. ... t~is'E1~3 Pti#r~r~Bf~$ ~1~ i.`2 'Y V .`•~~Tl s ~S p ~ ~ ril ~ p ~~ ~' .,. _~ - - -- L~a_.._ /1.=.._R.~ ....F ......,1.~.,L ..~... /i~A(=U)?iNT litml ll6/2011_ Image Print ~~~ !I Di OAP7I~~ADIA6TR 14t HUMMED ki!'E ~QYN~, PA 1 ~-i~tQ Ps~r to ~~ Order of ._.~~_ i01$ .+r~ ~ itt~ttiy)1~ 117 r ~ ~ ~. C9oller~ ~ ~~' ~i. ~~ 1'~ ~~ For-~~~~~f-~~~ ~ i:03i3 i~738~. 50©4.8349 i 8 ~~ ~,~~~ x ~ s ~ ~:~~~..: ~e~tro01sani~Hub #01 2010-11-19 01?904429 https://www.cct.pncbank.com/IMGPRINT.html ,~ ~~ c~. '~ f, to cn ~ ~°~~, ~Zrn~ ~~~2 ~~ m Page 1 of 1 `` 1/6/2011 4uestions? Please Visit us online at Page 1 •'~•"'•%;-:_ ©contact us by Nov 21. `~ pplelectric.com 1-800-DIAL-PPL pP •: ~'- (1-800-342-5775) 91650-82001 Pity ~ ~,~ ~„~ ~" M-F: Sam to 5pm Your Se ' e to: ) FR NCES E METZ-ESTATE / 2 HUMMEL AVE ' L DYNE, PA 17043 M " r: 38601282 Your et~r reading is on or about Dec 6, 2011. Thts section helps you understand your year-to-year electric use by month. Meter readings are actual unless otherwise noted. 2010 ^ 2011 ~o ,~ 50 0 30 a Zo io Months Nov 2011 29 76 3 52F Nov 2010 29 518 18 54F Nov 4 Actual 64043 Oct 6 Actual 63967 29 Days kWh Billed 76 Dec 2010 -Nov 2011 7984 665 Dec 2009 -Nov 2010 8606 717 ~,:; - :. PP~ ~==~ ~. .. AT 01 062932 871758270 A**3DGT 'Ihi"h'IIIII"lulrlllllll'11'111'I'11II11111'1'lllll"111'u FRANCES E METZ-ESTATE 219 HUMMEL AVE LEMOYNE, PA 1704&1949 _Billing Summary (Billing details on back} Balance as of Nov 4, 2011 $0•~ Charges: Total PPL Electric Utilities Charges $17.64 Total Charges $17.64 vmaElc ~ a~n Mir 28, Zitii. ~171~4 Account Balance $17.64 PPL Electric Utilities' price to compare for your rate is 8.411 cents per kWh effective 9/1/2011 to 11/30/2011. For a list of supplier offers, visit papowerswitch.com or call 1-800-684-6560. Your Messaste Center __ • With paperless b+lling, you can receive and pay your PPL Electric Utilities bills online. The process is free, quick, convenient and secure. To learn more or sign up, vtsit pplelectric.com. • Information about appliance energy use and tips an saving energy are available through the Energy Library on our Web site, pplelectric.tom. • Before digging around your home or property, you should always call the state's One Call notification system to locate any underground utility lines. You can do this by simply dialing 811, which will connect you to the One Cail system. Be safe and call 811 before you dig. Payment Methods Online at: ®By phone: i-800-342-5775 pplelectric.com or call BiIlMatrix (service fee applies) at i-800-672-2413 to pay using Visa, MasterCard, Discover or debit card. ® By Mail: Correspondence should be sent to: 2 North 9th Street Customer Services CPC-GENN1 827 Hausman Road Allentown, PA 18101-1175 Allentown, PA 18104-9392 Other importa nt information on the back of this bill ~ • ~ 91650-82001 Auto Pay PPL ELECTRIC UTILITIES P.O. BOX 25247 LEHIGH VALLEY, PA 18002-5247 ~~III~IIIIIIIIIi1111111"'lll'11111'111'111'1"IIII'1~~1111111111 1 270000017647000001?645 9165082001 I ##1 ''`f J F M A M J J A S O N D . ~;';;;`; ~,. ~ Questions? Please ~lr~ Visit us online at Page 1 ~•'~ •;;`_ contact us by Oct 24. _ t,J pplelectric.com • ' 1-800-DIAL-PPl pp •~ `~ (1-800-342-5775) 91650-82001 Auto Pay ,~ Er.~ ~,,,~., ~~ M-F: Sam to 5pm Y Profile Service to: FRANCES E METZ-ESTATE 219 HUMMEL AVE LEMOYNE, PA 17043 Meter: 38601282 your next meter read' is on or about Nov 4, 2011. __ ~- This section helps you understand your year-to-year electric use by month. Meter readings are actual unless otherwise noted. ~ 2D1o ^ 2011 r 3 0 a so so 40 ao 20 io 0 Months Oct 2011 30 18 1 63F Oct 2010 29 441 15 66F Oct 6 Actual 63967 Sep 6 Actual 63949 30 Days kWh Billed 18 Nov 2010 -Oct 2011 8426 ~ 702 Nov 2009 -Oct 2010 9205 767 ;~~~ , •...- pp :: .. ~. ~,~.. AT 01 055215 745838236 A•`3DGT '1'~1'~Illli'I"I'1~1~~1I~~~I~111~{II~II~III~il1'~I~"111'~U1~" FRANCES E METZ-ESTATE 219 HUMMELAVE LEMOYNE, PA 170431949 Billing Summary (Billing details en back) Balance as of Oct 6, 2011 $0.00 Charges: Total PPi_ Electric Utilities Charges $10.84 Total Account Balance $10.84 $10.84 PPL Electric Utilities' price to compare for your rate is 8.411 cents per kWh effective 9/1/2011 to 11/30/2011. For a list of supplier offers, visit papowerswitch.com or call i-800-684-6560. Your Messaoe Center • Your bill has a brand new look. To learn more about how we changed the bill to better serve you, check out the enclosed brochure or pplelectric.com/samplebill. • With paperless billing, ou can receive and pay your PPL Electric Utilities bills online. The process is free, quick, convenient and secure. To learn more or sign up, visit pplelectric.com. ~ • Information about appliance energy use and tips on saving energy are available through the Energy Library on our Web site, pplelectric.com. • Keep light bulbs and fixtures clean. Dust and dirt absorb light and can reduce light output by as much as half. Payment Methods Online at: `~ ~ By phone: i-800-342-5775 pplelectric.com or call BiIlMatrix {service fee applies) at i-800-672-2413 to pay using Visa, MasterCard, Discover or debit card. ®By Maii: Correspondence should be sent to: 2 North 9th Street Customer Services CPC-GENN1 827 Hausman Road Allentown, PA 18101-1175 Allentown, PA 18104-9392 Other importa nt information on the back of this bill ~ • • ~ ~ - • 91650-82001 Auto Pay PPL ELECTRIC UTILITIES P.O. BOX 25247 LEHIGH VALLEY, PA 18002-5247 -I~1~111111U'II~~~~~II'~11~1~11~'I"~Illlll~~ll~li~~~ll~lly~~~l 1 4700000108470000010845 9165082001 J F M A M J J A S O N D ,~ ~ , ~~`~:::,~~ ~, Page 1 L` Ycm ~'~$f~#:~S~c~i" -1~tlnBi6iCr PPL Electric p p . ,' ~ 91650-82001 Utilities ~ " ~:~ Electric Summary Page Service Balance as of Aug 5, 2011 $(1,00 For: Char es: FRANCES E METZ-ES ATE Tota~PL Electric Utilities Charges $14.04 219 H[JMIvIEL AVE LEMOYNE PA 43 Total Charges $14,04 ~ ............. ~..:..:.. ..... :..... ..`.~s: .~... ~ :: Account Balance $14 04 Questions about this bill? Please contact us by A 23 at 1,800-342-575 (1-800-DIAL-PPL) or write to: Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplelectric.com Electric Use This graph shows your electric use over the last 13 months. T of eter Readings: Actual . Adjusted Estimated Customer 0 New look coming soon In October, we'll debut a new bill design based on feedback pprtovided by our customers. The new bill will make it easier to find the inTormation you need. Please check out Connect, the monthly newsletter included in your bill, for more information. 60 50 40 30 20 10 0 KWH -Average Per Day ASONDJFMAMJJA 2010 Months 2011 Meter Reading Information Meter #38601282 Aug 5 Actual Jul 7 Actual 29 Da s KWH Billed 63926 63882 44 Average - Ang 2010 2011 Tempperature 79F 79F KWH Per Day 30 2 Yearly Use: Total Average Use Montbly Sep 2009 -Aug 20l 0 8680 723 Sep 2010 -Aug 2011 9554 796 Other important information on back ~ t~.~ 91650-82001 AV 01 010117 484236 41 D**5DGT FRANCES E METZ-ESTATE 219 HL1MIv1EL AVE LEMOYNE PA 1 7043-1 949 Auto Pay PPL ELECTRIC LrrILTI'IES 2 NORTH 9TH STREET RPC-GENNI ALLENTOWN PA 1 81 01-1 1 75 I~~I~II~~I~~l~~l~~l~l~~~~ll~~l~~~h~l~ll'~I'~~~1'll~~~~l~ll~"~~~ 1 0900000140490000014045 9165082001 PPL Electric Utilities Electric Service For: FRANCES E METZ-ESTATE 219 RUNNEL AVE LEMOYNE PA 17043 ;~; '. •,.: , `'+:•••: % Page 3 . ~ .~.-'` +, r 91650-82001 Total fmm Last BiU $38.87 Pay»,ent Received Jan 28 -Thank You! $38.87 B' g Details Balance as of Jul 7, 2011 $0.00 Current Charges PPL Electric Utilities Charges for -PPL Electric Utilities Residential Rate: RS for Jun 7 -Jul 7 Customer Service 827 Hausman Rd. Allentown, PA Distribution Charge: Customer Chazge 200 KWH at 3.32300000¢ per KWH 18104-9392 1-800-34Z-5775 114 KWH at 3.32300000¢ per KWH PA Tax Adj Surcharge at -0.27600000% 1-g00-DIAI.-PPL) ( www.pplelectric.com Transmission Charge: 314 KWH at O.T5200000¢ per KWH 60 000% ' 0 Surcharge at -0.28 PA Tax Ad nerati n Cfiaz e: G g e o Cappacity and Ener Z00 KWH at 8.Q4700000¢ per KWH 114 KWH at 8.04700000¢ per KWH 600000% PA Tax Adj Surcharge at -0.28 Total PPL Electric Utilities Charges 8.75 6.65 3.79 -0.05 2.3Ei -O.OI 16.09 9.17 -0.07 $46.68 -. -:: Account Balance $46.68 General Generation prices and chazges are set by the,electric generation supplier you have chosen. The Public Utility Commission re ates distribution t i l t ~ i R l l Information es on regu a omm ss egu a ory Energy ~nces and services. The Federa i ces. ransmission pnces and serv Next meter readm t b ppL Electric Utilities uses about $0.05 of this bill to pay state taxes. In about $2.75 of this bill pays the PA Gross ecelpts Tax. addition ou on or a Aug 5 , Before digging. around your home or property, you should always call the tilit li d d l ' y nes. ergroun u ocate any un s One Call notification system to state You can do this by simply dialing 811, which will connect you to the One ou di 11811 before d t f ll B C g. y e an ca e sa em. a sys With pa~perless billing, you can receive and pay your PPL Electric Utilities bills onrine. The process is free, quick, convenient and secure. To learn t l l nc.com. e ec more or sign up, visit www.pp Close drapes, blinds and shades on the sunny side of your home during the hottest part of the day. It eases the load on your cooling system and saves energy. Information about ap fiance energy use and ti son saving energy aze available through the~nergy Library on our ~eb site, www.pplelectnc.corn. PPL Electric Utilities Electric Service For: FRANCES EMETZ-ESTATE 219 HCJIvIl~1EL AVE LEMOYNE PA 17043 Questions about this bill? Please contact us by Ju125 at 1-800-342-5775 (1,800-DIAL-PPL) or write to: Customer Service 827 Hausman Rd_ Allentown, PA 18104-9392 www.pplelectric.com Electric Use This graph shows your electric use over the last 13 months. Types of Meter Readings: Actual - Adjusted Estimated Customer ,~~~ .~,. ~ Page 1 I '.•` - Y~rie~i3~#1 t~+eG'iii~.~IS~BEiiE~ •,, ,M 91650-82001 - ~ ~ ~~ Summary Page Balance as of Jul 7, 2011 $0,00 Char es: Tota~PL Electric Utilities Charges $46.68 Total Charges $46.68 _. .. .. Account Balance $46.68 ~0 50 40 30 20 10 0 KWH -Average Per Day JASONDJFMAMJJ 2010 Months 2011 Meter Reading Information Meter #38601282 Jul ? Actual 63882 Jun 7 Actual 63568 _ 30 Da s KWH Billed 314 Average -Jul 2010 2011 ~ 7 7 KW Per Day 17 10 Yearly Use: 'Total Average Use Month]y Aug 2009 - Ju12010 8159 680 Aug 2010 -Jul 201 l ].0367 864 Other important information on back ~ ~~1~. 91650-82001 AV 01 009748 371866 42 D"5DGT FRANCES EMETZ-ESTATE 219 H[JMI~~L AVE LEMOYNE PA 17043-1949 Auto Pay PPL ELECTRIC UTILTTIES 2 NORTH 9TH STREET RPC~rENNI ALLENTOWN PA 18101-1175 II"~1~11'1"I111111~~"~I~~II~I~~~II~~I~~~~~~II'~~~'I111111~1~~1 1 0400000466840000046685 9165082001 PPL Electric Utilities Electric Service For: FRANCES E METZ-ESTATE 219 HIJMI~4EL AVE LEMOYNE PA 17043 Questions about this bill? Please contact us by Jun 23 at 1-800-34Z-5775 (1-S00-DIAL-PPL) or write to: Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplelectric.com Electric Use This graph shows your electric use over the last 13 months. Types of Meter Readings Actual - Adjusted Estimated Customer 0 ,~~~ ,~ ~~~ ..-- ., •• - .•.,-- pp ~~- ~, M Summary Page Page l 91650-82001 Balance as of Jun 7, 2011 $0.00 Chargge~s: Totai-PPL Electric Utilities Charges $38.87 Total Charges $38.87 . _.... . Account Balance $38,87 ~0 50 40 30 20 10 0 KWH -Average Per Day JJASONDJFMAMJ 2010 Months 2011 Meter Reading Information Meter #38601282 Jun 7 Actual 63568 ' May 6 Actual 63326 _ 32 Da s KWH Billed 242 Average -Jun 2010 2011 Teemmpperature KWH Per Da 66I~ 1 ~ 66F 8 y Yearly Use: Total Average Use Monthly Jul 2009 -Jun ZO10 7946 662 Jul 2010 -Jun 2011 10560 880 Other important information on back ~ . ~ Y~t:1t0lte 91650-82001 AV 01 009508 239666 40 D"5DGT FRANCES E METZ-ESTATE 219 HUMIvIEL AVE LEMOYNE PA 17043-1949 Auto Pay PPL ELECTRIC UTILITIES 2 NORTH 9TH STREET RPC-GENNI ALLENTOWN PA 1 81 01-1 1 75 u~~llu~ll~~nhl~umll~6l~i~r4111~h~~~l~~dl~hlln~illli 1 0000000388700000038875 9165082001 PPL Electric Utilities Electric Service For: FRANCES E METZ-ESTATE 219 HUMMEL AVE LEMOYNE PA 17043 Questions about this bill? Please wntact us by Apr 21 at 1-800-34Z-Sy75 (1-800-DIAL,-PPL) ';,: ~. Page 1 I ._ :~~Acc~Aml~fmEfer :; ~~ ~ 91650-82001 Summary Page Balance as of Apr 6, 2011 $0,0(1 Char es: Tota~PL Electric Utilities Charges $152.68 Total Charges $152.68 -::: Account Balance $152.68 or write to: Customer Service 827 I-Iausman Rd. Allentown, PA 18104-9392 www.pplelectric.com Electric Use KWH -Average Per Day Meter Reading Information This graph shows your electric use over the last 13 months. Types of Meter Readings: Actual - Adjusted Estimated Customer Q r~ 50 40 30 20 l0 0 AMJJASONDJFMA 2010 Months 2011 MAeptrer #38601282 Mar 8 Actual 61587 29 Da s KWH Billed 1146 Average -Apr 2010 2011 T pe tore 52F 42F KWH Per Day 12 40 Yearly Use: Total Aver e Use Mon May 2009 -Apr 2010 8099 67 May 2010 -Apr 2011 10319 860 Other important information on back ~ 91650-82001 .: .......FI~4~.74.' .. -: .:...~:P .fit ;><:: Auto Pay AV 01 012649 014018 54 D"5DGT FRANCES E METZ-ESTATE 219 RUNNEL AVE LEMOYNE PA 1 7043-1 949 PPL ELECTRIC UTILTIIES 2 NORTH 9TH STREET RPC-CrENNI ALLENTOWN PA 18101-1175 ~~~rl~ulil~~~II~~I~IIII~I~Ih~~iIII~ullidh~~~I~~~II~~InPI~ 1 4700001526870000152685 9165082001 e PPL electric Utilities Electric Service For: FRANCES E METZ-ESTATE 219 IIUMMEL AVE LEMOYNE PA 17043 Questions about this bill? Please contact us by Mar 24 at1-800-342-5775 (1-800-DIAIrPPL) or write to: Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplelectric.com Electric Use ' Page 1 n 91650.82001 .~: Summary Page Balance as of Mar 8, 2011 $0.00 Char es: Tota~PL Electric Utilities Charges $193.50 Total Charges $193.50 ~• Accownt Balance $193.50 60 50 40 30 20 10 0 KWH -Average Per Day Meter Reading Information This graph shows your electric use over the last 13 months. Types of Meter Readings: Actual - Adjusted Estimated Customer 0 MAMJJASONDJFM 2010 Months 2011 Meter #38601282 Mar 8 Actual 61587 Feb 4 Actual 60116 32 Da s KWH Billed 1471 Average -Mar 2010 2011 T tore KW~ Per D 33F 40 35F 46 ay Yearly Use: Total Average Use Monthly Apr 2009 -Mar 2010 8436 703 Apr 2010 -Mar 2011 9547 796 Other important information on back ~ 91650-82001 AV 01 012713 881.178 51 A"5DGT FRANCES E METZ-ESTATE 219 RUNNEL AVE LEMOYNE PA 17043-1949 Auto Pay PPL ELECTRIC UTILITIES 2 NORTH 9TH STREET RPC-GENNI ALLENTOWN PA 18101-1175 +~+++PIII++II~IN+I'+II+++'14~++I+In+ll+r'1'+II~+'+I"+~II~I~ 1 6900001935090000193505 9165082001 PPL Electric Utilities Electric Service For: FRANCES E METZ 219 A[JNL1viEC: AVE LEMOYNE PA 17043 Q~estians about this bill? Please contact us Dec 28 at 1-800-34 5775 (1-S00-DIAIrPPL) or write to: Customer Service 827 Hausman ltd. Allentown, PA 18104-9392 www.pplelechric.com Electric Use This graph shows your electric use over the last 13 months. Types of Meter Readings: Actual - Adjusted Estimated Customer 0 16 ~ § .si, y ;d u ~ ~~: e,+e`a•.v .- Page 1 +V y ~~~,. Ate-- ~ ~':~t:•Y.~~.^Dlllf: '..:. .:.,^ ::: pp d. ''~,~ 91650-82001 •, ~, Summary Page Balance as of Dec 6, ZO10 50.00 Charges: Total-PPL Electric Utilities Charges $93.89 Total Charges $93.89 Acccnlnt Balance $93.89 /~ ~3 Q KWH -Average Per Day 48 40 32 24 16 8 0 Meter Reading Information Meter #38601282 Dec 6 Actual 57200 Nov 4 Actual 56059 32 Da s KWH Billed 1 l41 Average -Dec 2009 2010 46F 4 K~er Day 36 Yearly Uae: Total Av e Use Mon Jan 2009 -Dec 2009 8677 72 Jan 2010 -Dec 2010 8740 728 DJFMAMJJASOND 2009 Months 2010 Other important information on back ~ Image Print Page 1 of 1 F~~ _ __ ~ ~ ~ l~ t ~r ~~ r~-t .~~ ~sT aF F~t~ E ~~ AEI R HAPTI~TE A~$TA 1030 iK HU~MAEL AYE. LEMOYNE. P/1 ~7Qr19-1W0 f ~ ~1Z7~A13 ~ ~t7 Psy to ehr }.. f (~ ~~~~~ ~ rNCB~~ NA 010 ~~ c7eoti !A ~ ~' .! f • ~:0 3 i 3 ~ ~ 7 38i: SOCi448 3' N i x'00 00~ ~S~i~~' 1 i2I20/111 1Q6~8 24~ • - ~a~ a~~vs ~ r ot~G r gg1 S£t82 €?1PL EL~CTR~~ tlT~.tITIES ~~~ 3~ ~L ~ 9I.~SF3B,~~aL t86~~ 293 243 ~3 '' ~ ~ r ~~ ~1 __ l~t+,+e•lh:n:n:~ ant r~n~lhanlrrnmlLTlt((sPRiNT html ~t PPL Electric Utilities Electric Service For: FRANCES E METZ-ESTATE 219 HUMbSEL AVE I.EMOYNE PA 17043 Ques~ons about this bill? Please contact us Jan 27 at 1-500-34~ 5775 (1-800-DIAL-PPL) or write tu: Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplelectric.com Electric Use This graph shows your electric use over the last 13 months. Types of Meter Readings: Actual - Adjusted Estimated Customer 0 Page 1 91650-82001 Summary Page Balance as of Jan 6, 2011 $[1.00 Charges: Total-YPL Electric Utilities Charges $196.07 Total Charges $196.07 ~:::: Account Balance ~ $196A7 /~ If ~ ~ ' ~; ~,, ~ r .~ j ~ ~ ~r ,~ KWH -Average Per Day 60 50 40 30 20 10 0 JFMAMJJASONDJ 2010 Months 2011 ~ ~` t ~ ~ ~, L'~ ~~ Meter Reading Information Meter #38601282 Jan 6 Actual 58647 Dec 6 Actual 57200 31 Da s KWH Billed 1447 Average -Jan 2010 2011 Teemmpperature 31 F KWH P D 39 29F 47 er ay Yearly Use: Total Average Use Mouthlp Feb 2009 -Jan 2010 8517 710 Feb 2010 -Jan 2011 8981 748 Other important informarion on back ~ PPL Electric Utilities Electric Service For: FRANCES E METZ 219 tiC3ASMEL AVE LEMOYNE PA 17043 Questions about this bill? Please contact us by Nov 29 all-S00-342-5775 (1-S00-DIAL-PPL) or write to: Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplelectric_com Electric Use This graph.shows your electr-c use over the last 13 months. Types of Meter Readings: Actual - Adjusted Estimated Customer Q Page 1 :<:=: You$l:riiecrijiiEsfibi;r::=::~>::= 91650-82001 Summary Page Balance as of Nov 4, 2010 $b393 Charges: Total-PPL Electric Utilities Charges $74.37 Total Charges $138.30 .::~=1~)FI~?b)~~.~lB~_~i'dtt$~,' E3~E ~` _•,n-~~~~.:.. ....:.... ..:..'~~~~.~1`~... Account Balance $138.30 (~ ~,/ 48 40 32 24 16 8 0 KWH -Average Per Day Meter Reading Information Meter #3860.1282 Nov 4 Actual 56059 Oct 6 Actual 55541 29 Da s KWH Billed 518 Average -Nov 2009 2010 Teemmpperature 51F 37 D KWH P 54F 18 ay er Yearly Use: Total Average Use Monthly Dee 2008 -Nov 2009 8438 703 Dec 2009 -Nov 2010 8606 717 NDJFMAMJJASON 2009 Months 2010 Other important information on back ~ k~ Image Print :~~~~ is ~~~ EST QR FRANCES E ~ET2 1~i?! A RAP'!"tETE AD~ISTR t.~M~DYt~. PA t70~194~ Psy w the o~. ~r_ 1~ ttt •'' Doriars Q ~ ~, ~~~~~ -, nres~.~ ~ ova ~ , ~- -- ~:03~3i2738~: 5~?tJ~.b$3~.4~+~ i •+' OU~~3830~~' 11{ I2~' 1D 0329 232 4 l ~*PL Et~CfRIC tlF~LITIE ©~3~~~33~tfLY ~i~5~ac~~~I1 ~~9 X31 Z3I. ~NY ~ g~~ ~~918 SST l~I?.~Q1~9 Page 1 of 1 - ~-.~--- t~___-__ ..,.._ ««,.t_„«7r ....«. /711dlSDD7ATT 1+x..,1 _. 11ti/7lll l Image Print Pfi~fC ~ ~~~ i~ ~.~vE Pap' to dwe ~ J Oder ~ ' , T , ~l r / Page 1 of 1 11103 ~f / "'~~ r ~ ~ ~~~ Na M ~~~+4 C~ntPA~ r,. ~ ~ ~ ~:O 3 i 3 L~ 7 38+: 5©Ci y 48 3 y'~-5 ~-~C! ~Q~ 00 3 q 3~' d' .. ~ ~ ' -~ - Fad flEPQ~ ~ T i7"#~~- -Q~S ~L'~iSr~O ,,. • t.~a...,. Iti,..,r«~ nnf r,.,r~h~n]r nnm/iTUIftPRiNT htm] _-- _- -. - -._ - - _. ~` v6i2Q11 .~ B~H,~~ Billing Summary for Service to: =RANGES E METZ EST ?19 HUMMEL AVE _EMOYNE PA 17043 Zate Classification: iesidential General 3lfling Period: )6/28/2011 to 07/2812011 (30 days) Remote Device Read ?ueations? ;aft 800-276-2722 or write to UGI at b BOX 13009 Leading, PA 19612-3009 'our current UGI charges include flats taxes totaling about S 0.47. Th a81ccount balance on yourt last bill was :............. $ 16.91 ~~~,~ Thank you for your payment of ................................. 16.91 216542356003 Your balance as of 08/02/2011 .................................'-'aba Currant Bill Information -UGI Utility Customer Charge ............................................................ 8.55 Commodity Charge (5 CCF at 50.75600) ............... 3.79 Distribution Charges (F~rst 5 CCF at 50.46000) ..,. 2.30 PA State Tax Surcharge ................................................. -0.05 \ Total Current Charges -UGI Utility ............................. ~~ UGI Utility chargsa owed thia blll .......,.._ ......................................................................... ~ Aster Information - Nsxl Read Da1s August 29, 2011 Aster Reading Irformation Mstsr Number Previous Reading Prossnt Reading CCF Uaad 1115648 3347 (remote) 3352 (remote) 5 Aeasages from UGI 'our current prirs to compare is S 0.77347 /CCF. our total annual usage is 76 CCF, Your average monthly usage is 6 CCF, lelp prevent pipeline damage, accidents and service disruptions. Call 811 before you dig. ike us on Facebook at www.facebook.rwm/UGIUtilities for energy conservation tips, exclusive offers and tasty summer grilling recipes. ign up to view and pay your future UGI bills online at www,ugi.com. our bill does not display a usage graph because your average daily usage is too tow. Keep this part for your records. Important information Is on the back of this bill. UGl Utilities, inc. Customer Number ~ amount due will be PO Box 15523 216542356003 deducted from your wlmington, DE 19886-5523 checking account on _._._ oaf st~r~er ~August23,2011. Mb Y 1 ~ AV 01 004068 4&989E 14 A**5DGT ' AU9USt 23, 2011 • ~ ~,G~Ir1.1.l1y11r~~llil,~tI111U~i~li~~i~,~lt11111'tlll,~rl~~nl FRANCES ~ METZ EST ABC PLAN 219 HUMMEL AVE >~y:~- LEMO.YNf PA 17043-1949 ABC PLAN 280 216542356003082301000014580000180000000000000000000009 ~,, Past Bill Information -UGI Utlllty :,. EAE f EI r/CE The account balance on your last bill was 5 15.47 ... .. ,; .. _ _ Thank you for your payment of ...................................... -15.47 216542356003 11111 Summary for Ssrvfce to: Your balance as of 06/02/2011 .................................... -1~' RANGES E METZ EST 19 HUMMEL AVE EMOYNE PA 17043 ate Classiflcatlon: ssidential General Currant BIII Information -UGI Utility Illinp Period: Customer Charge._.._ ........................................................ 8.55 4/28/2011 to 05/27/2011 (29 days) Commodity Charge (6 CCF at 50.71667 ,..,.._..,....... .Distribution Charges (First 6 CCF at 50.4667) 4.30 2 68 Remote Device Read uestionst .,..... PA State Tax Surcharge ..............................................._.. . -0 06 atl 800-276-2722 or write to UGI at Total Cu~ t Chrorges -UGI U61ittyy ................................ UGI UUI ch d thi blll 0 BOX 13009 a ea owe s ..........................................- _-...._..................,......... =15.47 eading, PA 19612-3009 Total Amount Due by (06/29/2011) ..................... ..............,............. ;15.47 wr current UGI charges include fate taxes totaling about 5 0.50. ktsr Information - Nsxt Read Dots Juns 29, 2011 lstsr Rsadla9 Indormation Metsr Number Previous Rsading Prsssnt Rsading CCF Uasd 1115648 3334 (remote) 3340 (remote} 6 Isseagsa from UGI wr current price to compare is 5 0.77347 /CCF. wr total annual usage is 78 CCF. Your average monthly usage is 6 CCF. elp prevent pipeline damage, accidents and service disruptions. Call 811 before you dig. N gn up to view and pay your future UGI bills online at www.ugi.com. N N wr bill does not display a usage graph because your average daily usage is too low. ~. N Keep this part for your records. Important Information Is on the back of this bill. uGl utilities, Inc. Customer Number The amount due will be PO Banc 15523 216542356003 deducted from your wlmington, DE 19886-5523 checking account on t,,E rEir/oE June 23, 2011. - ~: 1 ~k; tlG T' - A~ 01 004472 222038 18 A** .1UIle 23, 2011 5pG1' !~ it ~ ,~ L , 1, tul, ~I rl I, It, ,. 1 init. ,r It ~ • ~ IpILIIIII Itilnllt Illlt ilh FRANCES E METZ ->ST ABC PLAN 219 HUMMEL AYE ~ t,- ~ ~ , LEMt7YNE PA 1?043-1949 ..~, ,. , ...._M , ABC PLAN 2~0 21b542356003062301000015470000190000000000000000000003 Past Bill Information -UGI UUllty ~~ ~'rU$tfJl11,ltt'~llrll}~F The account halance on your last hill was ................ $ 16.59 sus sEI Y/CF Thank you for your payment of ..................................... -16.59 21 423 0 (lingg Summary for Service to: Your balance as of 04/01/2011 ...................................-~~ GINCES E METZ EST 9 HUMMEL AVE MOYNE PA 17043 ate Classification: ~sidential General Current Bilt Information -UGI Utility (ling Period: Customer Chargo....._ ....................................................... Commodity Charge { 6 CCF at $0.71667) ................. 8.55 4.30 i/01 /2011 to 03/29/2011 (28 days) Distribution Charges (First 6 CCF at $0.44667) ...... 2.68 Remote Device Read PA State Tax Surcharge .................................................. -0.06 nsstions? .II 800-276-2722 or write to UGI at Total CurrentCharges -UGI Utility .._ ........................... UGI Utility charges owed this hill ............................. ~~ ...................................................... $15.47 BOX 13009 ~ading, PA 19612-3009 Total Amount Due by (04/25/2011) ................................................................................. $15.47 ur current UGf charges include ate taxes totaling about $ 0.50. star Information -Next Read Date April 29, 2011 star Reading Information Meter Number Previous Reading Present Reading CCF Usad 1115648 3322 (remote) 3328 (remote) 6 sssages from UGI ur current price to compare is S 0.73453 /CCF. ur total annual usage is 82 CCF, Your average monthly usage is 6 CCF. Ip prevent pipeline damage, accidents and service disruptions. Call 611 before you dig. N' u could save $750 or more per year on your heating trills if you switched to Natural Gas Hosting. For an instant, personalized estimate of ~'~ u savings, visit www.ugi.com/calculator, "'~ In up to view and pay your future UGI hills online at www.ugi.com. ,rr bill does not display a usagt graph because your average daily usage is too low. Keep this part for your records. Important information is on the back of this bill. UGI Utilities, Inc, Customer Number The amount due will be H PO Box 15523 216542356003 deducted from your Wilmington, DE 19666-5523 rchecking account on ~ -= sss sESrice I April 25, 2011. Rh Dt~e Date , April 25, 2011 AV 01 Q04532 988596 i4 A**5DGT . 111111'Illllllllllll~'Illll'Il'Illllllll'Illl~l~~l~fl)~~lll~l~i~l. ABC PLAN FRANCES E METZ EST 219 HUMMEL AVE ' VlfafM .Later Charge: '. LEMOYNE PA 17043-1949. '' ABC PLAN 260 216542356003042501000015470000190000000000000000000003 :~~ '~- s.s sesvicr Billing Summary for Service to: =RANGES E METZ EST ?18 NUMMEL AVE _EMOYNE PA 17043 fate Glassitication: Lesidential General 3tlling Period: 11/27/2011 to 0310112011 (33 days) Remote Device Read ifuestionsY all 800-276-2722 or write to UGl at b BOX 13009 Leading, PA 19612-3009 'our current UGI charges include Mate taxes totaling abaft $ 0,53. Past Bllt Information -UGI Utili C Thank you fobyour payment ~ s bill was ~, - $_16.40 21$65~r ~.U~Tl~i3~ ,. , 42356003 Your balance as of 03!03/2011 ................................... ~-fib Current Bill Information -UGI Utility Customer Charge ..._ ......................................................... 8.55 Commodity Charge (7 CCF at $0.71714) ................. 5.02 Distribution Charges (First 7 CCF at $0.44000) ...... 3.08 PA State Tax Surcharge ..._ ............................................. -0.06 Total Current Charges -UGI Utility .....................:......... 1~?`~ UGI Uti1Ny chargea owed this bill .................................................................................. ~ 16.59 Total Amount Due by (09/2412011) ................................................................................. =16.59 Aster Information -Next Read Date Marsh 90, 2011 Aster Reading Information Meter Number Previous Reading Present Reading CGF Used 1115648 3315 (remote) 3322 (remote) 7 Aessages from UGI our current price to compare is S 0.73453 /CCF. our total annual usage is 82 CCF. Your average monthly usage is 6 CCF. lelp prevent pipeline damage, accidents and service disruptions. Call 811 before you dig. ou could save $750 or more per year on your heating bills if you switched to Natural Gas Heating. For an instant, personalized estimate of our savings, visit www.ugi.com/calculator. ign up to view and pay your future UGI bills online at www.ugi.com. our bill does not display a usage graph because your average daily usage is too law. Keep this part for your records. Important information is on the back of this bill. pN' O ~' ~_ uG- utilities, inc. Customer Number The amountduewill be ~~= PO Box 15523 216542356003 deducted from your Wilmington, DE 19886-5523 checking account on March 24, 2011. -- sas stsrttt RG Due D~tt~ . March 24, 2011 AV 01 004590 85950E 16 A**5DGT ~ ~ , ~~I~IIIn~LIIIIIIlu~I111111111111111rnIIr~I~UI~~.~Il~llllll~i FRANCES f METZ EST ABC PLAN 219 H U M M E L AVE 11V~tt7 La~e'Ctaarge LEMOYNE PA 17043-1949 ABC PLAN 280 2Z6542356003032401000016590000210DODOOODOOODODOD000005 -~~ era afaY/CE fillingg Summary for Service to: iANCES E METZ EST 19 HUMMEL AVE :MOYNE PA 17043 ate Classification: ssiden6al General filling Period: ?129/2010 to 01/27/2011 (29 days) Remote Device Read ~estiona? sll 800-276-2722 or write to UGI at l BOX 13009 sading, PA 19612-3009 nrr current UGI charges include ate taxes totaling about $ 0.53. Past Bill Information -UGI Utility ClastQt~ler Number :> The account balance on your last bill was ................ $ 15.43 Thank you for your payment of ..................................... -15.62 216542356003 Your balance as of 02/01 /2011 ................................... ~~ Current Bill Information -UGI Utility Customer Charge .............................................................. 8.55 Commodity Charge (7 CCF at $0.71714) ................. 5.02 Distribution Charges (First 7 CCF at $0.44000) ...... 3.08 PA State Tax 5urcharge ......._ ......................................... -0.06 Total Current Charges -UGI Utility ............................... 1 .~9 UGI Utility charges owed Chia bitl ................................................................................... $16.40 Total Amount Due by (02/22/2011) ................................................................................. $16.40 star Information -Next Read Date March 1,2011 star Reading Information Meter Number Previous Reading Present Reading CCF Used 1115648 3308 (remote) 3315 (remote) 7 sssagea from UGI ur current price to compare is $ 0.72776 /CCF. ur total annual usage is 84 CCF. Your average monthly usage is 7 CCF. Ip prevent pipeline damage, accidents and service disruptions. Call 811 before you dig. N ' :r could save $750 or more per year on your heating bills if you switched to Hiatural Gas Heating. For an instant, personalized estimate of ~r savings, visit www.ugi.comJcalculator. ~: 8 In up to rriew and pay your future UGI bills online at www.ugi.com. sr biU does not display a usage graph because your average daily usage is too low. Keep this part for your records. Important information is on the back of this bill. ' ~= UGI Utilities, Inc. Customer Number The amount due will be I`~ PO Box 15523 216542356003 deducted from your Wilmington, DE 19886-5523 (checking account on ~ „s ff,,.,aE I February 22, 2011. RG AV 01 003644 743586 11 A**5DGT Ijf141111~~~111~111'1'11iit~'{I~IP11~1111~~~~~,~~lll.li~li'll~lli FRANCES E METZ EST 219 HUMMEL AVE. LEMOYNE PA 17043-1949 Due, DatQ Februa 22,12011 ry ABC PLAN lillith Lath Charge ABC PLAN 280 21654235600302220200D01640D00021D000000000000000000009 H IAf lff Y/Ct Bi~llfng ~r M~ry for Senrlce to: 219 RUNNEL AVI LEMOYNE PA 17043 Rate f9aasiflcatlon: Residential General 131111ng Psrtod: 11/30/2010 to 12/29/2010(29 days} Remote Device Read Qusatlons7 Call B00-276-2722 or write to UGI at PO 80X 13009 Reading, PA 19612-3009 "` Your current UGI dtarges include State taxes totaling about $ 0.50. Past 8111 Intormatlen - Uq Utlgty The account balance on your last bill was ._ ............. $ 33.62 Thank you for your payment of _........_......__.._........... -33.62 216542356003 Your balance as of 01/03/2011 ...._.._......_....__.........-~$ Currsrrt BIII IniormaUon -UGI Utlltty Customer Charge .......___..__........_...._._...___.._........... 8.55 Commodity Charge (6 CCF at $0.71667) ._... 4.30 Distribution Charges (First 6 CCF at $0.43833} ...... 2.63 PA State Tax Surcharge ._.:_..___..____ .............._......_. ~O.QS Total CurrentCharges -UGI Utility .._ ................_......_. Uq Utility cfiaress ovrsd thfs bill __...._..___......_.._.._..___.._.._._- ~, Ptsase Pay by Due Da/e (011241201 c V~ ;16.43 Meter Inisrraation - Nsxt Rsad Date January 28, 2011 Ms~r Reading IMbrnration Metier Number Provlous Reading Presort Reading CCF Used 1115648. 3302 (remote} 3308 (n:mnte} 6 Msaeagss iron UGI ^ Your current price to compare is S 0.72776 /CCF. ^ Your total annual usage is 83 CCF. Your average monthly uaaga is 6 CCF. ~ Help prevent pipeline damage, accidents and service disruptions. Call 811 before you dig. • Sign up to view and pay your future UGI bills online at www.ugi.cren. • Your bill dons not display a usage graph because your average daily usage is boo tow. If you pay at a payment agent pbease take your entire bill. Make check payable to UGI. Keep this part foryour records. Important information Is on the back of this bill. 9T" ~~ ~~~ i ~H Q/j tEf YJCE. illlinQQ Sumrsaly for Ssrvi TiANf3:S E METZ ES7 '19 RUNNEL AVE .EMOYNE PA 17043 tats Classification: lesidential General tilling Perlod: ~9/27/20i1 to 10/26/2011 (29 days) Remote Device Read westlonst III 800-276-2722 or mite to UGI at b BOX 13009 reading, PA 19612-3009 'our current UGI charges inc{ude Plate taxes totaling about S 0.51. Past Bill Information -UGI Utili The account balance on r last bill was ................ S 15.77 ~ ; Thank you for your payme t of .................................. -15.77 216542356003 Vour balance as of 10/31/2011 ................................... ~-~~ Currant 8111 Informafion -UGI UUllty Customer Charge .............................................................. 8.55 Commodity Charge (6 CCF at 50.75500) ................. 4.53 Distribution Charges (First 6 CCF at 50.45833} ...... 2.75 PA State Tax Surcharge .-...._....- ................................... _0 0~ Total CurrentCharges - UGl Utili ............_ ................. Up Utllfly charges owed thts II ................_......................_................_...._................ =15.77 Total Amount Dus by ~tir2i *^ .............................................................................. 515.77 Aster Inforreatlon - Nsxt Rsad Date November 29, 2011 Aster Reading iMormaflon Metsr Numbsr Previous Reading Present Reading CCF Ussd 1115648 3365 (remote} 3371 (remote) 6 Asasag~frore UGI bur cummrt price to compare is S 0.77347 /CCF. 'our total annual usage is 76 CCF. Your average monthly usage is 6 CCF. lelp prevent pipeline damage, accidents and service disruptions. Call 811 before you dig. N ign up to view and pay your future UGI bills online at www.ugi.rxlm. 'our bill does not display a usage graph because your average daily usage is too low. ~ Keep this part for your records. Important Informatlon Is on the back of this bill. ,~ uGl utilities, Inc. Customer Number ~ amount due will be PO Box 15523 21 fi542356003 deducted from your Wilmington, DE 19886-5523 checking acrxwnt on November 21, 2011. - sus rEirieE y'~h. November 21, 2011 AV.01 004115 848778 18 A'~*SDGT .1 1 ~Ith ~ I .~I~IIu b+li ... ~ 1H !~ ~~ fla 1111 i III~11 tlt ( tf I -III II ~~ 111 ~ ~ FRANCES E METZ EST ABC PLAN 219 RUNNEL AYE ,;: :: :,} -:,., LEMOYNE PA 1 7 0 43--1 94 9 Y :,:- ~:..~ « , ` Pr - ABC PLAN ' x'80 f 216542356003112101000015770000200000000000000000000008 M°~ _= ass sEaricf filling Summary for Service to: RANGES E METZ 19 HUMMEL AVE EMOYNE PA 17043 ate Classification: esidential General filing Period: 9/29/2010 to 10/28/2010 (29 days) Remote Device Read uestions~ all 800-276-2722 or write to UGI at ~ BOX 13009 9ading, PA 19612-3009 cur current UGI charges. include ate taxes totaling about $ 0.52. Past Bill Information -UGI Utility ~USt01118T NUrl~eP The account balance on your last bill was ................. $ 17.34 Thank you far your payment of ...................................... -17.34 216542356003 Your balance as of 11/01/2010 _ ..................................-`x"615 Current Bill tnformatian -UGI Utility Customer Charge ............................................................... 8.55 Commodity Charge (6 CCF at $0.81333} .................. 4.88 Distribution Charges (Post 6 CCF at $0.45000) ....... 2.70 PA State Tax Surcharge ......................._.......................... -0.05 Total Current Charges -UGI Utility ................................ - 16~ UGI Utility chargea owed thts h ll ..................................................................................... S 16.08 Totat Amount Due by (11122/2010} ......_ .........................................._............................... $16.08 later Information -Next Read Date November S0, 2010 later Reading Inoormation Meter Number Previous Reading Present Reading CCF Used 1115648 3289 (remote} 3295 (remote) 6 easages from UGI nrr current price to compare is $ 0.62458 /CCF. iur total annual usage is 85 CCF. Your average monthly usage is 7 CCF. sip prevent pipeline damage, accidents and service disruptions. Call 811 before you dig. gn up to view and pay your future UGI bills online at www.ugi.com. wr hilt does not display a usage graph because your average daily usage is too low. N N ~' i Keep this part for your records. important information is on the back of this bill. UGI utilities, Inc. Customer Number The amount due will be PO sox 71203 216542356003 deducted from your ~~ Philadelphia, PA 19176 checking accarnt on _ November 22, 2010. -_= ass srsrice A~ bue ;Di~te November 22, 2010 AV 01 004302 387356 14 A**SDGT • / 11'I'lit'I~'~tl~l{'~II~'I1111l1~~~l1~~~~unl~~~'lllll~~~~l'~I1~' FRANCES E METZ ABC PLAN 219 HUMMEL AVE ~If~h' Late' Ch~lrge LEMOYNE PA 17043-1949 ABC PLAN 280 216542356003112201000016080DOD2000DOOOOOOOOOOOOOD00000 ~= Bea ieirieE Illlln Summa for Service to: RAN E METZ EST 19 HUMMEL AVE / EMOYNE PA 17043 is Classiflcatlan: ' ntial General Illling ~8l26l2011 to 09!27!2011(32 days) Remote Device Read luestlona~ all 800-276-2722 or write to UGI at D 80X 13009 eading, PA 19612-3009 our current UGt charges include fate taxes totaling about 5 0.51. Past BiU Information UGI Utllity I1St0~I11Qf Thank~a fobala~nrce on entrof st bill was 5 16.97 , 216542356'\ yo yo paym ................... 003 Your balance as of 09/30/2011 ....................................--~6 Current Bill Informatlon -UGI Ut(Ilty Customer Charge ................................................._............ 8.55 Commodity Charge (6 CCF at 50.75500) .................. 4.53 Distribution Charges (F~rst 6 CCF at $0.45833) ....... 2.75 PA State Tax Surcharge ................................................... -0.06 Total Current Charges -UGI Utility ................................ -~*'T'f UGl Utility chargsa owed this b ll ................................................................................. Total Amount Due by (1D121/2D11) .............................................................................../. ;15.77 later Information -Next Rsad Date Ocbobsr 27, 2011 !star Rsading Irdormatlon Mstsr Number Previous Rsading Present Reading CCF Used 1115648 3359 (remote) 3365 (remote) 6 lsasagss from UGI air currant price to compare is 5 0.77347 /CCF. our total annual usage is 76 CCF. Your average monthly usage is 6 CCF. lelp prevent pipeline damage, accidents and service disruptions. Ca11811 before you dig. N ign up to view and pay your future UGi bills online at www.ugi.com. m our bill does not display a usage graph because your average daily usage is too low. Keep this part for your records. Important Information is on the back of this bill. UGI Utilities, Inc. Customer Number The amount due will be PO Box 15523 216542356003 deducted from your Wilmington, DE 19886-5523 checking account on oaf ttrricr October 21, 2011. ~~ . _ ~6 ~.~.~.~" <~" . October 21, 2011 A'V 01 004418 70455E 14 A**SDGT l III'~'fll~I~I'~11~~1.IIIII„Iltl~~l'II~~Ittl'I~~~~I1~11'I~~t+lldl . 1 FRANCES E METZ EST ABC PLAN 219 HUMMEL AYE - L_EMOYN~E PA 170431949 ~~'~~ ABC PLAN >280 21654235600310210100001577000020000000000000000000000 00024062796000000DDOOD0006969016 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 219 Hummel Ave lil.lllllll'1'11111.1111.1....1.1111'11111.1111111t1.11.III..IIII 0223751 AV 0.337 297tJ22375/002375 D89 1 D1CD41NE FRANCES E MET2 t PENNSYLVANIA AMERICAN WATEI 144 HUMMEL AVE PO BOX 371412 LEMOYNE PA 17043-1946 PITTSBURGH, PA. 15250-7412 1.1. 1 1 1 1 1 I' 1 1 1' 1'" 1111111 ' 1' 1111111 ' l l l' l l l" 1' l l l l' l l l' 111111. r Please check here to add H2llHelp to Others contribution to your monthly bit on reverse sde fo atio ht i t l h b d dd p- e ep one num er, an ressor or ro diange your a . n rm n Customer Account Intormatlon Btll/ng Summary For Service To: Frances EMetz -----Prior Bolan 219 Mummel Ave Prior Water Balance $14.31 Account Number: 24-0627960-0 Prior Wastewater Balance $40.00 Premise Number: 24-0371076 Prior Balanoe Other $14.50 Payments prior M Jul 11, 2011. Thanks/ -68.81 BOl/ng Period & Meier Information Total prbr balance, Jul 11,2011 .00 BiIIMg Date: Jul 11, 201 i Current Water Charges------ Billing Perbd: Jun Q7 to Jul 06 (29 days) Service Charge 13.00 Next reading oNabout: Aug 08, 2011 Water Volume (,x.007890 x 200) 1.58 Rate Type: Residential STAS PAWC Water 0.32% . 05 DSI -PAWC. Charge 983% . 56 Meter readings to current billing period: Total water charges, Jul 11, 2011 15.19 Meter Number N041266841 is a 5/8-inch meter. Current Wastewater Charges Present-actual 235600 Lemoyne Swr Sly 40.00 Last-actual 236400 Lemoyne Swr ($.000000 x 200) . 00 Galbns used 200 Total wastewater charges Jul 11, 20ii 40.00 -----Other Current Charges------ Customer Protection Sewer line 9.00 Customer Protection Water Une 5.50 Total other charges, Jul 11,2011 14.50 --- AMOUNT DUE ------------- II 569.69 Wa#er Usage Comparison 2 3. 3. L>o not send payment. Total Amount will be deducted from your bank account on Aug 01, 2011 /~ l 2 J A S O N D J f M A M J J ?~ O U @ G O @ 8 @ fl fl U U ~ g p t v c n b r~ y n ; OOD24062796000D00000000006886012 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service :219 Hummel e ~_ I,II'Ill'i"1111,,,111 II 1'11'111111'I"II11'Illllll'1'Ill'IIIIPI 029475 1 AV 0.337 1475129475/001475 119 7 NCD6V4 FRANCES E METZ 144 HUMMEL AVE LEMOYNE PA 17043-1946 PENNSYLVANIA AMERICAN WATEI PO BOX 371412 PITTSBURGH, PA. 1 5250-74 1 2 ' l l' l l"1111111"11111111' 1 1 1 1 1 1 1 l' l 111111' 111' 1 1 1 1 l' 11111""I' I ~, Please check here to add H2O-Hey to Others contribution to your monthly bill or to change your address or telephone number, and print in/ormatron on reverse side. Customer Account Information Bl/ling Summary For Service To: FRANCES EMETZ ------Prior Balance---------__.....__ 219 Hummel Ave Prior Water Balanos Account Number: 24-0627960-0 Prior Wastewater Balance Premise Number: 24-0371076 Prior Balance Other Payments prior to Aug 11, 201 i. Thanks) B/ll/ng Period & Meter Information Total prior. balance, Aug 11, 2011 Billing Date: Aug 11, 2011 --------Curreht Water Charges------ Billing Period: Jul 06 to Aug Q8 (33 days) Service Charge Next reading oNabout: SeQ 07, 201 1 Water Volume ($.007890 x 10D) Rate Type: Residential STAS PAWC Water 0.32°~ DSI - PAWC Charge 3.83% Meter readings in current billing period: Total water charges,. Aug 11, 2011 Meter Number N041266841 is a 5/8-inch meter. --------Current Wastewater Charges--- Present-actual 236700 Lemoyne Swr Svc Last-actual 236600 Lemoyne Swr ($.000000 x 100) Gallons used 100 Total wastewater charges Aug 11,2011 -------Other Current Charges---_- Customer Protection Sewer Line Customer Protection Water Line Total other charges, Aug 11, 2011 _------AMOUNT DUE -_____._._..-- Water Usage Comparison 2 Monthly usage in hundred gallons. 1 1 $15.19 $40.00 $14.50 -69.69 .00 13.00 .79 .04 .53 14.36 40.00 .00 40.00 9.00 5.50 14.50 t $68.86 Do not send payment. Total Amount Du will be deducted from your bank account on Aug 31, 2M1 a g p o v c n~ a~ y n~ 9 0 i ~U~2406279601]OOOOOOOOOOU06881013 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 219 Hummel Ave (ll~il.llilili,~llllI11111Ill,II..I.I.I~I~~II'lll'I'lllllil.lll.l 023632 1 AV 0.337 3632l2363?1003632 092 1 NCD375 .FRANCES E METZ 219 HUMMEL AVE LEMOYNE PA 17043-1949 PENNSYLVANIA AMERICAN WATEI PO BOX 371412 PITTSBURGH, PA. 1 5250-74 1 2 liilillll.llll.III,LIillllllll°IIiI.IIILII~LI11'lllllllll'lil Please check here to add H20•Help to Others contribution to your monthly bill or to change your address or telephone number, and print information on reverse side. Customer Account Information Bflling Summary t EM F i T i ---- ---- - P B l e z rances ce o: For Serv ------ or ance---- - - - r a 219Hummel Ave Prior Water Ba/ar-ce $15.96 Account Number: 24-0627960-0 Prior Wastewater Balance $40.00 Premise Number: 24-0371076 Prior Ba/anoe Other $14.50 Payments prior to Jun 10, 2011. Thanks! -70.46 Billing Period & Meter Information Total prior balance, Jun 10, 2011 .00 Billing Date: Jun t 0, 2011 ------Current Water Charges------ Biliing Period: May OS to Jun 07 (33 days) Servioe Charge 13.00 Next reading on/about: Jul 06, 2011 Water Volume ($.007890 x 100) . 79 Rate Type: Residential STAS PAWC Water 0.329 .04 DSl -PAWC Charge 3.519 .48 Meter readings in current billing period: Total water charges, Jun 10, 2011 14.31 Meter Number N041266841 is a 5/$•inch meter. --»----Current Wastewater Charges--- -•~ Present-actual 236400 Lemoyne Swr Svc 40.00 Last-actual 236300 Lemoyne Swr ($.000000 x 100) . 00 Galbns used 100 Total wastewater charges Jun 10, 2011 40.00 ------Other Current Charges-----_ Customer Protection Sewer Line 9.00 Customer Protection Water Line 5.50 Total other charges, Jun 10, 2011 14.50 -------AMOUNT DUE----_--------- ~ $68.81 Water Usage Comparison Monthly usage in hundred ~tallons. 2 Do not send payment. Total Amount pu will be deducted from your bank account on Jun 30, 201 2 J J A S O N D J F M A M J 2 0 u u u e c o e a e a p a u 0 10 n I g p t v c n b r r y n j 000240627960000000000DD006881013 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 219 Hummel Ave 016312 1 AV 0.335 0312/16312/000312 054 1 PCMVRE IIItIII111111t11111111tllllllllllllillltl 111111111111111111111 FRANCES E NETZ 219 HUMMEL AVE LEMOYNE PA 1 7043-1 949 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 152.50-7412 IIN11111111111111111111111111111111111111111111t1111 Please check here fo add H2O-help to Others contribution !o your monthly bill or to change your address a telephone number, and print information on reverse side. 0002406278578000[1000000014953019 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 218 Hummel Ave 016322 1 AV 0.335 0322116322/000322 054 1 PCMVRE IIIIIIIIIII11111111111111111111111111111111111111111t111111111 FRANCES METZ 219 HUMMEL AVE LEMOYNE PA 17043-1949 1 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 111111,111111111111111111111111111111111111111111111 D Please check here to add H2O-Help to Others contribution to your monthly bill or to change your address or telephone number, and print information on reverse shale. 0002406278578DOD000D000014784018 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 218 Hummel Ave 009433 1 AV 0.335 1433/9433/001433 042 1 PCMQY 1 111111I1111I11111I11IIlI111111IItItt11111I1I11111III111111II1I FRANCES METZ 219 HUMMEL AVE LEMOYNE PA 17043-1949 ' ~~ ~ 24-0627857-8 . AMOUNT DUE $14~ 1$4 DUE DATE Mar 31, 2011 AMOUNT PAID ELECTRONIC PAYMENT Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 IIMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Please check here to add H2O-Help to Others contribution to your monthly bill or to change your address or telephone number, and print in/ormatron on reverse side. 00024062796000000000000006876013 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 219 Hummel Ave 009443 1 AV 0.335 144319443/001443 042 1 PCMQYI IIIIIII1111IIIIIIIIIIIIIIIIIIIIIIIIII I111IIIIIIIIIIIIIIIIIIIII FRANCES E METZ 219 HUMMEL AVE LEMOYNE PA 17043-1949 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 1111111111111111111111111111111,111111{IIIt111111111 D Please check here to add H2O-Help to Others contribution to your monthly bit! or to change your address or teleppone number, and print inlormat~on on reverse side. 0002406279600000000000000?121013 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 219 Hummel Ave 025387 1 AV 0.335 1387125387/001387 095 1 PCML3Q 1~~~111,~~1II».,I~~I~~li~~~~lll~l~~~l~~ll~l~~~~~lll~l~~~ri~ll FRANCES E METZ 219 HUMMEL AVE LEMOYNE PA 17043-1949 . 24-0627960-0 AMOUNT DUE $~]., Zl DuE DATE Mar 03, 2011 AMOUNT PAID ELECTRONIC PAYMENT 1 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 1~~~11~1,1~~~1~I~I~i~N~~,I~~~I~i~rl~„il„irl„II,I D Please check here to add H2O-Help to Others contribution to your monthly bill or to change your address or telephone number, and print information on reverse srde. 00024062785780000000000013075012 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 218 Hummel Ave 025397 1 AV 0.335 1397/25397/001397 095 1 PCML3Q I..,111~~~111~~~~1~~1~~i1~~~~ili~l~~~i~~it~l~~,,,lll~l~~~~l~ll FRANCES METZ 219 HUMMEL AVE LEMOYNE PA 17043-1949 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 1 52 50-74 1 2 I~~~II~I~I~~~I~I~I~I,II„~I~~~I~I~~I~~~II~~I~I~~II~I D Please check here to add H2O-Help to Others contribution to your monthly bill or to change your address or telephone number, and print information on reverse side. J i ~~ I 000240627857800000000000057320b8 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 218 Hummel Ave 0227221 AVD.3352722/22722/002722 107 1 PCMEEK I1111111111111111111111111111111111111111111111111111111111111 FRANCES METZ 219 HUMMEL AVE LEMOYNE PA 17043-1949 ' % ~% ~ '%" 24- 0627857-8 AMOUNT DUE ~5] / 32 \ DUE DATE Jan 31, 2011 AMOUNT PAID ELECTRON{C PAYMENT Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 III111111111111IIIIIII1111111111111111111111t1111111 a Please check here to add H2O-Help to Others contribution to yols monthly bill or to change your address or telephone number, and print inlormation on reverse side. i ~~ 000240627960000000000000027940L2 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service 70: 219 Hummel Ave 022712 1 AV 0.335 2712/22712/002712 101 1 PCMEEK IIIII1111111111I1111111111111111111111111111111111111111111111 FRANCES E METZ 219 HUMMEL AVE LEMOYNE PA 17043-1949 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 1 5250-74 1 2 III1111111111111iI11111111111111111111111111111i1111 Q Please check here to add H2O-Help to Others contribution Io your monthly bill or to change your address or telephone number, and print information on reverse side. V Customer Account Information For Service To: Frances E Metz 219 Hummel Ave Account Number: 24-0627960-0 premise Number: 24-0371076 Billing Period & Meter Info~rrtatlon Billing Date:. Dec 08, 2010 Billing Period: Nov 03 to Dec 03 (30 days) Next reading on/about: Jan 06, 2011 , Rate Type: Residential Meter readings in current billing period: Meter Number N041266841 is a 5/8-inch meter. Present-actual 235400 Last-actual 235300 Galbns used 100 ------------------------------- Bliling Summary ---------Prior Balance--_----------_-__ Prior Water Balance Prior Balance Other Payments prior to Dec OB, 2D10. Thanks Total prior balance, Dec O8, 2010 -__--Current Water Charges-_------ Service Charge Water Volume ($.007890 x f00) STAS PAWL Water 0.45% DS! - PAWC Charge 1.85% Total water charges, Dec 08, 2010 -----Other Current Charges-_..___ Customer Protection Sewer Line Customer Protection Water Line Late Payment Charge Total other charges, Dec O8, 2010 --_--AMOUNT DUE -----_.~_:.~. Oo not send payment. Total Amount from your bank account on Dec 28, 2 Water Usage Comparison Monthly usage in hundred aallons. A $40.32 j $29.00 j ' -69.32 ; .00 13.00 .79 .06 .26 14.11 9.00 5.50 .41 14.91 $29.02 Au wilt be deducted 110 Messages to you from Pennsylvanl~ American Wafer "Apppproximately 3.90 percent or $.55, of State taxes are included in your current bill. * EffecSve January 1, 2070, the Stale Tax Adjustment Surcharge {STAB) increased from 0% to 0.45%. "Residential customers: Save time and manage your account when i[ is most-convenient for you. On My H2O Online, you can check your ba/any, pay your bill or even sign up for automatic bill payments. Sign up today at amwater.com/myh20. *Ef/ecdve October 1, 2010, the Distribution System Improvement Charge (DS1C} increased from 0.98/° to 1.85%. The DS1C funds the replacement of water distribution facilities. * For the latest news, check us out on Facebook at www.facebookcom/pennsylvaniaamwater and follow us on Twitter at paamwater. Customer Service & Emergencies 1-800-565-7292 (24 Hours) For Hearing Impaired Customers TDD 1-800-300-6202 (24 Hours) Visit us on the INTERNET: www.pennsylvaniaamwater.com AM4471AM4461 '` ~~3v 002801/W2801PCM8EHTAV0324 ? s i A t M 7463 ' U2 e a F a A a u ~ u e~ o e 0 9 c n~ r ~ y n~ g p t v c U 00024062796000000000000004152011 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 219 Hummel Ave 0261{26 1 AV 0.335 212&26126/002126 110 1 PCLYD9 11111111111111111111111111111111111111111111111111111111111111 E F METZ 219 HUMMEL AVE LEMOYNE PA 17043-1949 1 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 1111111111111111111111111111111.1,111111111 t ~ 1111111 Please check !tare to add H2O-Help to Others contributan to your monthty bill or to t~tar our add e t l b d i ~f g~e y r ss or e one num er, an pr nt arrtation on reverse side. Customer Account /nformaflon Bliling Summary For Service To: E F Metz Prior Galan 2i9 Hummer Ave prmr Water Balance Account Number:. 24-0627964-0 Prior Balance Otl-er Premise Number: 24-0971076 Payn-ents prior b Oct f 1, 20f0. Thanksf Total prior balance, Oct 11,2010 Bll/lnq PerlOd & ,111e1~ar kiformetton -------Current. Water Charges--------- BiNittg Date: Ckt 11, 2010 SeMe~ Charge BiNing P'erbd: Sep 07 to Oct 06 (29 t~aYs) Water volume ($0078,9D x f, ~tm) Next ratildinB oNabottt: Nov 03, 2010 STAS ~AWC Water 0.45 Rate type: aesidential ~s~ - ~AWC Charge f.s5% xotal water charges, Oct 11,2010 Meter readings in cwrregt bi8ing t~erbd: -------Other Current Charges:-------- MeterNumber N041286i341 is a 516-inch meter. Ctrstr~tr+er protection Sewer Line Present-actual 235300 Customer. Protecriun Water Line Last-actual 233600 Total other charges, Oct 11,2010 Galbns used 1700 -------AMOUNT OtJE -------- Do not send payment. Total Amount from your bastk arxoru„t on Nov 01, : Water ?. S $25.99 $14.50 -40.49 .00 13.00 13.41 .12 .49 27.02 9.00 5.50 14.50 $41.52 will t1e deducted ~~ 0~ o® a e a~ a u ~ u~ 0 0 t v c n b r I~ y n~ g p t 1 Image Print ~`~~ EST OF F!lAMCES E ME?'Z as ~ sn ~sTR ,a. ~vE Page 1 of 1 R ~~ d'Y1 t'L1 P.~., 1 1132 ~ ~~~~~ nr {~ ~_~, Do1~rs B rres.t. ~,- as ~ C'C"G i ~ ~3C~'!~~ ~C-G Oaral !A ~:03i3i273B~: 500~.~.83~.9 032 •~ ~9~ 2~' ._ _: . , ~~~~ . ~~I~t "~ +~ Rio .~~ Y ~~ t~ ~` '~ ' p ~c• . ~'= ~.- - ___ z-.. t firms ~ //www.cct_nncbank.com/IM~PRINT.html 1/6/2011 000240627857800000000000056050b6 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 218 Hummel Ave 026136 1 AY 0.335 2136/26136/002136 110 1 PCLYD9 IIf1111f1t11111111ffI11111111111111111t11111111111111111111111 FRANCES METZ 219 HUMMEL AVE LEMOYNE PA 17043-1949 1 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 Illllllltitlllll lllllllllllltlll lttltllllltlllltllll D Please check here to add H24Help to Others contribution to your monthly bill or to change yow address or tel one number, and print irltormation on reverse side. Customer Account Information BUt-ng Summary For Service To: Frances Metz Prior Balance------------ 218 :Hummer Ave Prior Water Balance $34.78 Account Numizer: 24-11627857-8 Prior Balance O1har $14.5 0 Premise Numiter: 24-0371014 Payments prior ~ Oct t 1, 2f140, Thanks/ -49.28 Total prior balance, Oct 11,20111 .00 BIINng Period & Meter Mformatlon ---.-.-~Curtetit iNater Charges------ Biking Date: Oct 1 i, 2010 Service Charge: 13.00 Billing Period: Sep 07 to Oct 08 ~9 ) Water Volume (t~007890 x 3.300) 27.62 Next reeding on/about: Nov 03, 2010 STAS PAWL Water 0.45% .18 L4ate Type: Residential DS! - PAWC Charge ?.83% . 75 Totarwater charges, Oct 11,2010 41.55 Meter readings In current. biNMg period: -----..Other Current Charges------- Meter Number N0412Ci6$39 is a 5I8-inch rneter. Cusromer Proter~on Server lrne 9.00 Present-actual 711$00 Customer Protection Water Line 5.50 Last-actual 708300 Tote!-other charges, Oct 11,2010 14.50 Galbns used 3500 AMOUNT DUE ----------- ~ $56.05 Do not send payment. Total Amount will be deducted hom your bank account on Nov 01, 2010 y e ~ F a A a~ ~ u e c0 J I' Y r g P t ~ I 00024062?96000000000000008252015 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service o: 219 Hummel Av ~ ~- 111111111"'1'NII'I'1'11111'1'1111•'I'll'I'111JII ILtll1111111' 021707 I AV 0.337 1707/21707/001707 091 1 NCDAXN FRANCES E METZ 1 144 HUMMEL AVE PENNSYLVANIA AMERICAN WATEI LEMOYNE PA 1 7043-1 946 PO BOX 371412 ; PITTSBURGH, PA. 15250-7412 `, IIIILIL.1111111111.1i.ILltii'tlll'1111111'll,l ll"Illhnl.ll. /, . ~, Please check here to add H2O-Help to Others contribution i b i to your monthly bill id M i er, and pr nt or to change your address or fe/ Bone num on on reverse s e. ormat - -irustomer Acco ~Intormatr(o BfllMg Summary A L For Service T FRANCES E MET --------Prior Balance------________. 219 Hummel Ave } Prior Water Ba/anoe $18.47 Account umber: 24-0627960-0 / Prior Wastewater Balance $27.40 Premise umber: 24-0371076 Prior Balance Other $14.50 Payments prior to Oct 14, 2011. Thanks! -60.37 Bllling Pe r :-~~rformatlon Total prior balance, Oct 14, 2011 .00 Billing Date: Oct 14, 2011 ------Adjustments----- Biliing Period: Sep 07 to Oct 06 (29 days) Sewer Billing Error Adj 12.60 Next reading ontabout: Nov 03, 2011 Total adjustments, Oct 14, 20t 1 12.60 Rate Type: Residential -------Current Water Charges------ Service Charge 13.00 Meter readings in current billing period: Water Volume ($.007890 x 200) 1.58 Meter Number N041266841 is a 5/8-inch meter. STAS PAWC Water 0.32% . 05 Presets-actual 237500 DSI -PAWC Charge 5.44% . 79 Last-actual 237300 Total water charges, Oct 14, 2011 15.42 Gallons used 200 ------Current Wastewater Charges----- - Lemoyne Swr Svc Lemoyne Swr {$.000000 x 200) Total wastewater charges Oct 14, 2011 ------Other Current Cfiarges-------- Customer Protection Sewer Line Cusromer Protection Water Line Total other charges, Oct 14, 2011 Water Usage Comparison __-_-AMOUNT DUE -------_w_.._ Monthly usage in hundred gallons. 1 f Do not send payment. Total Amount from your bank account on Nov t)3, 40.00 .00 40.00 9.00 5.50 14.50 $82.52 will be deducted c0 o e a e a~ a u u u e c0 0 O t v c n b r y n I g p t ; Image Print ~~~ E8T QF ~R111+ICFS E METZ ROf R 8AP'rfSTL AD~BTR 14i NUMMEI AYE L~MOYNE. P'~-17i0~13-1 W~ ~ ~o tix ~r Order Page 1 of 1 101 Q ~' N1t!?~-Jt~ fl7 +~fi-~' .r.. } ~ M ~~~~ ~ ,J x:03 ~3 i ~?38~: 50D4~.83~.95~ ..---- „ 100 6-'9 3 2~' ~ -- .. .:. i ~ t t ' f ; f1t ~ t ' 1 ~s~:s=~; his ~~~':.~ ~~ .~. .: H y,_ https://www.cct.pncbank.~m/IMGPRINT.html 1/6/2011 ~f TxE HARTFORD January 25, 2011 Ms. Traci L. Sepkovic Gates, Halbruner, Hatch & Guise, P.C. 1013 Mumma Road Suite 100 Lemoyne PA 17043 Subject: Contract Number: GA20192-117 Annuitant: Frances E. Metz Plan Name: Holy Spirit Health Systems Dear Ms. Sepkovic: Please refer to our previous letter dated January 2, 2011. The Hartford was recently notified Mr. Metz passed away and would like to express our sympathy to you and the family. Mr. Metz was receiving retirement income under a Life Annuity. Although this option provides a monthly income, it does not have a provision for a death benefit. Therefore upon death of the annuitant the contract terminates and no further benefits are payable. Prior to The Hartford receiving notification of Mr. Metz's death, his monthly annuity payment(s) totalling in the amount of $322.68 was paid by EFT to his bank. According to the terms of the contract, these distributions were not due. Please be advised that the November 1, 2010 payment in the amount of $161.34 was not returned by the bank and therefore must be returned to The Hartford. In order to close our file on Mr. Metz, we will require the following: ® Return of an overpayment in the amount of $161.34, payable to The Hartford ^ A certified copy of the Death Certificate For your convenience an envelope has been enclosed for you to return the required information. If you have any questions or concerns, please call our Service Center at 1.800.678.2282. Our service representatives are available to assist you Monday through Thursday 8 a.m. to 7 p.m, and Friday, from 8 a.m. to 6 p.m. Eastern time. Sincerely, ~,. ,(y ~ 2~ Deborah L. Johnston Senior Service Specialist Annuity Service Center Hartford Life Insurance Company 1 Griffin Road North Windsor, CT 06095-1512 Mailing Address: P.O. Box 1583 Hartford, CT 06144-1583 Metropolitan Life Insurance Company P.O. Box 10342 Des Moines IA 5030&0342 MetLife December 14, 2010 GATES HALBRUNER HATCH 8~ GUISE PC ATTN TRACT SEPKOVIC 1013 MUMMA RD STE 100 LEMOYNE PA 17043 RE: METROPOLITAN LIFE INSURANCE COMPANY CONTRACT 000723522RB OWNER FRANCES MERTZ Dear Ms. Sepkovic: This letter is in response to your inquiry on the above referenced contract. Our records reflect that we sent you a letter on November 16, 2010 with the contract .specifications. At that time we advised you that we needed reimbursement for the payment dated October 23, 2010 in the amount of $506.50. As of this date we have not heard from you. Please send reimbursement so that we can close our files. If you have any questions, please contact your representative or call our Customer Service Center at 1-800-635-7775 Monday through Friday between 9:00 a.m. and 6:00 p.m., ET. Sincerely, Donna Marshall Sr. Annuity Representative -Post Issue Processing MetLife Annuity Operations and Services PA REV-1500 SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES and LIENS Department of the Treasury 2009 Form 1040- ES Internal Revenue Service Detach Coupon Below Before Mailing ~, ~~S // /fib y /~ fi ~ f V U ~~ ~. Make your check payable to the 'United States Treasury'. Include in the check's memo section '2009 Form 1040-ES' and your SSN. INTERNAL REVENUE SERVICE P. O. BOX 37007 HARTFORD, CT 06176-0007 K8A Form 1040-ES (2009) • Detach Here and M ail W+th Your Payment • _....,,y~,~~ un reverse side. (717)761-5530 DATE pESCRIPTION OF SERVICE ~ AMCSUNT INSUR BALANCE PATIENT BALANCE BALANCE 03/11/10 ENCOUNTER 1844770 FOR FRANCES WITH HALLOCK MD, RICHARD 03/11/10~~ - J3302 TrtairrcmolonQ c6acetafe i~~:(QTY 12) , , ,;_;~ . , __ ~ ~ ;'$24.00 ;; ' . E ,t 05/06/10 _ B Shield Pay (PR2 (Coinsurance Amount)) . -$3.02 I05%06f10~' , , " :`- ~ ~hfe1d'~dJ rPl~"r(Cbitsurdnce"Ariiount)~ - . - _ . -. `s$20 64; z 06/02/10 MPC Pay _. . • .. , -$0 34 03111/;10;;- _ 73565 X I~A`Y EXAM OF KNEES , ~ r . . . ,;;; ~ :$61 00 05!06/10 , _ . , B Shield Pay (PR3 (Co-payment Amount)) , . , _$1g,g6 05/06/1'0 _ .. ;_ B Shield Adj (P~23 (Co `payrr~~nt :Amount)} ~ ; _ ~: . r~32 ~4 , '. ": ' 06/02/10 . .. .MPC PaY .. _. - _ -$10.00 - . . r . _ -. ., ..~_ ~-_., .. ,: ENCOUfVTER_'f-OTAL . ,",.$0.00 _ .. $O.UO $0 00 ~';p; ,$0..00 Ot/15/1-0~` EN000NTER,.1.9Z84~1 FOR;FRANCESYyiTH HALLOCK MD,'T~IGFtARD' ;'`~ " ',. ~<` ''~' ~ - :: ,06115/10 90000 Global Visit ~ r $0 00 r ~~„~0 ~, ~, ., $~q ~$ TS , !06Ii~Xio`s :2b6YQ aR~~~![~,~~`f,~~1~'f/BI~F2S`A_,. • .. T, . ` g ~~ ' *`~ ~~` 07/23/10 , . , , ,, B Shield Pay $71 78 ~~ ~ _ ~ i .~ ` i09l30/10 B Shield Pay . $71 78 k Ofi#15Z~(~, _ 206~Q C~1~t~~~.JQfNT/BlJRSA ' ?, •''w r ~ -TMii .,. ~,,,`:° Y _..x*.~z:~'` ~w'~;'t~b~~._a,a:,, ~~~~~~ j 07%23/10 B Shield Pay -•$35 89 >< ° . ' ~< ~~ x ~ :~ ~~ ~ `; 09/30/10 h B Shield Pay $35 89 ~ ~' 06%1~f16 ~ . - ' J3302 Tna 'cinolone diacetate m ~ :QTY 24 , . '~ ~' ~ ..=' ~ . 3f ) .. -~ 4.3'00, ,• .$6~~ . 07/23/10 _ . . . . B Shield Pay (PR2 (Coinsurance Amount)j _ -$6.05 07123%6;, .~: .~;•~ ~: . ~: ~ . B Shied"AdJ:(Pf~2 ~[;Coui~;uranGe~Amb`untj). • ..,_` -,~. ,. , ,=$4~.~ ,,~~, ;. , :: 09/30/10 B Shield PaY _ - -, .. . $6.05. . :. , .~ : , ..:- .. ~-,.' : ~'.::. ~_ M'ENCOtJNTER TOTAL;-'1 ' $1.1~~t $9 ~ r.'_", $0.00'.: ~ $1:1'4 39 ,,;.$114:39 ., ._ , ;., : ~7he remaining; balance is:yiour res'~onsiC~~il(ty , , _~ '' ~'~ °'" ~ - , ,~ ,_ . . r .~....~ ~ ~- ~ r^~.t,. 'S. d~, ; y't`°ay`a7 ~ r,{i ,t+tk_;w ~, 4,:. .~ .r.:' R "f ~'{. .t f `~ ~.,.~, 4. c = v. J/ `~`.,#zp ~ ~ ~ / ~ ~~` ? ,mot k1~ . ACCOUNT NBR CURRENT 30 DAYS 60 BAYS 90 DAYS 1 20 DAYS- .TOTAL ACCOUNT BALANCE 81057 $114.39 $0.00 $0.00. $0.00 $0.00. $114.39 MESSAGE: If You Have Questions Call 717-761-5530, Option ~~/~~ ~~ ** PAYMENT DUE UPON RECEIPT * THANK YOU'"' STATEMENT PLEASE PAY THIS AMOUNT »»»» $114.39 i~ /~e PAGE: 1 ~I PPL Electric Utilities Electric Service For: FRAI3CES E METZ 219 HiJi~II~tEL AVE LEMOYNB PA 17043 Queatiaaa about this bill? Please contact us Oct 22 at 1-500-3457'75 ~I-SOan~.-rr1.) or write to: Cnetomer Service 827 Hausman Rd Allentown, PA 18104-9392 www.pplelectric.com Electric Use This graph.shows your electric use over the last 13 months. Types of Meter Readings: Actual - Adjusted Estimated Customer Q ,~ ~; ;,. ..,, pp '""_ ~~w~ Page 1 Y~ # tci~~~tctx j 91650-82001 =- Summary Page Balance as of Oct 6, 2010 $0.00 Char es: Tota~PL Electric Utilities Charges $63.93 Total CLarges $63.93 :.:...: . _ - r?<,~~ :: .. ... ..::. :. .:- ........::.. ....r... ... ..r...... .r... ~r..........,.... r.. ..... Account Balance $63.93 c,~i6o 3 i/~~jo 48 40 32 24 16 S 0 KWH -Average Per Day Meter Reading Wormation Meter #38601282 Oct 6 Actual 55541 Sep 7 Actual 55100 29 Da s KWH Billed 441 Average -Oct 2009 2010 KW~~P r I 610 X15 ay e Yearly Use: Total Averagge Use Monthly Nov 2008 -Oct 2009 7944 666622 Nov 2009 -Oct 2010 9205 767 ONDJFMAMJJA50 2009 Months 2010 Other imnortan* information on back ~ v ~~ ~`~ ~ J PPL Electric Utilities Electric Service For: FRANCES E METZ 218 HIIMMEL AVE LEMOYNE PA 17043 Questions about this bill? Please contact us Oct l9 at 1-800-345775 (100-DIAL-PPL) or write to• Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplelectric.com Electric Use These graphs show your electric use over the last 13 months. Types of Meter Readings: Actual . Adjusted Estimated Customer ~ ~ ~ ~ ~ ~ 1 ~ ~~I i ~'•;•~"~,%. - Page 1 ' - r:: ~ i •;;•.M '.~- ~ 73450-82007 Summary Page Balance as of Oct 6, 2010 $0.00 Chu es: Tota~PL Electric Utilities Charges $12.71 Total Charges _ $12.71 r: ~. {:~ - - Account Balance $12.71 C~~~ j GU~ '~~~IG 12 10 8 6 4 2 0 KWH -Average Pet Day ONDJFMAMJJA50 2009 Months 2010 6 5 4s 3 2 1 0 ~.~__Demand------ ON1:-J FMAMJ JASO 2009 Months 2010 Other important information on back `~ ~~~ ~~ ~~ o: 30 are Taker / Metz Properties 146Hummel Ave. Lemoyne, Pa.l7043 From: Richard L. Boyer 218 Hummel Ave. Lemoyne, Pa. 17043 Subject: Hummel Ave. September 16, 2010 The agreed upon price for the repair at the above stated property being ~ 625.00.(labor & Material) This is to include: tear off of old decking and carpet Replace the decking with 3/4 in. T/G Plywood Add blocking to support wood (frame) Add hand rail at end of porch Hang replacemem Screen door on second level {Provided by customer) and or Replace screening in old frame Up start :375.00 ~ ~~ Upon completion : ~~ j Total; 625 1 L~~~°y``~ ~"/ ° o ~~a~- R~r ,~ l' ~~;~~ c~' ~ ,~c J ~.~`e ~ l~ Y~ r RECEIVED FF ODOR RENT 1~OR ACCOUNT PAYMENT BAL. DUE ATE utl ~© ~0. V 1 ~ ~ J O 1 J $ ~MENT ' DOLLARS Q CASH HECK FROM ORDER CREDIT CARD BY Address: TO BAPTISTE ROI We accept Visa. Mastercard & Discover 144 HUMMEL AVr Please make check or money order payable to. GOLDEN LIVINGCENT~R -WEST SHORE LEMOYNE. PA 17043-1946 - __. __ ,,,,,,~ Please ~eracn top portion, and return With. you%remrttance Golden Living PO Box 644407 Payment Due !upon receipt Pittsburgh PA 157,64 Other. Charges,may follow . Payment is considered Past Due if not received by i/1/2011 Retain thrs p:ntion nt the stsremvn: lnr Veur ~eccrds /' n Name j v 'Gf, Account Number FRANCES METZ 00285 42105 Account Summary Balance Folwar~ Charges , Credifs : payments 50.00 575 OC $0.00 50 Op Date/Period Covered Description 12/1/2009 12/6/2009 Balance Forward 12/7/2009 12/20/2009 Insurance Co-Pav Payment Due upon receipt Other Charges may follow Payment is considered Past 13t~e if not received by 1/112011 Notes nor BiliinG Inquiries please call: 866-325-5606 Statement Date 12/2212010 8tLt2ur ;"pi ~ 00 Qty/Days Amount $0.00 $75.00 Total Due ,°x75.00 Page: 1 of 1 Image Print ~~~ EST ~F FRANCES E YF[~ ROt R BAATJS7E ILD111STR 144 RUNNEL AYE ~h1t31!NE. PA 17D+I:i-7gt0 Vsv ~ ~ r } tyrdy u ~-' ~~~~ rNCe.~:~w ao ~~ # ~ / ~~_ ~:0~ ~3 ~ 27~~4 50D~,4B3 95++' '~ ~~$ r4127~313 ---~ tai '.. ll~oll,ri +~ ~" '~ ~ . • ~ .a .~ ~ 4 ~ ~~ ~ ,~ .-~ ~ .. ~ . . ~D l' - (W,• . ti~ ~ ~ N ~ ~ ~ 1M' ~ ~ ~ • < _ <.h: ~ ~ ~ ~ ~ay'~ ~st~: t L .:J~ ' ~ ' ~: ~ ~ ~~ ~ ~~ f tt ll ~~ t tf ~A P! iZ' ' ~ ~ - ~. ~t L ti+' i ~. ~ ~ ~ i httns://www.c_ ct,pncbank.com/IMGPRINT.html Page 1 of 1 V )~ 1 t 1/6/2011 ~l $ ._ ti:s it A']~'r~`. ~ ~ s..~+t, ~a ~~:.'a t"1°tF i'~~.,y,~v-. t~~~~i4 "`}„ ~ ~~,g~s~ fie' ,.a. ,~~;~,~~ A~~i ~.., ,. :k +`~'- -. 't .....:: i-u .'~ ~ a ~#.a~,ni-~~ a'fi~t•~ .a_ s .c,. ~~. ~4e ~xerts'~ a,..,'~~.': ar. ra.n`~ . V(G'!'~°~019 Manage Your Account ~' Phone Number ;Account Number Notice Date i My Account at verizon.coMpayonline ~ 717-763-8749 1717 763-8749 593 95 Y 11/05/2010 MISS FRANCES E METZ 219 HUMMEL AV LEMOYNE PA 17043-1949 ~~ G :-® Pay yourbil/quickty by phone Call 1-800-34;5-6563 any time day or night. Valued customer, Our records show atone time you were enrolled in or you have recently requested to be enrolled in Verizon's automatic direct payment option. Unfortunately, we have been unable to successfully obtain a t under this plan. a result, you ccount is now past due with a balance due of $23.98. If you recently requested to be enrolled in the direct payment option and you are aware that your bill is past due, there is no action required at this Ume. Please understand that the first payment deducted from your account will be for the full amount of your Venzon bill If you are currently enrolled in the direct payment option, the plan will be removed from your account, and it will be necessary for you to submit a payment in full by 11/15/10. , If a payment in full cannot be made by 11/15/10, or you believe you have received this correspondence in error, please contact our business office. To pay your bill online, visit our website at www.verizon.com (no fee).Or arrange for electronic funds transfer from your bank account by calling 800-345-6563, (24/7) (third party fee applies). (Continued on Page 2.) )..l Save Time! Manage your account online at verizon.com Verizon Direct Payment Option. To enroll, please read and sign the agreement on the reverse side of the payment form below If payment has been made please disregard this notice and accept our thanks. If you have questions regarding this matter please call us toll free at 1-800 281-8584 Direct Payment. Enrollment Online Billing & Payment Questions about your bill? venzon.com/billpay I verizon.com/billvievv ~ venzon.cam or 1-800-VERIZON (1-800-837-4966) ~J Image Print (ate. ~:w~_r..A~-:?+,ai~'.i~,:i,~ t`., ~ ~~~ EET OF FRA,NCEE E METZ poi a e~t~~rF ~tws~ta 74t Ht,AHlil®t.11YE LD~ICYNE. PA ~70iS~1YYN ~~~-~ ,~~ /G~~fs,~~t /! F~ ~. ~~°"'= ~:0 3 ~ 3 ~ ~ ~ 38~: SOOti~.a 3495~10o f ,~QOO ~~~~~o~ ~~ 1U01 g1!]7A~3 117 Page 1 of 1 ~~ ~ ~ = L Image Print '~' ~~~ E8T ~ FRANCEB'E MET1 RQ! R QAPTiSTE ~MSTR 1+14 HtJWHELI0.YE l~JILQ1fNE. PA 1704#ii~ ~~ ~ R~ Omer ~rl_ 1042 ~n f ~~ ~~~~~ fit' ^rt, V ~- b10 ~ ~ "~ , ~ ~ ~ CrlwtpK F/ /~ fiD~t~ JrY~/~I~ff ~ - - ~ i:D ~ L 3 L ~'?' 38~: 50D44$ ~~.9~ L 2 +~ D D i 1~.39.~ ..... ~.. Page 1 of 1 ~ _hb 3y~f ~..- i .s~a~3 ~'s ~~s • ~ ~ ~y ~ • ~ W ~ O ~~XwO*`~ ~~~`~1~ . ~ ` `~ ~ ~ ~~ ~~y ~. Q Q a ~1 ~ 1 ~ i . ~ ~ • ~ Y r ~~ ~ ~ ~ a ~ C~~' a !S ' ~ ~ Y#, ~yy. '~ Ji i ~ ~~, t ~i 3w y _ ~ a w S a ~~ V ^ ~ spa ~ ~~ ~~ ~•:~~~~ ~ ~ ~ ~ . ~i3 ' ~ ~ ~ r?r G ~ ~ • ~' ~ .~: ter- s;~- f ~i ~w~r «i,? = r r .. ., ~~~ ,. ~ Z !« _ .. ... . A.~ ~ , t ~ https://www.cct.pncbank.com/IMGPRINT.html '(~ ~I 1/6/2011 4 STATEMENT ADDRESSEE: ~uf~~~uf~~~nn~n~n~~n~l~f~ Metz, Frances E 219 Hummel Ave Lemoyne, PA 17043 ^ Please check box If above address is incorrec± or insuranceinformation has changed, and indicate change(s) on reverse side. -- IF PAYING BY CREDIT CARD, FILL OUT BELOW __ CHECK CARD USING FOR PAYMENT ~ ~ ~ _ ~ ~ SCOVER STERCARD Ii L ~ VISA CARD NUMBER AMOUNT SIGNATURE EXP. DATE STATEMENT DATE PAY THIS AMOUNT ACCOUNT NBR 10/11/10 $114.39 81057 SHOW AMOUNT PAID HERE $ REMIT T0: Orthopedic Institute Of PA 3399 Trindle Road Camp Hill, PA 17011 PLEASE DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT (717)761-5530 INSUR PATIENT DATE DESCRIPTION OF SERVICE AMOUNT BALANCE BALANCE BALANCE OCK MD, RICHARD 03/11/10 ENCOUNTER 1844770 FOR FRANCES WITH HALL 03M,.1~1.0 _ _ _ ,~ ++~1n~asi~ ~ " .~ Q z :J33~~`. T a ~ ~ d~~~.~~:{ .~`:'~ ~,..~. ~ ,.. `. .. ~_ ._ ~.. $24 OO~xa.~: ~~ ~.. ,. 05/06/10 1 B Shield Pa t;PR2 (Coinsurance Amount)) 7 ~ 5' ti r Ari u t ) ~~ e l~~ ~! ° ~ -$3 02 64 ~'2D ~ ~ ~ ` ~ ~ p5(p~,l 4~u .. nc+ ~ ~ ?~ ,~~QinBU to n ) ~ _ ~ , ~> !~ :. . 1E ~ ~1 ~ e ~ - ... _ ,. y ~.... ~ . . . r 06/02/10 MPC Pa X= 1 O 565 F~C 'N N E 7 $0 34 1 ~ti0-. ~ ~ 31~1/1b _. - ~~ A1V ~ ~ ~ 3 S .. _: <. ~ ... _ ..> . ~ - _ ,~ _ 05/06/10 B Shield Pay (PR3 (Co-payment Amount)) -$18 96 05~0~('!tl; ..."•.~ B~Sh~oiddt~J(P.~t3~..(Copaymerlt~Ariloun#)~.; .. ,, _ .. .. ',~r_ ~_ ;' .:~~32ti4. -ti _ 06/02/10 MPC Pay -$10.00 }.,;:, a . .... ~ '," '` ~ .a..., ., .. 1,. ,_ ... ENC UN+~~R'fOTQL , ._;:$0.00: 0.00 Q J. - $D OQ K°.~ .$0'.00 06/15710`.'ENCQ:UMTEF~ ~82i34$~1~QR FRANC~3 iIVI~~H HALLOCK Mid,"i~IGHARl3 ~';' _ .' '"° ~~ ::. "'"`. 06/15/10 90000 -Global Visit $0.00 ~~. iD , M1 2~1Dr.I~~~.~~~~1~CT, JOINl'~I~SIf~~`:~ __ .. _... .. ~r ~ . . $102.Ob - _. .. $7'I X78.. 07/23/10 B Shield Pay -$71.78 _.e ._. .. # .. ._. . 09/30/10 B Shield Pay $71 78 t~615/~Q:~ : ' ~IE~lIf1~I;JECT; JOINT/BURSA.. ,. 20131 0 _ . _ . ` I l-;: ~ . ~1~i~13(x: "~: - $35.89 ':,; , , . 07%23/10 .. ... . B Shield Pay , _.._ . -$35 89 - 87/23/10 .: .: " , ~&Sh'ield,Attj' ,. ..;:, .. . °'~. ~. ... y- `'~" _~~g 11~; `' ..._ . 09/30/10 B Shield Pay $35.89 08/15110 " .. ... . J3302 - Triar>acinolone diacetate inj {QTY 24~;, " . ...: ~ ; '_ ,~ `" $48.x0. , ~: $6.72_ 07/23/10 B Shield Pay (PR2 (Coinsurance Amount)) -$6.05 D72$71'~ :; ~ Sfiiield Adj (PR2 "(Coin"sut~rice Amourtit));. ` :' `.~.:' ... "' _.-$4~.~8',; : .: -- :.:-- ,": °; .:" : 09/30/10 B Shield Pay $6.05 ,. . `. _ ENCOUNTER TOTAL: ~; :' $114:38 $l).00 $1'f4 39 ;~ $114.38 :.., The remaining;baiance is your responsibility' ,_ . .:.. ,, , ,.",. ACCOUNT NBR CURRENT 30 DAYS 60 DAYS 90 DAYS 120 DAYS TOTAL ACCOUNT BALANCE 81057 $114.39 $0.00 $0.00 $0.00 $0.00 $114.39 MESSAGE: If You Have Questions Call 717-761-5530, Option 3 ** PAYMENT DUE UPON RECEIPT * THANK YOU ** STATEMENT PLEASE PAY THIS AMOUNT »»»» $114.39 PAGE: 1 S S' lH ass sEiY/cE illil1rr~~ Summary for Service to: iANCES E METZ 18 HUMMEL AVE :MOYNE PA 17043 sts Clasaiticaflon: ssidential General filing Period: 3/30/2010 to 09/29!2010 (30 days) Remote Device Read uestions? x11800-276-2722 or write to UGI at )BOX 13009 3ading, PA 19612-3009 wr current UGI charges include xte taxes totaling about $ 2.41. Past Bill Information -UGI Utility ' A* yo ~ . ~ y .:; .~ The acxount balance on ur last bill was $ 25 O6 ~~ '' ................. Thank you for your payment of ...................................... -25.06 216542493619 Your balance as of 10!01/2010 ....................................-tea Curro~ Bill Information -UGI Utility .Customer Charge ............................................................... 8.55 Commodity Charge (14 CCF at $0.81357 .... 11.39 ... Distribution Charges (First 14 CCF at $0. 5071) .... 6.31 PA State Tax Surcharge ................................................... -0.08 PA Sales Tax ....................................................................... _~ Total Current Charges -UGI Utility ................................ UGI Utility charges owed this b(11 .............._......................_......_.............._..................._. S 27.74 Total Amount Due by (10/2212010) .............................................._.....................,..........._. 327.74 Meter Information -Next Rsad Date October 28, 2010 1.30 Average CCF Per Day Meter Number Previous Readln8 Present Reading CCF Ussd 1.17 1186009 4232 (remote) 4246 (remote) 14 1.04 0.91 Messages from UGI 0.78 ^ Your current price to compare is S 0.82458 /CCF. 0.65 ^Your total annual usage is 249 CCF. Your average monthly usage is 20 CCF. 0.52 0.39 ^ Halp prevent pipeline damage, accidents and service disruptions. Call 811 before you dig. 0.26 ^ Sign up to view and pay your future UGI bills online at wvnn+.ugi.com. 0.13 "' n nn SONDJFMAMJJAS 2009 Months 2010 Last This r gage Year Year 1`/day 0:58 0.47 _ Kee this rt for fly temperature 6 °F 69°F P Pa your records. I t t i f ti i th b k f thi i ~\ mpor an n orma on s on e ac o s b ll. uGl utilities, Inc. Customer Number The amount due will be PO Box 71203 216542493619 deducted from your H Philadelphia, PA 19176 checking accamt on •At lII Y/CE October 22, 2010. October 22, 2010 AV 01 004675 274948 16 A**SDGT ~~ It. ~ ~ II JI I ~ 1 ,~ ~1 1.1 ~ , .,If ~~ ,N~ ~ ~ 1 rat ~ (~It ~ ~~ ~~~ ~ ~ 1~ I I ~~~ ~ t ~I 1~ 1 FRANCES E MET2 ABC PLAN 219 HUMMEL AYE ~ ~ LEMOYNE PA 17043-1949 ~ ` ' ~ ` AfBC PLAN 280 216542493619102201000027740000350000000000000000000007 00024062785780000000000004928013 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 218 Hummel Ave 025327 1 AV 0.335 1327/25327/007327 703 7 PCLT87 I~~~III~,~111~~~~1~~1~~11„~~lit~t~~~l~~tl~l~~~~~lll~l~~~~l~ll FRANCES METZ 219 HUMMEL AVE LEMOYNE PA 17043-1949 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 i~~~ll~l~l~~~l~l~l~l~ll~~~l~~~l~l~~l~~~ll~~l~l~~ll~l a Please check here to add H2aHelp to Others contribution io your monthly bAl or to change your aaldrees or telephone number, and print information on reverse srde. Customer Account Information Btlling Summary For Service Ta: Frances Meu ------Prbr 8uianc 218 Hummel Ave Prior Water Balance.. AcoouM Number: 24.0627857-8 Pt3ar F~afanoe t~tlter premise Number: 24-0371014 Pay-»ents prior b Sep 10, 2010. Thanks, Total prier balance, Sep 10, 2010 B/lling Period & Meter lnformat~n ----Current Water Chargra------ BiNing iQate: Sep 10, 2010 Servitaa Charge Billing Period: Aug O6 to Sep 0T (32 days) Water Volume (~ r?AT990 x 2,7~) Next reading on/about: Oct 06, 2010 STAS P4WC Water 0.45% Hate Type; f3esidential DS1- PAYYC Charge 0.9690 Total t+valter charges, Sep 10,2010 1Aeter readings in current billing perWd: --.----Other Current Charges.------ Meter.Number N04t266839 is a 5/8-inch meter. Cusbmer Protection Sewer line Present-actual 708300 Cusbmer Protection Water L'ne Last-actual 705600 Total other charges, Sep .10, 2010 t;albns used 2700 -----AMOUNT DUE Do not send-payment. ToW Amount troth your bank ttocount on Ssp 90, 2 Water Usage Comparison Monthty usage in hundred gallons. b :~ :~ 2 - 3 ,.... 1 $30.79 $14.50 -45.29 .00 13.00 21.30 .15 .33 34.78 9.00 5.50 14.50 $49.28 will be deducted rho p e o o e a g e~ y n f 9 P ~ ~ V `~ 0 p t v c n 9 00024062796000000000000004049019 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 219 Hummel Ave 025337 1 AV 0.335 1337125337/001337 103 1 PCLT87 111111111111/111111111111111111111111111111111/11111111111111 E F METZ 219 HUMMEL AVE LEMOYNE PA 17043-1949 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 1111111111111111111111111111111111111111111111111111 Please check here to add H2O-Help to Others contributan to your monthly bill or to diange your address a telephone number, and print information on reverse side. Customer Account information Billing Summary For Service To: E F Metz ------Prior Bata - 219Hummel Ave Prior Water t3alartce Account Number: 240627960-0 Prior Balarace Other Premise Number: 24-0371076 Payments Friar to Sep 10, 2010. Thanksl Total prior balance, 10, 2010 B/INng Period & Meier Informs#-on ------current Water ~t~rge~----- BiI1Mg Dat9: Sep 10, 2010 Servica? Charge Billing Period: Aug 06 to Sep 07 (32 days) Water Volume F~.ap7890 x i, soo) Next reading oNabout: Oct O6, 2010 STAS PAWC iMater 0.45% Rate Type: Residential L1S1- PAtMC Charge U 96'90 Tatal:water cfiergea, Sep 10, 2010 Meter readings in current billing period: ------Other Currant CMrg~------ Meter Number N041266841 is a 518-inch meter. Custnmer Proter~ion Sewer tine Present-actual 233600 Cusromer Prote+c~ian Water erne Last-actual 232000 Total other charges, Sep 10, 2010 Galbns used 1b00 ----»-AMOUNT DUE ----------- Do not send payment. ToW Amount Due hom your frank account on Ssp 90, 2010 Water Usage Comparison Morrlhly usabe in hundred oallons. 2 i i 0 9 $29.19 $14.50 -43.69 .00 13.00 12.62 .12 .25 25.99 9.00 5.50 14.50 ~~ $40.49 be deducted ~~o S O N D J F M p A M J J A S p i v c n b e r y n r g p 1 0 ICE Iltnpp Summary for Service to: ANCES E METZ 0 NUMMEL AVE MOYNE PA 17043 ate Classlflcation: isidential General Iltrg PsNod: 1/30/2010 to 09/29!2010 (30 days) Remote Device Read restions? dl 800-276-2722 or write to UGI at 180X 13009 rading, PA 19612-3009 or current UGI charges indude ate taxes totaling about $ 0.56. Past Bill Information -UGI Utility The account balance on your last bill was ................. $16.09 Thank you for your payment of ...................................... -16.09 216542356003 Your balance as of 10/01/2010 ....................................-~'a'6 Currant Bill Information -UGI Utility Customer Charge ..........................................................._.. 8.55 Commodity Charge { 7 CCF at $0.81286} .................. 5000) 4 .. Distribution Charges (First 7 CCF at $0 5.69 3.15 x ::::: : PA State Tax Surcharge .................. Total Current Charges -UGI Utility ................................ 17.34 UGI Udllty charges owed this bhl .........................._...._........_............................,............ $17.34 Total Amount Due by (10122/2010) .........................._....................................................... :17.34 star IMormaUon - Nsxt Rsad Date October 28, 2010 star Reading Irrfornratlon Msisr Number Previous Rsading Pressrrt Rsading CCF Used 1115648 3282 (remote) 3289 (remote) 7 sssagss from UGI wr current price to compare is $ 0.82458 /CCF. cur total annual usage is 86 CCF. Your average monthly usage is 7 CCF. dp prevent pipeline damage, acddents and service disruptions. Call 811 before you dig. N: gn up to view and pay your future UGI bills online at www.ugi.com. cur bill does not display a usage graph because your average daily usage is too low. Keep this part for your records. Important InfoFination is on the back of this bill UGI utilities, Ina Customer Number The amount due will be Po Box 71203 216542356003 deducted fmm your Philadelphia, PA 19176 checking arxxtunt on sus sssriee October 22, 2010. >y, : ~ ., RG z-. '~ s_ - 2010 Octaber22,. AV Oi 004670 274948 18 A**5DGT ,,,N1.1 „i11 ,,, ,+,,i,dii~lil, ii ~ • 8 I { Itl1 I I t ~liNi11111 I ~ !! li 1 l i t )1t r FRANCES E MET2 ~ ~ 219 liUMMEL AYE wr LEM~OYNf PA ~7043i-1949. ~ ~ , ABC PLAN 280 216542356003102201000017340000220000000000000000000006 PL~~T~~1VijI~I~S~,P~F~TI®~I,_LVI~~i YOUR PAYMENT TO: I DATE DR. PATIENT PROCEDURE DESCRIPTION AMOUNT CODE F' ~'{ ~:. !,t 1 !..! 4_I j ~"~ F-1 i_. !=1 r`~ IN E '- -- % ,`~. ,. 1 ! „ ' .i. ' Bill Balance--} iGiR;~i?~7 1~_':~ 1~~:'~:`~:~.i r, c. r~~r••:a.ri~~<~~ :'i~~1iL1 i:i~~~:{; i ~~ c~~='. i~iii:i 1-' i cl f~ E° •~ ,: m r rl'~: 1 k ~'+ .L .l k_ c f,• , ;'~ l,j- {~ ::~ .~' i r' 1 ~'! A t9 . j ~.! ~ t: ir! ~ n •L ,=' E n r, <~ v 2 v 1;3. 1 F~ °- B:i 11 Balance--} ~:!„ C~iZ.! C 1 ; ` ~. r ;' 1 ~~ ,~ t~ ~~ f= r- .:~ i , L to . 'r i O 1 b'.1 t:,° Fi e i3 .~ 'i V c 2 .. ~~l •.%~~: i,r, ik"~ F':l~~r, F~'taymHnt 11~4~~::;'1 ~ :' 4~ . l.J "!~ ~• ~~ i i 1 ~:,:' : ~r i-i U , j ~.~ ~_.'l- m ~_ r•~ i. ' ~ !i,°r .- y a v 1::; . 1 e:, _. Bill Balance--} >~'~„ 4'!i?, >c~ :' i 1 ~ r 1 ~1 n c.' F• r' a n c ~ ~ r ~ ~ ~: ~'~ !-i i i~ ~ I r~ c 1 f=' e 1 '. i ~ ;;,.~} . IL'i ~,"i 1~:'-,-:r !='3 a!t F';:aym~r~t : FSti456'~~:;~ ~' p --• 14'x. ~3' i ;~ :' ~: ~~,' i ~"! ~°~ U . j ~., s ~ ,n ~ r. f.. r~1 ~~ U i c; t r, ~ ~~ ~Z~ . >+~' _ Bi i 1 Balance--> ~::°. °~~:: .a ///A~ ' r '~9~ / L Medicare has paid its share of your bill. This statement is for the L~ir i~iaC:i^: ' 1• L~ I Sf=i, h'iC iC ii I SCuVF ti. amount payable ~i=~L.f.._ L!P S E P4ti I NF"Oi'~rrl~ll- I OI~I. directly by ,you to us. Please remit. :t l= ,,=t~LL a'i~~iYt<1Ei~~JT IS i'vCi"!' Rkt=:FrIVEi~ fi t*1C~t~~THL'r Sir R!1 i rE: CHF=IRC;E ~:I Li_ E1E h'~L"~D~EI~ TO 'r'i.7U,^c Rr=liLi=li~~C+~. PAY THIS AMOUNT , Q,. ~k'I C~. its 1