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DECEDENT'S ESTATE
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF MARJORIE A. FITZPATRICK
No. 2012-00004
DECEASED
PETITION FOR ADJUDICATION /
STATEMENT OF PROPOSED DISTRIBUTION
PURSUANT TO Pa. O.C. Rule 6.9
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This form may be used in all cases involving the Audit of the Account of a Decedent's Estate. If
space is insufjrctent, riders may be attached. Attach the spouse 's election, if any; the papers
required under items 8-19 inclusive; and any instrument pertinent to the adjudication.
INCLUDEATTACHMENTSAT THE BACK OF THIS FORM.
Name of Counsel: THOMAS E. FLOWER
Supreme Court I.D. No.: 83993
Name of Law Firm: FLOWER LAW, LLC
Address: 10 W. HIGH STREET, CARLISLE, PA 17013
Telephone: (717) 243-5513
Fax: 717 241-4021
Form OG01 rev. /0.13.06 Page l of 10
Estate of MARJORIE A. FITZPATRICK
1. Name(s) and address(es) of Petitioner(s):
Name: JOHN H. KLINGLER, C.P.A.
Address: 1156 WALNUT BOTTOM RD. STE #2
CARLISLE, PA 17015-9130
Deceased
Identify any executors or administrators who have not joined in the Petition for
Adjudication and Statement of Proposed Distribution and state reason:
NONE
Is this the first accounting by this fiduciary? ..................... ~ Yes ~ No
If not, identify prior accountings, the accounting periods covered, and the date of
adjudication of the prior accounting.
2. Decedent died on NOVEMBER 12, 2011
® Letters Testamentary or Letters of Administration were granted to Petitioner(s) on
JANUARY 3.2012
Date of Will (if applicable): JULY 22, 2008
Date(s) of Codicil(s) (if applicable): NONE
Date of probate (if different from date Letters granted): N/A
Was a bond required? Yes ~ No If yes, state amount:
Are proofs of advertising of the grant of Letters attached? ......... m Yes 0 No
Dates of advertising of the grant of Letters: JAN. 6, 13 & 20, 2012 (The Sentinel);
JANUARY 13, 20 & 27, 2012 (Cumberland Law Journal)
FormOC-01 rev. 10./3.06
Page 2 of 10
Estate of MARJORIE A. FITZPATRICK
Deceased
3. Was decedent survived by a spouse? ............................. Yes ®No
If yes, name of the surviving spouse:
4. Has the surviving spouse filed to take an elective share? ............. Yes ~ No
(See Section 2201 et s_g. of the Probate, Estates and Fiduciaries Code)
If yes, date of election:
5. In the case of an intestacy, state the names of the decedent's surviving children or
surviving issue of deceased children (if none, so state):
NONE
6. Did decedent marry after execution of Will or Codicil(s)? ........... ~ Yes ~ No
Were any children born to decedent after execution of
Will or Codicil(s)? ........................................... ~ Yes ~ No
If yes, give names and dates of birth:
Name: Date of Birth:
7. If required by the Medical Assistance Estate Recovery Act,
62 P.S. § 1412, was a request for a statement of claim sent to
the Department of Public Welfare? .............................. Yes ~ No
Form OC-01 rev. 10.13.06
Page 3 of 10
Estate of MARJORIE A. FITZPATRICK
Deceased
8. Written notice of the Audit as required by Pa. O.C. Rules 6.3, 6.7 and 6.8 has been or will be
given to all parties in interest listed in item 9 below, all unpaid creditors and all claimants
listed in item 10 below. In addition, notice of any questions requiring Adjudication as
discussed in item 14 below has been or will be given to all persons affected thereby.
A. If Notice has been given, attach a copy of the Notice as well as a list of the names
and addresses of the parties receiving such Notice.
B. If Notice is yet to be given, a copy of the Notice as well as a list of the names and
addresses of the parties receiving such Notice shall be submitted at the Audit
together with a statement executed by a Petitioner or counsel certifying that such
notice has been given.
C. If any person entitled to Notice is not sui juris (e.g., minors or incapacitated
persons), Notice of the Audit has been or will be given to the appropriate
representative on such party's behalf as required by Pa. O.C. Rule 5.2.
D. If any charitable interest is involved, Notice of the Audit has been or will also be
given to the Attorney General as required under Pa. O.C. Rule 5.5. In addition, the
Attorney General's clearance certificate (or proof of service of Notice and a copy
of such Notice) must be submitted herewith or at the Audit.
9. List all parties (charitable and non-charitable) of whom Petitioner(s) has/have notice or
knowledge, having or claiming any interest in the estate as beneficiaries under the Will or
Codicil(s) or as intestate heirs if there is a complete or partial intestacy:
A. State each party's relationship to the decedent and the nature of each party's
interest(s):
Each Parry in /merest
G. PATRICK FITZPATRICK BROTHER 1 /2 RESIDUE
2 BERNARD GIBBONS DR.
APT # 108 GREAT
BARRINGTON, MA 01230
MICHAEL P. FITZPATRICK BROTHER 1 /2 RESIDUE
123 EAST STREET
GREAT BARRINGTON, MA
01230
Form OC-01 rev. 10.13.06
Page 4 of 10
Estate of MARJORIE A. FITZPATRICK
Deceased
Name and Address o Each Par in Interest Relationshi and Comments, t an /merest
1. St. Patrick Catholic Church charitable bequest $500
Pomfret St., Carlisle, PA
2. Project Share charitable bequest $500
Orange St., Carlisle, PA
3. College of Our Lady of the charitable bequest $500
Elms, Class of'S7 fund
Chicopee, MA
B. Identify each party who is not sui juris (e.g., minors or incapacitated persons).
For each such party, give date of birth, the name of each Guardian and how each
Guardian was appointed. If no Guardian has been appointed, identify the next of
kin of such party, giving the name, address and relationship of each.
NONE
C. State why a Petition for Guardian/Trustee Ad Litem has or has not been filed for
this Audit (see Pa. O.C. Rule 12.4).
N/A
D. If distribution is to be made to the personal representative of a deceased party,
state date of death, date and place of grant of Letters and type of Letters granted.
N/A
Form OC-01 rev. 10.13.06 Page 5 of 10
Estate of MARJORIE A. FITZPATRICK
Deceased
10. Other than the claim for the family exemption, list the names of all known claimants and
the amount of their claims and state whether each claim is admitted.
Name and Address of Each Claimant Amount of Claim Claim Will Claim
Admitted? Be Patd /n
Fu1!?
NONE Yes DYes
~No ~ No
Yes ®Yes
~No ~No
DYes ~ Yes
~No ~ No
DYes ®Yes
~No ~ No
If the estate is insolvent, attach a schedule setting forth the order of preference under
20 Pa.C.S. § 3392 and the proposed payments.
11. Was family exemption claimed? ................................ DYes [~No
Was family exemption allowed? ................................ DYes ~No
Family exemption claimant's name and relationship:
Name: Relationship:
Form OC-01 rev. 10. /3.06
Page 6 of 10
Estate of MARJORIE A. FITZPATRICK
Deceased
12. The amount of Pennsylvania Transfer Inheritance Tax and additional Pennsylvania Estate
Tax paid, the date(s) of payment(s), and the interest(s) upon which paid, are as follows:
Date Payment Interest
08/15/2012 8,630.79 0
13. On the date of death, was the decedent a fiduciary
(personal representative, trustee, guardian, agent under power
of attorney) or surety on the bond of a fiduciary? ................... ~ Yes m No
If yes, provide the name of the estate, indicate whether an account has been filed and
confirmed absolutely and all awards performed, or, in the alternative, how the
decedent's estate will be discharged for the decedent's fiduciary administration of the
estate.
14. A. Describe in detail any questions requiring adjudication and state the position of the
Petitioner(s) as to each question:
NONE
B. Has notice of the question requiring adjudication been given
to the parties identified in Paragraph 9 above? .................. ~ Yes ~ No
15. If Petitioner(s) has/have knowledge that a share has been assigned, renounced, disclaimed
or attached, provide a copy of the assignment, renunciation, disclaimer or attachment,
together with any relevant supporting documentation.
Form OC-01 rev. 10.13.06 Page 7 of 10
Estate of MARJORIE A. FITZPATRICK
Deceased
16. Had the decedent been adjudicated an incapacitated person? .......... ~ Yes ®No
If yes, attach a copy of the Order if available; otherwise state the Court, term, number,
date, and name of Hearing Judge.
17. A. List or attach a separate list of additional receipts and disbursements since the closing
date of the Account.
NONE
B. Has notice of the additional receipts and disbursements been
given to the parties identified in Paragraph 9 above? ............. Yes ~ No
18. If a reserve is requested, state amount and purpose.
Amount:
Purpose: NSA
If a reserve is requested for counsel fees, has notice of the
amount of fees to be paid from the reserve been given to the
parties in interest? ........................................ Yes ~No
If so, attach a copy of the notice.
19. Is the Court being asked to direct
the filing of a Schedule of Distribution? .......................... Yes ~No
As to real estate only? ........................................ [,Yes ~No
Form oc-o! rev. !0.13.06 Page 8 of 10
Estate of MARJORIE A. FITZPATRICK
Deceased
Wherefore, your Petitioner(s) ask(s) that distribution be awarded to the parties entitled
and suggest(s) that the distributive shares of income and principal (residuary shares being stated
in proportions, not amounts) are as follows:
A. Income:
Proposed Distributee(s) AmoundProportton
N/A
B. Principal:
Proposed Distributee(sJ
G. PATRICK FITZPATRICK
MICHAEL P. FITZPATRICK
Amount/Proportron
l/2
1/2
Submitted By:
(All petitioners must sign.
Add additional lines if necessary):
Form OC-01 rev. !0.13.06
Page 9 of lO
Name of Petitioner:
Estate of MARJORIE A. FITZPATRICK
Verification of Petitioner
(Verification must be by at least one petitioner.)
Deceased
The undersigned hereby verifies * [that heishe is rare
of the above-named name of corporation and) that the facts set
forth in the foregoing Petition for Adjudication / Statement of Proposed Distribution which are
within the personal knowledge of the Petitioner are true, and as to facts based on the information
of others, the Petitioner, after diligent inquiry, believes them to be true; and that any false
statements herein are made subject to the penalties of 18 Pa. C.S. § 4904 (relating to unsworn
falsification to authorities).
* Corporate petitioners must complete bracketed information.
Certification of Counsel
The undersigned counsel hereby certifies that the foregoing Petition for Adjudication/
Statement of Proposed Distribution is a true and accurate reproduction of the form Petition
authorized by the Supreme Court, and that no changes to the form have been made beyond the
responses herein.
C~~ - __
Signature of Counsel for Petitioner
ForneOC-01 rev. 10./3.06 Page 10 of 10
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
In Re:
Estate of Marjorie A. Fitzpatrick, No. 21-12-0004
deceased
Late of Carlisle Borough
RELEASE
KNOW ALL MEN BY THESE PRESENTS, that PROJECT S.H.A.RE., of 5 N. Orange
Street, Carlisle, Pennsylvania, beneficiary named in the Last Will and Testament of Marjorie A.
Fitzpatrick, does hereby acknowledge receipt of and from John H. Klingler, Executor of the said
decedent's Last Will and Testament, the sum of Five Hundred ($500) Dollars, in full satisfaction
and payment of such bequest under Item Third thereof.
THEREFORE, PROJECT S.H.A.RE. does by these presents release and forever
discharge the said executor, and his successors, of and from the payment of the said bequest.
IN WITNESS WHEREOF, the undersigned, being authorized by the governing body of
PROJECT S.H.A.REr. to execute this Release on its behalf, has hereunto executed this Release
the 1 b"'~ day of '~2b~-u ~~_, 2012.
PROJECT S.H.A.RE.
Cho u -3'L Ta-~-f
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
In Re:
Estate of Marjorie A. Fitzpatrick, No. 21-12-0004
deceased
Late of Carlisle Borough •
RELEASE
KNOW ALL MEN BY THESE PRESENTS, that St. Patrick's Catholic Church, of 152
E. Pomfret Street, Carlisle, Pennsylvania, beneficiary named in the Last Will and Testament of
Marjorie A. Fitzpatrick, does hereby acknowledge receipt of and from John H. Klingler, Executor,
of the said decedent's Last Will and Testament, the sum of Five Hundred ($500) Dollars, in full
satisfaction and payment of such bequest under Item Third thereof.
THEREFORE, St. Patrick's Catholic Church does. by these presents release and forever
discharge the said executor, and his successors, of and from the payment of the said bequest.
IN WITNESS WHEREOF, the undersigned, being authorized by the governing body of St.
Patrick's Catholic Church to execute this Release on its behalf, has hereunto executed this
Release the ~ day of 6~2u..QR.c.~_ , 2012.
i~
St. Patrick's
h lic Church
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
In Re:
Estate of Marjorie A. Fitzpatrick, No. 21-12-0004
deceased
Late of Carlisle Borough
RELEASE
KNOW ALL MEN BY THESE PRESENTS, that the Class of'S7 Memorial Scholarship,
College of Our Lady of the Elms, of 291 Springfield Street, Chicopee, Massachusetts, beneficiary
named in the Last Will and Testament of Marjorie A. Fitzpatrick, does hereby acknowledge receipt
of and from John H. Klingler, Executor of the said decedent's Last Will and Testament, the sum of
Five Hundred ($500) Dollars, in full satisfaction and payment of such bequest under Item Third
thereof.
THEREFORE, the Class of 'S7 Memorial Scholarship, College of Our Lady of the
Ehns, does by these presents release and forever discharge the said executor, and his successors, of
and from the payment of the said bequest.
IN WITNESS WHEREOF, the undersigned, being authorized by the governing body of the
Class of'S7 Memorial Scholarship, College of Our Lady of the Elms, to execute this Release on
~ r
its behalf, has hereuntb executed this Release the ~ day of !" ~~~'//~ ~ 2012.
Class of'S7 Memorial Scholarship,
College of Our Lady of the Elms
B}L~ r( ~/j "1 / f r~
PROOF OF PUBLICATION
State of Pennsylvania, County of Cumberland
Tackie Cox, Sales Director of The Sentinel, of the County and State aforesaid, being duly
sworn, deposes and says that THE SENTINEL, a newspaper of general circulation in the
Borough of Carlisle, County and State aforesaid, was established December 13,1881,
since which date THE SENTINEL has been regularly issued in said County, and that the
printed notice or publication attached hereto is exactly the same as was printed and
published in the regular editions and issues of
THE SENTINEL on the following day(s):
January 6 and Tanuary 13 and Tanuary 20 2012
COPY OF NOTICE OF PUBLICATION
4,,.
.w.
t~`;
Affiant further deposes that he/she is not
interested in the subject matter of the
aforesaid notice or advertisement, and that
all allegations in the foregoing statement as
to time, place and character of publication
ar
Sworn to
before me this
IZ
Notary Public
My commission expires:
~._
NOTARIAL SEAL
BAMBI ANN HECKENDORN
Notary Public
CARLISLE BOROUGH, CUMBERLAND CNTY
.^v Commission Expires Jan 27, 2014
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 Law
Journal on the following dates,
vlz:
January 13 January 20 and Januar 27 2012
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.
Fitspatsie>k, >![arjorie A., deed.
Late of Carlisle Borough.
Executor: John H. Klingler c/o
Thomas E. Flower, Esquire, Flow-
er Law, LLC, 10 West High Street,
Carlisle, PA 17013.
Attorneys: Flower Law, LLC.
c
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L sa Marie Coyne, Edit r
SWORN TO AND SUBSCRIBED before me this
27 of January 2012
Notary
NOTARIAL SEAL
DEBORAH A COLLINS
Notary Public
CARLISLE BOROUGH, CUMBERLAND COUNTY
My Commbsion Expires Apr 28, 2014
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FIRST AND FINAL ACCOUNT OF
JOHN H. KLINGLER
EXECUTOR FOR THE
ESTATE OF MARJORIE A. FITZPATRICK
NO. 2012-00004
Date of Death:
Date of Executor's Appointment:
First Complete Advertisement of
Grant of Letters
Accounting for the Period:
F~.,,;,. ~~=
,, , +
+F ~. u i iv,l ~T L ~ IS ~ i ~ ~ ~ +-f
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cu~-~~,~~L~,~~~ co., ~A
NOVEMBER 12, 2011
JANUARY 3, 2012
JANUARY 13, 2012
JANUARY 13, 2012 -DECEMBER 7, 2012
Purpose of Account: JOHN H. KLINGLER ,Executor, offers this account to acquaint
interested parties with the transactions that have occurred during his administration.
It is important that the account be carefully examined. Requests for additional information or
questions or objections can be discussed with:
Thomas E. Flower, Esquire
Id. No. 83993
FLOWER LAW, LLC
10 West High Street
Carlisle, PA 17013
(717) 243-5513
Tom@Flower-law.com
SUMMARY
Proposed Distribution to Beneficiaries: $ 54,298.55
Page
No.
PRINCIPAL:
Receipts: 3 128,028.54
Less Disbursements:
Debts & Funeral Expenses 3 (30,771.77} 97,256.77
Administrative Expenses 3-4 (16,077.43) 81,179.34
Inheritance Taxes 4 (8,630.79) 72,548.55
Fees and Commissions 4 (18 2, 50.00) 54,298.55
PROPOSED DISTRIBUTION: 54,298.55
Charitable bequests: 4 (1,500.00) 52,798.55
Residuary bequests: 5 (52,798.55) 0.00
2~1'a~;
PRINCIPAL RECEIPTS
01/03/2012 House & Lot at 1017 N. Pitt Street $ 75,000.00
M&T Bank, funds on deposit 5,601.88
Cash 1,395.85
Cash in Canadian currency 68.66
Jewelry, net proceeds of sale 119.24
Household goods, net auction proceeds 2,668.03
Sovereign Bank, funds on deposit 29,674.58
01/18/2012 Travelers Ins., vehicle loss settlement 10,892.88
02/17/2012 AARP, member dues refund 33.38
02/10/2012 BCBS, return of unused premium 488.93
02/ 10/2012 AAA, member dues refund 19.13
03/05/2012 Bits&Pieces, subscription refund 17.98
05/01/2012 Federal Income Tax Refund 2,048.00
TOTAL PRINCIPAL RECEIPTS: 128,028.54
PRINCIPAL DISBURSEMENTS
DEBTS & FUNERAL EXPENSES:
Wells Fargo Home Mortgage Loan,
Principal balance paid at settlement 23,232.98
Hoffman Roth Funeral Home: 6,270.00
Less, FDLIC Funeral Insurance payment (2,981.72)
Less, FDLIC Funeral Insurance payment (218.99)
St. Patrick Catholic Church Cemetery 1,000.00
Obituaries, Flowers, Honoraria, Memorial & etc. 2,969.50
Michael Kline, Irish wake 500.00
TOTAL DEBTS & FUNERAL EXPENSES: (30,771.77) 97,256.77
ADMINISTRATION EXPENSES:
Probate Fee 323.50
Executor's Notices 264.54
Short Certificates 16.00
M&T Bank, check printing fee 20.00
AAA, notary fee 2.00
USPS & UPS, shipping and mailing costs 695.05
Prorated Real Estate Taxes returned at settlement (921.44)
Donegal Ins., fire & hazard Ins. premium 194.00
Donegal Ins., return of unused premium (180.00)
Insurance, return of unused premium (326.00)
1 TIAA-CREF annuities with combined inheritance tax value of $14,425.31, were declared on the estate's
inheritance tax return, and the resulting tax was paid. These annuities passed directly to the beneficiaries and
are therefore omitted from this account.
3~1?a~e
Prudential Home Sales, commission & fees 4,725.00
' Realty Transfer Tax 750.00
Shaw Law Office, notary & courier charges 40.00
Final sewer/water bill, Borough of Carlisle 103.68
Wells Fargo Home Mortgage,
Mortgage debt service payments 6,215.742
Less escrow balance refunded after settlement (29.65)
Borough of Carlisle Water/Sewer charges 255.34
PPL 77.78
Carlisle Petroleum, heating fuel 575.85
CenturyLink, phone service 75.77
Classic Drycleaners 863.15
Well Done Lawn Care 490.00
Tyler Reitz, maintenance & cleaning 80.00
Klingler & Assoc., 2011 income tax prep 350.00
Essis & Sons, carpet cleaning 53.00
Lil Wonders Cleaning 280.00
Bouder's Trash Removal 900.00
Local personal income tax 9.12
Filing Fee, Inheritance Tax Return 15.00
Final Account filing fee 130.00
Register's Automation & JCP Fees 15.00
Filing Fee, Petition for Adjudication 15.00
TOTAL ADMINISTRATIVE EXPENSES: (16,077.43) 81,179.34
INHERITANCE TAX
Tax payment: (8,630.79) 72,548.55
FEES AND COMMISSIONS:
John H. Klingler, CPA, Executor's Commission 10,750.00
Flower Law, LLC, Attorney Fees 7,500.00
Total Fees and Commissions: (18,250.00) 54,298.55
BALANCE FOR DISTRIBUTION: 54,298.55
Specific Charitable Bequests:
College of Our Lady of the Elms 500.00
St. Patrick Catholic Church 500.00
Project Share 500.00
Total charitable bequests: (1,500.00) 52,798.55
2 This figure includes principal, interest and payments into escrow for property taxes and fire & hazard insurance.
4~1'ag
Residuary bequests: % Share Amount
Michael P. Fitzpatrick 50 % 26,399.27
G. Patrick Fitzpatrick 50 % 26,399.28
Total residuarLdistribution:
......................................
Reconciliation to cash on hand:
M&T Bank estate account balance: $53,372.05
Items to be disbursed:
Register, account filing & advt. fees: (160.00)
(52,798.55)
Flower Law, reimburse costs advanced:
Probate fee: $ 323. SO
CL,1 estate notice: 75.00
Tax return filing fee: 1 S. 00
(413. SO)
Residuary balance for distribution: $52, 798. SS
5~:1'a~e
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF CUMBERLAND )
SS.
John H. Klingler, Executor under the Last Will and Testament of Marjorie A.
Fitzpatrick, deceased, hereby declares under oath that he has fully and faithfully
discharged the duties of his office; that the foregoing First and Final Account is true
and correct and fully discloses all significant transactions occurring during the
accounting period; that all known claims against the estate, which are shown as paid in
the foregoing account, have been paid in full; that, to his knowledge, there are no
claims now outstanding against the estate, except as disclosed in the foregoing
account; and that all taxes presently due from the estate have been paid.
John H. ~lingJ~, Executor
Sworn to and subscribed before me
this /3 day of ~O'1^~Gt 2012.
Notary Public
COMMONWEALTH OF PCNN:YLVANIA
NOTARIAL SEAL
THOMAS E. FLOWER, Notary Public
Carlisle Boro., Cumberland County
My Commission Expires October 26, 2014
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