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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS File Number 21 12 1103
Personal Representative(s) of the Estate of IRENE LENHARDT
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal Assets wherever situate
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valua*m placed omsite :Mcf tem of said
inventory represents its fair value as of the date of the decedent's death, and that Decedent owne nscteal est4eputs 01 the
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this 4ory.
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I verify that the statements made in this Inven- r t1l ;~J-
tory are true and correct. I understand that false state- ~L'S \ _n
Ava I. Shaffer U "r. -*t `rr
ments herein are made subject to the penalties of c~
18 Pa. C.S. § 4904 relating to unsworn falsification to
authorities. r\.) r° rrt
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Attorney (Name) Jacqueline A. Kelly N
(Supreme Court I.D. No) 91973
(Address) 845 Sir Thomas Court, Suite 12 Harrisburg PA 17109
(Telephone) 717-541-5550
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
1100 Grandon Way
9/27/2012 Mechanicsburg PA 17050 1194287763
FIGURES MUST BE TOTALED
Prudential stock 1,967.76
36 shares @ $54.66/share
Wells Fargo checking account 147.18
Account No. XXXXXXXXX1468
Sovereign checking account 17.46
Account No. *7839
PSS World Medical, Inc.; refund 39.00
Emeritus; refund 142.00
AT&T; refund 12.79
Omnicare; refund 34.36
(Attach additional sheets as needed)
TOTAL: 2,360.55
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include the value of each
item, but such figures should not be extended into the total of the Inventory. (See 20 Pa. C.S. § 3301(6))
Form RW-09 rev. 10. 13.06