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HomeMy WebLinkAbout11-21-12n ._. _. >. __ - _ ~ ~...7 c~ ,J ?ry ; ~'` s~; Julie , Caa~pe~•, E:scluire - _ rv , S ,. Gi~agrich, Smith, iingens~~ith and Bolan ~~~ - ~22 S auth Market Street, Suite ~~ 1 ~ a ' _:- ~; - Elizabethtown, PA 17'(l~~ -= . (7 ~ 7~ ~~7- ~ 37 PAS +(717} 3 ~~'~-~~ 1'~ =~ ~ ,, `~' Attorney 1.~. 8~'~~~, ,~.ttorney for Guardian ~ "SHE ~~URT +G~F ~~wl~Il'l'~ PLE~iS C3~ UI1~B~:..~ANI~ G~UNTY~ ~~~N~tS'~L'~'~-IA C~~P~~S' URA ~l-IVISI II'3 RE; GERDA Vii. DRE~'VS An incapa+~itated Person ) No.: ~ 1 ~ 120492 A~F~UA~'4'Z' 1, El~1N ~V'1'1"114E1t, caseworker fir guardian, Neig~iborhood Services of Lancaster, lne., hereby certify that Gne Thousand Six Hundred Twenty and ~~~~00 {~1,620,86~ Doiiars vas paid to Golden T~iving renters to satisfy the outstanding invoice, and fixrther certify that the guuardian, l~eighborhood Services of l:~ancaster, Ync., has established an irrevocable burial resezwe through Pultoii Eai~I~, N.A. Documents dernorstrating the above are attached hereto anal.. marked as Exhibit cs~.i~ I further certify that the regular rnc~nthly payment from the German pension fund will be applied to the incapacitated person' ~ living expenses. s f n ~, ~\ ~~ ~ n ~_ ~ ~~~~ ~~1 ~~ Erin W itrner Sworn to and. Subscribed ,~ ~ before me this I day `~, ~ ~. ~~ _ ~ ~-- - _ ~ _ ~~TM of P NNSrv star Public s~+ case A. r ~~I~abe~owr~ earo, co~ri ~"? t Jufi~ ~n0~i~r - Z(712.11~Jb burial r~s~rvl~ RR~~ P~~ ,, : .... _~~. ..~..~.,~.~~~.,~~ .._ .~ r: :.,; ~~~ ~ _.~x.:;;,.x.:.`_::.u:u~i~.ca.~::..c:va:rsra.t~~r..~n„arc.:~t~t;7~:,...._~:~s:~Yxz a..w..'ri::.tx ~ -:.z: ~«~s.r...<:ar.Y»'.'~.rr r»t_._. • ~ ... .. ~ rya,^:t »t~ :x ~<;,~n ,.n.. ,, ~.i ..,. e Y ~3.t~ar18~a] t.rSrTrNrt~tC~ !5 lt1St'rN.~ ~lt5} 1"vGwn tler+l.N.i C~Tt'1'I~I±Ck'I't~`fJiir ~?I~.if'USI'~"T~"~{1145 r'~Nb G:~rtltic~tp t-! 1]~Iraal{ "t'~t,~c. 12 ~iolri} ,~ ~r~rf~bl (t•~eci Ct]'f#t -~ ~C1147M~'Y' Account Los .~"3b»+.'t~~i8~!~±~;.,.,...,,_,,,. Yssrte~~t~: ,1,114,1 Prlnelpal Ant+runks 5:+~,~(~~,~:_..._~...w..:...:»....:. Lnlur~xt ltsxtot. {,w.,l Ytc~tstePCd:~ioflle}~nxfr,s%$}oadA,ddreass • ~+1,F,~t3H [3(3R Fi0913 SV~,'~j?~A i+f~ ~BN iltRIVO_CABi>i~ BIJI ELhL I~~~It'~1L~ .~4-S PRiNCi~~T ... ,. ~Ta3YDi~.urnb.'sYf~)c ~i2~3t~»41?57, ;. 'L1. lridiigdunl(a) O 5t~~.Piiraprs45r t7' i'sarutersi~p Q C,ari`,cKUlat L7; I • f ~ Cartsbinc^~ Statement -'i'r'~nsitict{on Account l~ ut-~t~t»...,_~..., twYat~r~t3y 1Srttc. 1,C,~'tt:t.~:.. Annurl pcr~ccnageYcid: Q.10 9!d Ctrtsstlli~ t ributir,n'R~TetiiaQ: TS ~ isosit tQ At`GCV r,t: Ci Saving '~ CiaeC4~irig Aiidto 4'rinci~at! 'Tssnd Check ininiuu} t~atsitiocs S2:`sOQ.9t)' ~c~>}en i}~ ~ f 1'tty lriCnt: ,YJ~rnu~Uy Cram i,~srx A~t~ __ Ord.. CJ Iitn:-Tnnt q ttd, L6~6iti¢ji~~o. Tf,e ls~u"rng Hank t;tl}a_"[lank") nckt}p~viet3geg, rec$ipt, as oftha Issue Date set >:~[th rtbnrc,•o#'tha pbC,ved3aribed cIeposit(su6,jecttii cot3cction vfany ~irnds not.y~„~ in cetsir), !} ~~~orda~t}ce 3v'rth thG&1s9utr Surnma~y, the arconlpanyhg lr~po;tunt int'vrmatir~n Ahur~t Y`uur C~rtificat~ of D Citgsit {thc "%n,potitiri t 7 r,fo rrniNi an"?,and (axvc{,t for a C cn r fi data `Of I]cp+as 6t that i s• ~ n l,j div id rlat R ttir~ nt dry Ac~ourtt} stw aitachetl Rules, lnelutlingthe rlrbitrution A~reemont. >ssung t3milr: I•'oltbn f3itnlc; N.A, ~v f3ranah i~bri}t; Sr nuke Street C3fftc E ~' Auti,ori~d 5ignatunt k;VANS >eL1~3- ~~ 1J1'r'r•liavc rcccivcd,>;.cppyta~tha abovg Surtttnary„iitc acca~rpanyin$•itnportnr Arun is en I,tdixiduti! Rotfrclnorit .'~cuauntj Qt attaCltcd Ttc+f os, loci udinp, r1}a Ar~ r Regls4t*~Cd.:i3pidets~ to It}e terms and cc,nditians tiierecrf. Indivtdrrxtjj~~i 'oleYstorrr"tarsfilps;. Non-lndiviiuals • :~'~~~A~~~»'tt.~' ~ GREP~t L ~iTMEIt i Syi+tiiura{iiri,ewtr'yy hat7fot`X,dc 5i,$ndart{sccoitdttry$ Ko,ncl7iQe tnforr}a`tion, ri,st {exc~tzt•fnr tt GertlGcs,te of i]t:posi tratiart hgccrncnt, a~nd T/5Yc agr~c, t}ntclsal!'ofatl Sigrrpturd $igrahrrc I I r Si$nittr~!{sc+xtrt3,Cry'y ~ N~rncltide. St~sa~~c "Ilndti' petialticsa£pcrjslry, t cartit~thrit: "t. 'C.I,c"nutzl>crahctwn ar} t)}is I'trrm is rely corr44t t:ixpuyat`irYs:ntifi:atiurrnur ebcr{qr t ~rrr ,4srisi,tg for~.tiwtibcr tv btiissucdto toe},. and ~~ 't aiii ittrtsubjcet to bncS,~t~~vittthaldi t!g Gec~usa: {~i}tan} tsxetnpE fi•arir tiacitup witiilioidittg', or (b) I Itare oat beer} ioi'rt~ied by' the ltiterithi Ytevtnile Service tfa~tt I am'suUject i~o ~,uckup withhgidi as a;resnf of n faiitrc {ii report ail igitettsstor divident~ or (c) th. it€Sltarsnatitietltnetiiat t am no lont;~rsubject to buekup«~ilhh(iidf!}g,_ ~'oun}Astirrossautteat,2ai~vrjiCyauha.~abcenrldtiAedbyth~lIiSthe,t ~oueracuiretttlystibjtattvbackup~v7ttitroEdit}gbecause of n trepoting'titG~+=stdi ictandsonyt3urt~xrefuin: . 5i~taG,tt{ rimBtylndiui,tuaE~ ; ~ille(if~,'bm[ndivi~iual}~ 1)att ,. rrtstrrautuar~i Cerrt>x ; aer rrp. tatx ruGnaE+.,~~a 'tra , ,, Jui~~ C:0~3 ~~ - ~~~ 21 ~ t~h pack ~~'~y!mGt dreg pdt _ :• . -r ~~•. ,.JI :~^•«r ~.,.::'+7 ri ;S?AYx&?;[~7..f:5X'i4.Lf.H`~I~Sw'S`3.'.~.L'.^{t..r,~.,.,,,r,~,.T:'k~«."fed'F.~:i;~~d"~A.«4'dA'.5.~?^~'tSL"B~'xFar•~+r~ua'~._„ax•!!_,,,,,:5.,~`x`,S'lAaY;YU~G.3'tll'1t5^lY~t!!i.~.tk3ett~`t1.._, ._:'1....~..xt.3t...,...,~Ci7"tFJ.",A:t•~.,..LS>.~~L1.'F:~.....w 4~.: ~: I ;.:..L.!I.:Y3.:o'C~:18d'~«T4«~.6.'•.IV~~~T'S~L'p:~~ 'x ~-x.+t... t..... 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QTY RATE CHAftGt:S CRt:DlTS 0.511Q112 fl51~t1'112 TELi;~/f51QhJ 1 ' 11.50 05103112. QRfWS PAY~r1ENT 1.787.OA fl51251t2 [~C~1+1N5 PAYlVICNT 3G3.fl9 [?6/01112 46130112 t'RIVAT'E PQRTIDhI . ~ ~' 1.538.59 flb1i311~ 46129112 8AR8ER E~ BEAUTICIAN 2 19.t~0 Qbl 12112 0611' 211 ~ 1'EI. ISIC3T~1 1 11,51 flb101/12 DREVJ~ PAY~E1~1' t,187.fl0 flb 27112 DREW5 PAYMEhIT 445.09' 071©1 { i 2 47`131112 PRIVATE Pd~1'1C~h1 31 _ 1,53£3.59 _ 471{13112 gRI:WS PAYf~iEivT t,107.fl(l Ot310~112 Q8131/12 PRiVATItiPC}RTItJN 31 [,538.59 48/01/12 X8/151}~ BARB~i~ ~ B~Al~1"IC~A~I ~ ~a.a~ 481os/1~ o8/a$11~ TELEVISIC~Iw1 ~ ~ t.so 48/43112 i?RtWS PAYMIrNT t,187.UE3 48131112 17f2~WS I'AYME{JT 1;087.0(} 4y9101112 09/3Q112 i~RIVATE P012TI4~1 _ 30 1.538.59 fl9148/12 49108112 TEI..EYISlt71~1 1 11,50 14141112 1{x/311]2 i'RIVATEPCIRTiQiJ _ 31 1,538.59 1tT103112 DREWS PAYMENT 1,087.!]t~ Nate: This is pa n estimate ~f current ch~rg€s, c~fiher charges may totlaw Tdtai Charges $54,112,51. .. ~tM01lNT t~C7W DEJE. 1,62p.$b Tolal t'a m®nt $48,198.65 PL~AS~~~I~fU YVUK rKt~~~~t~tr t~.-, t~t~iuen~.;Y~~ ~#' you have auy cluest.vn re~aclin8 this trill., ~a.cnp I lit1 Please Contact: Allacist Hnitey 1?,C7. $px d444t}7 T+~ll l~zec:1-8dd-325-5dflf 1'ixtsburlh, PA 1521x1 lrtrect: 479,201-2333 CC#: Gashes aCf ~t4'I' i~U1[~ CASH Epp gate: GheciiC~- ~~. Amt Parcl, Creels CartiC~ Fill aut ianf'o to the left Si store[ ` sterzard, Visai T3isc~ver Paynl,t~ttts ~~'~' C~II+;'~ b~ the '~ ~~h