HomeMy WebLinkAbout07-10-13 (2) _ a� -�a - ��uu
RECEIPT AND RELEASE BY DISTRIBUTEE
The undersigned � I �J 1 E'�-� '����—S'iJ�
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a Distributee of the Estate of Nevada Flynn, Deceased, hereby:
1. Acknowledge receipt £rom �)p►a-jJ � , �1—�/�l ►1 and
6 /�� f�(�-� ��7� the persons representative of
the Estate of the Deceased, of the of the money and securities
inventory set fourth in the attached schedule described as the
estimate of 1/8 of the Nevada and Joe Flynn estate.
2, I will accept such money and securities as full payment when it
becomes availabie as satisfaction of the undersigned's interest in
the Estate of the Deceased.
3. I release both personnel representatives both in his/her capacity
Executor/ Executrix of the Will of the Deceased, a�liability_�n
Connection with the undersigned's interest in the e.�at$ of th`e' � �
Deceased. `� �'� G- =' •°
ill Y C? '— � �
4. Declare that this instrument shall be governed by t��a�:s o€, r„ �;;
Pennsylvania and shall be legally binding upon m�:� �� :� ° � il
:-� c� �' _; : -�;
In Witness Whereof, I have hereunto set my hand and s�e�a�.�his � �: �
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�3`�' Day`Y�o-v-p-,�..-l��.n , ao��.: � rv in s�
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W'tness natur of Distri u
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Print ame Print Name
C1 �,-,�� rc� /� � ✓ �y�
i l� �c1.�-4-imc�'e. eN' .7�� ��0� �-iL �✓C� f�J
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Address of Wi ess Address of Distributee
CAMMONWEALTTIOF PENNSYIVANIA
Notnrlel5eai �
Mgela N.Gouse,Notarv��k ,
Gettysburq Boro,Adams Cou�ry
h}y Canmis5lon f,xplres Aug.9,2016
MEMBER,PENNMVANIA RSSOQAl10N OF NOTARIES
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RECEIPT AND RELEASE BY DISTRIBUTEE
The undersigned ���1(.�.� L �S
a Distributee of the Estate of Nevada Flynn, Deceased, hereby:
1. Acknowledge receipt from �O�VVV{'�.. � and
����i'�ICCL- 7 I;C�Ypl�1.��11 the persons representative of
the Estate of the Deceased, of the of the money and securities
inventory set fourth in the attached schedule described as the
estimate of 1/8 of the Nevada and Joe Flynn estate.
Z. I will accept such money and securities as full payment when it
becomas available as satisfaction of the undersigned's interest in
the Estate of the Deceased.
3. I release both personnel�representatives both in his(-l�er capacity �
� , �
Executor/ Executrix of the W.ill of the Deceased, a�i t�ability in � �
Connection with the undersigned's interest in the a�a�ep,f tl� U, _°.
Deceased. r- � m o ; °
4. Declare that this instrument shall be governed by t#�`i'��s of � �
Pennsylvania and shall be legally binding upon me� o ° � � -;
o � �, r: �
.: 'o r•.� �-- rn
In Witness Whereof I ave hereunto set my hand and s�al this rv � o
'd3 Day � �L> a,0�.2.. °' T`
r� -'U � S
-� o � Pcr �c �,� /,�V Si ature of istri tee •
/l�ti�ti�ol �. (L/c3�/Y�n1 � � �j-
P�rint Name Print Name
l �'P�2 �ee� �i--i�- �h�� 1 �rrr . �.��: �
l „rceUe� �n � 1���4��
Address o s a � Address of Distrib tee
OFFICIAL SEAL
04 E STATEOFWESTVIRGINIA
F`° � NOTARY PUBLIC
N(� °}(i ; DOPINA L.NORMAN �
` FIflST NIiT�ONAL BANK
�\����� P,O.B0X 457
RONCfVERiE,NN 249�0
My commi�eion expire6 Deaemher 79,2019
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RECEIPT AND RELEASE BY DISTRIBUTEE
The undersigned �(� ^ �_ �
a Distributee of the Estate of Nevada Flynn, Deceased, hereby:
1. Acknowledge receipt from �� S �1�� and ,
��„n��q F C��p.Ur� the persons representative of
the Estate of the Deceased, of the of the money and securities
inventory set fourth in the attached schedule described as the
estimate of 1/8 of the Nevada and Joe Flynn estate.
2. I will accept such money and securities as full payment when it
becomes available as satisfaction of the undersigned's interest in
' the Estate of the Deceased.
3. I release both personnel representatives both in his/her capacity
Executor / Executrix of the Will of the Deceased, a�liability,in �
Connection with the undersigned's interest in the e�a� of the' �; �
�
m =° � �� �.
Deceased. R� -= � • � �
4. Dealare that this instrument shall be governed by t�'e�a�!s o�� ;T �
Pennsylvania and shall be legally binding upon m� "' � � c �,
� o � � � ��
In Witness Whereof, I have hereunto set my hand and �ea�this N � n
���-�-` Day D e c e Vnbe�- � a 17. . rv ;r. o
c� -n
Q�. �-. � flD�
Wit—ness� S' n tu� f �s rib t e /
p�6w�. �- Ku�a� � h
Print Name Print Name
3a �1rn 5+_ �� �� �
,y.� lfc�� Iaoai �� ��� I�b��
Address of Witness Address of Distributee .
DEBRAI.KUEPPER
Notary Public;State oi Pdew York
Qualified in Onon. Co. Nu. 4735583
Nry Gommission Expires May 31, 20 �S
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RECEIPT AND RELEASE BY DISTRIBUTEE
The undersigned ��l�J �)Z° �/�J L1 !�
a Distributee of the Estate of Nevada Flynn, Deceased, hereby:
1. Acknowledge receipt from ���j y �, ��y � � �d
��'1G��q / r `a�'i7 (�r�-�"�the persons representative of
the Estate of the Deceased, of the of the money and securities
inventory set fourth in the attached schedule described as the
estimate of 1/8 of the Nevada and Joe Flynn estate.
2. I will accept such money and securities as full payment when it
becomes available as satisfaction of the undersigned's interest in
the Estate of the Deceased.
3. I release both personnel representatives both in his/her capacity.,
Executor / Executrix of the Will of the Deceased, all�a�ility iai� � �
Connection with the undersigned's interest in the est���f the� � c
Deceased. � � � � � �
4. Declare that this instrument shall be governed by th���,�s of � �" �
Pennsylvania and shall be legally binding upon me. e n ; --� ° �
ca o •;, � .,_. -�
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In Witness W reof, I have hereunto set my hand and sea� tih'is "' � "''
3 Day �t r...a�- , 1-0/3. > �v :n o
c> �
'--ra�_
Witne� / / i nature of Distri tee
c/ v Q C • ��r/Jlr� �09!� /�l'e �"��-1 Yi �
Print Name Print Name �T
/�����%�,� �/�r' ����s--�,//��-h ����
n� i�� �. Z%G/3 tJG'�'�t�,w/ n� �or, �� /3
Addre s of Witness Address of Distributee
�ta�t���..t�t�ts�sm�
� fdOTARY PUBL.IC
CFlARLES C�JUP�lIY
MARYLAND
MY COMN!SSION�XPiRES JULY"c8 2013
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RECEIPT AND RELEASE BY DISTRIBUTEE
The undersigned �s�) �-. �i��,�v�J
a Distributee of the Estate of Nevada Flynn, Deceased, hereby:
1. Acknowledge receipt from �a.xeQ,�,a� �, �a�mQn.�n� and
C�Bvk.�. �Q�c�-�,,J the persons representative of
th Estat of the � eceased, of the of the money and securities
inventory set fourth in the attached schedule described as the
estimate of 1/8 of the Nevada and Joe Flynn estate.
2. I will accept such money and securities as full payment when it
becomes available as satisfaction of the undersigned's interest in
the Estate of the Deceased.
3. I release both personnel representatives both in his/hercrapacity �; m m
Executor/ Executrix of the Will of the Deceased, all li�bi.�i;ty in � «, �
Connection with the undersi ned's interest in the estat�'o£�I� � � �
Deceased. g `_' A � F, `." "
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4. Declare that this instrument shall be governed by the l�ws�of� _ � �
Pennsylvania and shall be legally binding upon me. �; ` � � � =-'
. A V-� .:_ �
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In Witness Whereof, I have hereunto set my hand and seal Y�iis 4"'-, "' -°n
a� Day flo�lzn�,���J , 20� 2 .
,�'[v�-d�„�� ���.ry�
if ness Signature of Distributee
(1��! G1� �C�-+'�eSS� .��dvc� F�. Cc�vnl�urn
Print Name Print Name
Zog W i co�a S� �l� �aq� �c�
u.�l��tr,�.nna� � I���`? rtuhkha���cl<, �A ��(�s7
Address of Witness Address of Distributee
COMMONWEALTH OF PENNSYLVANIA
Notarlal Seal
Lisa W.Burleson,Notary Public
Tunkhannotic Twp.,Wyoming County
hty Commiss�on polroe Se t,1 aoss
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RECEIPT AND RELEASE BY DISTRIBUTEE
Theundersigned ���r1�vL ��.rV►-y�
a Distributee of the Estate of Nevada Flynn, Deceased, hereby:
1. Acknowledge receipt from J�f'l �1, ��yh �.1, and
J`�o�,v�o{vo�, CQ,wI �av►�t^ the persons representative of
the Estate of the Deceased, of the of the money and securities
inventory set fourth in the attached schedule described �s the
estimate of 1/8 of the Nevada and Joe Flynn estate.
2. I will accept such money and securities as full payment when it
becomes available as satisfaction of the undersigned's interest in
the Estate of the Deceased.
3. I release both personnel representatives both in his/her cap.aGity
Executor/ Executrix of the Will of the Deceased�ll liabi]'tt� inm m
Connection with the undersigned's interest in th�,�st�te ofYl�e �' �
Deceased. '-�" � " ^ `' �
, ��
:., � r � r�i r;,
4. Declare that this instrument shall be governed by tl�laws`c� =^ �
Pennsylvania and shall be legally binding upon rne:-> o -�- G �+
�� � '"ry � "�
CJ C �_. : C7
In Witness Whe•eof, I have hereunto set m hand and seal this '" `�� `�'
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i�Ef=�ic.�
Witness Signature of Distri tee
MI��IFLLE , tJES �s /�e�n �l�y� ��
Print Name Print Name
_l_ZSZ CA� �, 4� f�'�6/ ���e .P� /o f
�a I��N, N`l «o�� �,�,/e �v y.. �3�� �
Address of Witness Address of Distributee
MICHELLE JONES
Notary Public, State of New York
No. 4912016
Qualified in Oswego CountyI-a
Commission Expires Nov.23,2b i.t
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RECEIPT AND RELEASE BY DIST�IBUTEE
' The undersigned ��x � ����_
a Distributee of the Estate of Nevada Flynn, Deceased, hereby:
1. Acknowledge receipt from ,,,4��„x,p�,� �, ��,,.,,p,,�,,u� , and
C�� Q., `�� the persons representative of
the st� ate�the D ceased, of the of the money and securities
inventory set fourth in the attached schedule described as the
estimate of.1/8 of the Nevada and Joe Flynn estate.
2. I will accept such money and securities as full payment when it
becomes available as satisfaction of the undersigned's interest in
the Estate of the Deceased. �
�
3. I release both personnel representatives both in his/her capacity
Executor/ Executrix of the Will of the Deceased, all liability in
Connectiori with the undersigned's interest in the e�ate of the..,
Deceased. ' � o �=.>' � ,�
4. Declare that this instrument shall be governed by tl,� �aws of� � �
Pennsylvania and shall be legally binding upon m� Y � ,_, �' c
�,, � r.� rn m
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In Witness Whereof, I have hereu to s t my hand and gea�th7s � =; °
_ -�
� Day �l6c.c�vl�je!' , �� �, �-. =:. C,
//�n/// J� � �--i rv � rn
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Witness Signature of Dist•' utee
� J J�n��, .D �4nri�l ��y r� N
Print Name Print Name
CQIN�fOtawEU�TM nc oENNSYLUANtA �� O� � �q n � Y��e w D 2
Notarlal Seal '
Brlan D.7ohnson,Notary publit a� � � ' �� �� �7 O
� NewbErcyTwp..YeNiCtlY�ty �6 r K
MEM , 5 e ' �� �� Address of Distributee
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RECEIPT AND RELEASE BY DISTRIBUTEE
The undersigned �� r i 5-{�'t�� �(yn n �1/l� r0�/
a Distributee of the Estate of Nevada Flynn, Deceased, hereby:
1. Acknowledge receipt from �o h n J ��y�'1 ri and
Su.n d ret � �i�m �vrn the persons representative of
the Estate of the Deceased, of the of the money and securities
inventory set fourth in the attached schedule described as the
estimate of 1/8 of the Nevada and Joe Flynn estate.
2. I will accept such money and securities as full payment when it
becomes available as satisfaction of the undersigned's interest in
the Estate of the Deceased.
3. I release both personnel representatives both in his/her capacity
Executor/ Executrix of the Will of the Deceased, all liability in
Connection with the undersigned's interest in the e�te of the: �
w �
Deceased. q � � m �
4. Declare that this instrument shall be governed by tl� nws ofc � z°
Pennsylvania and shall be legally binding upon me� N � o � o
o ' � o 0
In Witness •eof, I have hereunto set my hand and s�af ktxs � =' n
� Da ' � `" '
Y � �D/� • n --� �v � m
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��s� G/�-� �'
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Witness Sy��nature of stributee�,l
�• �S.!'.,o (:h�%s��'n� Flvnn l'(dnro�
Print Name Print Name —�
a�75 �c�.n�-lolle �.e.e �llazv�! 30 �rn+ �,YV f?�
� 1�.�. "70� �i ��S�ur� � }�/� /70/9
Address of Witn ss . . Address of Distributee
. i
COMMONWEALiH OF PENNSYIVANIA
Noprlal Seal
Alliwn K.Janosico,Notary Public
� East PpnnsDOip Twµ,Oimbertand CouMy
My Canmisslm E� Ires Nov.23,2015 �
N.EMEEA,PEHMMVANfA A4C.tUpTION OF kQrNUES
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�''�� Lfewsa" s=�
� Life. Embraced� �
c� [=; �
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(S'i
November 6, 2012 ca � ��--= "� �'
t'7 Y C') � C1) �
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Estate ofNevada H. Flynn 4 � " - ° `a
'�_ �, �.� ,� -� -:�
Sandra S. Camburn, Executrix � �= -�; --' - �'
86 Vago Rd. `� `-~ �, -- i,-'i
Tunkhannock, PA 18657 -'' �� r" c^ �=_
> �; -�
Dear Sandra,
We are so humbled by'this gracious gift. Your mother was a remarkable woman and it's beeil our
privilege to know her in two ways, first, as a valued employee and more recently as a treasured
resident. Thanks to you and your family for your support and concern and thanks for entrusting
us with this wonderful $2,000 gift for the Endowment Fund. As you may know, the Endowment
Fund acts as a"safefy net"to help care for residents whose finances are limiYed. We desixe to
care for all residents with compassion and dignity, so this kind of fund fits pexfecYly with our
mission. Charitable gifts like this sustain the ministry happening every day at Messiah Lifeways
atMessiah Village.
I enjoyed our phone call and pray that you and yours continue to find comfort and joy in tl�e
good memories you have of Nevada—mom, nurse, and friend to many. Please do come and visit
us—I'd love to meet you personally.
Blessings,
�����
ann Bi bee
Director of Gift Development
Unless o[hecwise sta[ed above,no goods or services were provided in eonsideration of this gift.This lelter wlll serve as your offroihl receipt fo�
income[as po�poses If yon wish[o be removed from our mailing please let us know.Call(717)795-5579.Thc oKcial regishntion nnd fi��ancial
inf'onnation of Messiah Village may be ob[ained from tl�e PA Dept.of S[ate by calling mll-Cree,within PA, I-800-732-0999. Re�istcation does
no[impty endorsement Please no[e[ha[a donation or wntribu[ion[o Messiah Village is purely voluntary. A contribution is in no w�y a
requirc�ncnt for the insti[u[ion of a busincss relationship or[he con[inuation ofan existing business�eiationshfp with Messiah Vilinge.
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, , , Dillsburg Area Public Library
17 South Baltimore Street
Dillsburg, Pennsylvania 17019-1228
Phone: 717-432-5613
Fau: 717-432-7641
E-Mail: dllib@yorklibraries.org
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Sandra F.Camburn � n � r-• � `�
86 Vago Rd. a � z o ri c;
Tunkhannock, PA 18657 0 �., � - �' °
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November 14, 20].2 ° � 'J `: �'
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Dear Ms. Camburn: � ��
First of all, let me express my condolences on the loss of your mother, Nevada Flynn. I did not have the
privilege of knowing her, but I have heard lovely things about her.
We were surprised and delighted to receive yoiar late mothers bequest of$3,000. On behalf of the
Dillsburg Area Public ;ibrary, let me er,prr�ss r,i�r appreciation. In ar era of diminishing govemment
support, public iibraries are increasingiy depencient on donations r:nd beques2s from individuals. We
strive to prcvide quaiity pr��gran�ming, c��!Ir.ciion a!id seivices at niinimal cost t:o the taxpayers. The
Quilters coniinue to ,�lay:.�vitsi rele with tP:e I.itrary..As you may know, this yeai's quilt and craft raffle
earned over.52,G00 in ticket sales. Ir, add�tion, .he iihrary m�iA ne coeperating;roith the Northern York
.;�„. ,.:,.. .. .
County:Historical and Preservation Society to•�elebrate Na[ional Quilting Day in March, 2013.
This letter will serve as your receipt for tax purposes.To comply with Internal Revenue Service
regulations, this letter also confirms that you are receiving no goods or services in return for your
contribution.
Once again,on behalf of the Dillsburg Area Public Library, let me again express my heartfelt thanks for
yeur eennrosity and sympai.ny for�rour !o_�s.
Very truly yours,
��� ���
BarbanaTosiano,a:�uy j1.e::.... Y�;CL �(P:t�: , . . `:ri:>j6 ;,�.a«,��. ; i: i'5::�.>�,?< , t°��„ ,: _
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