HomeMy WebLinkAbout10-10-14 (3) 1505610105
REV-1500 EX(oz-u)(FI) �!1
ennsylvania
Bu OFFICIAL USE ONLY
Department of Revenue 1 .MEQ. F pCounty Code Year File Number
PO BOXz8o6o1
Bureau of Individual Taxes INHERITANCE TAX RETURN Harrisburg,PA 17128-0601 RESIDENT DECEDENT 21 14 00773
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
11/21/2013 07/14/1935
Decedent's Last Name Suffix Decedent's First Name MI
Bowen Carolyn E
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
CD 1.Original Return O 2.Supplemental Return O 3. Remainder Return(Date of Death
Prior to 12-13-82)
O 4.Limited Estate O 4a. Future Interest Compromise(date of O 5. Federal Estate Tax Return Required
death after 12-12-82)
O 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
O 9. Litigation Proceeds Received O 10.Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number ry
Luther E. Milspaw, Jr. (717)236 411 c n
REGIS' WILLS U�NLY
� C)
First Line of Address - C:D .0
130 State Street j c - n
C, - 5
Second Line of Address c
71
City or Post Office State ZIP Code ` DATE FILED rN T1
ry
Harrisburg PA 17101
Correspondent's e-mail address: luthermilspaw@milspawlawfirm.com
Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,qp.44o the best of my knowledge and belief,
it is true,l ore t and complete.Declaration of priparer other than the personal representative is based on all informati96 of 4ich preparer has any knowledge.
SIGNA ll sgsny,�vFILING R T RN E r� e
DRE S
11 or tree n PA 5
SIG A ARER HER H E SENTATIVE D4TE
ADDR SS
130 State Street, Harrisburg, A 1 101
PLEASE USE ORIGINAL FORM ONLY
Side 1
L 1505610105 1505610105
t
1505610205
REV-1500 EX(FI)
Decedent's Social Security Number
Decedent's Name: Carolyn E. Bowen
RECAPITULATION
1. Real Estate(Schedule A). .. ..... ....... . .. ...... ....... ..... ..... . ... 1. 157,866.12
2. Stocks and Bonds(Schedule B) ......... .......... ................... . 2. i 0.00
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) ..... 3. 0.00
4. Mortgages and Notes Receivable(Schedule D).. . . .. . . .. ........ .... ..... 4. : 0.00
5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E). .. ... . 5. 6,647.96
{ f 6. Jointly Owned Property(Schedule F) O Separate Billing Requested ....... 6. 0.00
7. Inter-Vivol Transfers&Miscellaneous Nan-Probate Property
(Schedule G) O Separate Billing Requested........ 7. 0.00 I
8. Total Gross Assets(total Lines 1 through 7). .... . .... . .... . ..... ..... . .. 8. 164,514.08
9. Funeral Expenses and Administrative Costs(Schedule H). ..... .. . . . .. ... .. . 9. 58,056.29
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1),.............. 10. 70,222.14
11. Total Deductions(total Lines 9 and 10)........ ......................... 11. 128,278.43
i
12. Net Value of Estate(Line 8 minus Line 11) .. .. . .... . .... ...... ..... ..... 12. ; 36,235.65
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J) .. ..... ..... . .... . .... . . 13. 0.00 F
14. Net Value Subject to Tax(Line 12 minus Line 13) ........................ 14. ' 36,235.65
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a)(1.2)X.0 0 O.Oa 15. 0.00
16. Amount of Line 14 taxable I
at lineal rate X.0 45 36,235 65 16. 1,630.60
at sibling rate X 4 t ,-TO
' 17. Amount of Line 14 taxable
00 17.' 0.00
18. Amount of Line 14 taxable
at collateral rate X.15 i_ 0.00 18.i - 0.00
19. TAX DUE................... ................................. ..... 19.j 1,630.60
20. FILL IN THE OVAL 1F YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT p
Side 2
1505610205 1505610205
ti
4P REV-1502 EX+(12-12)
pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
REAL ESTATE
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Carolyn E. Bowen 21-14-0773
All real property owned solely or as a tenant in common must be reported at fair 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 facts.
Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F.
Attach a copy of the settlement sheet if the property has been sold.
ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
1 Single story brick ranch dwelling located at 6 Annette Drive,Enola,PA;transferred to decedent 157,866.12
by deed recorded November 11, 1977 in the Office of the Recorder of Deeds of Cumberland
County in Deed Book"N",Volume 27,Page 459.
"*Contract sales prices,including adjustment for taxes,as listed on HUD-1 attached.
TOTAL(Also enter on Line 1, Recapitulation.) $ 157,866.12
If more space is needed,use additional sheets of paper of the same size.
OMB Approval No.2502-0265
�1 A. Settlement Statement HUD-1
.i.
1.❑X FHA 2.❑RHS 3.❑Conv.Unins. 6.File Number: 7.Loan Number: 8.Mortgage Insurance Case Number:
PY014.81 504174577 446-2181786-703
4.❑VA 5.❑Conv.Ins.
C.Note:This form is furnished 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 closing;they are shown here for informational purposes and are not included in the totals.
D.Name&Address of Borrower: E.Name&Address of Seller: F.Name&Address of Lender:
Shelby S.Mohn Estate of Carolyn E.Bowen Flagstar Bank,FSB
615 Herrin Lane,Enola,PA 17025 6 Annette Drive,Enola,PA 17025 5151 Corporate Drive,Troy,MI 48098
G.Property Location: H.Settlement Agent: I.Settlement Date:09/1112014
6 Annette Drive Pyramid Land Transfer LLC Disbursement Date:09/11/2014
Enola,PA 17025 26 West High Street,Carlisle,PA 17013
Parcel 09-14-0836-060,East Pennsboro
Township
Place of Settlement: TitleExpress
26 West High Street,Carlisle,PA 17013 Printed 09/11!2014 at 8:39 am
by RLM
I Summaq of Borrower's Transaction -K.Summary of Seller's Transaction
100. Gross Amount Due from Borrower 400. Gross Amount Due to Seller
101. Contract sales price 156,500.00 401. Contract sales price 156,500.00
102. Personal property 402. Personal property
103. Settlement charges to borrower(line 1400) 6,545.24 403.
104. 404.
105. 405.
Adjustments for items paid by seller in advance Adjustments for items paid by seller in advance
106. City/town taxes to 406. City/town taxes to
107. County taxes 09/1112014 to 12/3112014 150.58 407. County taxes 09/11/2014 to 12/3112014 150.58
108. School Taxes 09/11/2014 to 06/30/2015 1,207.56 408. School Taxes 09/1112014 to 06/3012015 1,207.56
109. 3rd Qtr Sewer 09/11/2014 to 09/30/2014 27.98 409. 3rd Qtr Sewer 09/11/2014 to 09/30/2014 27.98
110. 410.
111. 411.
112. 412.
120. Gross Amount Due from Borrower 164,431.36 420. Gross Amount Due to Seller 157,886.12
200. Amounts Paid by or in Behalf of Borrower 500. Reductions In Amount Due to Salley'
201. Deposit or earnest money 1,000.00 501, Excess deposit(see instructions),,'
202. Principal amount of new loan(s) 151,022.00 502. Settlement charges to seller(line 1400) 13,782.76
203. Existing loos)taken subject to 503. Existing loos taken subject to
204. 504. Payoff of first mortgage loan to Charles Dehad, 5,858.00
Trustee
205. 505. Payoff of second mortgage loan to M&T Bank. 42,862.91
206. 506. Payoff of third mortgage loan to Redevelopment 17,638.00
Authority of Cumberland Cnt
207. 507.
208. Seller Credit including tax service 7,825.00 508. Seller Credit including tax service 7,825.00
209. 509.
Adjustments for items unpaid by seller Adjustments for items unpaid by seller
210. City/town taxes to 510. City/town taxes 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.
220• Total Paid by/for Borrower 159,847.00 520. Total Reduction Amount Due Seller 87,966.67
300. Cash at Settlement from/to Borrower 600. Cash at Settlement tolfrom Seller
301. Gross amount due from borrower(line 120) 164,431.36 601, Gross amount due to seller(line 420) 157,886.12
302. Less amounts paid by/for borrower(line 220) 159,847.00 602. Less reductions in amount due seller(line 520) 87,966.67
303. Cash 0 From ❑ To Borrower 4,584.36 603. Cash ❑X To ❑ From Seller 69,919.45
apo ng u so or so lech- I
ees per response or co a mrevrewg, ntj en repo ng e s agency may no to ec you ere no regmre o comp e e
his torte Dl,,
unless It displayse""tly valid OMB control n-bers No congdentleloy Is assured;this dlsclos,m Is marMatory.This I$designed to pmv o the parties to a RESPA covered lronslal;o calla Inf-tion d,sdrg the
settlement process.
Previous editions are obsolete Page 1 of 4 HUD-1
Settlebent Charges
700. Total Real Estate Broker Fees $9,390.00 Paid From Paid From
1% Division of commission line 700 as follows: Borrower's Seller's
701. $4,695.00 to Teampete Funds at Funds at
702• $4,695.00 to Keller Williams of Central PA Settlement Settlement
703. Commission paid at settlement 9,390.00
704. Additional Commission to Keller Williams of Central PA 400.00
705. Broker Commission to Teampete 395.00
800. Items Payable in Connection with Loan
801. Our origination charge (Includes Origination Point 0.000%or$0.00) $4,153.11 (from GFE#1)
802. Your credit or charge(points)for the specific interest rate chosen $-6,054.47 (from GFE#2)
803. Your adjusted origination charges (from GFE A) -1,901.36
804. Appraisal fee to Streetlinks (from GFE#3) 550.00
805. Credit report to Credit Plus (from GFE#3) 34.87
806. Tax service to First American RE Tax (from GFE#3) 69.00
807. Flood certification to First American Flood (from GFE#3) 1 5.75
808. to
900. Items Required by Lender to be Paid in Advance
901. Daily interest charges from from 09/11/2014 to 10/01/2014 @$17.0676/day (from GFE#10) 341.35
902. Mortgage insurance premium for months to HUD (from GFE#3) 2,642.89
903. Homeowner's insurance for 1 years to Kemper (from GFE#11) 479.00
904. months to from GFE#11
1000. Reserves Deposited with Lender
1001. Initial deposit for your escrow account (from GFE#9) 618.42
1002.Homeowner's insurance 3 months 0$ 39.92/month $119.76
1003.Mortgage insurance months @$ 168.57/month $
1004. Property taxes months @$ /month
1005.County taxes 9 months $ 40.90/month $368.10
1006.School Taxes 4 months @$ 125.36/month $501.44
1007.Aggregate Adjustment $-370.88
1100.Title Charges
1101.Title services and lender's title insurance from GFE#4 1,537.32
1102. Settlement or closing fee to $
1103.Owner's title insurance-Old Republic National Title Insurance Co. from GFE#5 25.00
1104. Lender's title insurance-Old Republic National Title Insurance Co. $1,310.00
1105. Lender's title policy limit$151,022.00 Lender's Policy
1106. Owner's title policy limit$156,500.00 Owner's Policy
1107.Agent's portion of the total title insurance premium $1,157.25
to Pyramid Land Transfer LLC
1108. Underwriter's portion of the total title insurance premium $177.75
to Old Republic National Title Insurance Co.
1109.Closing Service Letter to Pyramid Land Transfer,LLC$125.00
1110. Deed Preparation to Law Office of Luther E.Mils 100.00
1200.Government Recording and Transfer Charges
1201.Government recording charges $ (from GFE#7) 183.00
1202. Deed$79.00 Mortgage$95.00 Release$
1203.Transfer taxes $ (from GFE#8) 1,565.00
1204.City/County tax/stamps Deed$1,565.00 Mortgage$
1205. State Tax/stamps Deed$1,565.00 Mortgage$ 1,565.00
1206. Deed$ Mortgage$
1207. Electronic Filing Fee $9.00
1300.Additional Settlement Charges
1301.Required services that you can shop for (from GFE#6)
1302. to
1303. to
1304.2014-15 School Taxes to Debbie Lu Id 1,535.00
1305.2014 County/Twp Taxes to Debbie Lu Id 550.82
1306.Tax Certification Fee to Saidis Sullivan 8 Rogers 10.00
1307.Satisfaction of Redevelopment Authcto Recorder of Deeds 67.50
1308.3rd Qtr Sewer to East Pennsboro Township 154.44
1309.Sewer Transfer/Certification Fee to East Pennsboro Township 10.00
r 0.Total Settlement Chargoanter on lines 103,Section J and 502, 6,545.24 13,782.76
'Paid outside of closing by(B)orrower,(S)eller,(L)ender,(I)nvestor,Bro(K)er."Credit by lender shown on page 1.`*'Credit by seller shown on page 1.
Previous editions are obsolete Page 2 of 4 HUD-]
JComparison of Good Faith Estimate(GFE)and HUD-1 Charges Good Faith Estimate HUD-11
Char es That Cannot Increase HUD-1 Line Number
; ur origination charge # 801 4,153.11 4,153.11
Your credit or charge(points)for the specific interest rate chosen # 802 -6,054.47 -6,054.47
Your adjusted origination charges # 803 -1,901.36 -1,901.36
Transfer taxes # 1203 1,565.00 1,565.00
Charges That in Total Cannot Increase More Than 10% Good Faith Estimate HUD-1
Government recording charges # 1201 175.00 183.00
Appraisal fee # 804 550.00 550.00
Credit report # 805 50.00 34.87
Tax service # 806 69.00 69.00
Flood certification # 807 5.75 5.75
Mortgage insurance premium # 902 2,642.891 2,642.89
Title services and lender's title insurance # 1101 1,515.001 1,537.32
Owner's title insurance-Old Republic National Title Insurance Co. # 1103 ;; . .... 100.001 25.00
5,107.641 5,047.83
Increase between GFE and HUD-11 $ -59.81 or -1.1710%
Charges That Can Chane Good Faith Estimate HUD-1
Initial deposit for your escrow account # 1001 2,310.96 618.42
Daily interest charges from # 901 $17.0676/day 273.08 341.35
Homeowner's insurance # 903 600.00 479.00
#
Loan Terms
Your initial loan amount is $151,022.00
Your loan term is 30.years
Your initial interest rate is 4.1250%
Your initial monthly amount owed for principal,interest,and any mortgage $900.50 includes
insurance isX❑Principal
❑X Interest
❑X Mortgage insurance
Can your interest rate rise? ❑X No. ❑Yes,it can rise to a maximum of %. The first change
will be on / / and can change again every years after / / . Every
change date,your interest rate can increase or decrease by %. Over the life of
the loan,your interest rate is guaranteed to never be lower than %or higher
than %.
Even if you make payments on time,can your loan balance rise? [X]No. ❑Yes,it can rise to a maximum of$
Even if you make payments on time,can your monthly amount owed for ❑X No. []Yes,the first increase can be on I / and the monthly
principal,interest,and mortgage insurance rise? amount owed can rise to$
The maximum it can ever rise to is$
Does your loan have a prepayment penalty? ❑X No. ❑Yes,your maximum prepayment penalty is$
Does your loan have a balloon payment? ❑X No. ❑Yes,you have a balloon payment of$ due in
years on / / .
Total monthly amount owed including escrow account payments ❑You do not have a monthly escrow payment for items,such as property taxes
and homeowner's insurance. You must pay these items directly yourself.
X❑You have an additional monthly escrow payment of$206.18
that results in a total initial monthly amount owed of$1,106.68. This includes principal,interest,ar
mortgage insurance and any items checked below:
❑X Property taxes ❑X Homeowner's insurance
❑Flood insurance ❑X School Taxes
Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form,please contact your lender.
Previous editions are obsolete Page 3 of 4 HUD-7
HUD CERTIFICATION OF BUYER AND SELLER
I I ave carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief,it is a true and accurate statement of all receipts and
disbursements made on my account or by me in this transaction I further certify that I have received a copy of the HUD-1 Settlement Statement.
Svi
c
Shelby S.Mohn
ESTATE OF CA LY E. WEN
Settlement Agent
The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction.I have caused or will cause the funds to be
disbursed in accordance with this statement.
SETTLEMENT AGENT DATE
WARNING:IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES 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-]
REV-15o8 EX+(o8-12)
Pennsylvania SCHEDULE E
DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Carolyn E. Bowen 21-14-0773
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. M&T Bank checking(xxxx8196) 581.77
2. M&T Bank savings(xxx4240) -24.81
3. 2004 Saturn Ion 3,553.00
4. RSR Auction 388.00
5. Grandfather clock 1,500.00
6. Antique music box 400.00
7. China flatware 250.00
TOTAL(Also enter on Line 5, Recapitulation) $ 6,647.96
If more space is needed,use additional sheets of paper of the same size.
„M
Q MBTBank
499 Mitchell Road,Millsboro,DE 19966 Records Management
Phone 888-502-4349
F ax (302)934-2955
September 25,2014
Luther E.Milspaw,Jr.
Attorney at Law
130 State Street
Harrisburg,PA 17101
Re: Estate of Carolyn E.Bowen
Social Security:
Date of Death:November 21,2013
Dear Sir or Madam:
Per your inquiry on September 15,2014,please be advised that at the time of death,the above-named decedent
had on deposit with this bank the following:
1. Type of Account Checking Account
Account Number 16758196
Ownership(Names oj9 Carolyn E.Bowen
Opening Date 08/28/1964
Balance on Date of Death $ 581.77
Accrued Interest $ .00
Total $581.77
2. Type of Account Savings Account
Account Number 15004219714240
Ownership(Names ofi Carolyn E.Bowen
Opening Date 04/29/2009
Balance on Date of Death $ -24.81
Accrued Interest $ .00
..........................................._........_...............................__................_...
Total $-24.81
Y
3 Type of Account Installment Loan
Account Number 12044443438534998
Ownership(Names of) Carolyn E.Bowen
Opening Date 05/13/2004
Balance on Date of Death $2986.70**This amount is not to be used
for payoff purposes. For a payoff
balance,please call 1-800-724-2440
Current Balance $ 0.00 ** This balance is not a
payoff balance
For any additional information on the above accounts,including ownership and any changes,closures and/or reimbursement of funds,
please call the Summerdale Plaza at 717-255-2261.
We were unable to locate any safe deposit box for the above-mentioned decedent.
This letter does not include any accounts in which the deceased may have been listed as Power of Attorney,Custodian of Uniform Transfers,
Representative Payee,or Trustee under a Written Agreement
Sincerely,
Valarie Mercer
Records Management
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file:///C:/Users/Tara/AppData/Local/Temp/70HA76RS.htm 8/13/2014
Consignor Settlement v8.01-COPay-21
RSR Auction Company CO#: 319
West Shore Auction Gallery
915 State Street Date: 4/25/2014
Lemoyne, PA 17043 Page: 1
Phone: (717)695-9759
Consignor: B1367
Sandy Youngblood
6 Annette DR
Enola, PA 17025
Auction: MARCH ANTIQUES & COLLECTIBLES 3/22/14
Lead Date Transaction Description Amount
Copper Kettle Copper Kettle 8"H, 14 3/8"DIA 3/22/2014 Invoice Sale Pdce(Qty=1) 16.00
3/22/2014 Commission(Qty=1) 0.00
---------------------------------------------------------------------------------- - ---------- - - - - - - ---------------------------------------------------------------
Copper Pan Copper Pan 3 3/8"H, 12 7/8"DIA 3/22/2014 Invoice Sale Pdce(Qty=1) 14.00
(15"Across W/Handles)
3/22/2014 Commission(Qty=1) 0.00
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Lot Of 3:Copper Pans Copper Pans Measure 9 3/23/2014 Invoice Sale Pdce(Qty=1) 14.00
3/4"DIA,71/2"DIA and 71/4"DIA
3/23/2014 Commission(Qty=1) 0.00
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Uncle Sam's 3 Coin Register Bank Uncle Sam's 3/22/2014 Invoice Sale Pdce(Qty=1) 14.00
3 Coin Register Bank 61/8"H X 41/2"W
3/22/2014 Commission(Qty=1) 0.00
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hammered Copper Tray Hammered Copper Tray3/22/2014 Invoice Sale Pdce(Qty=1) 14.00
28"L X 14"W X 15/8"D
3/22/2014 Commission(Q =1) 0.00
----------------------- ------------------------- ----------------- ------ - ---------- - � - _- --------------------------------------------------------
---
Copper Colander Lot Large Pedestal Copper 3/22/2014 Invoice Sale Pdce Qry=l- 8.00
Colander W/Brass Handles Measures 7"H x 12"
(141/2"Across at the Handles).Small Copper
Colander W/Brass Handles&Feet 41/8"H x 9"
W.
3/22/2014 Commission(Qty=1) 0.00
-------------------------------------------------------- ---------- — - - - - - - ---_--------------------------------- ----------------
LIGHTED BLUE HOUSE (YOUNGBLOOD 3/22/2014 Invoice Sale Pdce(Qty1) 8.00
SELLER)
3/22/2014 Commission(Qty=1) 0.00
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
GREEN HALL TREE 3/22/2014 Invoice Sale Pdce(Qty=1) 10.00
3/22/2014 Commission(Qty=1) 0.00
--------------------------------------------------------------------------------- - ---------- - - - - - - ----------------------------------------------------------------
4/25/2014 Payment to Consignor-Check#1091 ( 98.00)
CO(s):360,319 388.00
Consignor Settlement v8.01-COPay-21
RSR Auction Company CO#: 319
West Shore Auction Gallery
915 State Street Date: 4/25/2014
Lemoyne, PA 17043 Page: 2
Phone: (717)695-9759
Lead Date Transaction Description Amount
Unsold-Copper Baking Pan And Egg Poacher Lot Copper Egg Poacher W/Riveted Brass Handles 151/2"Across Handles,
Copper Baking Pan W/Riveted Brass Handles 14 1/2"Across Handles.
--------------------------------------------------
Unsold-WOODEN DESK(YOUNGBLOOD SELLER)
-------------------------------------------------
Total Quantity: 8.00
Total Invoice Sale Price: 98.00
Total Due to Consignor: 98.00
Total Payments: ( 98.00)
Balance: $0.00
Inventory Remaining For This Consignment Order
COMMISSION SETTINGS
Calculate Commission By: Each
Commission Structure Type: Fixed
Any Amount 0%
THANK YOU FOR CONSIGNING WITH US!
*. Consignor Settlement A.01-COPay-21
RSR Auction Company CO#: 360
West Shore Auction Gallery
915 State Street Date: 4/25/2014
Lemoyne, PA 17043 Page: 1
Phone: (717)695-9759
Consignor: B1367
Sandy Youngblood
6 Annette DR
Enola, PA 17025
Auction: GALLLERY AUCTION 4/12/14
Lead Date Transaction Description Amount
lawn ornaments green flowers(2) 4/12/2014 Invoice Sale Pdce(Qty=1) 3.00
4/12/2014 Commission(Qty=1) 0.00
----------------------------- ---------------- ------------------------------------------------------------------------------ ty_ ------------ ---
g -
-----------------
lamps old color 4/12/2014 Invoice Sale Price�Q -1) 1.00
4/12/2014 Commission(Qty=1) 0.00
--------------------------------------------------------------------------------- - ---------- - - - - - - -----------------------------------------------------
box lot lass ware and misc 4/12/2014 Invoice Sale Price�Qty=1) 1.00
4/12/2014 Commission(Qty=1) 0.00
--------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------
white vase 4/12/2014 Invoice Sale Pdce(Qty=1) 5.00
4/12/2014 Commission(Qty=1) 0.00
---------------------------------------------------------- ------------------------------- --------------------------------- ---------------------------------------
rabbit and face lawn ornaments 4/12/2014 Invoice Sale Price(Qty=1) 1.00
4/12/2014 Commission(Qty=1) 0.00
---------------------------------------------------------------------------- ------------------------------------- -- ---------------------------- -----------
brass pelican 4/12/2014 Invoice Sale Price�Q--=1 5.00
4/12/2014 Commission(Qty=1) 0.00
--------------------------------------:------------------------------------------------------------------------------------------------- ---------------------- -----------
glassware tray lot with pink design 4/12/2014 Invoice Sale Pdce(Qty=1) 1.00
4/12/2014 Commission(Qty=1) 0.00
----------------------------------- -------------------------------- -------------------------------- --------- ---------------------------------
metal sun dial 4/12/2014 Invoice Sale Pdce(Qty=1) 9.00
4/12/2014 Commission(Qty=1) 0.00
-------------------------------------------------- --------------------- ---------- - - - - - - -----------------------------------------------------------------
brass warmer with handle 4/12/2014 Invoice Sale Pdce(Qty=1) 1.00
4/12/2014 Commission(Qty=1) 0.00
------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------
brass pieces(boot,swan,etc.) 4/12/2014 Invoice Sale Pdce(Qty=1) 3.00
4/12/2014 Commission(Qty=1) 0.00
----------------------------------------------------------- ----- - ---------- - - - - - ------------ -----------------------------------------
glassware/stemwaere and dessert glasses 4/12/2014 Invoice Sale Pdce(Qty=1) 1.00
4/12/2014 Commission(Qty=1) 0.00
------------------- ------------------------- ------------------------ - ---------- - - - -----------------------------------------------------------------
brass pail with handle 4/12/2014 Invoice Sale Price(Qty=1) 5.00
4/12/2014 Commission(Qty=1) 0.00
-------------------- --------
soup bowl shaped like chicken green color w/ 4/12/2014 Invoice Sale Price(Qty=1) 9.00
stand
4/12/2014 Commission(Qty=1) 0.00
---------------------------------------------------------------- ------------------------ ------------------------------------------------------------------- ------
brass color candle holder and ash tray 4/12/2014 Invoice Sale Pdce(Qty=1) 1.00
4/12/2014 Commission(Qty=1) 0.00
-
-------------------------------------------- - ------------------------- ---------- - - - - -- -----------------------------------------------------------
brass bird in tree figurine 4/12/2014 Invoice Sale Pdce(Qt -1) 1.00
4/12/2014 Commission(Qty=1) 0.00
----------------------------------------------------------------- --- - ---------- - - - - -- -- -----------------------------------------------------------------
stoneware white bowl and blue lid 4/12/2014 Invoice Sale Price(Qty=1) 1.00
4/12/2014 Commission(Qty=1) 0.00
Consignor Settlement v8.01-COPay-21
'.r
RSR Auction Company
CO#: 360
West Shore Auction Gallery
915 State Street Date: 4/25/2014
Lemoyne, PA 17043 Page: 2
Phone: (717)695-9759
Lead Date Transaction Description Amount
brass creamer,sugar and milk set 4/12/2014 Invoice Sale Price(Qty=1) 2.00
4/12/2014 Commission(Qty=1) 0.00
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
7 elephants on top of eachother 4/12/2014 Invoice Sale Price(Qty=1) 2.00
4/12/2014 Commission(Qty=1) 0.00
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
cast iron chicken door stop 4/12/2014 Invoice Sale Price(Qty=1) 6.00
4/12/2014 Commission(Q =1) 0.00
------------------------------------------------------- ----------- - ------- - -
-----------------------------------------------------------------
Ethan Allan brass and copper decorative cups 4/12/2014 Invoice Sale Pdce(Qty=1) 3.00
4/12/2014 Commission(Q =1) 0.00
-- ----------------------------------------------------------- - ---------- - - - ty ------------------------ ---------------------
--
pictures of bridge and other wooden frame 4/12/2014 Invoice Sale Pdce(Qty=1) 1.00
4/12/2014 Commission(Qty=1) 0.00
----------- ---------------------------- ------- --------------------------------------------------------------------------------------- -----------
box of ceramic kids decorations 4/12/2014 Invoice Sale Price(Qty=1) 1.00
4/12/2014 Commission(Qty=1) 0.00
------------------------------------------------------ ----------------------------------------------------------------------- -- ----------------------- ---------------------
mobile musical,wooden alphabet stool 4/12/2014 Invoice Sale Price�Q--=1 2.00
4/12/2014 Commission(Qty=1) 0.00
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
box lot lighting items 4/12/2014 Invoice Sale Pdce(Qty=1) 4.00
4/12/2014 Commission(Qty=1) 0.00
-- ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
man&woman on bike wall hanging painted 4/12/2014 Invoice Sale Pdce(Qty=1) 7.00
4/12/2014 Commission(Qty=1) 0.00
easter bunny trifold decoration 4/12/2014 Invoice Sale Price(Qty=1)
11.00
4/12/2014 Commission(Qty=1) 0.00
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
tray lot of planters(train set,babies)ceramic 4/12/2014 Invoice Sale Pdce(Qty=1) 1.00
4/12/2014 Commission(Qty=1) 0.00
-------------------------------------------------- ----------------- - ---------- - - - - - - - ---_ -
-----------------------------------------------------------
chicken(2)lawn ornaments 4/12/2014 Invoice Sale Price(Qty1) 3.00
4/12/2014 Commission(Qty=1) 0.00
----------------------------------------------------------------------------- - ---------- - � -ry_--------------- --------------
sou bowl white with old handles brown 4/12/2014 Invoice Sale Price Q -1 4.00
design)
4/12/2014 Commission(Qty=1) 0.00
------------------------------------------------ --------------------- - - ---------- - - - - - -----------------------------------------------------------------
mugs and picture pottery 4/12/2014 Invoice Sale Price(Qty=1) 5.00
4/12/2014 Commission(Qty=1) 0.00
--------------------------------------------------------------------------------- - ---------- - - - - - - ------------------------------------------------------------------
metal cats decorations(wall art) 4/12/2014 Invoice Sale Pdce(Qty=1) 2.00
4/12/2014 Commission(Qty=1) 0.00
-------------------------------------------------------- ----------- ---------- - - - -----------------------------------------------------------------
birdhouse with 3 hearts and green roof 4/12/2014 Invoice Sale Price Q =1 1.00
4/12/2014 Commission(Qty=1) 0.00
--------------------------------------------------------------------------------- - ---------- - - - - - - -- -----------------------------------------------------------------
3 jars with green lids 4/12/2014 Invoice Sale Price(Qty=1) 1.00
4/12/2014 Commission(Qty=1) 0.00
------------------------------------------------------- - ---------- - - - - - - - -----------------------------------------------------------------
ceramic rooster bowl with lid 4/12/2014 Invoice Sale Pdce(Qty=1) 3.00
4/12/2014 Commission(Qty=1) 0.00
------------------ --------------------------------------------- - ---------- - - - - - -------------------------------- ----------------
galvanized tub oval shaped 4/12/2014 Invoice Sale Price(Qty=1) 12.00
4/12/2014 Commission(Qty=1) 0.00
--------------------------------------------------------------------------------- - ---------- - - - - - -----------------------------------------------------------------
porcaline figurines(3) 4/12/2014 Invoice Sale Pdce(Qty=1) 1.00
4/12/2014 Commission(Qty=1) 0.00
-------------------------------------------------------------------------------- - --------- - - - ------------------------------------------------------------------
Consignor Settlement v8.01-COPay-21
RSR Auction Company CO#: 360
West Shore Auction Gallery
915 State Street Date: 4/25/2014
Lemoyne, PA 17043 Page: 3
Phone: (717)695-9759
Lead Date Transaction Description Amount
glass punchbowl and glasses and ladel 4/12/2014 Invoice Sale Pdce(Qty=1) 1.00
4/12/2014 Commission(Qty=1) 0.00
------------------ ------ -----------------
samsonite suitcases(3 pink) 4/12/2014 Invoice Sale Pdce(Qty1) 5.00
4/12/2014 Commission(Qty=1) 0.00
---------------------------------------------------------------------------------- - ---------- - - - - - -------------------------------------------------------------- --
1983 small wooden rocker(child or doll) 4/12/2014 Invoice Sale Pdce(Qty=1) 1.00
4/12/2014 Commission(Qty=1) 0.00
--------------------------------- ---------------------------
----------- ---------------------------------------------------------------------------------------------------------
ceramic plates with floral design 4/12/2014 Invoice Sale Pdce(Qty=1) 1.00
4/12/2014 Commission(Qty=1) 0.00
--------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------
animal mugs and bowl with flower 4/12/2014 Invoice Sale Pdce(Qty=1) 3.00
4/12/2014 Commission(Qty=1) 0.00
----------------------------------------------------------- ------------------------------ -
free the people license plates(PA) 4/12/2014 Invoice Sale Price(Qty=1) 6.00
4/12/2014 Commission(Qty=1) 0.00
-------------------- ------------- - ------------- ------------------------------------------------------------------------------------- ------------------
9 �
lass water ugwith stand 4/12/2014 Invoice Sale Price(Qty=1)
2.00
4/12/2014 Commission(Qty=1) 0.00
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
flowerwaterwand(green) 4/12/2014 Invoice Sale Pdce(Qty=1) 5.00
4/12/2014 Commission(Qty=1) 0.00
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
bookends guy on chair 4/12/2014 Invoice Sale Pdce(Qty=1) 7.00
4/12/2014 Commission(Qty=1) 0.00
----------------------------------- ----- -------------------------------------------------------------- -(--ry_------------------------------------------------------------
easter bunnyand santa wooden decorations 4/12/2014 Invoice Sale Price Q -1 1.00
4/12/2014 Commission(Qty=1) 0.00
---------------------------- --------------------------------------------- -- ----------------------------------------------------------
wooden flower planter hanging(square wood) 4/12/2014 Invoice Sale Price(Qty=1) 1.00
4/12/2014 Commission(Qty=1) 0.00
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
brass bowls 4/12/2014 Invoice Sale Pdce(Qty=1) 1.00
4/12/2014 Commission(Qty=1) 0.00
--------------------------------------------------------------------------------- - ---------- - - - - - -----------------------------------------------------------------
rca vicor tin can 4/12/2014 Invoice Sale P6ce(Qty=1) 1.00
4/12/2014 Commission(Qty=1) 0.00
---------------------------------------- ------------------------------- - ---------- - - -
tennis raquet(Jimmy Conner) 4/12/2014 Invoice Sale Pdce(Qty1) 1.00
------------------------------------------------------------------------
4/12/2014 Commission(Qty=1) 0.00
silverware in wooden box(Japan) 4/12/2014 Invoice Sale Pdce(Qty-1) 16.00
4/12/2014 Commission(Qty=1) 0.00
-------------------------------------------------------------------------------- - --------- - - -- - -----------------------------------------------------------------
owl candle decorative piece 4/12/2014 Invoice Sale Price(Qty=1) 5.00
4/12/2014 Commission(Qty=1) 0.00
------------------------------------------------- - - - - - -
placemats in box and coat hanger(new) 4/12/2014 Invoice Sale Pdce(Qty=1) 5.00
4/12/2014 Commission(Qty=1) 0.00
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
tennis raquet in case diamond fiber 4/12/2014 Invoice Sale Pdce(Qty=1) 1.00
4/12/2014 Commission(Qty=1) 0.00
--------------------------------------------------------------------------------- - ---------- - - - - - ------------------------------------------------------------------
wooden carved wall art(square with man) 4/12/2014 Invoice Sale Pdce(Qty=1) 1.00
4/12/2014 Commission(Qty=1) 0.00
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
elephant rug/tapistry 4/12/2014 Invoice Sale Pdce(Qty=1) 8.00
4/12/2014 Commission(Qty=1) 0.00
--------------------------------------------------------------------------------------- -----------------------------------------------------------------------------------------------------------
cuisanart silverware(service for 8) 4/12/2014 Invoice Sale Pdce(Qty=1) 10.00
RSR Auction Company CO,#: 360
West Shore Auction Gallery
915 State Street Date: 4125/2014
Lemoyne, PA 17043 Page: 6
Phone: (717)695-9759
Unsold-barbie doll and clothes tray lot
Unsold-box lot of doll and teddy ruxsbin bear
Unsold-betty grable doll
Total Quantity: 78.00
Total Invoice Sale-Price: 290.00
Total Due to Consignor: 290.00
Total Payments: 290.00)
Balance: $0.00
Inventory Remaining For This Consignment Order
COMMISSION SETTINGS
Calculate Commission By: Each
Commission Structure Type: Fixed
Any Amount 0%
HANK YOU FOR CONSIGNING WITH US!
RSR AUCTION COMPANY ESCROW ACCOUNT 1091
Sandy Youngblood
4/25/2014
6 0
K �� .3pv 66
31 GABLE ESTATE AUCTION-4/26/14 (4/26/2014) 388.00
REV-1111 EX+ (08-13)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Carolyn E. Bowen _ 21-14-0773
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1' Mark D. Heintzelman Funeral&Cremation Services 579.52
{
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions: 7,825.00
Name(s)of Personal Representative(s) Sandra L. Youngblood
Street Address 117 York Street
City Enola State PA ZIp 17025
{
Year(s)Commission Paid: 2013, 2014
5,000.00
2. Attorney Fees:
j 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
'
I 4. Probate Fees: 375.50
5. Accountant Fees:
6. Tax Return Preparer Fees:
I 7• The Patriot News(legal publication) 246.90
8. Cumberland Law Journal(legal publication) 75.00
9. The Home Depot(repairs needed-6 Annette Drive)
986.06
10. Lowes(repairs needed-6 Annette Drive) 369.45
11. Knisely Landscaping(6 Annette Drive) 72.08
12.- Additional administrative costs,from Exhibit"A"attached 42,526.78
TOTAL(Also enter on Line 9, Recapitulation) $ 58,056.29
If more space is needed,use additional sheets of paper of the same size.
i
ESTATE OF CAROLYN E. BOWEN
SCHEDULE "H" - Continued
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
38. Seller Assist(sale of 6 Annette Drive)* 7,825.00
39. Frank Tezak, III (reimbursement for movers and mortgage payments)* 1,123.47
40. Tractor Supply Co. (materials-6 Annette Drive)* 21.27
41. ACE Hardware (materials-6 Annette Drive)* 22.02
Total Expenses and Costs: $ 42,526.78
** See HUD-1 attached at Schedule "A".
"� enc . �(-.o.f6! q"4 o vp �- -
G� GERALDIN E A. SHAMMO W-7269/2313 2096
�7` S 272 CARLISLE AVE.
ENOLA, PA 17025-2205
PAY TO THE
ORDER OJF---tttJJJJ---- -- - -- y� / - f oo Q� �p
-DOLLARS
06/13/14 11 : 50 003 0092 $2 , 000 - (PREMIER
sov 1w &, iw94 See 0064 BA
PART OF THE SANTANDER GROUP
AV
1: 2 3 13 7 269 0: 09 2 17 7869kit" 2096
n+• -ene
I
CaptureDate:06/13/2014 Account:921778694 A1tAcct:921778694 Amount:$2,000.00 RT:231372691 TC:57 OrigTC:O
SerialNumber:2096 CaptureSite:640 DbCr:D EndPOint:O AdjustmentFlag:- Onus\Transit:- SequenceNumber:902734880 IRD:O
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8ltM4 -02.'iiOO B92•3038.11230003>231372Ign Bank 0
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Mark D. Heintzelman Funeral and Cremation Services
1034 Benner Pike 226 S.Pennsylvania Avenue
State College,PA 16801 Centre Hall,PA 16828
Jan Jefferson,Supervisor Mark D.Heintzelman,Supervisor
Tel.814-234-0332 Tel.814-364-1412
STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED CONTRACT#SCII(3001
Charges are only for those items that you selected or that are required.If we are required by law or by a cemetery or crematory
to use any items,we will explain the reasons in writing below.
Date of Aangement: W-0.
Arrangements for: COL EILI 4 ID P" Date of Drreath: Mr, Qat AC113 Q 1 S
SERVICES,FACILITIES,AUTOMOBILE,OTHER EOUIPMENT MERCHANDISE:
AND OTHER SERVICES: Casket:
Itemized General Price List:
Basic Professional Services of Outer Burial Container:
Funeral Director and Staff: Cremation Um:
Other Care of the Deceased:
Embalming Cremation Container: co
Sanitary Care of the 145
Unembalmed Remains Clothing as Selected*
Dressing,Casketing,and Cosmetology
Post Autopsy Care/Post organ Donation Grave Marker:
Restoration Charge Acknowledgment Cards as Selected
Refrigeration
Care and Custody While Sheltering Remains
Memorial Register
Other Care of the Deceased: Memorial Folders/Prayer Dards,
Cllory)bination Shipp-ingluinit/Air ray
Total Care of the Deceased $ -- -To—tal Wibhiiidise $ -7 5
Directing of Services and Use
of Facilities- i-CASWADVANCES:
Visitation $
Funeral Ceremony ,. Cemetery:
Memorial Ceremony -DeM.certificates(No.-I-0—@$Le
Graveside « Permit DispositionlBuriat Permit
Special Hrs.ChargeSi .,ei0edicall Examiner's Charge
Honorarium:
musiciansfvocalist;
Total Directing of Services and Air or Other Transport:
Use of Facilities $ Out of Town Funeral Homes:
Automotive,Other Equip.,Other Services T, Newspaper Notices:ti-
and Other Charges: Motor Escort:
Transfer of Remains to Funeral Hdffie�, 143-!;b
Hearse/Coach and Driver
'
Limousinei'Other Passenger q Aitcle-ihd 6riverW"
Safety/Lead Vehicle and Driver Total Cash Advances $
Flower Van and Driver
Utility Vehicle and Driver We charge you for services in obtaining:
Cemetery tent and grave equipment Any Cash Advance Items marked
Additional Transportation Charges: with an asterisk
SUMMARY.
Basic Prof.Services of FD&staff $
Total Auto,Other Equipment and Services $ Other Care of the Deceased
Directing Services and Use of Facilities
And/or Automotive,Other Equip.and Services
and/or
Personalized Service Program Package Personalized Service Program Package
(a COMPlete deswPlIon of the padcage litiaryou Other Services
selected is in Me General Price List providedyou): Total Service Charges with
Personalized Packages &3 XS
Merchandise
Other Services: Cash Advances
See General Pro&Ust for cornplatee demiptlon Total Charges $
Immediate Burial $ (Credits)to Account:
Direct Cremation Without a Service $ Payments(cash,check,or credit card)
�' -
Forwarding Remains to Another Funeral Home $ i' Tylp itu QR inc,
Receiving Remains ftom Another Funeral Home 13-7";'ED
M 17mmi 1, s 7q -V
Total Service Charges with $ a3a
Cp Balance due after credits $
Personalized Packages
Page 1 of 2
I `
`t< MARK D. HEIN'TZELMAN FUNERAL HOME R E E t P T
226 S.Pennsylvania Avenue
Centre Hall,Pennsylvania 16828
814-364-1412 D
�`�►
RECEIVED FROM 1d CJ n
�t �gOLLARS
zFor
PREVIOUSBALANCE ❑Cash [�Check
THIS:FAYMENT El credit C
l'Isf
BAI ANCE DUE
RECEIVED iZ!24Y'Thank�you
RECEIPT FOR PAYMENT
-------------------
-------------------
LISA M. GRAYSON, ESQ. Receipt Date : 8/19/2014
Cumberland County - Register Of Wills Receipt Time : 12 : 37 : 56
One Courthouse Square Receipt No. : 1078939
Carlisle, PA 17613
BOWEN CAROLYN E
Estate File No. : 2014-00773
Paid By Remarks : GERALDINE SHAMMO
CJ
------------------------ Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST 260 . 00 CUMBERLAND COUNTY GENERAL FUN
WILL 15 . 00 CUMBERLAND COUNTY GENERAL FUN
SHORT CERTIFICATE 10 . 00 CUMBERLAND COUNTY GENERAL FUN
JCS FEE 35 . 50 BUREAU OF RECEIPTS & CNTR M.D
AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN
INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENERAL FUN
INVENTORY 15 . 00 CUMBERLAND COUNTY GENERAL FUN
CODICIL 15 . 00 CUMBERLAND COUNTY GENERAL FUN
----------------
Check# 2113 $370 . 50
Total Received. . . . . . . . . $370 . 50
RECEIPT FOR PAYMENT
-------------------
-------------------
LISA M. GRAYSON, ESQ. Receipt Date : 8/19/2014
Cumberland County - Register Of Wills Receipt Time : 12 : 38 : 37
One Courthouse S uare Receipt No. : 1078940
Carlisle, PA 1713
BOWEN CAROLYN E
Estate File No. : 2014-00773
Paid By Remarks : GERALDINE SHAMMO
CJ
------------------------ Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
RENUNCIATION 5 . 00 CUMBERLAND COUNTY GENERAL FUN
----------------
Cash $5 . 00
Total Received. . . . . . . . . $5 . 00
The Patriot-News Co.
2020 Technology Pkwy Q
Suite 300 Patr1*otmXtws
Mechanicsburg, PA 17050 Now you know
Inquiries - 717-255-8213
LAW OFFICE OF LUTHER E MILSPAW, JR
130 STATE STREET
HARRISBURG PA 17101
STATEMENTALL CHARGES ARE NET
ACCT# NAME AD ORDER# DATE EDITION ADDTL.INFO. TYPE OF CHARGE AMOUNT
225537 LAW OFFICE OF LUTHER E MILSPA% 0002311625 09/02/14 XXX BOLD TEXT CHARGE $4.00
225537 LAW OFFICE OF LUTHER E MILSM 0002311625 09/02/14 XXX BASIC AD CHARGE $79.30
225537 LAW OFFICE OF LUTHER E MILSM 0002311625 09/09/14 XXX BASIC AD CHARGE $79.30
225537 LAW OFFICE OF LUTHER E MILSPAI 0002311625 09/16/14 XXX BASIC AD CHARGE $79.30
AFFIDAVIT CHARGE $5.00
TOTAL: $246.90
This is not an invoice. Please do not remit payment from this Statement.
An invoice will be generated at the end of the month. --Thank you.
NOTE: This Statement replaces the Order Confirmation which we previously sent with Proofs of Publication
i-
�assoc��°�
CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
Tele: (717)249-3166 Fax:(717)249-2663
September 12, 2014
Cumberland Law Journal 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: Luther E. Milslpaw, Jr., Esquire
RE: Carolyn E. Bowen Estate
Legal advertisements must be received by Friday Noon. All legal advertising
must be paid in•advance. Make all checks payable to: Cumberland Law Journal.
Advertisement inserted on the following dates:
August 29, September 5, and September 12, 2014
Advertising Cost $ 75.00
Proof of Publication $ 0.00
Second Proof Request $ 0.00
Payment received $ 0 .00
-------------
Total Amount Due $ 75.00
Payment received by
LOVE'S HOME CENTERS, LLC
5500 CARLISLE PIKE
LOOPS HOME CENTERS, LLC MElhRNICSBURa, PA 17050 (717) 610-9230
5500 CARLISLE PIKE
MECHANICSBURG, PA 17050 (717) 610-9230 S A L E
SALES#: S2223t1BI1940448 TRANS#: 11637166 06-01-14
SALE
SALES#: S2223E(,J,1 664472 TRANS#: 9046018 05-02-14185342 KILZ 5-GAL ORIGINAL LOW U 68.00
245667 PIRA14NA GEL REMOVER I GAL 16,97 SUBTOTAL: 68.00
420118 BN IOPC SAE COMBO WRENCH .9,98 TAX,- COB'
55069 3M $8 320 GRIT ANGLED SPO 4.48 j INVOICE 11087 TOTAL: 72.08
64100 PIRANHA SCORING TOO" 6.97 VISA`:
r72.08
324741 PS 2-IN PLASTIC PUTTY KNI 0.98 wo �e 17",D-�a'00
324742 PS 4-IN PLASTIC PUTTY KNI 1.19 VISA:XXxdexxTxlxl4,8O25 A90UNI:71.08.AUTHCD:013936
240726 GATORADE FRUIT PUNCH 20OZ 1.59 SWIPED REFID:637197222311 06/01/14 11:39.:57
338527 KBLT 3OPC 1/40/8 DR SAE/ 24.97
SUBTOTAL: 67.13
TAX: 4.04 STORE: 2ZZ3 ftRhINAL: 11 06/01/14 11:40:06
INVOICE 09154 TOTAL: 71.17 ## 0 F ITEMS PURCHASED:
CASH 71.17 EXCLUDES FEES, SERVICES AND.SPECIAL ORDER ITEMS
MYLOUPS CARD NUMBER: 481000452098302
STORE: 2223 TERMINAL: 09 05/02/14 11:54:10 THANK YOU FOR SHOPPING LOVE'S..
OF ITEMS- PURCHASED: g SEE REVERSE SIDE FOR RETURN POLICY.
EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS STORE MANAGER: JIM DUNKELBERGER
Ile! WE HAVE THE LOWEST PRICES, GUARANTEED!
IF YOU FIND
A LOWER PRICE, WE WILL BEAT IT BY 10%.
THANK YOU FOR SHOPPING LOVE'S.T SEE STORE FOR DETAILS.
SEE REVERSE. SIDE FOR RETURN POLICY,
STORE MANAGER: JIM DUNKELBERGER
YOUR OPINIONS COUNT!
BE HAVE THE LOWEST PRICES, GUARANTEED! REGISTER FOR A CHANCE TO VIM A
IF YOU FIND A LOWER PRICE, WE WILL BEAT IT BY 108. $5.ODO LOVE'S GIFT CARD!
SEE STORE FOR DETAILS. x iREGISTRESE PARA TENER LA OPORTUNIDAD BE BANAR UNA
T TARJETA BE REGALO BE LOVE'S BE $50001
YOUR OPINIONS COUNT! REGISTER BY COMPLETING A GUEST SATISFACTION SURVEY
REGISTER FOR A CHANCE TO WIN A WITHIN ONE WEEK AT: (jtjtj.jatjes.com/survey
$5.000 LOVE'S GIFT CARD! Y 0 U R I D # 11087 2223 152
iRE61STRESE PARA TENER LA OPORTUNIDAD DE GANAR UNA
TARJETA BE REGALO BE LOVE'S BE $5000! NO PURCHASE NECESSARY TO ENTER OR WIN,
-T, VOID WHERE PROHIBITED. MUST BE 18 OR OLDER TO ENTER,
REGISTER BY COMPLETING A GUEST SATISFACTION SURVEY OFFICIAL RULES & WINNERS AT: tjUtj.jpes.con/survey
WITHIN ONE WEEK AT: wa).loties.com/survey *******
Y 0 U R 1 0 # 09154 2223 122 STORE: 2223 TERMINAL: 11 06/01/14 11:40:06
NO PURCHASE NECESSARY TO ENTER OR UIN.
V'DID WHERE PROHIBITED. MUST BE 18 OR OLDER TO ENTER, *
OFFICIAL RULES 8 WINNERS AT: uut).1owes.com/survey *
STORE: 2223 TERMINAL: 09 05/02/14 11:54:10
• LOWE'S HOME CENTERS, LLC LOWE'S HOME CENTERS, LLC
5500 CARLISLE PIKE 5500 CARLISLE PIKE
MECHANICSBURG, PA 17050 (711) 610-9230 MECHANICSBURG, PA 17050 (717) 610-9230
-- SALE •- — SALE —
SALES#: S2223LB1 1940443 TRANS#: 10374010 05-29-14 SALES#: S2223NB1 1940448 TRANS#: 10628320 06-01-14
66055 18X24 SIGN W/ FRO FSBO 3- 15.98 516795 KK 16 HOUSE SIDING PW (-1 11.98
480621 PURDY WHITE DOVE BONUS PA 10.99 174475 120OZ CLOROX PRO OUTDOOR 5.97
185342 KIL.Z 5-GAL ORIGINAL LOW U 68.00 34578 QUICKIE ROUGH SCRUB BRSH, 5.98
535108 VAL GAL RESERVE INT SATIN 15.00 35976 QUICKIE 8-IN QUICKIE DECK 7.98
208964 ZINSSER 1-QT AMBER SHELLA 13.78 240724 GATORADE LEMON LIME 2002. 1.59
309070 FROGTAPE 1.41-IN MULTI-SU 7.88
124986 GL KILZ ODORLESS 20.98 SUBTOTAL: 33.50
240724 GATORADE LEMON LIME 20OZ. 1.59 . TAX: 2.02
INVOICE 10599 TOTAL: 35.52
SUBTOTAL: 154.20 CASH : 40.00
TAX: 9.26 CHANGE: 4.48
INVOICE 10684 TOTAL: 163.46
DEBIT: 163.46 STORE: 2223 TERMINAL: 10 06/01/14 09:12:46
44 OF ITEMS PURCHASED:: 5
DEBIT:XXXXXXXXXXXX8025 AMOUNT:163.46 AUTHCD:595281 EXCLUDES FEES, SERVICES ANO SPECIAL ORDER ITEMS
SWIPED REFID;374036222310 05/29114 10;33:55 1111ll�� l!! � l!i��II�IIII���I�II�I���Glfl��lllll'VII�II���
TRACE:00603960
PURCHASE CASH BACK TOTAL DEBIT
163.46 0.00 163.46 THANK YOU FOR SHOPPING LOWE'S.
SEE REVERSE SIDE FOR RETURN POLICY.
STORE: 2223 TERMINAL; 10 05129/14 10:33:57 STORE MANAGER: JIM DUNKELBERGER
# OF ITEM'S PURCHASED: a
EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS WE HAVE THE LOWEST PRICES, GUARANTEED!
IF YOU FIND A LOWER PRICE, WE WILL BEAT IT BY 10%.
SEE STORE FOR DETAILS.
THANK YOU FOR SHOPPING LOOF S.
SEE REVERSE SIDE FOR RETURN POLICY. * YOUR OPINIONS COUNT!
STORE MANAGER: JIM DUNKELBERGER * REGISTER FOR A CHANCE TO YIN A
* $5.000 LOVE'S GIFT CARO!
WE HAVE THE LOWEST PRICES, GUARANTEED! * iREGISTRESE PARA TENER LA OPORTUNIDAD DE GANAR UNA
IF YOU FIND A LOWER PRICE, WE WILL BEAT IT BY 10%. TARJETA DE REGALO DE LOWE'S DE 5000!
SEE STORE FOR DETAILS.
REGISTER BY COMPLETING A GUEST SATISFACTION SURVEY
WITHIN ONE MEEK AT: Yow.lowes.com/survey
YOUR OPINIONS COUNT! * Y 0 U R I D # 10599 2223 152
* REGISTER FOR A CHANCE TO sills A �
$5.000 LOUE'S GIFT CARD! * NO PURCHASE NECESSARY TO ENTER OR WIN.
AEGISTRESE PARA TENER LA OPORTUNIDAD DE SAMAR UNA * VOID WHERE PROHIBITED. MUST BE 18 OR OLDER TO ENTER. *
TARJETA DE REGALO DE LOWE'S DE $5000! * * OFFICIAL RULES & WINNERS AT: a(n).lDwes.com/survey *
*
REGISTER BY COMPLETING A GUEST SATISFACTION SURVEY * STORE: 2223 TERMINAL: 10 06/01/14 09:12:46
WITHIN ONE WEEK AT: mta%).louies,com/survey
* Y 0 U R I D # 10684 2223 149
*
NO PURCHASE NECESSARY TO ENTER OR WIN.
* VOID WHERE PROHIBITED. MUST BE 18 OR OLDER TO ENTER. *
OFFICIAL- RULES & WINNERS AT: wum.lowes.com/survey *
STORE: 2223 TERMINAL: 10 05/29/14 10:33:57
LOWE'S HOME CENTERS, LLC LOWE'S HOME CENTERS, LLC
• 5500 CARLISLE PIKE 5500 CARLISLE PIKE
:11ECHNNICSBCiRG, PA 17050 (117) 610-9230 MECHAOCSBURG, PA 17050 (717) 610-9230
- SALE - - SALE -
SALES#: S2223PEI 1275502 TRANS#: 15854281 05-23-14 SALES#: S2223JS7 872483 TRANS#: 5765021 05-22-14
272638 ANG-VLU 3/6FIP X 3/8 LF 7.79 291953 GTR 4-IN DRYWALL POLE REP 9.36
9.98 DISCOUNT EACH -0.62
SUBTOTAL:, 7.79 246942 GTR 6-CT 120 GRIT DRYWALL 4.39
TAX: 0.47 4.68 DISCOUNT EACH -0.29
INVOICE 15309 TOTAL: 8.26 246943 DRYWALL SANDER H/LOOP #10 4.39
MERCH/GIFT CARDS : 8.26 4.68 DISCOUNT EACH -0.29
SWIPED MERCH/GIFT CARD 8548 AUTHCODE 000519 58318 BHAWY, POLE SANDER HEAD (- 6.73
BEGIN BAL TRANSACTION AMT ENDING BAL 7.18 DISCOUNT EACH -0.45
13.45 8.26 5.19 47564 KILZ 5-GAL KILZ 2 71.77
--------------------------------------------
--"- 76.41 DISCOUNT EACH -4.64
STORE: 2223 TERMINAL: 15 05/23/14 10:11:35 535108 VAL GAL RESERVE INT SATIN 9.38
#
OF ITEMS PURCHASED: 1 43.98 DISCOUNT EACH -34.60
EXCLUDES FEES, SERVICES AND SPECIAL ORDERITEMS535124 VAL GAL RESERVE INT S/G B 9.38
IIlIIIIII�Ii�ILiIII���l�l�illl���I'��I��I�I�II���II��II���I�II�uIIII€illl�ll.�I�II�IiIi�IIIIIIIIIIII�iII�l�
9DISCOUNT
1A
535108 UAL GAL RESERVEINTSATIN 9636
43.98 DISCOUNT EACH -34.60
THANK YOU FOR SHOPPING LOWE'S. 391633 VAL 1-GAL INT EG ULT WHIT 9.38
SEE REVERSE SIDE FOR RETURN POLICY. 28.97 DISCOUNT EACH -19.59
STORE MANAGER: JIM DUNKELBERGER 100758 TWS 5-GAL WP CLR T&F' 18.77
64.98 DISCOUNT EACH -46.21
WE HAVE THE LOWEST PRICES, GUARANTEED!
IF YOU FIND A LOWER PRICE, WE WILL BEAT IT BY 10%. r SUBTOTAL: 152.93
SEE STORE FOR DETAILS. TAX: 9.16
INVOICE 05735 TOTAL: 162.09
r .MXxMaMMM •MxM �aMMaxM�M M/C: 162.09
YOUR OPINIONS COUNT! TOTAL DISCOUNT: 176.89
M REGISTER FOR A CHANCE TO YIN A M/C:XXXXXXXXXXXX4270 AMOUNT:162. ,3 AUTHCD:00655Z
M $5,000 LOPE'S GIFT CARD! * SWIPED REFID:765033222305 05!221!4 09:23:53
iREGISTRESE PARA TENER LA OPORTUNIDAD DE GANAR UNA _ --�-
x TARJETA DE REGALO DE LOWE'S DE $5000!
REGISTER BY COMPLETING A GUEST SATISFACTION SURVEY * STORE: 2223TEkMIt1HL:.05 05/22/14 09:24:03
* WITHIN ONE WEEK AT: wou.loues.com/SUruey M OF I T E M S PURCHASED: 1 0
* Y 0 U R I D # 15309 2223 143 EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS
NO PURCHASE NECESSARY TO ENTER OR WIN. �Ir��) i��;���li�lll!i':ili�l�i� ' I�l111H ;�I���ll�IPIII��41i�l��'lli�il!i!�lI'll
VOID WHERE PROHIBITED. MUST BE 18 OR OLDER TO ENTER. M
* OFFICIAL RULES & WINNERS AT: t-jut owes.com/survey * THANK YOU FOR SHOPPING LOWE'S.
MM � MM � M ** k * * Kxk SEE REUEP,SE SIDE FOR RETURN POLICY.
STORE: 2223 TERMINAL: 15 05/23/14 10:11:35 STORE MANAGER: JIM DUNKELBERGER
WE HAVE THE LOWEST _, . GUARANTEED!
IF YOU FIND A LOWER PEKE, UEUILL BEAT IT BY 10%.
SEE STORE FOR DETAILS.
kMMX7k.s ?KMMM*kMM#.�:c'K #*M# M*"r Y..r a:*#'* XMfi#MMMT
* YOUR OPINIONS
REGISTER FOR A � i, sit Isi Oim A
s5.000 LOPE � b1H CARD!
AEGISTRESE PARA TENER LA c-NM JNIi1AD DE GANAR UNA
* TARJETA DE REGALO UE LOWE'S DE $5000!
X REGISTER BY COMPLETING A GUEST SATISFACTION SURVEY
WITHIN ONE WEEK AT: wwo.ions.com/survey
M Y O U R I D # 05735 2223 142
* NO PURCHASE NECESSARY TO ENTER, OR WIN. x
LOWE'S HOME CENTERS, LLC
5500 CARLISLE PIKE
MECHANICSBURG, PA 17050 (717) 610-9230
SALE —
SALES#: S2223JF1 883938 TRANS#: 88602468 05-20-14
146539 28OZ LN SUBFLOOR VOC 4.56
Bariup's Appliance sales Sry 1804?1 3/4" 49X97 INDUSTRIAL PB 21.98
301 N Enola Rd 471097 1/2INX4XB TRTD CCX PLYWD( 20.00
Enola PA 17025 356793 GL. OLY ONE INT FLT EML TR 10.00
717.732.5338
08;26;`2014 15:03:23 SUBTOTAL: 56.54
Merchant 10: VXXXXXXXXX0228 TAX: 3.39
Devi€eILk 0001 INVOICE 01023 TOTAL: 59.93
Terminal ID: PD071, VISA: 59.93
VISA:XXXXXXXXXXXX8025 ANOUNT:59.93 AUTHCD:021541
CREDIT CARD KEYED REF ID:602560222301 05/20/14 12:16:00
VISA SALE
CARD�41 XXXXXXXXXXXX4122
TRANS# 004
STORE: 2223 TERMINAL: 01 05120/14 12:16:09
'Batch#: 0 #t OF r,rEMS PURC14ASED: 4
Approval Code: 050701 EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS
ACI Code: E i ti l u u 7
TRANSID: 1642386W27969
Entry Method: Swiped
Mode: Online THANK YOU FOR SHOPPING LOWE'S.
SEE REVERSE SIDE FOR RETURN POLICY.
SALE AMOUNT V5,73 STORE MANAGER: JIM DUNKELBERGER
THANK YOU WE HAVE THE LOWEST PRICES, GUARANTEED!
IF YOU FIND A LOWER PRICE, WE WILL BEAT IT BY 10%.
SEE STORE FOR DETAILS.
CUSTOMER COPY
x YOUR OPINIONS COUNT!
REGISTER FOR A CHANCE TO YIN A
x 15,000 LOYE'S GIFT CARD'.
iREGISTRESE PARA TENER LA OPORTUNIDAD DE 6ANAR 014A
TARJETA DE REGALD DE LOWE'S DE $5000!
* REGISTER BY COMPLETING A GUEST SATISFACTION SURVEY
x WITHIN ONE WEEK AT: www.loues.con/survey
M Y O U R I 0 # 01023 2223 140
NO PURCHASE NECESSARY TO ENTER OR WIN.
VOID WHERE PROHIBITED. MUST BE 18 OR OLDER TO ENTER.
OFFICIAL RULES & WINNERS AT: wou.lowes.con/survey
STORE: 2223 TERMINAL: 01 05/20/14 12:16:09
• r
I.. HERWIN- ILLIAMS,. ;® 514ERWINfl- ILLIAW
ENOLA Store 5165 ENOLA Store 5165
7328 WERTZVILLE RD 7328 WER17VILLE RD
ENOLA PA 17025 2037 ENOLA PA 17025 2037
(717)732-3613 (717)732-3613
Fax (717) 728-9411 Fax (717) 728-9411
www.sherwin-williams.com www.sii.e•rw4,67williams.com
SALE1:Olpm SALE 10:47am
Tran # 2506-8 05/23/14 Tran # 3248-6 06/17/14
E09j11916 10 E23/11916 10
MICHAEL I KELSEY
TODD YOUNGBLOOD YOUNGBLOOD*TODD
Account 1 I Account XXXX-4896-9
Job 1 D.I.Y. Job 1 YOUNGBLOOD*TODD
Bill To: Bill To_
TODD YOUNGBLOOD YOUNGBLOOD*TODD
1245 FICKES RD
963-3934 61 EACH DILLSBURG, PA 17019
PAINT CAN SPOUT (717;856-6886
1.00 0 1 .09 1.09
180-1281 99074299 EACH 158-9241 K05809 EACH
4-SIDED HD GRID 5-GL. KRY 5809 GLOSS WHT
*Sale Price 1.00 C 3,79 3.79 1 1,00 .@ 6.39 6.39
Discount ( ) -0.81 Discount(%10.00) .-0.64
SUBTOTAL -� - 4.07 SUBTOTAL, 5.75
6.000% SALES rAX,!1-391702500 0.25 6.000% SALES TAX:17391702500 0.35
VISA -4.32 VISA -6.10
.0/C# XXXXXXXXXXXXI804115 C/C# XXXXXXXXXXXX9600
Auth # 030116 Auth # 491851
TOTAL $4.32 TOTAL $6.10
Sales Event Savings $0,81 Preferred Customer Savings $0.64
Customer Signature ----Date Customer Signature Date
STORE HOURS STORE HOURS
SUNDAY 10:00 AM - 6:00 PH SUNDAY 10:00 AH - 6:00 PH
MONDAY - FRIDAY 7:00 AH - 7:00 PH MONDAY - FRIDAY 7:00 AM - 7:00 PH
SATURDAY 8:00 AM - 6:00 PH SATURDAY 8:00 AM - 6:00 PM
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SHERWIN-WILLIAMS,,
011-e saving. ENOLA Store 5165
doing�"
M01,e 7326 WERTZVILLE RD
6000 CARLISLE PIKE, MECH PA 17055 ENOLA PA 17025 2037
STORE MANAGER TEDD B TERRV(717)795-9602 (717)732-3613 .
4120 00009 30842 05/17/14 05:20 PM Fax (717) 728-9411
CASHIER TARREA - TRC2863 www.sherwin-williams.com
132991110915 GB DUAL FLUS -A�
GLAC BAY WHT DUALFLSH TOILET 2PC SALE 1:18pm
2@98.00 196.00 Tran # 3082-9 06/11/14
E33/11916 10
SUBTOTAL 196.00
SALES TAX 11.76 TRAVIS
TOTAL $207.76 YOUNGBLOOD*TODD
XXXXXXXXXXXX5188 VISA 207.76
AUTH CODE 605678/2094078 TA Account XXXX-4896-9
Job 1 YOUNGBLOOD*TODD
Bill To:
1245 FICKES RD
DILL'SBURG, PA 17019
4120 09 30ple)2 05/17/2014 6277 (717)856-6886
RETURN POLICY DEFINITIONS
POLICY ID DAYS POLICY EXPIRES ON 155-1332 101333900 9 INCH I
A 1 ____ 90 08/15/2014
THE HOME DEPOT RESERVES THE RIGHT TO NYLPOLY CVR 9X3/8"
LIMIT / DENY RETURNS. PLEASE SEE THE *Sale Price 2.00 @ 5.09 10.18
RETURN POLICY SIGN IN STORES FOR Discount -2.24
DETAILS.
BUY ONLINE PICK-UP IN STORE SUBTOTAL 7.94
AVAILABLE NOW ON HOMEDEPOT.COM.
CONVENIENT, EASY AND MOST ORDERS
READY IN LESS THAN 2 HOURS! 6.000% SALES TAX:1-391702500 0.48
CASH TENDERED -8.42
ENTER FOP A CHANCE
TO WI N! A $5 , 000 TOTAL $8.42
HOME DEPOT GIFT
LAIRD 1 Sales Event.Savings $2.24
Share Your Opinion With Us! Complete
the brief survey about your store visit
and enter for a chance to win at: STORE HOURS
SUNDAY 10:00 AN - 6:00 PH
www.homedepot.com/opinion MONDAY - FRIDAY 7:00 AN - 7:00 PH
COMPARTA SU OPINION EN UNA 114)[VE SATURDAY 8:00 AM - 6:00 PH,
ENCUESTA PARA LA OPORTUNIDAD E)i (,.',ANAR.
LJ
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-------- Thank You
receipt required for refund
THANK Yn�s (�- S!�1�P, MG AT
,,ANK
Ace fix-it Hardware #14712-
e) More saving.
START YOUR cItMM+Fa FF ill rac r doing,
START ,OUR SSUJIM OFF WIT TH GREAT
MEMORIAL DAY SAVINGS -FRIDAY - MONDAY 4200 DERRY ST HARRISBURG, PA 17111
5j21/14' 9:51AM 50 591 SALF STORE MGR. SCOTT SAURS 717-558-8105
-- -------------------- 4113 00002 48559 05/27/14 11:33 AM
?19-7615 1 EA 8.49 EA CASHIER REBEKAH - RXA1940
REMOVR WALLPAPR DIF SPRY 8.40 O81'1'99n00669 4X8X3/8 SR <A-
1214561 1 EA 4.79 EA. 3/ii"X4 X8' REGULAR DRYWALL
GLUE LIQ NAIL SUB FL10OZ 4.79 4010.25 41.00
,urC{990329E7 UL FCX 4'X8 cA>
1!1°.61$9 1 EA 7.4° EA /8"X4')(8' USG ULTRALIGHT FC TYPE X
QAPTEX SEALANT 1202 7.49 4C 11.98 47.92
�,�l090204586 JOINT COMP <A- 14.98
USG +3 ALL PORP LIGHT ,)C PAIL 4.5GAL
SUB-TOTAL- 20,77 TAX: ' 1,25 764666103016 1.1/4CSDWSCI# <A- 6.47
TOTAL:. 22.021-1/4" COARSE DRYWALL SCREW 1 LB
049000045741 F. PUNCH <A- 1.38
BC _AMT: 22.02 POWERADE 320Z FRUIT PUNCH
. SUBTOTAL 111.75
XYx�'XXez7 RELR C„RPXYYY - ,t.
SALES TAX 6.71
ID: 670121471299 TOTAL $118.46
AtiiTH: 8SE'727 AMT: `�,n2 XXXX.XXXXXXX.X8025 DEBIT 118.46
22 __. AUTH CODE 761153
Host reference #:717547 Bat#0989
et11191 T!.ioFr} Vlif 1 -- 1 trp�
CARDTYPE:MASTERCARD EXPR: XXXX 9 I 13 1 rh! II
u n3dibi;iui 3l pi ilii r U, I I
41.13 O 48559 05/27/2014 5132
Bark card 22° REAONS
POLIGYURN ID PODAYS DEPOLICYOEXPIRES ON
A 1 90 08/25/2014
Total Items: THE HOME DEPOT THE RIGHT TO
LIMIT / C,ENY RETURNS. PLEASE SEE THE
nETURIN POI ICY SIGN IN rJORES FOR
DETAILS.
GUY CINLTNE PICK-IJP IN STORE
__>? .�;, 9-'L#H178715 «_= AVAILAT'LE NOW ON HOMEDEPOT.COM.
R CONVENIENT, EASY AND MOST ORDERS
CUST # *5 READY IN LESS THAN 2 HOURSI
'+x'rt+c'xA A'+:Ch:1'X'Y:it AYi Yi Ik YC YCX is Yi�A kitkY:aCri:t J1:Y Y;'A A'
THANK! YOU TMA) Yni INGRE LOOD f=.N_I �.:F F t f �'.I i A N C L
FOR YOUR PATRONAGE 'T C.) W1E1\1 A $5, OUG
Iii")1v.E= T IF7POT GIFT
('ARD
Your Opinion With Us! Complete
tI re brief Purvey about your store.vi si t
J
f and enter for a chance to win at:
www.homedepot.com/opi i i i on
Name : X COMPARIA SU OPINION EN UNA BREVE
I agree to Pay abo`e total a111otnt ENCUESTA PARA LA OPORTUNIDAD DE GANAR.
according to card issuer agreement,
yrm.-rchant agreement if Credit .'0!_: h,-r.) LJsc--r- TD
Acct: CASH-Di l lsburg #14712 f-iT H L01.520 97409
F a __wc�rCustomer- Copy-_' �d
1.4277 97407
Entries must be entered by 06/26/2014.
Entrants must be 18 or older to enter.
ea complete rules on website. No
IMurchase necessary.
`
�
^
°
� NPTRACTOlt
��r� � w�� n�����
880 NORTH US ROUTE lS
DILLSDUHG' P8 17019-1617
717-432-9271
Ticket: 59901
Date; 6/1/14 Time: 9:00 HM
Store: 1667 Resister: 1
Cashier: 00215153
'
Amount
ROUND Up WEED 8 GRASS KILLER 1GHL RTU
q200937 l 9.99 9�99
SR GLOSS DARK HUNTER GKN
1031019 1 1.99 1.89
SR GLOSS DARK HUNTER GRN
10318`19 1 1.99 1.99
Subtotal 19.97 /
Tax 1 �20
Total 21.17
Deb'' Card 21 .17
Bank Reference #:415613241622
----------------------
Change 0.00
I a»ree to pvy the above amount according to f
m�j card issuer agreement. ^
Go to TractorSupplySurvey.con or Call
1-877-789-1113 within 7 dams to
complete a survey and be entered in
a mnnfhly 6raw1ns for a chance to
win e $2680 shopp/ns spree.
(Awarded as Gift Cards) Ends 12/31/2014
For complete details or to participate
without Purchase or aurveu, eo to
. Tractur5uppIg.cum/cuatomeraurvey
a***oxn**n***xxo*x***xo**x*x**ouax**o***
�
Enter Store 1667
Enter Reference 0159901
8ULO ITEM COUNT ~ 3
�
��HUQU NU@N�
— — T4A6316FKW`IAM[C3[ ---
Pleooe call 877-872-7721 for Customer
Service.
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)
'
ORF'S HOME CENTERS, LLC
' 'HOME CENTERS, LLC
LOWES
5500 CARLISLE PIKE 5500 CARLISLE PIKE
PA 17050 (717) 610-9230 PA 17050 (717) 610-9230
- SALE - SALE
SALES#: S2223CS6 1937301 TRANSC 10850540 06-15-14 SALES#: S2223AR2 1924159 TRANS#: 10752344 06-14-14
308861 WHITE DOMED DOOR BUMPER 3.56
355264 KING SNICKERS 3.290Z 1.73 96327 hR.S nG 2-1/4X42 AC UEATH 6.34
2 @ 3.17
408050 3-15/16-IN SLIDING PATIO 13.96 96326 1-1/4 X 1-1/4 X 42 AIC FO 6.21
3 @ 2.07
SUBTOTAL '1`10D FINISH CLOTHS 0 8.97
TAX: )j-02 DRIGNAL SPRAY 5.48
INVOICE 10952 TOTAL: 20.30 '058« 'rP GRAB 9EP.VY CUT 4.57
N/C: 20.30 BOX, 2-It8IN DEEP, 2.05
-AMP PW UT (-71240 6.9
M/c:XXXXXXXXXXXX7741 AHOUNT:20.30 AUTHCD:R3778Z bi-;9'1C qt)UpSrt'i'�,r L -SPRAY ORO SH 29.98
SWIPED REFID:850550222310 06/15/14 12:42:30 38266.1, (�
'f, j 'PRAY uR SRO 9.98
STORE: 2223 TERMINAL: 10 06/15/14 12:42:32 7763, i,'CSTO;i HOLDEN BN 15.98
t, 0 F ITEMS PURCHASED: 3 V48782 15.25X25 C- REC NED CA 44,98
EXCLUDES FEES, SERVICES AND SPFrIAL ORDER ITEMS 385423 MOEN C';:
;: 5-SPRAY CH 36.98
13617 MIC AR 3LT (i58 59,97
.'OTAL: 238.46
THANK YOU FOR SHOPPING LOUE'S. TAX: 14.31
SEE REVERSE SIDE FOR RETURN POLICY INVOICE 10450 TOTAL: 252.77
STORE MANAGER: JIM DUNKELBERCER M/C: 252.77
WE HAVE THE LOWEST PRICES, GUARANTEED! MIC:XXXXXXXXXXX7741 AMUNT:252.77 OUTHdt:R738OZ
SWIPED REFf0:752371222310 Uo/14/14 09:26:11
STORE: 2223 TE��: 10 06/14/14 09:26:18
# OF ITEMS PURCHASED: 16
EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS
��I��I�al�li�����llpllu��%HI I'� i (��i I iI �'� � �� i i'
LOWE-S HOME CENTERS, LLC THANK YOU FOR SHOPPING LOWE'S.
5500 CARLISLE PIKE SEE REVERSE SIDE FOR RETURN POLICY.
b14-9230 STORE MANAGER:
JIM R1114YELBERGER
A
' "
R ET URN 1 u 6 85 - WE HAVE THE LOUEST PRICES, GUARANTEED!
SALES#:R 52223082 1878228 TRANS#: 18281657 06-20-14 IF YOU FIND A LOWER PRICE, WE WILL "EAT IT BY 10%.
SEE STORE FOR DETAILS.
RET 348782 15.25X26 SWING REC MED CA 44,98-
ORIG.'STORE: 2223 DATE:061414 IN'.10450
RET 379307 AqUASOURCE 6-SPRAY ORB SH 29.96- YOUR OPINjONS COUNT!
ORIG. STORE: 2223 DATE,061414 INU:10450 REGISTER FOR A CHANCE TO VIN A
RET 408050 3-15/16-IN SLIDING PATIO 13.96- $5.000 LOVE'S GIFT CARD!
BRIG STORE 2223 DATE:061514
IRV:10952 jREGISTRESE PARA TENER LA OPORTUNIOAD BE GANAR UNA
TARJETA BE REGALO BE LOUE'S DE $5000!
SUBTOTAL: 88.92-
TAX: 5.34- t REGISTER BY COMPLETING A GUEST SATISFACTION SURVEY
TOTAL RETURN: 94.26- WITHIN ONE WEEK AT: uuti.laues.cani/survey
M/C: 94.26- I Y 0 U R I D # 10450 2223 165
MIi:XXXXX,AXXXIAXX7741 AMOUNT:94.26- " E NECESSARY TO ENTER OR VIN.
KEYED REFID' 06/20/14 12:27:41 MUST'BE 18 OR OLDER TO ENTER. *
STORE. 2223 TERMINAL: le 06/20/14 12:27:41 1-NNERS AT: wilu.10wes.com/survey *
STORE MANAGER: JIM DUNKELBERGER iERNINAL: io 06/14/14 09:26:18
LOVE'S HOME CENTERS, LLC
LOWE'S HOME CENTERS, LLC 5500 CARLISLE PIKE
5500 CARLISLE PIKE MECHANICSBURG, PA 17050 (717) 610-9230
MECHANICSBURG, PA 17050 (717) 610-9230
-- SALE -
- S ALE — SALES#: S2223E111 664472 TRANS#: 9040082 06-17-14
SALES#: S2223EW1 664472 TRANS#: 4037304 06-17-14
442873 MAHOGANY CASNO 8352,2-3/8 17.94
240725 GATORADE ORANGE 2002, 1.59 2 @ 8,97
308993 GH 4-IN BRASS BARREL BOLT 3.96
15634 GREAT STUFF 12-OZ DR & 11I 5.48 SUBTOTAL: 17.94
442873 MAHOGANY CASNG 8352 2-3/8 26.91 TAX: 1.08
3 @ 8.97 INVOICE 09136 TOTAL: 19.02
442892 AUTUMN COUE 8100 11/16-I 3.97 M/C: 19.02
SUBTOTAL: 41.91 M/C:XXXXXXXXXXXX7741 AMOUNT:19.02 AUTHCD:R0552Z
TAX: 2.52 SWIPED REFID:040094222309 06/17/14 17:21:34
INVOICE 04459 TOTAL: 44.43 STORE: 2223 TERMINAL: 09 06/17/14 17:21:35
M/C: 44.43 # bF ITEf-Is PURCHASED: 2
EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS
M/C:XXXXXXXXXXXX7741 AMOUNTA4.43 AUTHCD:R3968Z 1,f III!�i"�!'►,i '!j'iq "j'� II' I hll 'I til '"I'� ':I
SWIPED REFID:037315222304 06117/14 16:35:15
THANK YOU FOR SHOPPING LOVE'S.
SEE REVERSE SIDE FOR RETURN POLICY.
STORE: 2223 TERMINAL: 04 06/17/14 16:35:24 STORE MANAGER: JIN DUNKELBERGER
# OF ITEtdS PURCHASED:
EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS WE HAVE THE LOWEST PRICES, GUARANTEED:V
IF YOU FIND A ECVE VILL BEAT IT BY 10 .
SEESTOREFORDETAILS.
THANK YOU FOR SHOPPING LOVE'S. ************* ** ** ***************************x** **M**
SEE REVERSE SIDE FOR RETURN POLICY. * YOUR OPINIONS COUNT!
STORE MANAGER: JIM OUNKELBERGIR * REGISTER FOR A CHANCE TO VIN A
* $5,000 LOVE'S GIFT CARD!
WE HAUE THE LOWEST PRICES, GUARANTEED! * iREGISTRESE PARA TENER LA OPORTUNIDAD DE GANAR UNA
IF YOU FIND A LOWER PRICE,_WE WILL BEAT IT BY 10%. * TARJETA DE REGALO BE LOWE'S DE $5000!
SEE STORE FOR DETAILS.
f
* REGISTER BY COMPLETING A GUEST SATISFACTION SURVEY
WITHIN ONE WEEK AT: www.lowes.cou/survey
* YOUR OPINIONS COUNT!
� * Y O U R I D # 09136 2223 168 �
REGISTER FOR A CHANCE TO VIN A
* $5.000 LOVE'S GIFT CARD! * * NO PURCHASE NECESSARY TO ENTER OR WIN.
* iREGISTRESE PARA TENER LA OPORTUNIOAD DE GANAR UNA * VOID WHERE PROHIBITED. MUST BE 18.OR OLDER TO ENTER. *
TARJETA DE REGALO DE LOVE'S BE $5000! * * OFFICIAL RULES & WINNERS AT: www.lowes.con/survey *
* REGISTER BY COMPLETING A GUEST SATISFACTION SURVEY * i STORE: 2223 TERMINAL: 09 0611 X34 17:21:35
WITHIN ONE WEEK AT: www.lowes.coulsurvey
Y 0 U'R I D # 04459 2223 168
* NO PURCHASE NECESSARY TO ENTER OR WIN.
* VOID WHERE PROHIBITED. MUST BE 18 OR OLDER TO ENTER. *
OFFICIAL RULES & WINNERS AT: www.iawes.con/suruey *
STORE: 2223 TERMINAL: 04 06117/14 16:35:24
More saving. More warring.
iretia,, s- More +�oing;�,
6000 CARLISLE PT",." F" :.(� i'A 17:"`, , 6000 CARLISLE PIKE, MECH PA 17055
(+:r" CI---R TfmDD ; (71/ /9"; F;t' STORE MANAGER TEDD B TERRY(717)795-9602
4120 00010 55862 06/13/14 01:37 PM
CASHIER DAVID - DCB517
z;+.• 1/ llk,,,3,* �s, <A, r; F'
7 04823137240•' .,, WINDOW AC <A> 179.00
BRA',SO METAL 1.10, '',;It .iC? oK ETU WfAw'.1W (� 'C W/REMOTE
165 +1,64;3 IG 19',' 'A= IA 734891256431 BATH FAN -A> 58.78
NViSlf.{!.E GL,a3; 19 ,7 A?QO'�01 70 CFM EXHAUST CEILING FAN W/ LIGHT
ERASEREXP"W <A= "1?04994893.- TYLO LOCKSET <A>
.11!` :.RASE:R EXTRA r+ •' KS SEC TYLO BED/BATH POL BRASS
t PM1OX i11DS <; p I 308.97 26.91
1� I.'VIA BRYTE SST POLI`;, .. ( i+,:: �,,:. 19949599 ENTRY LATCH <A> 9.97
0;)002865 FANA-BTF'T^ --A> i. . SEC TYLO ENTRY ROL BRASS
"ANTASTIK ANTIBAC,; ' ,., rLFA1`•b . ', { C'0134870017 KEYLOCK <A> 8.97
1261361 11 1-- `i�; DEFIANT BRANDYWINE ENTRY LOCK-PB
MINWAX WOO!) i`iJTIY I trYyAM :s / ;, i 046335943216 3L BATH BN <A> 12.98
o7c40805341 . w0±:•ll 'sir •v, ; � 3LT BRI!'�Hf=D NICKEL RACEWAY BATH BAR
yENAFE t i.. . Y�' jr. ',�,.R 1,; :t t: }':;:,"_a''','1st -!! BAF'H BN <A> 15.98
J4:03,}%11/1013 HEP.' PAPER TO -A- 41.T "'~r l :[, NICKEL RACEWAY BATH BAR
HOX 6-ROLL Al I PURPOSE I'A0 R T,,l..: , �,,.�6p937UUv „v111 24"TOWEL BAR <A> 19.990
094803122151 21 1'l7 CAB <A_. AO S)-00 GB CERAMIC 24" TOWEL BAR-WHITE
GLACIER FLAY ;VED SWI, CAB 1 047871099924 1OYRSNGL SMK <A>
10 YR I.ON SMOKE ALARM
SUBTOTAL. 1 ,.1.85 3019.97 59.91
SALES TAX 78 077089143300 3PK RLLR COV <A> 8.34
TOTAL $119 L g BETTER 9 X- 3/8 IN KNIT POLY ROLL 3PK
XXXXXXXXXXXX771i1 MASTERCARD 11 ` 045242195732 GRINDER <A> 69.00
RUTH CODE R0979;7/3010336 MILWAUKEE 4-1/2" 7A ANGLE GRINDER
078477086926 1G SW .! -A>
4� ?fill ,d , . 'arli ! !'! ,
111,1411111441.1111111.1311171E€111mc„E?,.,�- I 1691 2�l 2.80
LT DUTY S("It.-W 11:101`; 51'OP BRT BRASS
701.68 11.76
X85785257715 ROLLER WH -A>
REPLACEMENT ROLLER-WHITE
201.85 3.70
030699150618 DOORSTOP <A> 4.21
WALL DOORSTOP SOLID BRASS
046677433680 PLC60WG25C <A>
PLC 40W(6OW) G25 ECOV HAL CLR 3PK
3197.97, 23.91
` 04(:`:77258313 ES60WA19SW <A>
� saving. 3114.97
60W A19 SOFT WHITE 4 PACK
304.97 14.91
5., 049000000443 20OZ COKE <A> 1.68
' r doing. ' 20 OZ CLASSIC COCA-COLA
XXXXXXXXXXXXXXX7171 100.00N
Wt, PIK' MECH PA 1.1'055 VISA GC $100 <B,U>
TEDD 1ERRY017)195 9602 100OPEN)LOOP GIFT ACTIVATION FEE $5.95
6265" O;')/20/1,1 12:03 PM 205.95 11.90N
GA li t,1!IIFf={ JE«103 IXXXXXXXXXXXXXXX3933 100.00N
fil)1 08886 0>.%15114 TA 04204994815VISA GC 81TYLO100 BLOCKSET <A>
I,•`; 1 PM IDS -4.99 KS SEC TYLO HALL/CLOSET POL BRASS
''P ';AB -69.00 808. .17 67.76
TAX -4.44 AAUEL68/8 -4.08Total
X REFUNDVAL $ 3.6
r �10 55862 06/13/14 TA k SALESITAX 35.79
-7.97 TOTAL $844.17
r13� > 41. BATH BN -15.98 XXXXXXXXXXXX7741 MASTERCARD 344.17
Ir , , �4"T WF1 BAR -19.99 AUTH CODE R8299Z/5103334 TA
' TAX h.1t
<U> - NON-DISCOUNTABLE T'TEM
JAL -176.71 INSTANT VOL SAVINGS $4.08
SCS TAX -10.60
TOTAL -$187.31 D U P L I C A T E R E C E I P T r
XXX)(--;�XxXXX7741 MASTERCARD --187.31 e
T�1:j 3X102153 TA NOT VALI, 70R REFUND xx
� -
~ ,
. . ^
Kohl Building Products
1O47Old BernvUand
Reading, PA 19805-9311
(800)-345-8175
Payment Receipt
Customer:
CAG1QU
SANOYYOUNGBLD{}D
117YORK ST
ENOLA, PA 17025-
Branch: 03MB
7O25'Bnanoh: D3K4B °'
Order#: 3750G5 ^~
Date: 27-JUN-14 13:19:08 «��~
Tendered By: Bdmko
Currency: USD
Card Type: Visa
Card#: XXXXXXXXXXXX2201
Approval#: 890444 �
Entry Method: Swiped
Payment Method: Visa n'
Transaction#: 982263312 ~= -
Amount Tendered: 45.40
Applied h»Order: 45.40 �
Applied to Account: 0.00 <�
Change: 0.00 ' �y
Customer Signature
Thank You!
Mechanicsburg Branch
80DWesley Dr
Mechanicsburg, PA17O55'443G
(717)'790-9814
t
LOWE'S AME CEh _4S, LLC
5500 CARLISLE PIKE
MECHANICSBURG, PA 17050 (717) 610-9230
- SALE
THANK YOU FOR SHOPPING AT MLES#: S2223BF1 971540 TRANS#: 10819366 06-03-14
HORNUNGS FAMILY HOME CTR INC
6005 BLUEBIRD AVE 30068 UAL 5-GAL PRO 2000 WHITE 85.36
LINGLESTOWN, PA 17112 30068 UAL 5-GAL PRO 2000 UNITE 85.36
(717) 545-1222 494849 HONEVUELL ELECTRIC BSBRD 119.94
6 @ 19.99
www.hornungshardware.COM 103988 1OCT 16 WHITE OUTLET PLAT 5.94
3 @ 1.98
7/18/14 1:59PM 552 SALE 156883 3CT 15A 125V WHITE GFCI 57.42
---
------------------------------------- 2 @ 28.71
2153856 1 EA 10.99 EA 39869 2G MIDSIZE DECO TP126WCCI 1.56
DURABLE FOAM KNEEPADS 10.99 158763 38 114HITE MIDSZE SWITCH PL 3.52
72676 1 EA 3.99 EA 2 @ 1.76
WASP & HORNET ACE 14 OZ 3.99 11909 LTRN ROTARY DUAL REPLACE 1.76
1089713 1 EA 4.49 EA 246597 15A 12OU UHT 39 SOTCH 663 5.04
SPRYKRYLON EMERALDGR120Z 4.49 3 @ 1.68
2055845 1 EA 8.99 EA 246990 15A 120U UNITE REST 3 @ 0.6
SP 9 SW 2.07
SANDBELT 3X21" AST SLV5 8.99
3181260 1 EA .69 EA 98642 12 OZ DK HUNTR GRN STOPS 22.56
6 @ 3.76
STRAP RIGID 2HOLE3/4"BG3 .69 158755 2G WHITE MIDSZE SWITCH PL 1.24
2000040 1 EA 2.29 EA 246981 10CT 15A 120U UN RESI SP 4.88
BIT DRILL SPLTPL 3/32CD2 2.29
21589 1 EA 3.99 EA 246867 15A 125U UHRESI OUTLET 7";76
1 2 @ 3.88
EXTRACTOR SCREW 7/64" 3.99 13066 AQUASOURCE 2H ON TEAPOT 52.00
21590 1 EA 3.99 EA 346565 SS 24-IN YINDELL COMBO V 90.00
EXTRACTOR SCREW 5/32" 3.99
HH10403 -1 EA 10-00 EA S R SUBTOTAL: 546.41
$10 CERTIFICATEG -10.00 THY: 32.7s
INVOICE 10368 TOTAL: 579.19
SUB-TOTAL: 29.42 TAX: 1.77 VISA: 579.19
TOTAL: 31.19
BC AMT: 31.19 VISA:XXXXXXXXXXXX4064 AMOUNT:579.19-AUTHCD:041633
BK*CARD#: XXXXXXXXXXXX4064 SWIPED REFID:819415222310 06/03/14 14:16:55
ID: 17375113
RUTH: 040229 AMT: 31 .19
Host reference #:317824 Bat#0539 STORE: 2223 TERMINAL: 10 06/03/14 14:11:11
SWIPED 0 0F• ffEtIS PLIRCHASED: -
CARD TYPE':VISA EXPR: XXXX 'EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS
ITT 1 1111"!
Bank card 31.19 THANK YOU FOR SHOPPING l.'AE'S.
SEE REVERSE SIDE FOR RETURN POLICY!
III Illilllllllllllllllllllllllllll STORE MANAGER: JIM DUNKELBERGER
VE HAVE THE LOU[Sf PRICES, GUPRONTW.'
==>> JRNL#Dl7824 <<-- LOWER PRICE, UL "-,*,.;- __ �i w
COST # *22367 SEE STORE FOR DETAILS.
ACE REWARDS ID # 19705910222
THANK YOU RONALD E YOUNGBLOOD YOUR OPINIONS COUNT!
FOR YOUR PATRONAGE REGISTER FOR A CHANCE TO MINA
CASHIER: SARA SMITH $5,000 LOVE'S GIFT Chd.D!
iREGISTRESE PARA TENER LA OPORTUNIOAD DE 6AINAR UNA
TARJETA BE REGALO DE LOWE'S DE 55000!
REGISTER BY COMPLETING A GUEST SATISFACTION SURVEY
imimi nkir ixcw OT- mmu lnmpxS rnmhuirupy
I More saving.
1, o More doing:"
THANK YOU FOR SHOPPING AT
HORNUNGS FAMILY HOME CTR INC 5101 JONESTOWN RD LOWER PAXTON PA, 17112
6005 BLUEBIRD AVE STORE MGR: CHRIS HAMILTON 717-651-9699
LINGLESTOWN, PA 17112 4138 00059 35374 06/16/14 03:25 PM
(717) 545-1222 CASHIER SELF CHECK OUT - SIOT59
033287141234 1/4FINSNDDL <A> 29.97
www.hornungshardware.com RYOBI 1/4" SHEET PAD SANDER
731919201041 GM GENPURPX <A> 9.99
8/06/14 11:07AM 552 SALE GREASE MONKEY GENERAL PURPOSE XLARGE
019736996198 RED SHP TWLS <A> 4.98
------------------------------------ PAINTERS SHOP TOWELS RED 20PK.
23583 1 EA 9.99 EA 020066170585 SPRAY HANDLE <A> 2.98
SPRAY
BLADE CIRC7-1/4 STL 140T 9.99 008925094111P4.5X5.5150 <A> 2.97
2363919 1 EA 17.99 EA DIABLO 4-1/2"X5-1/2" 150 GRIT SHEET
24T BLADE CARBIDE 6-1/2" 17,99 008925094104 4.5X5.5220 <A> 2.97
DIABLO 4-1/2"X5-1/2" 220 GRIT SHEET
008925094128 4.5X5.5100 <A> 2.97
SUB-TOTAL: 27.98 TAX: 1.68 DIABLO 4-1/2"X5-1/2" 100 GRIT SHEET
TOTAL: 29.66 054000751301 SHOP TOWEL <A> 2.28
BC AMT: 29.66BLUE SHOP TOWELS - ROLL
079340688834,LOCPGCHD9Z <A> 4.57
J LOCTITE POWER GRAB HVY DUTY CLR 9OZ
BK CARD#: XXXXXXXXXXXX4064 077089181326 1.5"UTLYBRSH <A> 2.48
ID: 17375113 ECON 1.5 FLAT BRUSH
027426330603 STAIN <A> 7.78
. AUTH: 011116 AMT: 29.66 1 MINWAX POLYURETHANE SAT 120Z 1.5MIR
Host reference #:332194 Bat#0558 020056779283 kSTOGLSWHSPR <A> ' 3.76
SWIPED STOPS RUST%GLOSS WHITE SPRAY
CARD TYPE:VISA EXPR: XXXX SUBTOTAL 77.70
SALES TAX 4.67
TOTAL $82.37
XXXXXXXXXXXX4064 VISA 82.37
AUTH CODE 052733/2590968 TA .
Bank card 29.66
IIIIIIIIIIIIilllllllllllll(I�IIIII
II IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
-» JRNL#D32194 «__--
CUST # *5 4138 59 35374 06/16/2014 9655
THANK YOU RONALD E YOUNGBLODD RETURN POLICY OEFINITI.ONS
POLICY ID DAYS POLICY EXPIRES ON
FOR YOUR PATRONAGE A 1 90 09/14/2014
CASHIER: SARA SMITH THE HOME DEPOT RESERVES THE RIGHT TO
LIMIT / DENY RETURNS. PLEASE SEE THE
RETURN POLICY SIGN IN STORES FOR
� DETAILS.
BUY ONLINE PICK-UP IN STORE
AVAILABLE NOW ON HOMEDEPOT.COM.
CONVENIENT, EASY AND MOST ORDERS
Name X READY IN LESS THAN 2 HOURS!
I agree to pay above total amount
according to card issuer agreement ENTER FOR A CHANCE
(merchant agreement if credit voucher) TO WIN A $5, 000
Acct: CASH CUSTOMER HOME DEPOT GIF T
CARD f
Share Your Opinion With Usl Complete
QUALITY SERVICE SINCE 1986 the brief survey about your store visit
and enter for a chance to win at:
Customer Copy www.homedepot.com/opinion
COMPARTA SU OPINION EN UNA BREVE
ENCUESTA PARA LA OPORTUNIDAD DE GANAR.
User- ID
Pagel of 3 From May 30,2014 to June 29,2014
..........
............. me i . ........
V ih&4iW;ow,:R1"
A-i C";60 u n rA V i y, r, T
...1.•.......... ......
$553.88 New Balance $1,776.80
"ayments $200.00 Minimum Payment Due $25.00
Other Credits $4701 Payment Due Date July 24,2014
Purchases/Debits + $11,894.23
Balance Transfers + $0.00 Late Payment Warning:If we do not receive your minimum payment by the
Cash Advances + $0.00 date listed above,you may have to pay a late fee of up to$35.00 and your APRs
Past Due Amount $0.00 may be increased to the Penalty APR of 24.99%.
Fees Charged + $0.00
Interest Char ed + $0.00
New Balance $1,776.80 Minimum Payment Waming:lf you make only the minimum payment each
Credit Limit
period,you will pay more in interest and it will take you longer to pay off your
Credit Available $16:$18500.00 723.20 balance.For example:
1� Cash Advance Limitt $4,625,00
Cash Advance Available $4,625.00 If you make no additional You will pay off the And you will end.up paying
Statement Closing Date June 29,2014 charges using this card balance shown on an estimated total of..
Days in Billing Cycle 30 and each month you this statement in
tCash Advance Limit is a portion of Total Credit Limit.- pay— about...
o Only the minimum 9 Years $2,691
o Payment
_$58 3 Years $2,094
o (Savings=$597)
hl
If you would like information about credit counseling services call
1-866-569-2227.
Questions? Payment Address:UNION PLUS Credit Card,PO Box 71104,Charlotte,NC
24-Hour Customer Service 1-800-622-2580 28272-1104
Lost or Stolen Card 1-800-651-5116 Billing Inquiries:UNION PLUS Credit Card,PO Box 80027,Salinas,CA
Outside USA Collect 1-702-243-1567 93912-0027
TDD/Hearing Impaired 1-800-280-5352 Manage Your account online at www.unionpluscard.com
................ ........................ ...............
Important Informatron
..........
............
...... ........
As a reminder,you may pay your credit card bill online or through our automated phone system for no fee.
Transections
...........
....,,:P.aVments/Returns/Credits
Trans DaW Posf Date Description of Transaction or C—ridit Reference Number 'Amount
05/06/`i 4 06/06/14 PAYMENT-THANK YOU B060614AO20832631007601 -$100.00
06/11/14 06/11/14 PAYMENT-THANK YOU 8061114AO20951591005201 -$100.00
06/20114 06/21114 LOWES#02223* MECHANICSBURG _:MT1 4172011 j 000010022206—P-ec4ck5- -$94.26
PA
06/20/14 06/21/14 LOWES#02223' MECHANICSBURG MT141720112000010008204 -$189.74
PA
06r20/14 06/23/14,/ THE HOME DEPOT 4120 MT1 41740112000010106983 — -$187-31
MECHANICSBURG PA
Total Payment For This Period -$671.31
77
-urcha
Trans Date Post Date Description of Transaction or Credit Purgare*T- Reference Number Amount
06/13/14 06/16/14 THE HOME DEPOT 4120 i MT141670113000010113825 —PjZr-�6L—_ $844-17
*MECHANICSBURG PA
06/13/14 06/16/14 4,THE HOME DEPOT 4120 si,� MT141670113000010113826 4,— $127.20
MECHANICSBURG PA
6etach`and return bottom portion w th your payment 0101065'61' OffdW466b_tiWfi! U-KU'N-P-LOO—EF'XX-X—XM—EMB—XXX—X*'9-6'48 UPI see reverse side for important information
06/14114 06/16/14 LOWES#02223* MECHANICSBURG MT141610113000010086553 $252.77
PA
06/14/14 06/16/14-L-TURKEY HILL#280 ENOLA PA MT1 41670113000010098691 Z,-' $65.70
06/15/14 061161144,QOWES#02223' MECHANICSBURG MT141670114000010021339 $20.30
PA
06115/14, 06/17114*THE HOME DEPOT 4120 MT1 41680111000010026753 $119.63
MECHANICSBURG PA
806/16/14 06117114 *KNISELY LAND SCULP EAST MT141680112000010010852 J4 $72.08
0 PENNSBOR PA
9
0
0 06/17114 06/18114
_7V
LOWES#02223* MECHANICSBURG MT141690112000010028762 1--$44.43
PA
06/17/14 06/18/14 LOWES#02223- MECHANICSBURG
0 MT141690112000010028763 L--$119.02
o PA
0
16 06/20114 06/21/14 J61-OWES#02223' MECHANICSBURG MT141720111000010022205 '$216.22
o PA
06/21114 06/23/14 Bi VAOLIEAA'LE#0025 CAMP HILL PA MT141740112000010088864
6 06/21/14 06/23114 �A-Z:M MINI MART 1��PA MT1 41740113000010018723
06/21/14 06/23/14 WEIS MARKETS#58 SND MT1 41740114000010031282
MECHANICSBURG PA
Total Purchases For This Period $1,894.23
Fees
Trans Date Post Date Description of Fees Reference Number Amount
Total Fees For This Period $0.00
Interest Charqed-:
Description of Interest Charge Amount
INTEREST CHARGE ON CASH ADVANCES $0.00
INTEREST CHARGE ON PURCHASES $0.00
INTEREST CHARGE ON BALANCE $0.00
TRANSFERS
Total Interest For This Period $0,00
..........-....... .. ..........
20,
Total fees charged in 2014 $83.00
Total interest charged in 2014 $23.63
..........
........................
.............
ba e--Cadolat
r)Ar"!.:
IQ i C wii
............-.,-. .........
..................... .................
.............
.......... ...............
Your Annual Percentage Rate(APR)is the annual interest rate on your account.
Type of Balance Annual Percentage Rate(APR) Balance Subject to Interest Rate Interest Charge
PURCHASES 00001 10.99%(V) $0.00 $0.00
CASH ADVANCES 80001 23.99%(v) $0.00 $0.00
BALANCE TRANSFER 10.99%(v) $0.00 $0.00
71111
v--Variable Rate
BARLUP'S APPLIANCE SALES & SERVICE
301 North Enola Road
Enola, PA 17025
(717) 732-5338 FAX: 732-5381
Sales Receipt
Customer: TODD YOUNGBLOOD Invoice #: R 631
1245 FICKES RD
DILLSBURG, PA 17019
(717) 856-6886 (717)
Sales Rep: RANDY BARLUP Date: 05/30/14
Qty: manufacturer: **** model #: Ser. #: Each: ***** EXtd:
1 GENERAL ELECTRIC REBUILT RANGE
6 MONTH WARRANTY
$395.00 $395.00
---------------------------- ------------------------------------------------
-------------------- _?--- ---
--------------------
-----------------------------------------------------------------------------
-----------------------------------------------------------------------------
-------------------------------------------------------------------------------
WILL PICK UP
Sub-Total : $395.00
CASH $160.00 Tech charges:
sales Tax: $23.70
Invoice Total : $418 70
Amount Rcvd: $160.00 Balance Due: $258.70
OUR POLICY:
THIS INVOICE MUST BE PRESENTED FOR ALL WARRANTY CLAIMS
REPAIR OR REPLACE POLICY ON ALL REBUILT APPLIANCES
NOT RESPONSIBLE FOR PERSONAL LOSSES DUE TO EQUIPMENT FAILURE
APPLIANCES PICKED UP OR DELIVERED OVER 25 MILES MUST BE RETURNED
FOR WARRANTY SERVICE
CUSTOMER SIGNATURE
AVV OFFICE:800-546-1'777 • 717-938-2272 • 854=9800 • 560-7900
FAX:717-938-5044
AMERICAN INATERPROOFERS',INC.
Contract.for Waterproofing Services
s'
This A '.inept,-executed.this day of � ,20 �� ,between American Waterproofers,Inc„a Pennsylvania
Corpora#ion with:its Principal::office tituateat 90 Cardinal Drive,Fstters,Pa. 17319,("Contractor")and the Owner:
. . Namet ./i!+�c'.�+ Hm, Ph, � te�' �(41 yk. Ph.
r
Address JI,+' / City �`?�C� ' State.`{t Zip. c�
Jv Site City State Zip
777777,
TERMS-OF THIS AGAEEMENT
Approximate Start and-Completion within ` days, },�y rL 42
WITNESSE EI: Inconsideration. of:the mutual covenants herein contained, and.intending to be legally bound hereby, it is
agreed by an between the Contractor and the Owner-as follows:
I:.DESCRIPTION Off'WOlk,K T0_BE"PERPOk,MED:
a. DlagraMS area ftir i.Aici :flwner-is"requesting service:
opt"waits(s)
� ear wall(s)
$ht wails} ac
b.—4-'FHA/VA certification will be furnished upon request at completion of work.
c. L=-.Rfght to transfer warranty to subsequent owner, �-
-- -dd f �
d. t�`ftee materia[ and labor for any necessary replacement, covered by warranty.
e, t Structural -- detailed on addendum. /",fx/-5
f. Exterior parging -- detailed on addendum,
g: Other detailed onaddendum. ...;.
h rhterior(instal)} 4 American Waterproofers'.polymeric drain core with flow channels: "
f American VVatc roofers'sub floor pressure relief'system(4 inch ADS perforated piping}.
Heavy duty submersible pump system.
Monolithic pour cove plate system.
i. Other.- . ".I':. . rL 1r `.t .XM69
e' ,,tr
2.TOTAI; CASH PRICE OF:CONTRACTED SERVICES:
a.:Cash price as above, lnclicding takes., ., ....:,.,. ............... ..
b.-Cash—..down,—payment................. ...................... ....................
,.,.$
c.Cash, to:paid at completion.......................................,...... ........ .....$ . ..,�-
d. Unpaid.balance (a. less b.&c.}..................... .............................
(i) ° �"-'`�!'�" Unpaid balance on completion
(2) Unpaid balance to be financed
(3) Financing documents attached hereto which are incorporated by reference and made.a part hereof,
WARRANTY# American.Waterproofexs',Inc„warrants that all goods a d services sold under and subject to this Contract shall be free
from defects n.materials and workmanship for S„ oaths, `-6 yearnor life for the entire time Owner-holds title to the
premises and for 30 days, 60 days,or ,for all submersible pumps, To be effective,Owner must have paid all
monies to A- W in.full'. THE FOREGOING WARRf14TY IS THE SOLE WARRANTY WITH RESPECT TO THE GOODS AND
SERVICES SOLD AND IS BXPRESSLY IN LIEU OFAND EXCLUDING ANY IMPLIED WARRANTY OF MERCHANTA BruTY
OR Y z'� A1 iC'�SLAFP �' cA_hlll0'ifirIEREXr�'sSSCRT €FIIEDItEFRIATIt�TSAr'tir�D 'ARR ` ,
o AS QST TBD � Ii �t3wner ages ihat'Owaer s sole and exclusive reiiiedy against AW for anY faure``to:
=0-fb611abld'fbt
othis-warranty or this Contractshall'bb for the repair or replacementof defective goods and services andthatAWany incidental.or consequential damages,or other economic loss to.Owner or.any other person.
IN WITNESS WHEREOF, the parties.have-set their hand this day and year as written above. Owner acknowledges that
he/she has read both sides of this contract and accepts all terms,
You,the buyer,mtay.concet this transaction at any time prior to midnight of the third business day after the dote of tltis
r, sasK i n .t rrsnP*gA-_t*11@d eYnt nstion of thi.S rlebr will be furnished 'intim ref ueit.
-
Apisroximate Start and Completion within days,
WiTNESE .:Ixr considerationof:tire mutual covenants herein;.onfained; and intending to:be legally bound hereby, it is
greed iy_axt d , een the€:ontractor and the Owner as follows:
1.DESCRIPTION OF WORK TO BE PERFORMED: lie
A. Diagram
jQf area for which Owner is requesting service;
frgnt walls(s)
cleft wall($)
- rea r wall(s)
right wall(s) '
b. __;_.��"'�µHA/VA certification will be furnished upon request at completion of work.
.c. c--Right to transfer.warranty.to subsequent owner,
d. "Free material and labor for any necessary re Iacement, covered by warranty.
e.- '`Structural -- detailed"on'addencium.. lfrfr'"
f. Exterior parging -- detailed on addendum,
g, Q;Ytcr�-- detailed on addendum.
h interior(install) . -"Ameican Waterproofers`polymeric drain core with flow..channels;
American Waterproofors`sub-floor pressure relief system(44nch Al'3S nerforated`ptptng};:
Heavy duty submersible pump system.
Monolithic pour cove plate system.
l: Otherss `'i(
2, T0'I`AL; CASH P4'16E OF CONTRACTED SERVICES: s,
a,.Cash price as above►-including taxes..... .....:....................,,,.........,...,: .4
b.-Cash--down.-payment........,. ,...... ......... .............................
C. Cash to paid atcompletion............. .....................,............... ...,.,$
d. Unpaid.bal4nce.(a. less b. &c.) ...............................:......,,,.................
{l), Unpaid-balance on completion -
(2) ., . Unpaid balance to be financed
(3) Financing documents attached hereto which are incorporated by reference and made a part hereof.
WARRANTY: AMerlean.Waterproofers',Inc.,warrants that all goods aid services sold under and subject to this Contract shall be free
from defects in materials and workmanship for 1&months,��-6 ears tar life for the entire time Owner-holds title to tho
premisas and fox` 30 days, 60 days,or a. ,for all submersible pumps, To be effective,Owner must have paid all
monies to AW in.full. THE FOREGOING WARRA TY IS THE SOLE WARRANTY WITH RESPECT TO THE GOODS AND
SERVICES SOLD AND IS EXPRESSLY IN LIEU aP AND EXCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY
DR:idl'I vS F rR24R ICC,ZAR PU2i?C)SE AND OTHER EXPRESS OR IT+iiPLIFTD REPRR$ENTAnQN s AN13 WARRANTIES,
EXC23PI'AS STATED HERETN. :LikilILITY,&ner agrees that Owner's sole and exclusive remedy-against AW for any failure to
conforr*:tothc terais•of this warranty or this Contract shall be for the repair or replacement of defective goods and services and.that AW
shalt not be:llable far any incidental or consequential damages,or other economic loss to Owner or any other person.
IN WITNESS WHEREOF, the partieshave set their hand this day and year as written above. Owner acknowledges that
he/she has lead.both sides of this contract and accepts all terms.
You,the::buy-er,.;n!ay.cancet this transaction at any.time prior to midnight of the third business day sifter the date of this
transaction .A.more'detalied explanation of tills right'will be furnished upon request.
AMERICANW; `fERP'ROOFERS'.,INC. '
"wSIi0NATrK �" r OWNER:
NAME(Prinlij By
By
APPROVED BY AUTHORIZED REPRESENTATIVE
PA UC#046454
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Amount Enclosed:
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, �� Bill Acct.No. Due Date Amount Du�l
���
^ ����� (1-800-342-5775) 81170-72016 Sep'12,2014 59
` p ' - yW-F:8amtoSpm
Your Electric Usage Profiledetails on bat
Service-to—'- Balance as orAug 22,2w14 $="="
«
,/'6ANNETTE DR � Ch$r��Charges:
Total PPL Electric Utilities Charges
------ �� �
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1451Q9 T�a| Chor s $118.59
Your next meter reading|sonorabout Sep 23,2O14.
Th�sgct|nnhelps you under�andyour e|ecthcuse by Account Balance $118
month. Meter readings are actual unless otherwise PPL Electric Dt|U�~~.priceto~~ ' for -r,ate|-$*'O9O36 per kWh.
noted. This changes the 1stmf Mar,Jun,Sept, dDec.Visit pampmemmMtuh.cnn
This graph shows the average number ofkWh you used orwmw.ocm.�atmpw.nmfor supplier ofhes.
each day. You used 97kWh|n29doy�oranaverage of
3kWh aday. Your Message Center
The daily temperature for your urea|astmonth * The$8g.4Gbalance Includes$D.67|n�dprior
was 71F. payment charges.
2M4 wWith paperless billing,you can receiveand pay your
po PPL Electric Utilities bills online.The process imfree,
Z7 quick,convenient and secure.To learn more or sign up,
vis|t��Velectrim,xomo
� .
v" w
Information about appliance energy se andtion
� ws saving energy through the Energy Library
� onour Web site,ppieiacthm.cmm/o'pmvver
� ao
9PwDon't set your thermostat lower than normal when you
< is turn on your air conditioner. It will NOT cool faster. It
o WILL cool to a lower temperature than you need and
J F M A xx J J x s o m n waste energy.
Months
BIII!ng.Pedod Type Reading
Aug 22 Actual 90862 Pme tMethods
JuJ24 Actual 90765 Online at: By phone: 1-800-342-5775
29 Days kWh Billed 97 at 1-800-672-2413 to pay using VI
By Mail: Correspondence should besent t(
21North 9th Street Customer Services
CPC-GENN1 827Hausman Road
Allentown, PA1D1O1-1175 Allentown, PA181O4'9B9%
Other important Information onthe back ofthis bill
'---------------------------------------
SANDRA L YODNGBLOOD
6Dm2412313 14��
PH.717-732-3051
- -
117 YORK ST.
ENOLA,PA 17025-2435 D(TF
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Return this stub in the envelope provided with a check payable,.to PPL Electric Utilities.
Bill Acct. No. Due Date Amount Due
PPd
111 PPL Electric 1.1111100a 6f ''81170-72016 Oct 3, 2014 $23.29
'5
Amount Enclosed:
AV 01 009644 779826 40 B**60GT
all 1111111111!!'1!!111111-11!-!1,1!„!!11-1111111-111if 1-1111 Jill
SANDRA YOUNGBLOOD
117YORKST PPL ELECTRIC UTILITIES
ENOLA.PA 17025-2435 2 NORTH 9TH STREET CPC-GENN1
ALLENTOWN, PA 18101-1175
1 2700000232170000023295 8117072016
-----------------------------------—--------------—---------------
SANDRA L YOUNGBLOOD Y)t 60-8224/2313
PH.717-732-3051 1421
117 LAST.
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bu%PA017055
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I: 23138221, 11: 21433131,9620d 14*21;
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Detach heie Pc000a Mail Date 08/1112014
Agent Number. AA7172
ESTATE OF CAROLYN Agency Name: CONSOLIDATED INS SERVICES IN Due Date 0.9/01/2014
E BOW EN&SANDRA Agency Phone: (717)838-1391 $127.00
117 YORK ST Policy Number. Q545105293 MINIMUM DUE
ENOLA, PA 17025-2435 policy Type: EneSecure
Please Write Your Policy Number On TO PAY IN FULL:
$475.00.
Your Check and Make Payable to:
ERIE INSURANCE GROUP Amo:Revers:eside
Paying: $
PaymD
Address Change: 100 Erie Insurance Place to
O PERMANENT O TEMPORARY Chan
Erie, PA 16530 plan options)
(See for pay p
PLEASE DO NOT WRITE BELOW THIS LINE
PHONE (,) p101.71,725451,05293996110000000700127000004750❑
SANDRA L YOUNGBLOOD 60-822412313 1399
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^ _ . ---_ __ __ _ Account Number 220003919143.
puBox a7z410 Pittsburgh,Pa.1mz50-741uDue Date !TtMer7,2014
For Service To:emvwsrTson Total Due 09
$94.49 after 10/7/14
Check m�mmxxauums changes and If Paid After'Due Date
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SANDRA L YOUNGBLOOD ^' fi6Afi- ~ 60-8224/2313 1422
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4: 23L3 2411: 2L838L862011' 1424
`Rood
r fJ
Owner
17 17) 706-87021,
Ir (717)516-1095
Painting,Plumbing,Framing,Roofing
Siding,Renovations,Remodeling-,-
Kitchen,Basements and Baths,Tiles
HANDUMAN STEVE.
Fully Insured/Free Estimates
t1 Mechanicsburg PA013612
i
_.
LTC ELECTRICAL CONTRACTOR, INC. JOg INVOICE
9_�Cindy,Circle
Ebola, PA 1.7025-1816 INVOICE NUMBER 23570
(717).732=1461 INVOICE DATE 06/18/2014,
TERMS
CUSTOMER ID Youngblood, Todd
PAGE,NUMBER-. Page 7 of 9
LABbFt $350.00
MATERIALS $,17.52
To: Todd Youngblood
1245 Fickes.Road
Dillsburg, PA 17.019 ...OTHER. .
TOTAL $367.52
6 Annetto Drive, Enola, PA 17025: Replace devices and thermostats.
IDESCRIPTION QTY PRICE EACH EXTENDED PRICE
# D
909 15A'3-,, by.Switch,Residential Grade 3 $2.48 $7.44 .
516 Red Wire Nuts 42 $0.14 $5.88
450 x#14/2 NM cable 10 $642 $4.20
DATE,. DESCRIPTION HOURSI HOURLY RATE I EXTENDED AMOUNT
6/6/2014 Journeyman 10.00 $35.00 $350.00
NO STATEMENT SENT- PLEASE PAY THIS AMOUNT ON RECEIPT $367.62
�e.o,:Tr- c,0-�) C
SANDRA L YOUNGBLOOD 60 221/2313 1423
PH.717-732-3051
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EARL W. WOLFS III
Custom
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395 Red Mill Road #3 Etters, PA 17319 -a Office Phone (717) 932-7714 Gell (717) 779-4345
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FREE ESTIMATES FULLY INSURED
REV-1512 EX+(12-12)
Q7Pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Estate of Carolyn E. Bowen 21-14-0773
Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses,
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. M&T Bank(two payments plus payoff of mortgage) 43,739.44
2. U.S. Bankruptcy Court for the Middle District of PA(Case No. 1:11-bk-03144) 5,858.00
3. Revelopment Authority of Cumberland County(municipal lien-6 Annette Drive) 17,638.00
4. M&T Bank(installment loan xxxx4998) 2,986.70
TOTAL(Also enter on Line 10, Recapitulation) $ 70,222.14
If more space is needed, insert additional sheets of the same size.
9/12/2014. Print
Subject: FW: Payments
From: Auguste, Susan (sauguste@mtb.com)
To: sandyyoungblood81@yahoo.com;
Date: Friday, September 12, 2014 2:23 PM
Account #44443438534998 in the name of Carolyn E Bowen:
We wish to advise that your payment in the amount of$876.53 made on. 12/11/13 went.towards the November
and December 2013 payments.
Thanks.
Susan Auguste �r\�
Bankil>ptey Specialist CZ�
Consumer Asset Manaaement ` l
M&T Bank. (^ � !
(0
475 Crosspoint Parkway
Getz%il1e, NY 14068
Direct Phone #800-837-7694 : 8403
fax#855-700-0371.
Email.address:Aw,\v.saugustc(a?mtb.coDn
This email may contain privileged and/or confidential information that is intended solely for the use of the
addressee. Ifyou are not the intended recipient or entity, you are strictly prohibited from disclosing, copying,
about:blank 1/2
PYRAMID LAND TRANSFER, LLC 7887
Date: 09/11/14 Amount: 5,858.00 File Number: PYO14-81RCS Check #: 7887
Pay to: Charles Dehart, Trustee
Buyer: Shelby S. Mohn
Seller: Estate of Carolyn E. Bowen
Property: 6 Annette Drive, Enola, PA 17025
0.00 Loan#
5,858.00 Payoff Principal
F
s
LUTHER E. MILSPAW, Jr.
ATTORNEY AT LAW
130 STATE STREET
HARRISBURG,PA 17101
LUTHER E.MILSPAW,Jr.,Esquire Phone (717)236-3141
Facsimile(717)236-0791
Luthermilspaw@milspawlawfirm.com
Tara L.Swartz,CRP,Pa.C.P. Tswartz@milspawlgwfirm.com
September 15, 2014
Charles J. DeHart, III, Esquire
U.S. District Court Bankruptcy Trustee
P.O. Box 7005
Lancaster, PA 17604
Re: Estate of Carolyn E. Bowen
Case No. 1:11-bk-03144-MDF
Dear Mr. DeHart:
Enclosed please find check number 7887 from Pyramid Land Transfer, LLC, in the
amount of$5,858.00, representing payment of the balance due pursuant to the Chapter 13 Plan
from the sale of 6 Annette Drive, Enola, PA.
Thank you.
Vk yours,
TARA L. S TZ
Paralegal to Luther E. Milspaw, Jr., Esquire
Enclosure
cc: Paul D. Murphy-Ahles, Esquire
i
Fax: Sep 3 2014 10:42am P001/001
Case Status Report
Middle District of Pennsylvania Charles Dellart Standing Chapter 13 Trustee 'age 1
Status of Case as of 09/03/2014 11;12 AM Chapter 13
t i-0314.4-I-MA1'
GAROLYN E BOWEN 20 Rmng of 60 Mos,
6 ANNETTE DRIVE Atty:PAUL D MURPHY-ARLES)✓$QUIRT✓ SSN:xxx-xx-7341 xxx-xx-
(717)737-2430 Debtor Pian Payment: $6.00/
ENOLA PA 17025
Debtor Type: Individual Emplyr:
--Last 6 Payments
Filed04/29/2011 11(21/2013 $202.00 8/22/2013 $202-00 Total Paid In $6,202.00
First Mtg 06/09/2011 10117/2013 $202.00 7/19/2013 $202.00 Base Amount $12,120.00
Confirmed 09/15/2011 9/19/2013 $202,00 6/21/2013 $202.00 Addtl Amount $0.00
Plan Filed 04/29/201 i Total Base Amount 1 $12,120.00
Start Pmts 05/29/2011
Bar Date 09/07/2011
Debtor Graduated Payments
Start Date 5/2/2011 End Date 2/2/,2014 $6262.00 Per= $6,262.00
Start Date 3/2/2015 End tate 3/212015 551858.00 Per = $5,858.00
Pacer Okay to Pay.Y
Creditor CIM Last Init Fixed Disb Debt Principal Claimed Tot lilt Pd Balance
Name Number Held Nam Pymt Term hate Pymnt Code /Value )paid /)Pd Air /Accrd Tut 1%Uus Paid
PAUL D MUGHY-AHLES ESQLJIM 000-0 1/9l20f3 Lit- - 12- $.3,593.00 $3,593.00 $3,593.00
PAUL D MURPHY-ARLES ESQUIRE 001-0 Lgl - • _-- - - ' 12 "-- $500.00 ------- - "$500.00
DISCOVER 01U-0 12/10/2013 Uns 33 $15,320.62" $1,738.53 $]5,320.62 513,5$1.79
_ __ 11.35
PSECU 02U•0 12/10/2013 Uns ' ------ ---33 -- $4,1$0 .79 $474.50 $4,180.79 $3,706.29
11.35
PORTFOLIO RECOVEki(ASSOCIATES3X8• 030.-0 11'16/2013 Uns _ 33 $881.63 $9.2-0.0.... $881.63 $789.63
_ 10.44
QUANTUM!GROUP,LLC $6.06 040.-0 11/612013 Uns 33 $629.96 - $65.74 $629.96 - $564.22
10.44
M&T 13ANK 05S-0 Sec -- - -24 $bA0------------ 3,56-0.73 - $0.00
•"CAROLYN E 130WEN 999^0-• - R£d -- - s0••--- -50.00 .._. . .. .... _. - $6.60
CHARLES 3.DEHART,I11 TRS-0 12/10/2013 Tru 40 $570.43 -�a83.39 - - - $,287.04
$25,676.43 $6,247.46
Scoured Priority Unsecured Admin Attorney Continuing Other Amount Available ' $0.00
TVtal Debt $0.00 $0.00 $21,013.00 ,50.00 $4,093.00 $0,00 $0.00 Funds Held $14.54
Total Paid $0.00 $0.00 $2,371.07 $0.00 $3,593.00 $0.00 $283.39 Principal Balance $19,414.43
Total Int Pd $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Debtor Refunds
Balance Due $0.00 $0.00 $18,641.93 $0.00 $500.00 $287.04 13w Aruount Bal
Delinquent 0
I •
Sep 05,14 12:04p p.1
r
HOUSINGAND
r
C ML
A U T H • R I T I E S
Patricia K.Mrkobrad
Housing Programs Manager r
Environmental Review Specialist
January 27, 2014
Sandy Youngblood
117 York Street
Enola,PA 17025
Re: Deferred loan CW-178,Carolyn Bowen, 6 Annette Drive,Enola, PA 17025
Dear Ms.Youngblood:
Carolyn Bowen received assistance from the Authority for the purpose of rehabilitating her home at
the above address. Ms Bowen signed a Cumberland County Deferred Loan Mortgage with the
Redevelopment Authority in the amount of$18,361 on August 16„2006 and an Amendment to the Note
on October 27,2006 in the amount of$17,638.Therefore,the pay-off figure to satisfy the lien Is$17,638,
at no interest.
The repayment check for$17,538 should be made payable to the Redevelopment Authority of
Cumberland County and mailed to my attention at the Redevelopment Authority of Cumberland County,
114 N. Hanover St.,Carlisle,PA 17013. Please also provide this office with the recording fee of$55.50
made payable to the Recorder of Deeds.
The Authority's solicitor,Tricia D.Naylor, Esq,will prepare the Satisfaction. This office will record
the Satisfaction and mail it to you after it has been recorded.
If you have any questions,please call me at(717)249-0789 ext.136.
Sincerely,
THE REDEVELOPMENT AUTHORITY OF
THE COUNTY OF CUMBERLAND
Patricia K. Mrkobrad r
Housing Programs Manager
better places, better lives CUMBERLAND COUNTY REDEVELOPMENT AUTHORITY
114 N.Hanover St.• Carlisle PA 17013• pmrkobrad@cchra.com 717-249-0789 X 136 or 1-866-6S3-5907 X 136 F737-249-4071
u REV-1513 EX+(01-10)
pennsylvania SCHEDULE
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Carolyn E. Bowen 21-14-0773
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).)
I. Sandra L.Youngblood, 117 York Street,Enola,PA 17025 Daughter 25%
2. Todd A.Youngblood, 1245 Fickes Road,Dillsburg,PA 17019 Grandson 25%
3. Tiffany E,Youngblood,319 Spring Lane,Enola,PA 17025 Granddaughter 25%
4. Afton L.Brewbaker, 117 York Street, Enola,PA 17025 Granddaughter 25%
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II — ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $
If more space is needed,use additional sheets of paper of the same size.