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HomeMy WebLinkAbout12-03-14 (2) .j J 1505610140 REV-1500 EX (02-11)(FI) OFFICIAL USE ONLY PA Department of Revenue Coun Code Year File Number Bureau of Individual Taxes h PO BOX 280601 INHERITANCE TAX RETURN 2 1 1 4 0 4 1 8 Harrisburq, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 0 3 1 6 2 0 1 4 0 3 1 8 1 9 6 5 DecedenYs Last Name Su�x DecedenYs First Name MI P E T R O D U A N E A (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 � 1.Original Return � 2.Supplemental Return � 3. Remainder Return(Date of Death Prior to 12-13-82) � 4. �imited Estate � 4a. Future Interest Compromise(date of � 5. Federal Estate Tax Return Required death after 12-12-82) QX 6. Decedent Died Testate � 7. Decedent Maintained a Living Trust _ 8.Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) � 9. Litigation Proceeds Received � 10.Spousal Poverty Credit(Date of Death � 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 T0: Name Daytime Telephone Number R . MARK THOMAS 71 7 796 21 00 REGISTER OF WILLS USE ONLY � First Line of Address � � � � rv 1 0 1 S MARKE T S T RE ET � �, � �, m Second Line of Address � Q � � � � � .�. C] � � � � � � I-� � City or Post O�ce State ZIP Code �� � �A FILEOTi m +,} :,... R r .•. M E C H A N I C S B U R G P A 1 7 0 5 5' �� �� � ' ��' �' --" c-, ,� � -T, -� ,., 4� -rt � „� -rr CorrespondenYs e-mail address: RMARKTHOMAS�GMAIL.COM �} i p � � Under penaities of perjury,I declare that I have examined this return,inciuding accompanying schedules and statemen�„and to the bes y k wl e and belief, it is true, rrect and complete.Declaration of preparer other than the personal representative is based on all information of which prepa as any knowledge. SIGN U E OF PERSON RESPONS�R FI RETURN TE � AD R S 74 H NEYSUCKLE D I PORT DEPOSIT MD 21904 SIGNAT R OT N EPRESENTATIVE TE � ADD ESS 101 S. MARKET STREET MECHANICSBURG PA 17055 PLEASE USE ORIGINAL FORM ONLY Side 1 � 1505610140 1505610140 � � n � 1505610240 REV-1500 EX(FI) DecedenYs Social Security Number DecedenYs Name: DUANE A. PETRO RECAPITULATION 1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. � • � � 2. Stocks and Bonds(Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2• • 3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C) . . . . . 3. • 4. Mortgages and Notes Receivable(Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . 4. • 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E). . . . . . . 5. 5 3 � 6 5 � 6 2 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . . . . . . . 6. 6 8 5 5 � � � � 7. Inter-Vivos Transfers&Miscellaneous N n-Probate Property (Schedule G) � Separate Billing Requested . . . . . . . 7. . 8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. � 2 � 7 � 5 • 6 2 9. Funeral Expenses and Administrative Costs(Schedule H) . . . . . . . . . . . . . . . . . . 9• 2 3 0 0 4 . 9 9 10. Debts of Decedent, Mortgage Liabilities,and Liens(Schedule I) . . . . . . . . . . . . . 10. � 9 5 2 . 9 3 11. Total Deductions(total Lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 2 4 9 5 7 . 9 2 12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 9 6 7 5 7 . 7 � 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J) . . . . . . . . . . . . . . . . . . . . . . 13. . 14. Net Value Subject to Tax(Line 12 minus Line 13) . . . . . . . . . . . . . . . . . . . . . . 14. 9 6 7 5 7 . 7 � 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 _ � . � O 15. O . 0 � 16. Amount of Line 14 taxable at lineal rate X.045 • 16. � • � � 17. Amount of Line 14 taxable at sibling rate x.�z 9 6 7 5 7 . 7 0 ��. 1 1 6 1 0 . 9 2 18. Amount of Line 14 taxable at collateral rate X.15 � • � � 1g. � • 0 � 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. � 1 6 � � . 9 2 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT � Side 2 � 1505610240 1505610240 J REV-150b EX(FI) Page 3 File Number Decedent's Complete Address: 2� 14 0418 DECEDENT'S NAME DUANE A. PETRO --- - - --- ___-- —_ _-- --_ _.. STREET ADDRESS -- — -- -— __ _ _ - -- - -_____ — - --- -- — -- -- -- CITY STATE , ZI� T I� ax Payments and Credits: �, Tax Due(Page 2,Line 19) (1) 11,610.92 2. Credits/Payments 10,800.00 A.Prior Payments B.Discount 568.40 Total Credits(A+g) �2� 11,368.40 3. Interest 4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT. (3) Fill in oval on Page 2,Line 20 to request a refund. (4) 0.00 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 242.52 Make check payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred ...................................................................... ❑ ❑X b. retain the right to designate who shall use the property transferred or its income ............................... ❑ X❑ c. retain a reversionary interest ..................................................................................................... ❑ 0 d. receive the promise for life of either payments,benefits or care? ....................................................... ❑ X� 2. If death occurred after December 12, 1982,did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... ❑ ❑X 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death? ......... ❑ X❑ 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation?.................................................................................................. ❑ ❑X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994,and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is is 3 percent[72 P.S.§9116(a)(1.1)(i)J. For dates of death on or after Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)].The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in p2 P.s.§s��s(a)(�)�. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)].A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent,whether by blood or adoption. REV-150$EX+(08-12) pennsylvania SCHEDULE E DEPARTMENTOFREVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN RESIDENT DECEDENT PERSONAL PROPERTY ESTATE OF: FILE NUMBER: DUANE A. PETRO 21 14 0418 Include the proceeds of litigation and the date the proceeds were received by the estate. Ail property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. MEMBERS 1ST-SAVINGS ACCT#214965-00 51,620.77 2 MEMBERS 1ST CHECKING ACCOUNT 214965-11 1,544.85 TOTAL(Also enter on Line 5,Recapitulation) S 53 165.62 If more space is needed,use additional sheets of paper of the same size. REV-1509 EX+(01-10) pennsylvania SCHEDULE F DEPARTMENT OF REVENUE JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: DUANE A. PETRO 21 14 0418 If an asset was made jointly owned within one year of the decedent's date of death,it must be reported on Schedule G. SURVIVING JOINT TENANT(S)NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A. DENICE P. BROWN 74 HONEYSUCKLE DRIVE SISTER PORT DEPOSIT, MD 21904 B. C. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENT'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. 813 W. KELLER STREET 137,100.00 50. 68,550.00 MECHANICSBURG PA 17055 PROPERTY TAX ASSESSMENT 2014 TOTAL(Also enter on Line 6,Recapitulation) � 68 550.00 If more space is needed,use additional sheets of paper of the same size. REV-1511 EX+(OS-13) pennsylvania SCHEDULE H DEPARTMENTOFREVENUE FUNERAL EXPENSES AND INHERITANCETAXRETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER DUANE A. PETRO 21 14 0418 DecedenYs debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. MALPEZZI FUNERAL HOME 12,228.67 2. GATE OF HEAVEN FUNERAL PLOT 950.00 3. FUNERAL LUNCHEON 310.00 4. FUNERAL GRAVE MARKER -DIOCESE OF HARRISBURG 905.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: 2. Attomey Fees: R. MARK THOMAS, ESQUIRE 4,868.63 3, Family Exemption:(If decedenYs address is not the same as claimanYs,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: 353.50 5 Accountant Fees: 6. Tax Return Preparer Fees: 7, LEGAL ADVERTISING-CUMBERLAND 75.00 8 LEGAL ADVERTISING - PATRIOT NEWS 219.86 9 UNITED WATER 5/6 to 11/25/14 87.78 10 HALLER ENTERPRISES- PLUMBING FOR TOILET&TUB 99.00 11 ADAN PONCE - LAWN, SHRUB HEDGE CARE 5/9/14 650.00 12 MET ED 5/22/14 T011/25/14 423.25 13 MONROE TOWNSHIP -SEWER BILL 4/10-11/25/2014 865.00 14 VERIZON - FINAL PHONE BILL 5/30/14 2.80 15 ADAN PONCE-5/17-11/4/2014- MOWING 875.00 16 PENN WASTE 7/14,10/19/14 91.50 TOTAL(Also enter on Line 9,Recapitulation) $ 23 004.99 If more space is needed,use additional sheets of paper of the same size. REV-1512 EX+(12-12) pennsylvania SCHEDULE I DEPARTMENTOFREVENUE DEBTS OF DECEDENT� INHERITANCE TAX RETURN MORTGAGE LIABILITIES& LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER DUANE A. PETRO 21 14 0418 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, WEST SHORE EMS CALL NUMBER 1100317B 806.07 2 MONROE TOWNSHIP-OVERDUE SEWER BILL 310.00 3 MET ED -OVERDUE ELECTRIC 44.66 4 UNITED WATER-OVERDUE BILL 67.85 5 PENN WASTE -OVERDUE GARBAGE 96.08 6 VERIZON PHONE BILL 240.61 7 COMCAST-OVERDUE BILL 220.12 8 USAA- FINAL CAR INSURANCE 131.54 9 PENN CREDIT-2013 COUNTY TWP PER CAPITA TAX 36.00 TOTAL(Also enter on Line 10,Recapitulation) $ 1 952.93 If more space is needed, insert additional sheets of the same size. REV-15t3 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: DUANE A. PETRO 21 14 0418 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).] 1. DENICE BROWN Sibling 100.00 74 HONEYSUCKLE DRIVE PORT DEPOSIT, MD 21904 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. � � REV-1500 Discount, Interest and Penalty Worksheet Discount Calculation Total Amount Paid within three calendar months of the decedenYs date of death: 10,800.00 Discount: 568.40 Interest Table Year Days Delinquent Balance Due Interest this time period this year this period Before 1981 1982 1983 1984 � 1985 � 1986 1987 i 1988 throu h 1991 1992 1993 throu h 1994 1995 throu h 1998 1999 '; 2000 i �! 2001 � �2002 ' 2003 2004 � 2005 2006 ' 2007 2008 '� 2009 2010 - 2011 throu h 2014 i,� i TOTALS Penalty Calculation If the decedent's date of death was on or before March 31, 1993, insert the applicable amount: Total Balance Due on January 17, 1996: Penalty: . _..---�'; Tf-� LAST WILL AND TFSTAMET]T OF WANE AT�N PETRO Being of lawful age and sound and disposing mind and. memory and not acting under any duress, fraud, undue influence or induc.ement of any person, I, DUANE ALAN PETRO, a domiciliary of MECEiANICSB[7RG, pII�TNSyL,pANIl�: ITF�'I 1 Hereby make, publish, and declare this my last Will and Testament, revoking and rendering null and void other Wills and codicils heretofore made by me. IZ'II�I 2 I direct that all of my just personal debts be paid from my estate prior to distribution if the �ecutor so desires, otherwise such debts shall be apportioned to each devisee arid legatee accdrding to his or her share. Unless otherwise specifically provided, debts secured by any property sha11 not be required to be exonerated but shall pass with the proper�ty. ITIIK 3 TESTATOR - The term ��Testator�� as used in this Will refers to the maker of this Tr7ill, whether male or female. ��iv� - iiic t�iu ���cC'u'tvi�� aS i]Sc'�'� iit '�ii1S :Till i2i2Y'S �C �lc N.SS^vYl i appoint to execute this Will, whether male or female. SURVIVAL - Whenever a provision of this Will conditions a beneficiary's taking ry that beneficiary surviving the Testator, such candition of survival shall be construed as a condition precedent to the validity of the gift, devise or bequeath; and such condition shall be satisfied only upon survival by the beneficiary for a period of thirty days after the date of death of the Testator or until this Will is probated, whichever shall be the first to occur, unless expressly stated othexwise in a provision of this Will. DFSCENDAN7.'S - The term "Descendants" as used in this Will mean.s the i�nediate and remote lawful lineal descendants or offspring by blood or adoption of the person referred to who are in being at the time they mu.st be ascertained in o�tler to give effect to the reference to them. ` . � �JC/-.c�f�c�c.. t�f . f - �u� PAGE ONE OF FI�TE PAGES �� ����. PER S'I'Il2PES - The term "Per St;rrnc�� as used in this Will means that whenevex distri.bution is to be made per stirpe.s, the estate or portion of the estate, to be so distributed, shall be divided into as many �har� as there are sutviving heirs in the nearest degree of kinship to the decedent and deceased persons in the same degree of kir�ship who Ieft issue who survive the decedent. This degree of kinship shall be te.rrned the root generation. Each surviving heir in the root generation shall take one full share. Those remainir,�r heirs, i.e. the surviving issue of the deceased persons in the root generation, shall take the share of their deceased ancestor in the root generation, such share being divided in the following mannex-; each suzviving issue shall take the fractional share that his or her irrnnediate ancestor would have taken had he or she survived; and when there are two or more such suzviving issue in the same degree of ki.nship they shall divide such fractional share equally amorx� them, PER CAPITA - The term "Per Capita" as used in this Will means that whenever distribution is to be made per capita, the estate or portion of the estate, to be so distributed, shall be divided into as many equal shares as there are surviving issue, st�ndirig in the same degree of kinship to the decedent. Distribution shall be made without reference to right of representation of the surviving issue. I5�7E - 'Ihe term "Issue" as used in this Will means all persons who are descended from the person refexred to, either by legitimate birth to or adoption by that person or any of that descendant's legitimately born or legally adopted descendants, ITE�I 4 I here:� give, devise a.�:d b���ath a�l t'Ze r�.st, residue ar,d remair;der �f my said estate and property, of which I may die seized, and possessed, and to which I may be entitled at the time of my death, of whatsoever kind and nature, and wheresoever it may be situated, be it real personal, or �ed, including any power of appointment that I may have, absolutely and in fee simple forever to: ALBERT J. PEI'RO AND ROSE M. PEI'RO, OR TO THE SURVIZIOR THEREOF. I'I'IIK 5 In the event that the above beneficiaries shail not survive me, I hereby give, devise and bequeath a11 the rest, residue and remainder of my said estate and property, of which I may die seized, and possessed, and to which I may be entitled at the time of my death, of whatsoever kind and nature, and wheresoever it may be situated, be it real personal, or mixed� including any powex of appointment that I �y have, absolutely and in fee simple forever to: DIIJICE M. SEtOWN. PAGE ZWO OF FIVE PAGES � � G /�� �1 . �l V ��-� \ ��� Q:ij{�?..�,J ITEM 6 In the event that the above beneficiaries shall not survive me, I hereby give, devise and beqi�eath all the rest, residue and remainder of my said estate and property, of which I may die seized, and possessed, and to which I may be entitled at the t�me of my death, of whatsoever kirid and nature, and wheresoever it may be situated, be it real personal, or mixed, including any power of appointment that I may have, absolutely and in fee simple forever to: FI.OREISCE LAMARCA. I'I'II�I 7 I hereby appoint ALBII2'I' J. PEIRO as Executor of my Will. If my E�ecutor fails to sexve, or for any reason faiis to continue to serve, I then appoint DIIJICE M. BROWN to serve as �ecutor. ITF;M 8 I designate my �ecutor to be an Independent �ecutor to the fullest extent permissibie under the laws of the State of PEI�Il�TSYLUANIA. I direct that no bond or other security be required. I further direct that no action be had in any court relative to tYie administration of my estate other than to prove and reco�i this Will and to return an iriventory, appraisal and list of claims of my estate. ITIl'�I 9 If ariy part of this Will, or any trust hereby created, shall be invalid, illa�al, or ir.^����ive, for ar.y reascn, it is my �r;ter.tion +.hat t'�e r�.*r+,�ining parts, so far as possible and reasonable, shall be effective and fully operative. My Executor may seek and obtain court instnzctions for the purpose af carrying out as nearly as may be possible the intention of this Will shown by the terms hereof, inclucling the term held invalid, illegai or inoperative. ITE�'I 10 I have served in the Armed Forces of the United States. Therefore, I direct my F�ecutor to consult the Legal Assistance Officer at the nearest military installation to ascertain if there are any benefits to which my estate or my descendants are entitled by virtue of such service. Rega�lless of my military status at the time of my death, I direct my Executor to consult with the nearest Veteran's Administration Office to asce.rtain if there are any benefits to which my survivors may be entitled. PAGE THKEE OF FIVE PAGES ����-vt,L v . � .�,� �`� -�� ��,r. 1`l�+i lI I have made, or may from time to time make, a written memorandtun expressing my desire to give cert.ain items of pez�onal property to specific persons• I urge my Executor and beneficiaries to respect these wishes. Such a memorand�un, if made, sYiall be stored in conjunction with this Will. IN WITNESS WHEREOF I have here�to set my hand and seal in -khe presence of the witnes�, whose names a hereafter, published this �`( day of [CLf I9_� I � . �v`+�'_ �• �° � DLTAN�E��AN PEIRO ���9 �S�) �-�..v;.. ATI�'STATION On this �� day of � � � 19 U6 , DLTANE AI,AN PETRO, the Testator, personally Publi.shed arid Declared the foregoing Last Will and Testament, in the presence of eac,h� af us and al.l of us togethex, who, at the Testator's request, personally witnessed the Testator Sign and Seal the same. We then, at the Testator's request, and i.n the presence of the Testator and of each other, also signed each page of the said doctIInent as witnesses. We ��'��e�r s-+-..a� t��at �ch of t:s �.1iev� that at the t;me the 'I'�.stator executed the foregoing instn�nent said Testator was of sound mind and memo�,� of lawful age, and did so execute it as a free act and deed and not under the unlawful influence of any person. �j� ��-�t� � ��L NAME: �Y P !� �'� �,I' SSAN:_ 7�� `- 'S`�Y f/�% � �� �D�s: ,�a� l��i� � �v ,�•j��� -, �X ���s L�� �' � ss�• .�8.�^ ��'- yi�� PE�N�]'r ADDREss: %7�5� f1;�� c%1.�E-r �rA�R�soN /��. '�/f 6.z� NAME:��Ci�l,,/��r�'. !�ti�fir�� ssAN: ��i--(�_ �y�.� F'E�2MATIEI�Yr ADDRFSS: E�C�{� C'�l r'' �� ,5-�- �-?�,�t.p�� `� !??� I�!`1. '��`�--� ��( � , PAGE FOITR OF FIVE PAGES ,,�,,(�tti(� i�. �5� ��� �.���J ,.���.,-TM- ______ -� �__ �_._��-':.^:�i ai:��ori�y, on this day personally appeared �-',� __ - �.y �'�: - :-r r t a -5 f C�;� , _�-�__ -- �',�i,� � � a21C� C�✓t'S-tictJ f= v�st�t�i � }�T10Wri t0 TIt2 .w �� _-_ _.,._,._._..w:r a�-lei the witnesses, respectively, whose names are subscri.bed _.. __._ ��.�.�_� vr �oregoir�g instnm�ent in their re.�cpective capacities, and all :�_ __._: �-:.:s beir�g by me duly sworn, the said Testator declared to me and to =_v �.�� 9=;��._.ss�...s in my presence that said instnunent is the Testator's Iast ;��_� ,�� �._.st�ent; willingly made and executed as a free act and deed for the �---�cses therein e�pressed; and the said witnesses, each on his oath stated to :-�, in ;�.he presence and heari.ng of the said Testator that the sa.id Testator had, u�an execution of the said instnunent declared the same as such and wanted each of thezn to sign it as a witness; and upon their oaths each witness stated fizrther that they did sign the same as witnesses in the presence of the said `I�stator and at the Test.ator's request; and that the Testa.tor was at that time eighteen years of age or esver or, being under such age, was or had been lawfuliy r�arried or was then a member of the Armed Forces of the United States or of the Mariti�e Sezvice and was of so�d mir�l; that each of witnesses was then at least eighteen years of age. .,C,,r,�;t t�' � . -Q/l� . 'I'e�ator � ;� �d' i`iiu�a-"S '��� Wl�SS � ^ � ' �� ._ �- , ��i�;�-- � �-�';�✓-��.��-'� witness Subscribed and acl�owledged before � the id Testator, and subscribed and sworn to before me by the said _����� � I?a.,%��a Lr-� ,��ri fH �, and cue s�,�_� �.�`��S , witnesses, this �`�( day of '�'1��- 19 c��: I, the undersigned, do certify that I am at the date of this execut'on, a Coirnnissioned Officer of the United States Army. `��2�� S'��t�� �j �/�- My ccmnnission expires: INDEFIlVI'I'E: 10 USC 936 V.T.C.A. Civ. Prac. & Rem. Code Sec. 121.001. PAGE FIVE OF FIVE PAGES COMMONWEALTH OF PENNSVLVANIq DEPARTMENT OFREVENUE REV-1162 EX(11-96) BUREAU OF INDIVIDUAL TAXES DEPT.280607 HARRISBURG,PA 7 71 23-060 7 PENNSYLVANIA RECEIVED FROM: lNNERiTANCE AND ESTATE TAX OFFICIAL RECEIPT (VO. C� 0� 9286 BROWN DENICE P 74 HONEYSUCKLE DRIVE PORT DEPOSIT, MD 21904 A�N ASSESSMENT AMOUNT CONTROL NUMBER -------- fold ___'_____' _"__'_' 101 � S 10,800.00 ESTATE INFORMATION: Sstv: I FILE NUMBER: 2114-0418 I DECEDENT NAME: PETRO DUANE A I DATE OF PAYMENT: 06/12/2014 I POSTMARK DATE: 06/1 2/2014 I coUNTY: CUMBERLAND � DATE OF DEATH: 03/16/2014 I � TOTAL AMOUNT PAID: $10,800.00 REMARKS: RECEIPT TO ATTY CHECK# 0067 INITIALS: DMB SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS TAXPAYER - � ,,�,�_ ,,� s� �,� _�j ' �, :�� �` ���_� �Rx,�. f>� �u� �����5� �sc FEDERAL CREDET U[VION REGIDLAR SAVlNGS aC�O�lNT: Account Number/Suffix 214965-00 Date Account Estab�ished 02/28/2002 Principal Balance at Date of Death $51,617.66 Accrued Interest to �ate of Death $3.�� Total Principal and Accrued Interest $51,620.77 Name of Joint Owner None CHECKING ACCOUNT: Account Number/Suffix 214965-11 Date Account Established 02/28/2002 Principal Balance at Date of Deatn $1,544.85 Accrued Interest to Date of Death $0.00 Total Principa! and Accrue� !nterest $1,544.85 Name of Joint Owner None MEMBERS 1ST FEDERAL CREDIT UNION v�_ Tessa L Klugh Lending Insurance Support Specialist May 23, 2014 Estate of: DUANE PETRO Date of Death: 03/23/2014 Social Security Number: 209-46-2054 -.------- _.__.____._ 5000 I,ouise Drive • P.O. Box 40 � Mechanicsburg, Pennsylvania 17055 • (800) 283-2328 • wwwmemberslst.org � • Property Taxes and Assessment for 813 W Keller St Year Tax Assessment Market 2014 N/A $137,100 N/A Soivice:Public Records 313 West Keller Street, Mechanicsburg PA - Trulia Page 1 of 4 ; . ,.,. ,�� ..� ,.�. : <.,.. �:,. _.., ,. .. .._.. � � � >�.. �� �> , .. . ._ �.��,,,,� i�oss �sn�,ren� Sign in IS?'�tiS,�Gt:��lG€7i�? - Y � :.__�� r:�. , Claim it to improve your home value estimate. 1 " ' " .reuar Y: =e_ P�_ i�F>ecord r �.a ' Ask a locai agent 813 W Keller St $157,0�� Es���„��e Get information about this properry from a Mechanicsburg,PA 17055 ;� _ local reai esta[e expett. 3 bed,1 full,1 partial bath, —=--"-`� ;;r�,;�' ! 1,260 sqft � � �_.J Are you the owneRt�,<��:��i L�.:ts to improve our Get M Gedit Score Get Pre estimate.Or reauc:�..,ar,es.:i�n,�[e from a local * Save ,I Edit Home Facts ♦More Y qualified � expert. 1'Street View ;p PAap � ���jf;".; m� '�#' r ,'Si _t, �"�. l ,2.�j, , �i� �'�Fr:. t,, . . _ M: ♦ f �..� ��� �:. � �� "'`�"� "'` -_" ��4 �t •, . , ,r I ` � � , �w , ,. .. � � t d�� ���' � �ii � � � '< � - , _ . uit3 "�ii.�l.�..� . l4:r � .. . ;ril• � ..... �;,. r ` , Ask a local agent about this properry. x � . ' ��; ' �" �.�� y� • � `� `� Salfy Chaplin s , :ri. a�� '���_t. = r ���: E � � pRo (717)739-5680 a ,. ' �a-, � "7� ..�. " ... .� . � . �.� � �� "' "�David Moyer � a � Pft0 (7ll)715-0281 ��""n ; �� . . s� ���1e,�.:� � ,�"� p �,�,` '�� '� � ;: j Lorrie A.Nuitan �, ... .�:,_.a' .�w�. (717)340-2684 _ . .. .. ,-. . .. _ ,«. .. . ,... . �'�� r n:"P .'�>�i!�,r t:�uV"'!;�mpa�e you��� ,vr;h t-[�,`�:'� ,I�::<.,:,f-��ry P!ovr E..,::;.: Property Details for 813 W Keller St ,�r,;;�,, L`e,:ription p�uvi'ecf:;y`��..ii��a Pm lookingthrough sold properties in 813 W Kelier St This Sin le-Famil Home located at 813 West Keller ScreeG Mechanicsbur PA.813 � g y g Mechaniaburg,and i found 813 W Keller St, W Keller Sc has 3 beds,t%bath,and approximately t,260 square feet The property has a lot size of Mechanicsburg,PA 17055.I'd apprecia[e your " 9,148 sqft and was built in 1963.The average listing price for similar homes for sale is 5311,469 and the average sales price for similar recently sold homes fs 8202,649.873 W Keller St is in the 17055 R�-�r}�;,:s�!r�(c; ZIP code in Mechanicsburg,PA.The average price per square foot for homes for sale in 17055 is $102. ey,�oeu;.zvoo.a.reFr„r„naz�- .. .....x... .... .... Publie Reeords for�'3'h'Ke(ler St � FearoredAd ,....,_.._.<.�._.,. Official properry,sales,and tax information from county(public)records as of 02/2014: sauy cnapiin-aearcor cNe � FREE 8 STEPS TO BUVING • SingleFamilyResidentiai • 3Bedrooms • tBathroom AHOME(E-BOOK) • 1 Partial Bathroom • 1,260 sqft � Lot Size:9,148 sqf[ (���)�39-5680 • Buiit In 1963 • Stories:1 srory � p,�� f138,000 2t0 W frcnt SI.Lewisberry Fa d.. , 4 br 2 ba • Heating:Forced air unit • Exterior Walls:Siding � 6 Rooms �y 1,7�9 sqfl • Fireplace (Alum/Vinyl) S��$K � TaxRateCodeArea: ��� , Singi�famiyHome • Counry:Cumberland CUMBERLAND W SD More details L ,,� ,,., .r.�t- >ho�-inC.�he�k� _r rr.,.,� _cv�r.�t�� ��. .�Fi2? ,II ti:i3`md': 3 of 7 M1stlngs Property 7axes and Assessment far S'i�iP;k:et-r��+9, Year Tax �JAs es ssment`� Market 2ota ivtq ( Si3�.�oo i ;` N�q Homes you might like... �r,.- �. F f / f 1 ?�v �--_._---- ��' �� _y�:,�� jv�-•�� �" � :��,� :.e°'e�,°`,rr-r,�.. http://www.trulia.com/homes/Pennsylvania/Mechanicsburg/sold/21082�91-813-W-Keller-... 4/28/2414 i �. i„!; . ...,... . ������ � � - .� _.. t' � liif 'i;! , i' �u i!i`i r�yi; ' i '`?' ,�71 I 1 j .i , . ii -- 14 '.:u i � � -•. ��'Ji/l I � i�ll��,C � ilill:��r; f I iil:. l'..i �� � � 7:; � �i�� F , t/it�;., _ � , ' �Ej�:,1 —, � i ;;i ;�i ...�.,_f`Il,'._��_ .:Ifl ,...�i �.; � _�;:j�;i�-��:1 � '�� II',;i I .,'ri i;;.. ��.) ., ,''i � ' .._ �'�. I,: i'I,l t�-.-,r- � C f'. � : � [;C � � _ , ., �� I� �,'� �� I:�� �rk �a,�r����? I�if�iF� :;( ;,'�=,�( , �,- ��`` .(�' i I ( I li t �lii'�', � ` � � ��^ '�C � ,_ i � :,�� "If- � i � _ ,,,, j� �i�ei f'�.i��i ;,,� _ . . _, . ._.�_ ��, i ���:,i _ r � ..CI;1 1 i 1 i i ; i � �lii t���i�f� i -".-iJ . . � I I f'i�} / /�_' . .. . .lf � � 1 : ._ � � �:l:'• /1 , ��� + z ✓ :.•.�i .1' . - ,,1 � 11�-�t y1 �"c.,�'' � / ��.-1� JLCII �..5 C/ f G C_-� � .� �-!�1`..i r1 i I � ! 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(liEt 1�r_'j,;,l :, �,:j (�l'c'ci:,t' +-OiIIG 1.7�1C:� n�dfli' ;. ,. � , �;eci ,. __. .) ,; __ i .;a1���i Bar ;;�,er idl 6.':1J � �L.�)ll �d!ii ll�!I l i i ;iE)r';:I d l ';I j 4�Ja t e i �������I����I��I����I�I����ili�I�I������ Se�f 1 ii x 3 3 7 � 3 1 � ) ri)t1 f`li��l;lni ��� ,Jiu UIISWE'.dfr.11ei! Il.t:;l Ic�] ;�� ` = � :ii;iji. �) 1 �rF'cl�. Y ;�r!1 �� i i. I�) 1 J �)fi:�klt:r(rilrii I� r-il Ir�; `��� �,�,�x,�� �.,, � t�t'� i�� �� ,'�.�F�s�ti� �lil,i 'II i� ���� ���q � y r;S� �r- v���` �' �'.�x 's`�`0.:-.- ;p F r �� ����hf. w�. � � �;_�`�'�.:,�T�'%��� ��` I?"1���r;�`� 1���'�i'� R Maz,et Plaza Way (7I7) 697-�696 1'�ec I;a�icsburg, PA :7055 www.Ma[yezziFuneraiI�ome.com �.�.,,,,�.s._-e-.�.,.�_ __ _,.�..�_.,m..,..�.��.,�,T.�,�,.� _ .,.�s.,,�,,,.Ra.,,�. Jererni J.SharEzer, FD Michae€,�. ;V€al�ezzi,Owner,FF� €�vte�. knipe, �'p April 29, 2014 Mrs. Denice P.Brown 74 Honeysuckle Drive Port Deposit, MD 21904 This is the final statement for the funeral services of Duane A. Petro We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way. PROFESSIONAL SERVICES: Services ofFuneral Director/Staff $5,475.00 FUNERAL HOME SERVICE CHARGES'� $5,475.00 SELECTED MERCHANDISE: Stee[Gasketed Casket $2,895.00 Sentinel Vault $1,450.00 Green Re;ister Package $75.00 THE COST C2F�iJR SERVICES,EQUIPILIENT,AND MERC;H.�NDISE THAT YOU HAVE�ELECTED $9,895.Q0 CASH ADVANCES: At the time funeral arrangements were made, we advanced certain payments to others as an accomodation. The following is an accounting of those charges. Op'ening Grave $1,385.00 Cemetery Equipment $275.00 -� Certified Death Certificates $60.00 Newspaper Notices-Patriot__ $133.67 Clergy/Mass Offerin� � � $200.00 Organist $I 25.00 Deacon Paruso $50.00 Military Honor Guard $75.00 Altar Servers $30.00 TOTAL CASH ADVANCES AND SPECI:#L CHARGES $2,333.67 ��3N�'RA�T':°RI�E $i 2,22$.6' kiISTQRY: 04/29/2014 Payment Payment $12,228.67 TOTAL AMOUNT DUE $0.00 If you have any questions or concerns regarding this bill, please call our office at(717) 697-4696. �� � �s� � ' ' ���!�� F � SAl.ES CONTRACT Office of Catholic Cemeteries N° 4554 Diocese of Harrisburg DATE 4800 Union Deposit Road CEMETERY .. Harrisburg, Pennsylvania 17111-3710 :;CEMETERY# - Phone (717) 657-4804 q/N �`` P/N A/R N.AME _ ��- � ," - � � � PHONE ( ., , � _,; A�DPfSS _� , `. , : � _' . _ , ; - ,, � � .. C[TY : � � � STATE��`� � ZIP CODE%y `_. �=-` . , : ;i� � __ Inteirnent S aces . . . . . . . @ `' � $ P $ r 1. Price. . . . . . . . . . . . . . . . . . . . . . . . @ $ - Bror¢e Memorials. . . . . . . @ ` $ 2. Down Payment. . . . . . . . . -. � � ' Size _, .. Grarue Foun ation. . . . . . @ $ 3. Unpaid Balance(1-2) . . , , , ; .;; ;._ _;____'� Bu rial Vaults. . . . . . . . . . . @ ` .____...�,,.�.__..._.. $ 4. Finance Charge. . . . . . . , . Crypt Spaces . . : . . . . . . . @ $ 5. Deferred Payment (3+4) . . ----__.._.�.____ ti_:-���-,. . ,, -_ Nic e Spaces . . . . . . . . . . @ $ 6. Total Price (1+4) . . . . . . . . ±,� ;r.., ; >. r Other $ 7. Approx. Monthly Payment -�-A,�-__._.�._.�_.�.... ,. ; _ , ,.. Section _`� Lot ��_�`. Grave(s) � � 8. Number of Payments . . . . -- -T-•---_��---- Building Side Crypt or Niche 9. First Monthly Payment Due ����`�""'�" Selection must be made within 30 days or cemetery will make chaice. 10. At1C1Ud� P21"Cefltdg2 Rdte The payment is due on the date stated above and the remaining payments on the same day of each succeeding month. Buyer may prepay in advance the full amount due without penalty and wil! be entitled to a proportionate refund of the unearned finance charge. Upon default in the payment of any installment due hereunder for a period in excess of one hundred twenty (120) days, Seller rnay, at its option, void this agreement and retain all payments made by Buyer as liquidated damages. Buyer hereby acknowledges receipt of an exact executed copy of this agreement at the time of execution hereof. Before any burial is permitted in this lot, or any memorial placed on this lot, the price of the grave and memorial must be paid in full. The Purchaser(s) agree(s) to abide by alf rules and regulations of the cemetery now in force as well as any ru(es and regulations which may hereafter be adopted. Said rules and regulations may be seen upon request at the Seller's office. Upon fulfillment of the conditions of this agreement and receipt of all the above described payments, Seller agrees and binds itself to convey to the Buyer, by its cemetery easement, for interment purposes only, the above mentioned number of sites. YOU, THE PURCHASER, MAY CANCEL THIS TRANSACTION BY WRITTEN NOTICf AT ANY TIME PRfOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. � __ . _. .;. _ _ �,,..:. BY _ __. _ �. � . (Authorized Representative) (Purchaser's Signature) �C�1'�iV��S �12�V L� NOTIC ' See ther si�de fo addit� nal inforRaatioC�� (���� (Co,`,purchaser's Signature) , �5��d ,�'-�'v�b :�1�� 1 i� SALES GOiVYRACT Office of Catholic Cemeteries N° 4657 Diocese of Harrisburg DATE _ 4800 Union Deposif Road CEMETERY ' ' CEMETERY# `= - Harrisburg, Pennsylvania 17111-3710 —__._,__ Phone (717)657-4804 A/N ���°'�. P/N A/R , : � � :�� � NAME �' � _ .. , ,. ; r � , , ' -PHQNE ( �: — � ,) r. ADDRESS ,`- � , � :,-. �`,, :�., ��. � � � � C17Y 3�` , ,.T- STATE ��; �_ ZIP CODE �,..� t ',"�. f.�__ --, ;�-- n erment paces . . . . . . . @ $ 1. Price. . . . . . . . . . . . . . . . . $ ' .� ��___�; ..; � �' `-``; . . . . . . . @ $ 1 _._ {; �._.�_ ronze emoria s. . . . . . . @ � M-, . $ 2. Down Payment. . . . . . . . . �.�. 1 ��•. � -._�� Size _ ., ,��. ,�. t,_,; - _, , .r -- __: _.., .�, _�...� Granite Foundation. . . . . . @ = :.� -�� $ x .. > � 3. Unpaid Balance(1-2) . . . . . ��,.� _r�...�.-- Bunal Vaults. . . . . . . . . . . @ ....,.v..�.�._.�.�.__..._._ $ 4. Finance Charge. . . . . . . . . Crt S aces . . : . . . . . . . @ y _.__._. .�____._�.. YP P $ 5. Deferred Pa ment (3+4) . . __ ,_. -_., -_._, Nic e Spaces . . . . . . . . . . @ $ 6. Total Price (1+4) . . . . . . . . �"_s�._:',.:....��, 4�_,.s*.._..: r� z � Other '`��c- � , 4t.., t � . . �':- $ �,:.-` .. � .__ 7. Approx. Monthly Payment _�.�. ti ..�f� �^!'t'� i :"„+ . Section y Lot ',�'�:Grave(s) ! �. � 8. Number of Payments . . . . �'�`�-""'-"�-"��� Building Side Crypt or Niche 9. First Monthfy Payment Due �"�`��''�� Selection must be made within 30 days ortemetery will mal<e choice. 1�. An11U1� P21"CeCttdge f�dte The payment is due on the date stated above and the remaining payments on the same day of each succeeding month. Buyer may prepay in advance the full amount due without penalty and will be entitled to a proportionate refund of the unearned finance charge. Upon default in the payment of any instaliment due hereunder for a period in excess of one hundred twenty (120) days, Seller may, at its option, void this agreement and retain ali payments made by Buyer as liquidated damages. Buyer hereby acknowledges receipt of an exact executed copy of this agreement at the time of execution hereof. Before any burial is permitted in this lot, or any memorial placed on this lot, the price of the grave and memoriai must be paid in full, The Purchaser(s) agree(s) to abide by all rules and regulations of the cemetery now in force as well as any rules and regulations which may hereafter be adopted. Said rules and regulations may be seen upon request at the Seiler's office. Upon fulfiilment of the conditions of this agreement and receipt of afl the above described payments, Seller agrees and binds itself to convey to the Buyer, by its cemetery easement, for interment purposes only, the above mentioned number of sites. YOU, THE PURCHASER, MAY CANCEL THIS TRANSACTlON BY WR17-f-EN NOTICf AT ANY TlME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. . _ _: k a` BY . . ,...,-, . . _ ._ _ ; ,_ ., _ ,���, , , , , � , . : � __ _ , _ t (Authorized Representative) (Purchaser's Signature) I�U�r��� _G'�l:A��'�n'i�e.��2 �� NOTICE� See oth r sid for d itional in or ation. (Co-purchaser's Signature) ��'����- � �� � ���i� RECEIPT FOR PAYMENT L� aA M. GRAYSON, ESQ. Receipt Date : 4/29/2014 C uberland County - Register Of Wills Receipt Time : 13 : 59 : 32 C�r Courthouse S quare Receipt No. : 1077833 � �J is1e, PA 17613 PETRO DUANE A E��ate File No. : 2014-00418 - - - Pai� By Remarks : R MARK THOMAS CJ - - - ------ -- ------------ Receipt Distribution --------------______ ___ _ Fee`Tax Description Payment Amount Payee Name P�'CITION LTRS TEST 260 . 00 CUMBERLAND COUNTY GENERAL FUN WL L� 15 . 00 CUMBERLAND COUNTY GENERAL FUN SHO1T CERTIFICATE 20 _ 00 CUMBERLAND COUNTY GENERAL FUN JCSFEE 23 _ 50 BUREAU OF RECEIPTS & CNTR M. D AUT4MATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENERAL FUN INVIl�TTORY 15 . 00 CUMBERLAND COUNTY GENER.AL FUN - - - - - - --- ------ Crieck# 333I $353 . 50 TotG1 Received. _ . . . . . . _ $353 _ 50� � Q��e- � � ,�cir�� 1 ��r�4� ; f. �s���D cOU �J ��, � ��- ;�,, _ �'�assoc��`°� CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Tele: (717)249-3166 Fax:(717)249-2663 June 20, 2014 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court af Common Pleas as the afficial legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: R. Mark Thomas, Esquire RE: Duane A. Petro 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 following dates: June 6, June 13, and June 20, 2014 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 75.00 Total Amount Due $ 0.00 Becky H. Morgenthal, Executive Director . . PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA : . ss. COUNTY OF CUMBERLAND . Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law; deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, viz: June 6, June 13, and June 20. 2014 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. �; ���� t>r...,. �G'�.�._...__ ��r , � isa Marie Coyne, Edi�or t SWORN TO AND SUBSCRIBED before me this 20 day of June, 2014 � � Notary Petro, Duane A., dec'd. Late of Mechanicsburg, Monroe Township. Administratrix: Denice P. Brown, �0�'"�ON4VEALTH OF PENNSYlVAN1A 74 Honeysuckle Drive, Port De- ��ff���}�� t�OTARiAL SEAL posit, MD 21904. L�BORAH A CQLUNS Attorney: R. Mark Thomas, Es- � NcEzrl PuD(ic quire,�lttomey at Law, 101 South � CR�iLISLE B�RO.,CUMBERLANQ CNTY Market Street,Mechanicsburg,PA � 1'.y Cemmission Ezpires Apr 28,2018 17055. -�r_, -r..P �-,A-�.-��,����.�,��,.�,..�.��, The PaYriof-E'�ews Co. � �?_020 Technoioc�y Pkv►r� � SuEfe 30� � �iechanicsburg, �'A. 't 705f3 ��� ��� ���� fnquiries - 7'i7-255-82'@3 R. MARK THOMAS 101 SOUTH MARKET STREET MECHANICSBURG PA 17055 THE PATRIOT NEWS i iiE �UiVDA.Y P�TRiOT iVE1i1/> Proof of Publication Under Act No. 587, Approved May 16, 1929 Commonwealth of Pennsylvania, County of Dauphin} ss Marianne Miller, being duly sworn according to law, deposes and says: That she is a Staff Accountant of The Patriot News Co., a corporation organized and existing under the laws of the Commonweaith of Pennsyivania, with iis principai office and place of business at 2020 Technology Pkwy, Suite 300, in the Township of Hampden, County of Cumberland, State of Pennsylvania, owner and publisher of The Patriot-News and The Sunday Patriot-News newspapers of general circulation, printed and published at 1900 Patriot Drive, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were established March 4th, 1854, and September 18th, 1949, respectively, and al� have been continuously published ever since; That the printed notice or pubiication which is securely attached hereto is exactly as printed and published in their regular daily and/or Sunday/Community Weekly editions which appeared on the date(s) indicated below. That neither she nor said Company is interested in the subject matter of said printed notice or advertising, and that all of the allegations of this statement as to the time, place and character of publication are true; and That she has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this statement on behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed and adopted severally by the stockholders and board of directors of the said Company and subsequently duly recorded in the office for the Recording of Deeds in and for said County of Dauphin in Misce!laneous Book"M", Volume ?4, page 317. PUBLICATION COPY This ad# 0002301979 ran on the dates shown below: June 03, 2014 ESTATE NOTlCE� l � June 10, 2014 7� �efters Administrotion on The Esfate ' _� � of�uane a.Petro,�ate ot % �� i� June 17, 2014 P,hechonicsburg,Monroe Township, ��;' � Cumberiand County,Pennsvlvania, �j� �/,�� j . • • - • - - deceased,hove been granted to The undersi9ned,ail persons knowing i:. _ ,:-�,- � themse1ves to be indebted to said estate � ' ' � '�� ' ' ' wili make paYment immedtafely ond -' ` those having cfaims wilf present fhem .- `or settlemenT to: Denice P.B�oW� Sworn to and subscribed before r�,Ehis 18 day of June., 2014 A.D. 74 Honeysuckfe Drive /+ � ; f,� Port Deposit,MD 21904 f/ +'� ��� / , R_Mark Thomas ` � ` f AftorneY at Law ` ' � I- �t �; �; �- �� � � �� '�:.I ��r r� 107 South Market Street � �' � � �-( � � L,� E �� 9 � I �, J{ ` Mechanicsburs,PA 77055 , - �� „✓'. �'�� i� � ` ; `���'� ��� ��"`-� ��f tary Public � t �� �� ; ,� `� ; � -� � . - _ � �� 1 �s' � -- ,,.; , - �i�e �a�rio�-fYews �o. • � 2EB2s3 �ee�r�ofogy f�kvv� � �t�€ke 300 t6�echanicsburg, PA 'E7050 �Q�f ,/��,[ �(��� tr�q�iri�s - �'87-255-82'i3 R. MARK THOMAS 101 SOUTH MARKET STREET MECHANICSBURG PA 17055 STATE1111 E N T ALL CHARGES ARE NET ACCT# NAME AD ORDER# DATE EDITION ADDTL. INFO. TYPE OF CHARGE AMOUNT 35242 R.MARK THOMAS 0002301979 06/03/14 XXX Petro BASIC AD CHARGE $71.62 35242 R. MARK THOMAS 0002301979 06/10/14 XXX Petro BASIC AD CHARGE $7�.g2 35242 R. MARK THOMAS 0002301979 06/17/14 XXX Petro BASIC AD CHARGE $7�_g2 AFFIDAVIT CHARGE $5.00 TOTAL• $219.86 This is not an invoice. Please do not remit payment from ti�is Statement. An invoice wi6t �e genera�ed �� thc: ea�c! of the �nor�th. --Thar�k yo�a. NOTE: This Statement replaces the Order Confirmation which we previously sent with Proofs of Publication `��e ��riv�� e � r r fer � ��� ��� ���� Ad Or�r Number Customer Pavor Customer 0002�J1979 R. MARK THOMAS R.MARK THOMAS Sales Aep. Customer Account Pavor Account jrogers 35242 35242 Order�aker Customer Address Pavor Address jrogers 101 SOUTH MARKET STREET 101 SOUTH MARKET STREET Order Source Mechanicsburg PA 97055-3851 USA Mechanicsburg PA 17055-3851 USA Phone Customer Phone Pavor Phone 717-796-2100 717-796-2100 PO Nurnber Petro Special Pricinq Ordered Bv None R. Mark Customer Fax Customer EMail rmarkthomas@gmail.com ����- — Tear Sheets Proofs A�davits Blind Sez Promo Tvpe 0 0 1 Invoice 7ext Petro Materials --� � Net Amount Tax Amount Total Amount � $219.86 $0.00 ( $219.86 ,�_� PaVment Method Pavment Amount Amount Due $0.00 $219.86 Ad Number Ad Tvpe Ad Size Color 0002301979-01 Legal Liners : 1.0 X 18 Li <NONE> Production Method Production Notes Ad Booker External Ad Number Ad Attributes Ad Released pick Up Na 0002297553 5/25/2014 5:47:11 PM � �/ES�' �HOR� �M� - ��� -- - 2Q5 C�Rt�€VC�ldl�Ylf Aa/E SUlTE 2�1 CAMP B-{ILL, PA '67Q'i'f-1708 _ - - F�hor�� �: (800� 367�Q5'E2 ��dera{ �"ax E�3: ?_3-24630a2 0���u�Rsc st€�� 1/�Iil�L7 SPIRITHEALTH S}'cTEM� P�TP�-t�T NAEviE: DUANE PETRO ��S�,�A�CF: HIGHMARK ESTATE LEBANON VA HOSPITAL �iONE cra�.�_n��t�ns�r�: 1'f 00317� �ar���eA��: 01/05/2011 rRQm: 813 W KELLAR ST �-p: HOLY SPIRIT HOSPITAL DUANE PETRO '�'e���������'��� C/O R MARK THOMAS TOTAz CHARGES: 1006.07 1�1 S R"AP.KET ST �-AYPv��i�iTSiA��s,ii.FSFi41�i�iS: 2`��.CQ MECHANlCSBURG, PA 17055 ���as��a�°�€-�€s�r�o�r�r: 806A7 _ DETACH ALONG PERFE3RRTfi3ilf RfVD RETU3�i1f STUB t!✓iTH PlaYrU/EIVT DESCRIPTiO[J OF CHRRGE QlfAhlTITY UNlT PRiCE q�QU�-� Y BLS EMERGENCY BASE RATE A0429 1.0 907.21 g��21 BLS MILEAGE A0425 7.2 13.73 98.86 ! Total Charges 1006.07 DESCFilPTlON�F PAYNlEtVT R�CEIPT PAYIV{ENT DATE AMOUPIT Denied by Insurance-LEBANON VA HOSPITAL 03/29/2012 0.00 Private Payment/Check 434 05/23/2011 100.00 Privafe Payment/Check 427 04/18/2011 100.00 Total Credits 200.00 , . � _ .. � . , .<< . , - . . :��_.... - $806.07 i �� ,�. , PA7l�NT 4vAtvtE: PETRO, DUANE A cAL�r�ur�s��: 1100317B � 06/09/2014 AivlOUt�T PAf�D: W�ST S�-�vr2E Ei►�iS - 3L i 2v"5 �RF�iV�'i`�iEW A`JE �[lfTc 2�� CAM� HiLL, rrR �7011-1708 " ; �,/�''`� �` INVOICE ,i„ '' P� F' �.i Invoice Number: 0002755422 ^ Penn Waste, Inc. ,�,; ��;� ,✓ Page Number: 1 of 1 '��,: PO Box 3066 �� �' `-��i`� Date: 4/1/2014 — � i�' York,PA 17402 %' � � Account Number: RS730807 _ _ ,4 www.pennwaste.com i , i' � Site Number: 0000 = �> Phone(717)767-4456 ; � Reference: __ � ToIlFree 1-(866)575-8 i — Fax(717)767-4285 �;^�' `���� p Invoice Totat: $45.75 = n�1r-1 �^� ' � i `� Total Due: $96.08 - � , � + � — -,r - ,� r��� , j �,, — �`f / �� ��„`'`y �` �1�r� . .- •• . . . ntt n , � � /{ ,; .�,�� p: pennwaste.billtrust.com � 4" �. l��% -• • MRX PPP MPP 1�4A i AV 0.381 E0132X 10138 D929 7 33 P19�0465 0001:0001 �: 4�j �/ � � � �J: �i f11P��1��1�1��i��l��i��ll�lil��ll��lllf���l����'ll'll��l���l�l�� �J� ,�r- , � � � � �, ��. ' '� � � �' -. �'� �. In a rush? �'�.- DUANE PETRO � ��,j � ; g ;� � 813 W KELLER ST ,,.,,�; � ' •, Visit pennwaste.billtrust.com MECHANICSBURG PA 17055-4060 � � ������ and make a One Time Payment. r �f � ,����� `�� �r-,`�, �A��� - No usemame or password needed! - � �_ ���, rt;��. , Code Description Date Reference Quantity Amount (0001) Duane Petro 813 Keller St W Mechanicsburg, PA 31 Curbside Trash w/Cart&Rec 04/01/14 1.00 45.75 96.DOGA 4/1/2014-6/30/2014 � � , �� �- �t �° , �. , ,- ; For information on coliection updates,holiday schedules and recycling,visit Current 30-so Days s1-90 oays over so�ays our website at www.pennwaste.com and sign-up online to receive our eNewsietter! $45.75 $4.58 $0.00 $45.75 � PLEASE DETACH AND RETURN BOTTOM PORTION WITH PAYMENT '----------------------'-----------------------------------'--------------------'----'-'------------------- PAYMENT COUPON Make Checks Payable To: Penn Waste, Inc. Invoice Number: 0002755422 Page Number: 1 of 1 Payment For Current Charges is due by OS/O1/201�b Date: 4/1/2014 All past due balances are due immediately. Account Number: RS730807 AFTER THIS DATE A LATE FEE OF $10.00 WILL BE ASSESSED Site Number: 0000 Reference: A service charge up to $50.00 will be assessed on all returned checks. Remittance Amount: 96.08 Please Do Not Enclose Any Written Cou�unication Check Number: With Your Bill Please Contact Customer Service At (717) 767-4456 REMITTANCE ADDRESS �������������������������������������������������������������� Penn Waste Inc. , c/o M&T Bank P.O. Box 64910 Baltimore, MD 21264-4910 730807DOOOOOQ2755422000Q009608 �oi:000i iNVOlCE Invoice Number: 0002848846 ^ Penn Waste, �CIC. Page Number: 1 of 1 E��� � � PO Box 3066� Date: 7/1/2014 �. � York,PA 17402 Account Number: RS730807 _ ' www.pennwaste.com Site Number: 0000 = �r_;, Phone 717 767-4456 � � Reference: _ � ToIlFree 1-(866)575-8720 Fax(717)767-4285 Invoice Totai: $45.75 - Totai Due: $45.75 • •' ' • • • http://pennwaste.bilitrust.com '• • MRX PPP MPP I$46 1 MB 0.435 E0114X 10120 D1012338091 P2041707 0001:0001 � �ii���i��i�i���ii����i��i�i�i�ii��i�i,�i��i�i��i���i�iini��i�ii :,,�.�.:,:.,.�,�._ Cl1ANE PETRO $--'"""' We're making paying yo�r � C/O DENICE BROWN r" `� bill as easy as 1-2-3. 74 HONEYSUCKLE DR "��� � To view and pay your bill visit FORT DEPOSIT MD 21904-1268 ���' http://pennwaste.billtrust.com Cocie Description Date Reference Quantity Amount (0001) Duane Petro 813 Keller St W Mechanicsburg, PA 31 Curbside Trash w/Cart&Rec 07/01/14 1.00 45.7� 96.00GA 7/1/2014-9/30/2014 , ����� � � �,� ..,t � ,-� � ♦�� 6 J f . � E f ;v f �- `r `�/ � �� ` ��:Y'� t� � � For information rn collection updates,holiday schedules and recycling,visit Current 30-6o Days 61-90 Days Over 90 Days our website at www.pennwaste.com and sign-up online to receive our eNewsletter! $45.75 $0.00 $0.00 $0.00 PLEASE DETACH AND RETURN BOTTOM PORTION WITH PAYMENT INVOICE fnvoice Number: 0002972653 ^ Penn Waste, �t1C. Page Number: 1 of 1 PO Box 3066 Date: 10/1l2014 - � � York,PA 17402 Account Number: RS730807 � ' www.pennwaste.com Site Number. 0000 - Phone(717j 767-4456 Reference: = � ToIlFree 1-(866)575-8720 Fax(717)767-4285 Invoice Total: $45.75 = Total Due: $45.75 • •' ' • • • http://pennwaste.billtrust.corr '• • MRX PPP MPP 196491 MB 0.435 E0112X 10227 D1099950829 P2198364��01:0002 �liil��li��li�i�l�lii�i�il�linlni���i�ui�i�lll�i�lii��ii,li�il ., �'' DUANE PETRO � Pa from C/O DENICE BROWN �_�� .- -� �, Y yOUr' 74 HONEYSUCKLE DR ���_ • � � mobile device at PORT DEPOSIT MD 21904-1268 �' ' m���ittp://pennwaste.billtrust.com Code Description Date Reference Quantity Amount (OOG i) Duane Petro 813 Kelier St W Mechanicsburg, PA 31 Curbside Trash wlCart&Rec 10/01/14 1.00 45.7� 96.00GA 10/1/2014-12/31/2014 � � � � . � � � � � l � 1� For information on collection updates,holiday schedules and recycling,visit Current 30-so Days 61-90 Days over 90 Days our website at www.pennwaste.com and sign-up onfine to receive our eNewsletter! $45.75 $0.00 $0.00 $0.00 PLEASE DETACH AND RETURN BOTTOM PORTION WZTH PAYMENT Account Number Amount Due � �°"��� 717 766-6617 I127i60Y $79.42 Ve►'I�`01's - Acxount Information �ISi�V+�f�FfR,�it111�11F@Ct�41It 5tatement Date: 4l19l14 `>S�a�$i7����.?�t►to�aY .` DUANE PETRO - ,fctoUit[f�taNyeS'`�1ep�?t.' - Phone: 717-766-6617 - tlrf�n�hd�XPer�eW,D�tall� '. ��F�er►tod9yt .GeP��rke.:;;:::,:>:;`.::, •:, , :,, ... ..:. ..� -:::. : Account Summary . � Previous Balance _ � $240 61 - , . _ : . , . ,-..-_ _. :.:.:... ..: .:. ..: .. :.: _ _ Transferred to Account 717 766-6617 129 Apr 7 -$187.40 : __ _ _ __ _ _ _ _ __ VB[lxQ�.�BWS - . ' No Payment Received $.00 .---= _ -- Get More, Save More Overdue Balance-Please Pay Now �•21 Call 1-888-303-724410 ensure you're getting the bes[Verizon services at a great value-from Phone, New Charges Internet and TV to money-saving bundles, - _ internalional phans and tun add-ons.Together we'll Current Activity $15.48 find ways to sdve you even more. Taxes,Governmenial Surcharges and Fees $2.00 - - MOVING? Call 1-866—VZMOVES Verizon Surcharges and Other Charges&Credits $8•73 - __ _ Call Verizon before you move to set up your Inlernet, Total New Charges Due by May 15,2014 526.21 TV and phone for your new home.P!us,ask abaut our great new money-saving bundles.Don't wait.Call Total Amount Due $�9•42 ahead!1-866-VZMOVES(1-866-896-6 3 . Service availability varies. / 5187•40 of overdue charges has been moved to another account A separate ! n r.�' "4 bill for this overdue amount will be sent to you. f' ' �� � 9 c fJ�� f ~ 1 \ '��. �'j �.1� �� � �/v'�'� , � � t � � `�� �y> �-�-� � � � �' � r. � t�' �,�, , ` � �,, ��, �;,; �.��� � �; �,,.� ,�, .� �/� �� I/ � ����� questions about your bill or service? Want AutOmatlC Payment? View your bilis in detai!at verizon.com or calf 1-800-VERIZON(1-800-837-4966). Enroll below or at Verizon.com to authorize your financial Enter your ten digit number 717-766-6617.Use 127 if asked tor your customer institution to deduct the amount oi your monthly bill irom identification code.Customers with disabilities call 1-800-974-6006 TTY. the account associated with your enclosed check and send payment directly to Verizon.To discontinue Automatic Payment,call Verizon.Please keep a copy of this authorization. � Please return remit slip with payment. �,,�y�'"`` Account Number Amount Due . 717766-6617 j129i27Y $187.40 ver��n �f$��`�►�����tyVet�zaR Account Information s������,,���ay .: Statement Date: 4/19/14 ���� ,�� DUANE PETRO , �� � t d����,��,����� Phone: 717-766-6617 Gc gF�E�i� ;�a P�Frke , ; " ; : ; mary . . Account Sum ,.. ; _ _ ` � " �` Previous Balance , : :: . :.. _ $.00 - . Transferred from Account 717 766-6617 127 Apr 7 $187.40 �fen�on,News _ _ ' — `' `- ` No Payment Received $.00 Before You Move... Overdue Balance-Please Pay Mow 5187� Call 1-888-416-9691 and we'll help set up your Internet,N and Phone for your new address.You can be up and running in no time!DON'T WAIT!And be New Charges sure to ask if fiOS is available in yourarea.Service Total New Charges availability varies. 5.00 We Value Our Customers Total Amount Due-Please Pay Now $�g�.qp We appreciate your business&want to deliver the very 5187.40 amo�nt transferred is overdue.My other charges or credits wili best entertainment to you.Call us at appear on your ne�ct bitl.Unpaid balances are subject to collection activity, 1-877-896-9333 to find out about the new ways Your account has been disconnected.My other charges or credits will appear Veri2on can save you money.We enjoy being your on your next bill.Overdue balances are subjgct to collection action. provider,and we would like to keep you with us longer by improving your Verizon experience. � Get More,Save More � � � Call 1-888-303-7244 to ensure you're getting 1he � best Verizon services at a great value-from Phone, � � . Internet arni N 10 money-saving bundies, � international plans and iun add-ons.Together we'll find ways to save you even more. Questions about your biif or service? View your bilis in detail at verizon.com or call 1-800-VERIZON(t-800-837-4966). Enter your ten digit number 717-766-6677.Use 129 it asked for your customer identification code.Customers with disabilities call 1-800-974-6006 TTY. Please retum remit slip wiih payment. ' Amount Due ' .'��'� �6 . Account Number $2.80 .}Y�����,�<� 717 766-6617�127�6�Y : veri,�on _ pccount Information ' d�Q� Statement Date: 5/19l14 �fS�V�'Ct[1F�aCf,lll�t�l�f DUANE PE7R� SfiBp'�����`�`��a� Phone: 717-766-6617 ;; `. Ac�o�uit�3�'��t�: 11r�Deman�at��'�'�Iaw oetall� �,y �e;P�v�*Frc� : Account Summary _- --- ---- - - - - - _— -- GDqiA�► , "' -- __ --- --- , ,,,..., -_.. . - _ : ; ; , � Prev _ _ ----------- __.-__ $7 . . ious Balance _ ___ -C. 53 21 : - \� .` Paymeni Received May 12 __ __--- -- 5 .21 `` � � yB112Qn l�f�V11S. ' Overdue Balance-Please Pay Now n :� ' � i �, --- New Charges --` $14.96 Before You Move... --- ---_ -------__. _-- � _-- -- _�— Call 1-888-416--9691 and we'll help sei up your Current Activity _____-_---t- - $.65 -�- Intemei,N and Phone tor your new address.You can - ___- --- �- ��_ __ Taxes,6overnmenial Surcharges and Fees ___ _ _ $�$� be up and runnir�g in no time!DOMT N1A�T�And be __ s&Credits -- - --- sure to ask if FiOS is avaiVab{e in your area.Service Verizon Surcharges and Oiher Charge _ _____ = - � } -5�•4Z _ _ _-_ _------ / � availability varies. - {r, Total New Char9es � $2.80 We Value Our Customers To��pmount Due-Please Pay Now We appreciate your business&want to deliver the very � oth���9�o�a�i����appear best enterlainmeni io you.Cali us at Your account has been disconne�• y ������a�tion. �_g�J_gg�ggl2 to find out aboui th bne 9 yo fs on your next bill.Overdue balances�e�b� Verizon can save you money.We enjoy provider,and we would like to keep you with us long�r by improving your Verizon experience. Get More,Save More n;n �►�e Call 1-888-285-�2�to ensure you're ge 9 besl VenZ°�s�N�ces at a 9r�ev ng bundlesm Phone, Internei and N to money- international plans and fun add-ons.Togelher we'll tind ways to save you even more. questions about your bill or senrice? �C Pa mef11Z View youurbeln digit number 717 n766-6617II Use 127 t asked tor you�r cus�ome966). Want AUtomatl Y our tinancial Enter yo Enroll below o�a�t 1he amount ot yournmonihly bill trom identification code.Customers with disabilities call 1-800-974-6006 • ins[ituiion to de the account associated with Your enclosed check and send payment directly to Verizon.To discontin a copy ot qutomatic Payment,call Verizon.Please keep this aulhorization. _ Please retum remit slip with payment. _ __ _. 5t33 .,� /C Staterttent PAYPJtE11ET USAA C ��� 9800 Fredericksburg Roa�i p�£ p;�T� NUMBER o '1 � San Antonio, Texas 78288 (,)$�,`� Visit us at usaa.com os-�7-i4 ozs2a o2 34 s 00763 . 1CLV4. JSS860438455 . O1 . O1 . 5991 fo UPDATE POLICIES GO TO USAA.COM OR CALL t-800-531-8722 FOR BILLING AND PAYMEN7 INQUIRIES GO TO USAA.COM OR CALL 1-800-531-8722 EST OF DUANE A PETRO TO REPORT A CLAIM, CALL 813 W KELLER ST 1-800-531-8722 MECHANICSBURG PA 17055-4060 COMPANY CODES AND IMPORTANT INFORMATION ON REVERSE MONTHLY ACTIVITY BALANCE ON LAST STATEMENT $ 375.99 NO PAYMENTS RECEIVED BY CLQSING DATE GIC AUTO POLICY 7101 5 INACTIVE: AUTO POLICY CANCELLATION CREDIT 04-18-14 244.45CR ACCOUNT BALANCE AS OF 05-27-14 $ 131.54 ;: ;;::;:: ..::..::: .::.:. ,.;:: : . ��r�e��� _, ;>: . :.;:.: .::::.....::. :.:. ���r�n��vr ��,�� o��-�o�s ; p�T�; ; P(3��CIES� BE�NC'x tiELLE�: BALAitlGE �RE�ifL:AR PL�C �}CTEIttiS�[i �+LAt�i 10-15-'13 GIC AUTO POLICY 7101 5 INACTIVE: 97 FORD $ 67.46 � 67.46 $ 67.46 04-15-'14 GIC AUTO POLICY 7101 5 INACTIVE: AUTO $ 4.08 $ 4.08 $ 4.08 UNPAID FEES AND CHARGES $ 60.00 $ 60.00 $ 60.00 TOTALS $ 131.54 $ 131.54 $ 131.54 PAYMENT OF THIS OUTSTANDING BALANCE WILL IMMEDIATELY CLOSE YOUR ACCOUNT WITFi USAA PROPERTY AND CASUALTY INSURANCE. HOWEVER, IT DOES NOT ASSURE ACCEPTABILITY FOR FUTURE INSURANCE. TO FURTHER OUR MISSION OF gEING THE PROVIDER UF CHOICE FOR THE MILITARY COMMIINITY WE HAVE OPENED MEMBERSHIP TO ALL MILITARY: RETIREES AND THOSE WHO HAVE HONORABLY SEPARATED. DO YOU KNOW ANYONE WHO MAY NOW BE A'BLE TO ENJOY THE B�NEFITS OF MEMBERSHIP? TELL THEM ABOUT US OR SHARE`USAA AT USAA.COM/JOIN. � � �� � ��14 � � _ ........ . _ .. �:.:..... _. _ . .... . _ .._.. ::...... ; .__.__._................ ............................. �_. ,_. =' YOU'RE READY FOR ANYTHING ; : . . WITH USAA MOBILE. '� ,� USAA.COM/READY �'^� h��� �4 �.����.s��� ,-; r . � ,: . � �- K ; ; �.. r��?'��_�r ����4� u� rt�cw �ct��� �� * . ,, .. .; . ; :_ � =T�t; : � � €��a�c�-Y��c��!� �� � ��r ����sx � ��r� �x.�€��-�i�� 3C: �:.�����..�vr�� '�`-'�Zu�._.ry5.�.o.^!'�._ ��.-�� .M._.. � �g;�2�-Y� �Ct2�C�-.r �,�i.f� ,f�E,t„{�, ,i.,�._,t�.,�,(.OI,��:,�,i t i ,l,1�._�. iT� o°a°�e �°�B i + oaoco 0 0 0^ 'o�'^�T^^ r^r�^���cT�����Tuc onrrnn,�p,�orinu��nry vni�o D[f VMFNT IN THF RFTI IpN FN\/FI(1PF PR(1VIf�Fn � 002 � . . �,.F�s.�.,-m+�...,..�a..ue�...=....r.�.4..r..'..'..""^"��*�-.,.-....,.�.,-.... r 'y .�� UNITED WATER PENNSYIVANIA �����rt�'�'' m�v.�� ,.n_�_. ✓e`°� ° U�'�c D ■ ■ ��� : Customer Service Center " SR''Asfi �, C w �� 8189 Adams Drive Hlimmelstown,Pq 17036 �`�.T_-- -.�.-�--�--._.:.�...,e.,w,,.,�.,�,__....�,. Telephone:77 7-564-3662 ..�.,.._.,_k,.,,m,�„y www:unitedwater.com Notice Date: 03/03/14 m� Account Number: OOZ06148720000 Arrears Amount Due 03/14/2014 TOTAL AMOIl1�T DUE $41.3� SERVICE T0: DUANE A PETRO SERVICE ADDRE55: 813 W KEIIER ST MECHANICSBURG PA LLt � w j cn �, y o �, � c��n c--�-„� o �-i o � � `G C7 (D O 'y �"(D � (D � � � � � o =� a' » y � m�c <° v� � �° QW Q ;' � � �.=' � ��� -0�3 � � C � F- m � � � D � m v� � m p � (n = � � t � � �v m � �� o � � � m a=i m m � � `� �, 0 3 � D ca � � n � � � :�:� �io � � 6�.. � Q � � � � o m c� � Z.'� js o =. m o � n> � nufv � � Snc�i �� � � " � � � � m � m o � � !D O � � � Q�O�i � n =' O � N �' C n n � � ��C � 4 a� � O � � 7c �'J' O - u� � � 3 °' oivoa � � vs .� � v Q C�V< tn 6 — _Q `� � 7 < V (fl O n O`G O - p j � v.� � �O O � O O - W � � � �v p > C O n �`� (D N C -� � (�p — � � O cp n '',1� "�O C� � N �"�.�� � T� N � e__ _ � � (n a� C 6 C � G O �� (D _ � n m �. o � cu n� �- � o ' L � v> > rom nf �u �� y m ' p) � °� �-<)� c n. - N M C °� �� o � - ..O � cn q � � �==� tn _ � p �' v o:� �- U � � �-m*t? c� �'�` m - � c� Z ni x-��`< � v = � a`� ` �D y�� m � t1� � 3 - �-m G o --^c � i� �. 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O ,� p N�N : lln��ked Water Pennsy1uania �2,, � ; Castflir►er�Seruioe Cent�r �r.,��,.�•" ,;�,�, � ]R� ' $18�Adpftls Dtfiue .,:. �". w�. V 17���� �,�r�'�' Hummetstown,PA 17036 t�teplione 7'1:7-554-35fi2 : www.Wnikeclwdter.Com USAGE HISTORY Bitling Date: 05/01/14 Usage in Thousands of Gallons Account Number: 00206148720000 . , , i ' 3 � n � Previous Balance $65.86 � � Payments Through 05/01/14 rr,ANrcrou $65.86Cf z z Balance Forward $0.00 `p ' Current Charges Due 05/21/2014 $11.56 , , , , , ' � � TOTAI�4MOUNT DUE ; `I 1.' � $ 56 0 0 0 0 0 0 0 Moy 7un )ul pug Se0 Oct Nov Dec 7on Feb Mar � qpr oy n � � *PAY BY 05/27/Z014 TO AVOID A 1.5%IATE PAYMENT CHARGE Next meter reading date:on or about 06/02/201�y V v SERVICE T0: DUANE A PETRO SERVICE ADDRESS: 813 W KEILER ST MECHANICSBURG PA MeCeriNU�riber! ,; 5erviee ; Days oF ' Fleter RearJing llnit of From To Serv�ce ; Preu�ious Present '' Uz�S� Measut�e RCading TyP...e. itate ,. 67835387 04/O1/14 05/01/14 30 0136 0136 0 MGl ACTUAL W07 EQUIVALENT TO 0 GALLONS SERVICE CHARGES $11.00 DISTRIBUTION SYSTEM IMPROVEMEN $0.58 STATE TAX ADJUSTMENT SURCHARGE $0.02 CR TOTAL CURRENT CHARGES $11.56 � SEE REVERSE SIDE fOR IMPORTANT ACCOUNT INFORMATION ' i ...`: ' . ; '.: ,:: ��J'�1T���� ��'���1t'J�� , > ;. Your consumption is based on an actual reading of your water meter. Effective April 1, 20'14 the Distribution System Improvement Charge(DSIC)increased from 4.79%to 5.29°/Q.This charge funds the replacement of water distribution facilities in Pennsylvania. Sa�e a stamp and go paperless today! Log on to www.unitedwater.com or call Customer Seruice to find out more information and to enroll in eBilling. Effective April 10, Z014 the State Tax Adjustment surcharge decreased from 0.1 Z%to(O.Z2%) Approximate state tax included on this bill$0.44. � - ^ - e= •..��. oi cocF nFrnrH NFRF 4Nn RETURN 7HE BOTTOM PORTION WITN YOUR PAYMENT IN THE RETURN ENVELOPE PROVIDED, _ ------�--_- _ .._ Ur���i�d�klc�r�r i��nn�yl.uania �y �us�omer 5�rir�es Center ; , 5����� "� �.N���� ����� 8�89 adams�nue Wm. , H��r�els�ou�t� P/�'i?t�35 i T2��t�!?t��2 7'1:7 ���.�366� wu,w:u r�tte�w�ter.�trrn �15AGE HIS�ORY Billfng Date: 06/02/14 Usage in Thousonds of Gallons Account Number: OOZ061487Z0000 4 � I 3 � ' Previous Balance $11.56 Payments Through 06/02/14 rHar,Kvou $11.56CI z 2 Balance Forward $0.00 Current Charges Due 06/23/Z014 $11.56 , , , , , T(�7aL AMC'3[��IT"�U� - � � $1'I:S6 ' 0 0 0 o a a a a )�n Jul qug Sep Oct Nw Dec ]an feb Mor Apr Moy )un Next meter reading date:on or about 07/01/2014 , *PAY BY 06/30/Z014 TO AVOID A 1.5%LATE PAYMENT CHARGE SERVICE TO: DUANE A PETRO SERVICE ADDRESS: 8�3 W KEIIER ST MECHANICSBURG PA Meter�iuritber > 5erutce Dr�ys oF 1+��ter tt�n�t��g ` ° ` �n1t nf : " ECnC� ` T4 Sef`vtce �;. ' ' f+rEvia�xs Preser��`; �s��3�, . Ntensure ; RepdTn��'yD� ; Rate _ _.. . ,: , 67835387 05/01/14 06/02/14 32 0136 0136 0 MGl ACTUAI U/p7 EQUIVALENT TO O GALIONS SERVICE CHARGES $11.00 �.y DISTRIBUTION SYSTEM IMPROVEMEN $0.58 � ` \ i,,�, STATE TAX AD7USTMENT SURCHARGE $0.02 CR � .�/�lt TOTAI CURRENT CHARGES $11.56 � �,a ,� �i/ SEE REVERSE SIDE fOR IMPORTANT ACCOUNT IN�RMATION ; . : .� , . : ... . '. �r����r�i�r �r��s���s„ Your consumption is based on an actual reading of your water meter. Effecti�e April 1, 2014 the Distribution System Improvement Charge(DSIC)increased from 4.79%to 5.29%.This charge funds the replacement of water distribution facilities in Pennsylvania. Sa�e a stamp and go paperless today! Log on to wwur.unitedwater.com or call Customer Seruice to find out more information and to enroll in eBilli ng Annual Water Quality Report Starting June 1, Z014 you will be able to view the United Water Pennsyl�ania annual water quality report on-line at www.umtedwater.com/UWPA/Mechanicsburq/CCR2013 .This report contains important information about the source and quality of your drinking water. Please call 888.Z99.897Z if you would like a paper report deli�ered to your home. Reporte Anual de Calidad del Agua A partir dei primero de julio del 2014 usted podra ver en linea el informe anual de la calidad de su agua potabie producida por United Water Pennsyl�ania visitando la pagina de internet www.unitedwater.com/UWPA/Mechanicsburg/CCR2013. El reporte contiene�aliosa informaci6n acerca de las fuentes de abasto y calidad de su agua potable. Por fa�or llame al 888.299.897Z si desea una copia impresa del informe. Approximate state tax included on this bill$0.44. ; ; Ut����ii U�+��fi���rclsytudn�'� ' z �ustor��r Serwrc�C�r�t�r �� � ii����� ����� , 8'78�Adtir�t5�St��e . ; 5� ,'�� . . t�futnrrtet�towr� PA'�7U3� , ;: . ;. TeteFita�e 7�� 55���56�. • ". _ ' ` i w.wur.tJ�tt2duitlCer C��rf; US�GE HISTORY Billing Date: 07/01/14 usa�e;n I�housandsofGallons Account Number: 00206148720000 „ — ---- ----, i � 3 _. _ Pre�ious Balance $11.56 Payments Through 07/01/14 rHaNKvou $11.56Cf Z Balance Forward $0.00 Current Charges Due 07/21/Z014 $11.6Z , , , , , TE����.�t�(3I,��V�'17t,l� ' ; $1:'1.G� i , — 0 0 0 0 0 0 0 o a 1ui qu9 5.�0 Oct Nov Dec 7an Feb Mor Aor Moy )un ]ul Next meter reading date:on or about O8/01/2014 *PAY BY 07/28/2014 TO AVOID A 1.5%LATE PAYMENT CHARGE SERVICE T0: DUANE A PETRO SERVICE ADDRESS: 813 W KEILER ST MECHANICSBURG PA �-- . , � - MPy�Et'�LYOAIf� : � : � z n1�.a� �3 . - , :. �M!��e�NuC{tH�� �eru��e C#f��fib€ , ' s . ;:' . ��om. ;. , Ttr ; 5erveCe ; Preu�Dus :�'�'esent�_ , L3Sdg� h�et�SGl�� Reqrlang Type .;� f2qte .. 67835387 06/02/14 07/01/14 29 0136 0136 0 MGl ACTUAI W07 EQUIVALENT TO 0 GA LONS SERVICE CHARGES $11.00 � � i.� DISTRIBUTION SYSTEM IMPROVEMEN $0.64 %'} j, � � STATE TAX AD)USTMENT SURCHARGE $O.OZ CR � �� � TOTAI CURRENT CHARGES $11.62 r, , ��,/✓� �.- `� SEE REVERSE SIDE FOR IMPORTANTACCOUN"f INfO�MATION �i <, ,:; , . :' -. �..,.. ...> , .::s R�����������������. .. :` n: ; Your consiamption is based on an actual reading of your water meter. Effective)uly 1, Z614 the Distrib�.itian System Impro�ement Charge(DSIC)increased fram 5.Z9%to 5.79%.This charge funds the replacement of water�istribution facilit�es in Pennsylvanza. Save a stamp and go pap:rless today! Loc,on to ww�u.umtesiwater.com or call Customer Service to find out more information and to enroll in eBi�ling. Approximate state tax included on this bill$0.44. t�rtt��d l�fc�t�i'Pertrtsy��anttF G�xstamex 5�rv�re ce�rt�r ����� ,%",.c° . 8'189 Adc�ri��E�nt�� � �„������ �,�,� ,,,�;�, �Eurr�rne'fstov3n t�A'17`€�36 :'.�Te�ephone �1'7 564:�fi62 i• ; , '. , : ; i�ww.unttedwate�-.eorrt= USAGE HISTORY Billing Date: 08/01/14 Usage in Thousands of Gallons Account Number: OOZ061487Z0000 4 ,I-- ; � � � Previous Balance 3 $11.62 Payments Through 08/01/14 rHar,K vou $11.6ZCF Balance Forward $0.00 2 Current Charges Due 08/Z1/2014 $11.62 , , , , , TQTA�.�tMQUMT�tt� : �'['t;;6Z ' � o 0 0 0 o a o 0 0 /lug Sep Oc[ Nov Det Jan Feb Mor Apr Moy )un )ul Aug Next meter reading date:on or about 09/OZ/Z014 *PAY BY 08/27/2014 TO AVOID A 1.5%IATE PAYMENT CHARGE SERVICE T0: DUANE A PETRO SERVICE ADDRE55: 813 W KEIIER ST MECHAN�CSBURG PA M�te�F�tirt�6er ': Service pA��Q� f�eterf�eadi�c� � ; Unrt;of ; ' ; , , itsu9e Nteasurs Readir[g�'ype RziYe ' ' FFQIff . .TQ •: SEI'UFCE PC(±E�I�i;FS RC�SCl1L : ' ,; < . . . 67835387 07/O1/14 08/01/14 31 0136 0136 0 MGL ACTUAL W07 EQUIVALENT TO 0 GALLONS SERVICE CHARGES $11.00 DISTRIBUTION SYSTEM IMPROVEMEN 50.64 STATE TAX ADJUSTMENT SURCHARGE $0.02 CR TOTAI.CURRENT CHARGES $11.6Z SEE REVERSE SIDE FOR IMPORTANT ACCOUNT INfORMATION < � ..'; <...< <: II�"I�F������T ���'J�Jc`'I���J� : , :: Your consumption is based on an actual reading of your water meter Effective)uly 1, 2014 the Distribution System Improvement Charge(DSIC)increased from 5.Z9%to 5.79%.This charge funds the replacement of water distribution facilities in Pennsyluania Sa�e a stamp anQ go paperless today! Log on to www.unitedwater.com or call Customer Ser�ic to find out more information and to enroll in eBilling: ( �, Approximate state tax included on this bill $0.44. � �-1 � �� � � ✓ _.. . „���cc r.c-rnru uFOF onin oFr11RN THF 90TTOM PORTIQN WIS}i-YQSl.R.P„�V_C1�NT IN TH�.I.JBL`l,F„NS!_�,.,QP,..�_2BAy1[2E.4?..._._._.,....,_......,..,......_._.�____..._�..._..,.,_,..,9R: ; lln�te�11�a��r Pet�nsyl�an�a : Customar5erui�e Cen�er ��'�` °� < 8789 A�arn�Cinve ' ��' W� 11�NITED 1NA►T�:1� �umrrielstawn PA'17036 . 7pT�phar��:71T 56�.36bZ �rut�ir:U�1tY�dL�at�r.co m: USAGE HISTORY Billing Date: 09/OZ/14 UsageinThousandsofGailons Account Number: OOZ06148720000 4 I � Pre�ious Balance 3 $11.6Z Payments Through 09/02/14 rHaNKvou $11.62CF z Balance Forward $0.00 Current Charges Uue 09/22/2014 $11.62 , , , , , TdTI�L��*'1C}Uri1T RiU� i $1_"�r�2 0 o a o 0 0 0 o a o Sep 03 Oct Ol Nw Ol Oec 02 )an 02 Feb 03 Mar 03 Ppr Ol May Ol )un 02 )ul 07 Auq Ol Sep 02 i Next meter reading date:on or about 10/Ol/2014 *PAY BY 09/29/2014 TO AVOID A 1.5%LATE PAYMENT CHARGE SERVICE T0: DUANE A PETRO SERVICE ADDRE55: 813 W KELLER ST MECHANICSBURG PA �-��1�#e�Ntlfibe� F 5ertriee D�rysof `� M���rEReorl�ng' Unitflf ; ; , s "' � Usa`� ;' Measure Reqd�ng Type Ra[e : Frn�tr To. : 5er�nce„ Pr�tnr�us pt��en�. . : 9. ' 67835387 08/01/14 09/OZ/14 3Z 0136 0136 0 MGl ACTUAL W07 EQUIVALENTTO OGALLONS SERVICE CHARGES $11.00 DISTRIBUTION SYSTEM IMPROVEMEN $0.64 STATE TAX AD7USTMENT SURCHARGE $0.02 CR TOTAI CURRENT CHARGES $11.62 SEE REVERSE SIDE FOR IMPORTANT ACCOUNT INFORMATION ; ; .. ..... ' ? �_. ; :; ,i. ,:.., .��. s ,.. .. . :� ����}�,�.�;����k����f��.7��. ..: ; � _ . : . . ? .,,: Your consumption is based on an actual reading of your water meter. Effecti�e July 1, Z014 the Distribution S�stem Improvement Charge(DSIC)increased from 5.29%to 5.79%.This charge funds the replacement of water distribution facilities in Pennsyl�ania. Save a stamp and go paperless today!Log on to www.unitedwater.com or call Customer Service to fin out more information and to enroll in eBilling: Approximate state tax included on this bill $0.44. ,, . � ���-j' i; �;�� l��► � ��`}� �� ;�� � � tk , q -� � �,��� � � -.-.�-��-.���.��..��.�.,.,R��o.�ruo onrrnm onennr.i ten7H vnl tR PAVMENT IN THE RETIIRN ENVES.OR.E..1'�.9U_lD_�D,_.,,..._...__- ._...., .,,Oo: ; ; � Ur���ed Waf�r Pennsy�t�an�a �usxomet 5er�it�e Cer�ter a ,t 8�$9Adp17�5a�tve ����` W�;�, �N��"E C)�1�l��"�� ,�,o° Humm��stoutn C�A 7�{?36 �'�tepi�nne 717 �54-���2 ; . - ; ; < .` ' :un7t�dWp�er cvrri; , ; . .,; ; . . ; wtaiw_.. ,. . .,. . •: USAGE HISTORY Billing Date: 10/01/14 Usragein Thousands ofGallons Account Number: 002061487z0000 4 _ _'__. _.. ._.._ __--_ __ _ - ---- - ----- _-------- ,, � --_-- ._____-- _' � ' Previous Balance $�1.62 3 � � Payments Through 10/01/14 rHnNK,-ou $11.6ZCR � Balance Foru�ard �---------- ------ —� 50.00 � � Current Charges Due 10/Z1/2014 $18.05 -� , , � , TOTA�AMQUNT t�UE - — - ' . ..; $18 [�� I ,._._. ._<.. . �, p o _ o u o a o 0 0 0 OclUl NovUl R•c02 1n��02 feb03 Mo:U3 2V<<» May01 Iun02 )�ilUl auq01 ieVU2 Or.t01 Next met�r reading date:on or about l 1/03/2014 *PAY BY 10/27/2014 TO AVOID A 1.5%IATE PAYMENT CHARGE �cRvlCc TrJ:-0UA41E/1 PEl'R4 �CR'J!CE AD!1P,E5�: 813 1A�KFU_�R.T MECHANIC53UR,�A �?�3e�e�'i�'u1�t6er ;�,�BPu�ee Dqys Af Meter g�csding�,�� � , t1n�t af w K z � ` py��� To Ser�rce PreitioGs ,Yesent,;= �s�9� Meusure Rer?t�tng�'yp� R�t� ,.��.,...w...� ._ � �. �w...._....._.._�W..W......._ :. ....:_..�..:._..�;.W__�...W....p� -=—=-----�' _--- -- —�- --.__..__._�._._. 67835387 09/02/14 10/01/14 29 0136 0137 1 MGL ACTUAI W07 EQUlVALENTTO 7,OOOGALLONS SERVICE CHARGES $11.00 STATE TAX ADJUSTMENT SURCHARGE $0.04 CF WATER CHARGES $5.91 TOTAL CURRENT CHARGES $18.05 DISTR(BUTION SYSTEM IMPROVEMEN $1.18 SEE REVERSE SIDE FOR IMPORTANT ACCOUNT INfORMATION r � � H �; � � -t 'I�P��T�i,�7 N���SAG�S ; � ; ���.._..�,x. ,...; .� .... ..: . .:,.'....�. . .�� .,�..�. : �....... . a .��.�. .. . .. . Your consumption is based ori an actual reading of your water meter. Effective October 1; 2014 the Distribution System Impro�ement Charge(DSIC)increased from 5.79%to 6.98%.This charge funds the replacement of water distiibuti�n facilities in Pennsylvanin. Save� stamp and go pnperless today! Log on to www.umtedWater.com or call Customer Service to flnd out more information and to enroll in eBilli ng Approximate state tax included on this bill $0.67. ; �j� '` � ' i�� 1 ..,� 1 , � � �� � ,/ ' _'"___._ ..._.._ ......,�.. -.. �.,,�.,.��r,.,nnn��n•i���i7��vni i4 on��MFNT IN THF RFTI IRf�1.�N\�FLOP_.F,_PRnl.L1p.FD_ _...._... ......... . .._.........,.2_^.: � � � ' I-1 r—� ` U � E I u, u, O u,! en I I y 7' p j OOO tii I` I � I °1I �` I � � . c- p i o� o� o c-j r: � o . o - � � ; � p r- r-+rr r-t � Q �' � �� o m VT V} t/T,' S �I C � ° O � I � �' v a v � t- -= o a � c- r' z '� ,� � 3gq � � j � � � 9 � } 7 6 a��' �a l0 I ,; Q `� s � Q a v � a I ni o � � . . .� i W T-� J 61 ,i� � � . , Q � E'- F•" �� Q 6 6 � � O o Q a =` t � � $ > u Y o � � ' � tn � .� 2 �' lf1 � N � � C e,. . . � � � � m �. � �g �. .� � � . . Q CJ � . �p O \ O Z Q � � p r � �� f 1 N . � 2 �. l� a1 �, �>. N-. _� p � . Q w , � �D O j�v m� � c- � ; O � o a � � � C� �m..�� i � � �.�: � � ''. 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We may act on this notice for up to 60 days. We will NOT Shut off yo�r el�ctric service if yo� do OhE of the follo���ina: • Call us at 1-800-962-4848to arrange to pay your past due bill of $124.86. • Pay the amount you owe on your payment agreement. Call us at 1-800-962-4848 for this amount. • Show us a paid receipt for the past due amount. • Call 1-800-962-4848 right away if you dispute this bill or to provide us with household income and occupant information. You may be eligible for a payment agreement or special assistance programs. If we shut off your electric service, you may have to pay alf of fhe fofiowing before we car�turn your service on: Past Due Bill $124.86 Turn-on Charge $36.00 Security Deposit $142.00 Tota I 302.86 fo talk about your bill, please call our office at 1-800-962-4848. PAEDICAL EMERGENCY NGTICE Let us know if someone living in your home is seriously ill or has a medical condition. WE WILL NOT SHUT OFF YOUR SERVICE provided you: 1. Have your licensed physician or nurse practitioner certify by phone or in writing that such an illness exists and that it may be aggravated if your service is shut off. Written certification is needed within 7 days: AND 2. Make arrangements to pay your currenTfiiiL IMPORTANT TO KNOW: Before we shut off your utility service please read the back of this notice. You may be eligible for certain protections from shut-off. 4ttencion ! Este es en mensaje muy importante. Si usted no lo entiende,favor de Ilama a I-800-962-4848. TERM10 �� • if yo uhave questions or need more information, please call us today af 1-800-962-4848. Affer pu ta[k with us, if you are not satisfied, you may file a complaint with the Public Utility Comrrission (PUC). The PUC may delay the shut-off if you file the complaint before the shut-o�date. To contact them call (800) 692-7380 or write to: Pennsylvania Public Utility Commssion, Box 3265, Harrisburg, PA 17105-3265. • If youcurrently have a valid Protection From Abuse order from a court, there are sorr�e additimal protections available to you. Call us immediately at 1-800-962-4848. (You w�ill be required to provide us with a copy of the order.) ' You rnay be eligible for a payment agreement or special assistance programs. Call 1-800-962-4848 right away to provide us with household income and occupant information. Docurnentation of your income may be required, such as pay stubs or tax documents. • !f you rfandlord pays your utility bill: You have certain legal protections. Please call us at 1-800-962-4848. • If you have trouble understanding or speaking English or have a disability please call us at 1-800-962-4848 for a free interpretafion. • If your seivice is shut offy ouu mav be reauired to pav more than th2 amour.t I±sta� �n thP front of Ihis notice to have your service turned back on. You may have to pay any additiona! bills thal have become past due. • All adut occupants of the premise whose names are on the mortgage, deed, or lease are conside�ed the 'customer' and are responsible for payment of this bill. • If service is shut off, ANY aduit occupant who has been living at the premise may have to pay all or po�tions of this bill to have service restored. . If your service is shut off, you must contact us after your payment has been made to be sure you have met all conditions to have the service turned back on and to arrange access to your premises. � After all conditions have been met to have the service turned back on, it may take up to three days to have your service restored. Please contact us to discuss the details. WINTER NOTICE PROVISIONS (between December 1 -March 31) • If we shut off your service during the winter months (between Dec.1 - Mar. 31)we will restore your service within 24 hours of your meeting all requirements/conditions to have service reconnected. • Contact us BEFORE the shut-off date to give us household income and occupant information to see if you qualify for any assistance programs. _ �� __-------- -- _• __�.,.,i�..,ncnoi ..s��„-. c.�rt,�.:. .,,�.,o.�.. ....�..�,....o� ...o ..,�.o�ff��r oc'v .'r,o �.,I i�= rnr E9gh2'C000099h2'COOO�OOOOODOOODD0000000�'CEO'C690g0�0'C20 nl��ii�i��n���i�unii�lii„���„��i����ii�iiiinniii�i�llil�� �`"�'4 csse-soeve Ho woa�v �sse xoe od ,�'�' �-�� �. ' 43-J3W �� '-' � ' r " i �. 0906-SSOLI bd J21f18S�INHH�3W �L�Z/60/�0 a�eQ anQ �4 r r 1S�13113N M El8 � ' ' oa�a v 3Nvno 98��Z�$ anQ�unowy �� eor�o tv�obs�s0000 ��I�I��II1�1��1���'I�'II�'I'I��I�I�'�'1�1'�'tl"IIIL��II��'I�I!' ' pied ;unowd `'��w7��97�'Y . 6E0 b69 080 006 �a Ull1 ��9"Z�96L Vd`6uipeaa - � 4 N luno�y 10091xo80d �-� , �p3-3aW ol alqe�(ed �ap�o�tauou►.�o ��ay� � y�inn�ed siy�wn�a�{ 3�IlON N011b'NIW2131 3�1/1213S � i IYICL-G�.i Bill Based On: Estimated Meter Reading Page 1 of 2 pFrs�-- �-� May 16, 2014 M7� 3iiling Period: AR15 to May 13,2014 for 29 days Account Number: 100 080 691 031 3i11 For. D!}WE A PETRO ����y.����� �,���� - ; 81 iW KELLER ST °° - - ' ,.,: _.. ME�IANICSBURG PA 17055 Due Date: June 05, 2014 _.__.. To report an mergency or an outage,call 24 hours a day t-8885444877. For Customer Service,call 1-800-545-774t For Paymenf Ophons,call 1-800-962-4848. Pay your bil�onfine at www.firstenergycorp.com Bill issued by:Met-Ed,PO Box 16001,Reading PA 19612-6001 ;; , - �p::-_, ,c �.: _ .��cotin�Svmma_' , _. : .. _ -` - - ` AmouritlAie o avoid a 1.50% lafe Payment Charge being added to your bill, Previous Balance -13.64 �lease pay ihe A ma�t Due by the Due Date. Payments/Adjustments 0.00 'our current PRlCETD COMPARE for generation and transmission Balance at Billing on May 16,2014 _13� om Met-Ed is listea6elow. For you to save,a suppliers price must Met-Ed -Consumption 15� e lower. FirstEnergy Solutions Corp. 13.65 �tandard Residentid•0002328875-7.75 cents per KWH Total Current Charges 29.23 'our next meter eading is scheduled to occur on or about Amount Due b Jun 05 2014 $15.59 lun 12,2014. ; ` :Us e(nfit�matro�t'for NteFe�'l�t�e�:ll#f�ABT�1A4 ' our bill includes $!15 in PA taxes, of which $0.92 is PA gross May 13 2014 KWH Reading(Estimate) qp 869 :ceipts tax. Apr 15,2014 KWH Reading(Actual) qp B98 �eneeation prces ad charges are se! by the electric gFneration kINH used ��� upplier you have cFosen. The Public Utilities Commission regulates ;: ;; ;; ���r g��p��y�.�� istribution prices ard services. The Federal Energy Regulatory When confacting an Electric Generation Supplier,please provide the following ommission regulatesiransmission prices and seroices. Customer Number 0804841281 0002328875 or your safety,if youservice has been disconnecfed,do not attempt Rate:Standard Residential ME-RSD � reconneci it. Whi�ihis is illegal and could resuit in prosecution, Customer Charge 8�� >moving a meter ba�e or touching any of the wires can also cause Distribution 171 KWH x 0.029357 5.02 eath or serious injur�through ares of electricity, explosions or fire. Solar Requirements Charge 171 KWH x 0.000160 0.03 leters are only to be�ccessed by authorized utility personnel. Default Service Support Charge 171 KWH x 0.004010 0 69 n important messa�to dog owners - to ensure that our meter Non-Uti�ity Generation Charge 171 KWH x-0.000080 -0.01 �aders'visits to your home are safe and productive,please keep your Smart Meter Charge �79 �g secured in an areaaway from the path to your meter. State Tax Surcharge -0 05 Current Consum 6on Bi0 Char es 15 58 II of our employeeswear photo ID badges. Always ask for an ;. _ ;_� g������i° -;�a[ubvn��tr ;; ' - - , „ np oyee s ore tting anyone in your home. If you are still not --------- ire,please call the conpany_ 341 White Pond Drive Bidg B3,Akron,OH 44320-1119 CustomerService 1�88-2546359 ow is the time to eisure thai your cooling system is running at Account Number: 132091592 Rate: GEN-F798 aximum efficiency before the hot days of summer arrive!Receive a �neration/iransmission 171 KWH x 0.07982456 13.65 bate of up to$160 m the tune up of your central air conditioner or Total FirstEner Solutions Cor .Char es 13.65 �at pump or up to $00 on the purchase of a new high-efficiency „ -14cs�unt:�es �e►rt� an°: ;' �stem including central air conditioners,air and ground source heaf - imps, and ductless mini-splits. Find additional information or a Previous Payments/ Current Amount �rticipating contractor at www.energysavePA.com. Balance Adjustments Charges Due Met-Ed -28.56 0 00 15.58 -12.gg FirstEnergy Solutions Corp. 14.92 0.00 13.65 28.57 Total -13.64 0.00 29.23 15.59 AddiUonai messages if any,can be found on back ,j�/� �lsa ¢Nistu � 1000 t t� \� 800 / 600 (� J 400 200 A 0 M J J A S O N D J F M A M A-Actual E-Eshmate C-Customer mparisons Last Year This Year erage Daily Use(KWI� 17 6 erage Daily Femperat�re 56 55 ys in Billing Period 32 29 �t 12 Months Use(KW H) 5,195 erage Monthly Use(I(WH} 433 ' fY��-L:U Bill Based On: Actual Meter Reading,Prorated Page 1 of 2 Arn�� 8��� June 17, 2014 M�� Biiling Perioel: May 14 to Jun 13,2014 fo►31 days Account Number: 100 080 691 031 Bill For DUANE A PETRO ��������� ���°�� 813 W KELLER ST - _. - - MECHANICSBURG PA 17055 Due Date: July 07, 2014 _ ;: -. ,.:; To repod an emergency or an outage,call 24 hours a day 1-888-544-4877. For Customer Service,call 1-800-545-7741. For Payment Options,call 1-800-962-4848. Pay your bill online at www firstenergycorp.com Biil issued by:Met-Ed,PO Box 16001,Reading PA 19612-6001 ; ;: _ _ �essa ;: ; ;_ _ . ; =_.. Ac�out�S.u�a _: Ani _ ou��ic To avoid a 1_SO% Late Payment Charge being added to your bill, PreviousBalance 15.59 please pay the Amount Due by the Due Date. Payments/Adjustments -15.59 Your current PRICE TO COMPARE for generation and transmission Balance at Biiling on Jun 17,2014 0� from Met-Ed is listed below For you to save,a suppliers price must Met-Ed -Consumption 25 56 be Iower. FirstEnergy Solufions Corp. 38� Standard Resedential-0002328875-8.58 cents per KWH Total Current Charges 63.62 Your ne�rt me�r reading wiil be estimated.See the back of ihe bill Amount Due b Jul 07,2014 $63 62 to provide a customer reading by Jul 14,2014. U� e:'tnFortn�ti�tt far.Mefer Nur�ei W�+IBT� Your bill indu�s $1.88 in PA taxes, of which $1.51 is PA gross �un t3 2014 KWH Reading(Actual) 41 346 rer_eipts tax. May 14,201d Y.WH Read;rg(Estimafe} ;�,g�� Generation pri�s and charges are set by the electric generation KWH used 477 supplier you hare chosen. The Public Utilities Commission regulates - _ _ _ �h�� p��,gt,,,��. distribution prices and seroices. The Federal Energy Regulatory When contacting an Electric Generation Suppiier,please provide the followmg Commission regulates transmission prices and services. Customer Number:0804841281 0002328875 Effective June 1,2014, the Energy Efficiency Charges which recover Rate:Standard Residential ME-RSD costs associated with the utility's programs to reduce annual electric Customer Charge 8�� use and peak�mand for e�ectricity as mandated by the stare, has Distribution 477 KWH x 0.029036 13.85 been adjusted. Solar Requirements Charge 201 KWH x 0.000140 0.03 Effective June 1, 2014, the Solar Photovoltaic Requirement charye 276 KWH x 0.000160 0.04 which recovers the company's cost to acqwre Solar Photovoltaic Default Service Support Charge 201 KWH x 0.003810 p_77 Alternative Energy Credits in compliance with the Alternative Energy 276 KWH x 0.004010 �,�� Portfofio Standards Act,has been adiusted. Non-Utility Generation Charge 201 KWH x-0.000270 -0.05 276 KWH x-0.00008d -0.02 Keystone HELP--Pennsylvania's unsecured loan program--provides Smart Meter Charge �79 special financing rates for homeowners to purchase ENERGYSTAR State Tax Surcharge -0.07 and other qualifying energy-efficient products. For fast approval,or to Current Consum tion Bill Char es 25.56 find an approved contractoddeafer in your area, visit = - - -_ ; Cha: es Fr�m iF� �1u64ns Gor ; � www.keystonehelp.com,or call toll-hee 1-888-232-3477. 341 White Pond Drive Bldg B3,Akron,OH 44320-1119 Effective June 1, 2014, the Default Service Support charge, which Customer Service:1-888-254-6359 recovers costs associated with serving customers in a competitive Account Number: 132091592 Rate GEN-F798 electric market,has been adjusted. Generation/Transmission 477 KWH x 0.07979036 3g_pg Customers receiving Default Service have a new Price to Compare Total FirstEner Sotutions Cor .Char es 38.06 (PTC), effective June 1, 2014. Please review the PTC information - '- Detatl;E�a m�andk ":me�tElnfae�at�on:: " "` shown on page 1 of your bill You can save money by switching to an 05/27/14 Pa ment 15 59 electric generation supplier that offers a lower price than your PTC. i ;- ;;{ky�y���;.ga}an es' Ctr n ' " Effective June 1, 2014, the Non-Utility Generation Charge, which Previous Payments! Current Amount recovers costs associated with purchase power contracts with Balance Adjustments Charges Due non-utility generation has been adiusted. Met-Ed 1.94 -1.94 25 56 25.56 We contract with vanous establishments in your area to make paying FirstEnergy Solutions Corp. 13.65 -13.65 38.06 3g.pg your electric bill more convenient. When paying your bitl in person, To�� 15.59 -15.59 63.62 63_62 �leasz use author:z�i pay���enf ;oca;ions a�iiy. DJe cani�ot veriy receipt of payments made at unauthonzed locations_ For more Additional messages,if any,can be found on back. `: ; fl�sta ,: .,, �/� ilsa ,� P f � 1000 / '�//� ,, L/E ' � (�/ soo � � soo � " aoo � 200 • A 0 J J A S O N D J F M A M J A-Actual E-Estimate GCustomer �omparisons Last Year This Year ' 4verage Daily Use(KWH) 14 15 average Daily Temperature 68 66 )ays in Billing Period 30 31 _ast 12 Months Use(KWH) 5,24& �veraqe Monthlr Use lK1,NH1 437 IY/G'�,-� Bill Based On: Estimated Meter Reading, Page 1 of 2 ,,F,s,-� Prorated Bill July 17, 2014 M�� Billing Peri.�dJun 14to Jul 14,2014for31 days Account Number: 100 080 691 031 Bill For: DUANE A PETRO ,q���n��y�� �,�����, -: 813 W KELLER ST - , , , _.._..:_.: MECHANICSBURG PA 17055 Due Date: August 06, 2014 , ;,; ;:: _ ,::: - To repor�n emergency or an outage,call 24 hours a day 1-888-5444877. For Customer Service,call 1-800-545-7741. For Payment Options call 1-800-962-4848. Pay your bill online at www.firstenergycorp.com Bill issued by:Met-Ed,PO Box 16001,Reading PA 19612-6061 ; `' ' i1N� es:: ,: _ -: #ecvun�Suii� -: ; /k�nount�ie To avoid a "1.9% Late Payment Charge being added to your bill, Previous Balance 63.62 please pay th e lnount Due by the Due Date. Payments/Adiustments -63.62 Your current PRCE TO COMPARE for generation and transmission Balance at Billing on Jul 17,2014 0� from Met-Ed is sted below. For you to save,a suppliers price must Met-Ed -Consumptio� 37.95 be lower. FirstEnergy Solutions Corp. 67� Standard Resi�#ntial-0002328875-9.73 cents per KWH Total Current Charges ��94 Your next me?r reading is scheduled to occur on or about qmount Due b Au O6,2014 Aug 13,2014. 5105 94 , _:; ' Us e Informatiun for:Nf�e�N�W�+1&7##� i Your bill includa $2.79 in PP, faxes, of which $224 is PA gross �u�14 2014 KWH Reading(Estimate) 42,198 receipts tax. Jun 14,2(?14 KWH Reading(Actual) 41,346 Generation prics and charges are set by the electric generation KWH used �2 supplier you ha�e chosen. The Public Utilities Commission regulates ':= = ;! . �(��� �j���J��.�a; ;: _ , ; -_............_...._....._ istn ution pnce and services. The Federal Energy Regulatory When contacting an Eleciric Generation Supplier,please provide the following. Commission reg�ates transmission prices and seNices. Customer Numbec 0804841281 0002328875 For your safety a�d the safety of our crews,when using a generator Rate:Standard Residential ME-RSD follow the manuf�turers installation and operatio�instructions.Never Customer Charge 10.17 connect a gene3tor directly to your electrical system without an Distribution 852 KWH x 0.029049 24.75 isolation device istalled by an electrician.Othervvise,a fire could start Solar Requirements Charge 852 KWH x 0.000140 p.�2 or an employee estoring your power could be seriousiy injured. We Default Service Support Charge 852 KWH x 0 003810 325 suggest plugging!ghts/appliances in the outiets on the generator unit. Non-Utility Generation Charge 852 KWH x-0.000270 -p.23 ; Tree branches ard shrubs--and insects that nest in vegetation--can State Tax Surcharge _��� make it difficult ad, at times, unsafe for our empioyees to read your Current Consum bon Bill Char es g�g5 _ _. _ meter.Please besure your meter is easily accessible by ciearing the '= ��.� ���r#k�t�1 �lut�ts�x�;; ;- path to it and the rea around it. 341 White Pond Dr�ve Bldg B3,Akron,OH 4-0320 1119 Summers hot tenperatures can cause healthproblems.,especially for Customer Service:1-888-254-6359 ! older adults,childen and people with chronic illnesses.To reduce the Account Number: 132091592 Rate: GEN-F798 j chance of sufferirg from a heat-related iliness:wear light,loose-fitting Generation�fransmission 852 KWH x 0.07980047 g7 gg + clothes;stay out if direct sunlight and avoid strenuous activity;dnnk Total FirstEner Solu6ons Cor Char es g�.gg � ' Detafl F+a me�anr� plenty of water; aid stay in an air-conditioned area. If you don't have - - Infar�a�n i, � � ; a _.._.._..._..:. an air conditioner,consider visiting an air-conditioned public facflity or 07/03/14 Pa ment -63.62 contact the health d artment to find a heat-relief shelter in our area ' ' - ' y :A��raurtt�alances€ Cam n - ; _ ; __.._.....::: The SMT-C,whick is included in the Distribufion Charge on your bili, Previous Payments/ Current Amount ' has changed effiedive July 1,2014.For more informafion,please visil Balance Adjustments Charges Due ' www.firstenergycop com/PaTariffs Met-Ed 25.56 -25.56 37.95 37.95 During extended leat waves,you might use more electricity to cool FirsfEnergy Solutions Corp. 38.06 -38.06 67.99 67.99 � your home. If you'�e having trouble paying your electric bill,please call TO�� 63.62 -63.62 105.94 105.94 i' our toll-free custaner service number immediately so one of our representatives ca�discuss payment plans that might be availab�e fo you. � 3 Additional messages,if any,can be found on back. � # �3sa ..:Hish� ` ; . � � � 1000 � : 800 :. - v 600 400 ' - 200 - 0 A J A S O N D J F M A M J J A-Actual E-Estimate C-Customer Comparisons Last Year This Year Average Daily Use(KWH) 27 27 Average Daily Temperature 76 74 Days in Billing Period 32 31 Last 12 Months Us�e(KWH) 5,242 Average Monthly Use(KWH) q37 /YIC.'���tJ Bill Based On: Actual Meter Reading Page 1 of 2 AF.�� augUst �a, 2014 M�, Billing Period=Jul 15 to Aug 12,2014 for 29 days Account Number: 100 080 691 031 Bill For: DUANE A PETRO ����n����; ��g�r 813 W KELLER ST _.. MECHANICSBURG PA 17055 Due Date: September 03, 2014 ;:: - To reportan emergency or an outage,caU 24 hours a day 1-888-5444877. For Customer Service,call 1-800-545-7741 For Payment Ophons,call 1-800-962-4848. Pay your bill oniine at www.firstenergycorp.com Bill issued by:Met-Ed,PO Box 16001,Reading PA 19612-6001 ' ` Nles�a = ; ' ; = A�ccour�tS�m�a ' „ - - Am�unt I�e To avoid a 1.54% Late Payme�f Charge being added to your bill, Previous Balance 105.94 please pay the Amount Due by the Due Date. Payments/Adjustments -105 94 Your current PRCE TO COMPARE for generation and transmission Balance at Billing on Aug 14,2014 0.00 from Met-Ed is [sfed below. For you to save,a suppliers price must Met-Ed -Consumption 33.19 be lower_ FirstEnergy Solutions Corp. �5 q� Standard Residential-00023288T5-9.T2 cents per KWH Total Current Charges 88.65 Your next metei reading will be estimated.See the back of the bill Amount Due b Se 03,2014 �88.65 to provide a customer reading by Sep 12,2014. = ;; �s e jnFvsma�iti�(ar N[e�erM�mi�:Vfi�ul678A�i ' ;._ Your bill indudes $2 44 in PA taxes, of which $1.96 is PA gross Aug t2 2014 KWH Reading(Actual) 42 893 receipts tax. Jul 15,2014 KWH Reading(Estimate) 42,198 Generation prices and charges are set by the electric generation KWH used S� supplier you have chosen The Public Utilities Commission regulates - - ���� ����;����} :: distribution prices and services. The Federal Energy Regulatory When contacting an Electric Generation Supplier,please provide the following Commission regulates transmission prices and services. Customer Number:080484t281 0002328875 During extended heat waves, you might use more electricity to cool Rate:Standard Residential ME-RSD your home. If you're having trouble paying your electric bill,please cali Customer Charge 10.51 our toll-free cusbmer service number immediately so one of our Distribution 695 KWH x 0.029094 2p22 representatives can discuss payment plans that might be available to Solar Requirements Charge 695 KWH x 0.000140 0.10 you. Default Seroice Support Charge 595 KWH x 0.003810 2.�,5 4n important message to dog owners - to ensure that our meter Non-Utility Generation Charge 695 KWH x-0_000270 -0.19 �eaders'visits to your home are safe and praluctive,olease keep your State Tax Surcharge -0.10 jog secured in anarea away from the path to your meter Current Consum Uon Bili Char es 3319 = °: � r es�ront:�i�5t 5�lut�ii�s�Zr ' = 341 White Pond Drive Bldg 63,Akron,OH 44320-1119 Customer Service:t-888-2546359 Account Number: 132091592 Rate: GEN-F798 Generation/Transmission 695 KWH x 0.07979856 55.4& � Totai FirstEner Solutions Cor Char es 55 46 ; ,; „ Inf�r�a#�an :_ v - , et�N..; m�an� -_ � � 08/11/14 Pa ment _105 gq �ccaunf:Baia�es'' �rrrt an° : �� Previous Payments/ Current Amount G� � Balance Adjustments Charges Due Met-Ed 37.95 -37.95 33.19 33.19 FirstEnergy Solutions Corp. 67.99 -67.99 55.46 55.q6 Total 105.94 -105.94 88.65 86.65 4 ✓ Additional messages,if any,can be found on back. Usa e'Hista 1000 800 " �` 600 �� � a4~ 200 A 0 A S O N D J F M A M J J A A-Actual E-Eshmate C-Cuslomer omparisons Last Year This Year verage Daily Use(KWH) 30 24 ! verage Daily Temperature 75 71 ays in Billing Period 29 29 �st 12 Months Use(KWH) 5,060 veraae Monthlv Use lKWHI 422 �� Bill Based On: Estimafed Meter Reading, Page 1 of 2 ",,F:�,�,,,V� ProratedBill September 17, 2014 M�� Billing Persod Aug 13 to Sep 12,2014 for 31 days Account Number: 100 080 691 031 Bill For. DUANE A PETRO �m{j���j��'� ����� 813 W KELLER ST MECHANICSBURG PA 17055 Due Date: October 07, 2014 _ _ , , ,, : ,:: To repol an emergency or an outage,call 24 hours a day 1-888-5444877. For Customer Service,cafl 1-800-545-7741. For Payment Options cail t-800-962-4848. Pay your bill online at www.firstenergycorp.com Bilf issued by:Met-Ed,PO Box 16001,Reading PA 19612-6001 " ' lYlessa esi: ; '; ' ' ' ��ci;irountSuinina ;; ' -llinaunt�e To avoid a 1�% Late Payment Charge being added to your bill, Previous Balance 88�r please pay tFie�mount Due by the Due Dafe. Payments/Adjustments -88.65 Your current FtlCE TO COMPARE for generation and transmission Balance at Billing on Sep 17,2014 p.pp from Met-Ed islisted below For you to save,a suppiier's price must Met-Ed -Consumption 27.69 be lower. FirstEnergy Solutions Corp. 41.34 Standard Resilential-0002328875-8.80 cents per KWH Total Current Charges 69.03 Your next m9er readfng is scheduled to occur on or about qmount Due b Oct 07 2014 a69.03 Oct 13,2014. ; , ' Usa e InFomia6on fot�:IVleles Nt�Iiei W85A67&A�I '' Your bill inc!uc�s $2.04 in PA taxes, of which $1.63 is PA gross Sep 12 2014 KWH Reading(Eshmate) 43 q�� receipts tax. Aug 13,2014 KWH Reading(Actual) 42,893 Generation priQs and charges are set by the eiectric generation KWH used 518 supplier you hae chosen. The Public Utilities Commission regulates _,���r ���y�{:�� distribufion prics and services. The Federal Eneryy Regulatory When coniacting an Electric Generation Supplier,please provide the following Commission reg�lates transmission prices and services. Customer Number:0804841281 0002326875 Customers recaring Default Service have a new Price to Compare Rate:Standard Residential ME-RSD (PTC), effectiv� September 1, 2014. Please review the PTC Customer Charge 10.51 information shorn on page 1 of your bill. You can save money by Distribution 518 KWH x 0.029093 15.07 switching to an electric generation supplier that offers a lower price Solar Requirements Charge 518 KWH x 0.000140 0_07 than your PTC Default Service Support Charge 516 KWH x 0.003810 1 g7 Keystone HELP--Pennsylvania's unsecured loan program-provides Non-Utiliiy Generation Charge 201 KWH x 0.001180 0.24 special financing rates for homeowners to purchase ENERGY STAR 317 KWH x-0.000270 -0.09 and other qualifying energy-e�cient products. For fast approval,or to Staie Tax Surcharge -0.08 find an a pved contractoddealer in Current Consum tion Bill Char es y�gg pp your area, visd ; ;, �tiar esF�om F►rst : �otulians�ar _ _ www.keystonehdp com,or call toll-free t-888-232-3477. - - Effective June I, 2014, the Non-Utility Generation Charge, which 341 White Pond Drive Bldg 63,Akron,OH 44320-1119 recovers costs associated with purchase power coMracts with Customer Seroice:1-88�254-6359 non-utility generaion has been adjusted. Account IVumber: 132091592 Rate: GEN-F798 Generation/Transmission 518 KWH x 0.07980695 41.34 Total FirstEner Solutions Cor .Char es 41.34 ;; ; DeEa�l Pa me�itan� '" ment:l..nfat�ai�n ,-; 09/08/14 Pa ment 88 65 _ _....__.._ Previous Payments/ Current Amount Balance Adjustments Charges Due Met-Ed 33.19 -33.19 27.69 27 69 FirstEnergy Solutions Corp. 55.46 -55.46 41.34 41 34 Total 88.65 -88.65 69.03 69.03 ,� -� �� � � � Additional messages if any,can be found on back. ,� � �/ � - �sa e Htsta �. f i ' � ✓ 1000 �j�, .� 800 �� �'('J 600 i� 400 � � � � � � 200 �� A 0 S O N D J F M A M J J A S A-Actual E-Estimate GCustomer Comparisons Last Year This Year Average Daily Use(KWH) 15 17 Average Daily Temperature 72 71 Days in Bflling Period 31 31 Last 12 Nfonths Use(KWH) 5,117 Averaqe MonthlY Use(KWH1 426 ►YI�_,_G.`./ Bill Based On: Actual Meter Reading Page 1 of 2 A��� October 14, 2014 M71 Billing Period:Sep 13 to Oct 10,2014 for 2s days ACcount Number: 100 080 691 031 Bill For: DUANE A PETRO ��������� �$,� 813 W KELLER ST ,_.:::: _:_..__._... MECHANICSBURG PA 17055 Due Date: November 03, 2014 - ; _ ;;. _ , _: To report an emergency or an outage,call 24 hours a day 1-888-5444877. For Customer Service,cali 1-800-545-7741. For Payment Options,call 1-800-962-4848. Pay your bill online at www.firstenergycorp.com Bill issued by:Met-Ed,PO Box 16001,Reading PA 19612-&001 ; _ ,; �lessa s ';: ; ; , ,.. . ... _. -:- : _ ;;; ; ..,Accou+�€Sinn�a ;` ` Aino� _ n mt�#re To avoid a 1.50% Late Payment Charge being added to your bill, Previous Balance 69.03 please pay the Amount Due by the Due Date. Payments/Adjustments -69.03 Your current PRICE TO COMPARE for generation and transmission Balance at Billing on Oct 14,2014 p pQ from Met-Ed is listed below. For you to save,a suppliers price must Met-Ed -Consumption 15.83 be lower. FirstEnergy Solutions Corp. t2.53 Standard Residential•00023288T5-7.34 cents per KWH Total Current Charges 28.36 Your next meter reading is scheduled to be estimated. If you Amount Due b Nov 03 2014 would like to provide us with an actual reading,please do so between ;; S28 36 sa eii�vcm�ii�far`Me�[V�VfF85A6T8�d Nov 11, 2014 and the close of business on Nov 13, 2014. See the �t 10,2014�(WH Readin back ef this bill for more information. g(Actual} q3 56g Sec�13,2014 KWH Reading(Estimate; 43,411 Your bill indudes $1.16 in PA taxes, of which $0.93 is PA gross KWH used �, receipts tax. :; ;, , 1.,, ; _�nar �►�e�-�d : Generation prices and charges are set by the electric genera6on When contacting an Electric Generation Suppiier p�ease provide the following supplier you have chosen. The Public Uiilities Commission regulates Customer Number.08048412810002328875 distribution prices and services_ The Federal Energy Regulatory Rate:Standard Residentiai ME-RSD Commission regulates transmission prices and services. Cusiomer Charge 10.51 We are warning customers about a scam involving a telephone Distribution 157 KWH x 0.029045 q_� caller posing as an electric company employee threatening to Solar Requirements Charge 157 KWH x 0.000140 0.02 shut off power unless an immediate payment is made using a Default Service Support Charge 157 KWH x 0.�3810 p.gp pre-paid debit card such as a Green Dot card. Non-Utility Generation Charge 157 KWH x 0.00118Q p.�g State Tax Surcharge -0.05 Although we may phone custome�s ta remind them that a Currertt Consum tton Bill Char es f5.83 ;: _-_ payment is past ue, we would explain how a payment wn be -= Git�" �3�=� : r �t� : s�t�r :_ _ made using one of our many payment options. If you receive a 341 White Pond Drive Bldg 63,Akron,OH 44320-1119 call demanding immediate payment using a specific option, Customer Sewice:1-888-2546359 please contact us at 1-800-545-7741. For more information,visit Account Number: 132091592 Rate: GE�J-F798 www.firstenergycorp.com/paymentoptions. Generation/Transmission 157 KWH x 0.07980892 12.53 Total FrcstEner Solutions Cor .Char es 12.53 = C�efafl�?a ;and " Infar�atN�n_. ' 09/22/14 Pa ment 69 03 � � � = Accoont:E�ances: .fi.�m an " ' � � Previous Payments/ Current Amount ��, � Balance Adjustments Charges Due � � Met-Ed 27.69 -27.69 15.83 15.83 �� kj� FirstEnergy Solutions Corp. 41.34 -41.34 12.53 12.53 "` To41 69.03 -69.03 26.36 28.36 Additional messages,if any,can be found on back ;; = i�a e::H�sto ,. 1000 800 :p� 600 � 400 200 A 0 O N D J F M A M J J A S O A-Actual E-Estimate C-Customer Comparisons Last Year This Year Average Daily Use(KWH) 18 6 Average Daily Temperature 63 62 Days in Billing Period 32 28 � _ast 12 Months Use(KWH) 4,686 ; 4veraoe Monthlv Use lKWH) 391 i - �Y�CL—�i.� Bill Based On Estimated Meter Reading �age�€ of AF'E'�— 9"—`°�� �ovember 17, 2Q14 M� Billing Period: Oct 11 to Nov 92,2014 for 33 days �C����� �1���e�: 100 OE� 69'i 03� Bill For. DUANE A PETRO ���������, ���,�� 813 W KELLER ST MECHANICSBURG PA 17055 �UG Dat�: D@Ce6t7beP O$, 20'94 o report an emergency or an outage,call 24 hours a day 1-888-54�4877. For Customer Service,cail 1-800-545-7741. For Payment Options call 1-800-962-4848. Pay your bill online ai www firstenergycorp com Bill issued by:Met-Ed,PO Box 16001,Reading PA 19612-6001 ` i; :iNlessa s ; ' ; ��evuntSu�nma iAmaunl ?o avoid a 1.50% Late Payment Charge being added to your bill, Prewous Balance piease pay the Amount Due by the Due Date. Payments/Adjustments Your current PRICE TO COMPARE for generation and transmission Balance at Billing on Nov 17,2014 from Met-Ed is listed below. For you to save,a supplier's price must Met-Ed -Consumption be lower. FirstEnergy Solutions Corp. _ Standard Residential-0002328875-7.34 cenfs per KYVH Total Current Charges � Your next meter reading is scheduled to occu� on or about Amount Due b Dec D8 2014 � � Dec 11,2014. $: Your bil! inciudes �1:69 in PA faxes, of wh�ch $1�35 is PA ass - � ���Fa��p����������T$�#- _ ! n. ..recet�ts-t�c.: ., ;. : � EVw 12 ZQ1d KWN Readmg(Estimate) � '� Generation l7ct Si 2Qt4 KWH Readrng(Acfual} � prices and charges.are set by the eteetric generation K1WN used suppher you have chosen. The Publ�c Utilities Comm�ssion regulates `� = •- distnbution prices and services. The Federal Ener R ulato � �� 9 � �'�� ���'�t`'f� ` ' '',� _ '_. Commission regulates transmission prices and setvices.gy � ry When contactin an Electric Generation Supplier,please provide the following. Customer Number.0804841281 0002328875 We are warning customers about a scam involving a telephone Rate:Standard Residential ME-RSD caller posing as an electric company employee threatening to Customer Charge shut off power unless an immediate payment is made usin a Distribution � pre-paid debit card such as a Green Dot card. Solar R uirements Char e 365 KWH x 0.029096 � � 9 365 KWH x 0.000140 Default Service Support Charge 365 KWH x 0.003810 Although we may phone customers to remind them that a Non-Utility Generation Charge 365 KWH x 0.001180 payment is past due, we would explain how a payment can be State Tax Surcharge made using one of our many payment options. If you receive a Current Consum tion Bill Char es call demanding immediate payment using a specific option, Char es�r�m�Irs�� Sq►U1�+3ns 1' � 2 please contact us at 1-800-545-7747. For more information,visit www.firstenergycorp.com/paymentoptions. 341 White Pond Drive Bidg 63,Akron,OH 44320-1119 Customer Service:1-888-254-6359 Account Number: 132091592 Rate: GEN-F798 Generation/Transmission 365 KWH x 0.07980822 2! Total FirstEner Solutions Cor .Char es 2, ' Lletaft Pa ment anr} �me�t In�armatton• 10/23/14 Pa ment 2F ' ; i qccaun#Balancesh Gom`an Previous Payments/ Current Amo Balance Adjustments Charges � Met-Ed 15.83 -15 83 22.93 FirstEnergy Solutions Corp. 12.53 _12_53 2g.�3 2c Total 28.36 -28.36 52.06 52 Additional messages,if any,can be found on back. �� ��-- ./ � €tsa e;;H�sto �����C I � � �.l y 1000 � r r ` ��800 - ;� �� _� 600 ;� t/ ,�n � i�' YV� `iy, � £ '. 2�� ;x �i � �: Yf g4 Q O N D J F M A M J J A S O N A-Actual E-Esiimate C-Customer Comparisons Last Year This Year Average Daily Use(KWH) � �� Average Daily Temperature 48 53 Days in Billing Period 29 33 Last 12 Months Use(KWH) 4,407 �t � � - � � I�� � I i l �� i ��i�� i I ��������� ����� '' .� r; r` ` : I�I 1 I������������..., � �:. �! C�s__i�-i :� � � � � i .---�..-.�..e_._... y� �E � i � � � � i I . ' I i � . _._ � i �� � ' jl , ��. 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' � � n ; � � y 7 i � ' � � , U J �} ' � � � o �� � , i , � � I �o � � � ��� � � � � � � � � � 3 - . � I � � � �C' � = 1'- � i� '��� � � � i � i ;` � i _ ( � ' � n � i i\ \ �� ; ` . o � � , , ' � � ` ny.__� �� � i I � � � � 3 � !I_` � S r � F. w� ;"� i �, � � � " � I ' � k, o � I j �1 � � ( ` � Y � i o �j � � I i � �� •.j , I I ' i,� ; � � � �y� � � E� � ;j ; �.. `i i ��.:.3 1.�"� ' .� ;.; ' �(j= , I � '�`'� D + !_ ! ,, �j �� � � 1 � ! v�' � � � �T � U i�.. ir �. j � I i �� �m � i _ �' � o l I I ' I`} C- � i� I� � I � � '�/ � ``- m� i � "�.,� � �� `� I� � � � j -i ` . � � � �� � .� � I ���� �.: �, �� � i i � ,,� � o � -�� � , i �� � � , .. , a � ► , � , , i � , � � ��� � h. � �� I -��� ' �`� � ' � " i I �J �� � , � � ! I � � ; F f I � � I, ( i ( � � � ' i � J j � � � j i ! ( � j n � ; � � f � ; ; ; � } � ' � I `.�� ' I 1 ' ` � � � i Z i � ; ., � � ; � ( � t�� ' � �� � � �h .. � , � _ ,�� i I � _ . , I .� �� , I � f � ,,, � ,� � , � j , i ; , � . 1� � � �� �`� ` �` i � � j- ; ; , � � , � F F � � � 1�. I I � �r� li.� I!� I� �1� C I l I i ! i � ��,5,5.,;�� is n.� "'�-.� S �ef � � ���*�`����, .. ., '� `" "� '� �° �". 04/16/14 1=�.._�'��_.. Nou rs Mon-Thur 8am-10pm EST � - Fri Sam-5pm EST CLIENT: Cumberland County .,�� „ °,; , _.;;; Sat 8am-12pm EST ID NUMBER: B0164158 •��r Phane 800-900-1370 TOTAL BALANCE DUE: $36.00 REQUEST FOR PAYMENT Failure to contact our office leads us to believe that you do not have intentions of resolving your just debt. if youare unable to pay in f�!!!, settlements and/or payment arrangements may be available. We will do our best to work with y�u. Please contact our office today, or go online to account.penncredit.com. or send payment in full in fhe enclosed enveiope. This letter is from a debt collection agency. This is an attempt to collect a debt. Any information obtained will be used for that purpose. SERV�E RENDERED SERVICE DATE ACCOUNT NUMBER B 2013 CNTY�T1NP PER CAPITA TAX 2013/00/00 733306113 $36.00 � ;1 � � �`� ,� f � � �� � � �J � ����������������������������I����I�������������������������� DESCRIPTION OF CHARGE QUANTITY UNIT PRICE AMOUNT BLS EMERGENCY BASE RATE A0429 1.Q 90721 90721 BLS MILEAGE A0425 7.2 13.73 98.86 Total Charges 1006.07 DESCRIPTION OF PAYMENT RECEIPT PAYMENT DATE AMOUNT Denied by Insurance-LEBANON VA HOSPITAL 03/29/2012 0.00 Private Payment/Check 434 05/23/2011 100.00 Private Payment/Check 427 04/18/2011 100.00 Total Credits 200.00 �r,, � �-.,,�,�. $806.07 ���:; � ?�'�;°4'�i`��:r��:.��.jR�a.... ��,��:'�9 .�� i:�i_i� ��r `�i'.? r�_.x,�� n. :i�.��?�,. K�'`v:�.�:$e,§ _.� � � 3�.i' `+�.�i'����.)��S PATIENT NAME: PETRO, DUANE A CALL NUMBER: ��003�TB qMOUNT PAID: (J�iJ t� 06/09/2014 3'�f13",� a�q'i' :"^ r� i•_ �(J j f �V ?i r .d .... r;e:a ,"�,�.� .. � ./f% F� L/� `�..� � 1,� ���- WEST SHORE EMS - BLS 205 GRANDVIEW AVE SUITE 211 CAMP HILL, PA 17011-1708 .�����..1��� ------- —_ _ � �� �4ccount Number Q9547 239282-01-8 \! �- ; Billing Date 04/14/14 i ; Unpaici Balance �3Q2.76 p Due Now i Se�-�+ice Details ; New Charges $51.36- Due 05/07/14 i Tota!Amount Que $354.12 I GontaCt us: ��www.comcast.cam 1-800-XFINITY �� Page 2 of 2 � Because we had aiready billed you when the latest changes were made to your account, we have adjusted TV this bi t. Listed in this section are credits and/or charges FCC Regulatory Fee 03/11 - 04/20 -0.18 for these changes. __..___ ___. _. .......... Sales Tax 03/11 - 04/20 -0.20 Effecteve 03/11/14, Limited Basic at$8.20 per Total Taxes, Surcharges& Fees _$p.38 month and Expanded Basic at$61.75 per month were removed. Adjustments for previously billed services remaved The porfions of your Xfinity television and internet services 03/11/'14 subject to sales tax are stated below(note that franchise fees imposed on any taxable video charges are also subject to sales Limited Basic 03/11 - �4/20 -10.58 tax): 40 days @ $0.2645/day based on a monthly rate of$8.20 Premium, Pay-Per-View or Video Equipment -$3.46 i R� '� �j Expanded Basic 03/11 - 04/20 -79.68 �� � � �- 40 days @ $1.9920/day based on a monthly rate �' of$61.75 � � Total Partial Month Charges&Credits _$9Q,2� � Z ���� �� �� ��� k �,�� ����� �'�'3�` : ��. x��. tS��,s.i, �`�i- �. �- .�. :v ��. �` ��/� ��.i'��'x�c:+' '`,.c ����� *�s.� .: .€" �.�`�`�� -�„�n�� ��.. a r ��.fi..sa�v4�.:�...�t�....-. . .>-" ^},,;5�.�'�,'�`'�'��,x,.:: `� ��e�= � V ° � � _!^�J � d � Broadcast TV Fee 03/11 - 04/20 -1.50 �� � ............................................... ............................................................................................ Late Fee 03/24 9.50 �� a � . ...... . ........... . � .. .... .. ............ . .. . . .................. . . ..................................................................... .......... Unretumed Equipment 04/12 134.00 � � N � �c%� Y��" Y� � ���'� All equipment must be returned to Comcast in order to � � � ,j� „ �'�''� have unreturned equipment charges removed from your W� : account. � � Total Other Charges&Credits $142.00 � � 11v.' v I D �^ zllDvv vom nDD s� �--� 3ao c0 � T=.< D � p m=3D� A�D c��1 mm :^ n Wc t:J'o r^ 3 2 2 G zZ�C?< 3z�C�l -i�p mRi '-�� � ➢ ��� o O m � O F-i rn Gi 2 m H m S Z 1:•- oZ D S O f*rc �2� rr: � S.m vr � �� O rl N � D m-i-i�C ZOZ mcn-a �-� ���Q -, r�c� < I r� DOti :n �c x ��1, o �m� ,,1'' o o C �'I � � n m Z 3 w � w Z c ti D f-- O y �.� T r� �7 3 �t � H � m O O D � m D 3 Z� � . � m r-`��, :x � - Z � 3I Z � ��r m � i3 w m m p A -^ �z n� r-� C ^ ['• : I ^ r.: J -� �� 7r U .. .. .��. .. .. C _ �� '� V� O> �� O -� � � .. .. . ' V1 U -i N O � � C �' . .. .. .. .. .. .. .. � � ,F. �abac�ww �i � n �� v Zi q n H ��rv o� 3 0 2 G�G� c H w D � . ➢ s 3 ,-� � D DI m.Av Dk'�n �p tn u x r� � C1 O O 3 �I N N W (l O Z �v p -� 1 m � D rv n.; r rv r�ir T m n ., m � w000� , �w c�? � � �� O �!' f.° �n Z (st �`� y �J Q.Z' v, D � v � � i �O�i-� �� � '6 -C ,c�Z - �,� COn�vv -{r f.. y O on-, -- C w �r v �i c o m - � � � Ti� H I N V Q �� I (/t O c,y, , . � -1. H-. r m -A c:v� q� ro�, �o��' �s��� �I���C.}�, �''� �I�I�' « " ' 1220 Boiling Springs Road, Mechanicsburg, PA 1 7055-9794 �� -�; : 'ry� Phone: (717) 258-6642 • (71 7j 697-4613 • Fax: (71 7) 258-931 1 • E-Mail: Monroetw c monroetw =___�f`__,- k-y'. � = ,�0 p� p.nef QBI lS HE� ,�~ �. Aprif 15, 2014 � Albert & Rose Petro �� -,��� . 74 Honeysuckle Drive ,;��� � � , � �;, Port Deposit, MD 21904-1268 ���Q�� Dear Mr. & Mrs. Petro: �� I am contacting you on behalf of Monroe Township relative to your sewer T'f� account #607 for real estate owned by you, same being known and numbered as�2 �`'} �,-ty�� �� t, Mechanicsburg, PA. This account is delinquent. As of the last biiling I��-� notice, same being, dated February 15, 2014, the delinquency is in the amount of $517.00. The purpose of this letter is to give you the following three options regarding your past due account: A. Full Payment of the entire outstanding balance to be made within ten (10) days of the date of this letter; B. Contact the Authority to set up a Payment Agreement of a minimum of$100.00 per month on account of the arrears and required to keep up with all quarterly charges billed thereafter. The Agreement must be finalized within ten (10) days of the date of this letter; C. The lien/sheriff's sale process wifl immediately commence if there is no communication from the owner to set up and complete either option A or B within ten (10) days of the date of this letter. Option C will result in filing fees, service costs, and attorney's fees. Attorney's fees that are incurred with respect to the col(ection of this detinquent account will be assessed at the current rate. The imposition of assessment of attorney's fees may be avoided by you making payment in full or executing a Payment Agreement within ten (10) days of date of this letter. Your prompt attention to this matter is requested. I can be reached at 258-6642 or 697-4613 ext. 223 with any further questions. ��r� - .���� ���� �� � ��.- ,�'`�, . `"� ��,,,;�„�� � Sincerefy, ` �' �C�"� _ ,, _fc�i� q� /��� �' ^ � . �� �� �i ��'!�,(/..�:�-f/�-- " 'H' _7 � �/���^�[�---.. .�/7- ✓�1<-� � �� ,� � Karen M. Lowe ` ✓ `�� � � ��P�(��' � �� ry �� y�� � � � �.��� Assistant Secretary —� �,�= �� �'�� ����.c�� �-��� �'' � ' �-�, �'�c: M. Pykosh, Esquire i�vt�(,��{�'� Certified # 91 7199 9991 7033 3923 7207 � ���,�� +"i o�rL^ur.�Y� ����. � � 5��--�-�5 /� ����f b��,�5�,� ��.,e t� ������ �������� 1220 Boifing Springs Road Mechanicsburg, PA 17055-9794 (717)258-6642 Ext 223 (717)697-4613 Ext 223 www.monroetwp.net Statement of Liccount for Se��er Services i�accoun#lrmber: Due Date Before Due Daf� 697 3/31/2014 $493.50 Se�iice,�,ddrQss: After Due Date 813 W KELLER ST $517.00 Billinc�teriod Previous Balance: 258.5Q from 01/01/2014 Curr�nt Charge: $235.OQ Other Charges: �: 03/31/2014 Outstanding Balance: Tota� �'rnsum�ticsn: Pay this amount on or before due date: $493.50 Paythis amount after due date: �517.uv Hours: The Township ofFice is open 8:30 AM-4:30 PM daily. The Township offers an outside maildrop, if you should visit when we are closed. Emergenc�;For 24/7 Emergency Service affer business hours: Northern District 691-3320 Southern District 487-2809 Failure of any os�vner to receive a bi!/for charges due and payable shal/not be considered an excuse fior non pa�ent, nor shall such failure result in an ext�nsion of the period of�ime during�rhich the net bill shaA be paya�le. 200'-5, Section 2.0� For account�Orohlems-extension 223. Teai Here Tear Here Tear Here Tear Here ------------------—--—------------------------------------------------- i�llonroe�township Niake check payable to: Monroe Township 1220 Boiling Springs Road Remit to: 1220 Boiling Springs Road Mechanicsburg, PA 17055-9794 Nlechanicsburg,PA 17055-9794 �rortn Account#: 697 Invoice#: 104686 Due Date: 3/31/2014 DUA�dE A. PETRO • Amount By Due Date: $493.50 813 W. KELLER STREET Amount After Due Date: $517.00 10%penalty on/ate payments MECHANICSBURG PA 17055 After 45 days interest accrues daily at the rate of 1/2%per month MONROE TOWNSHIR 1220 Boiling Springs Road Mecharticsburg, PA 17055-9794 (717)258-6642 E�223 (717)697-4613 Ext 223 www.monroetwp.net Statement of Account for Sewer Services Account Number: Due Date Before Due Date 697 6/30/2014 $235.00 Service Address: After Due Date 813 W KELLER ST $258.50 Billing Period Previous Baiance: 0.00 From 04/01/2014 Current Charge: $235.00 Other Charges: To: 06/30/2014 Outstanding Balance: Pay this amount on or before due date: $235.00 Total Consumption: Pay this amount after due date: $258.50 Hours: The Township office is open 8:30 AM -4:30 PM daily. The Township offers an outside maildrop, if you should visit when we are closed. � � �' Emergency: For 24/7 Emergency Service after business hours: �� ��`� Northern District 691-3320 � � Southern District 487-2809 � t Failure of any owner to receive a bill for charges due and payable shall not be considered an excuse for non payment, nor shall suci►failure result in an extension of the period of time during which the net bill shall be payable. 2001-5, Section 2.09 For account problems-extension 223. Tear Here Tear Here Tear Here Tear Here NIOIVRUE TOWNSHlP 1220 Boiiing Springs Road Mechanicsburg,PA 17055-9794 (717)258-6642 Ext 223 (717)697-4613 Ext 223 www.monroetwp.net Statement of Account for Sewer Services AccouniNumber: Due Date Before Due Date 697 9/30/2014 $235.00 Service ,4ddress: After Due Date 813 W KELLER ST $258.50 Billir�g Period 1� ��� ��` Previous Balance: 0.00 From 07/01/2014 \ ��( �� CurrentCharge: $235.00 `1/ �,/; Other Gharges: To: 09/30/2014 � a � Outstanding Balance: Pay this amount on or before due date: $235.00 Tota/ Consumption: Pay this amount after due date: $258.50 Hours: The Township office is open 8:30 AM -4:30 PM daily. The Township offers an outside maildrop, if you should visit when we are closed. Emergency: For 24/7 Emergency Service after business hours: Northern District 691-3320 Southern District 487-2809 Failure ofany owner to receive a bil/for charges due and payable shal/not be considered an excuse for non payment, nor sha//such failure resulf in an extension of the period of time during which the net bil/sha/l be payable. 2001-5, Section 2.09 For account problems-exfension 223. Tear Here Tear Here Tear Here Tear Here � � o o � o a� � � �+�j M lC! � � y�.. N N N � � � � � Gki ,U � � c 3 = � `� wl d � � � a � � o i .� � 0 c � v L � � � � `� ��" � aN Q �Ci 3 oJ � d tA N .�.. � i C 4f N N � N � N � � a� C � -a � �j!J v ,E C � a� 0 69 � sa � s m f6 d y ° � � '° _ •� m Q m � V p�p a .a � �_._. --� ,Q o C � � y ` � � d � � � � p � �: 3 d Z °�' � o ` +s-' 'G '� � � -._..__-- C .� k � � > � � y o ._�.- «---�,_ 1 � a� `6°'�•,c,., G� a� V O � � ... �- � � ��NN � L � � � ~ � (�_`�..\�} � � y � v,o � � � " � O � ;..�,��-' ./ v! � � 2 Oo�� X ic Q (� 3 C -_ _. 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