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
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M E C H A N I C S B U R G P A 1 7 0 5 5' �� �� � ' ��' �'
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,., 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
��-� \
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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
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______ -� �__ �_._��-':.^:�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 � ;�
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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
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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
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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, —=--"-`�
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1,260 sqft � � �_.J
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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
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R Maz,et Plaza Way (7I7) 697-�696
1'�ec I;a�icsburg, PA :7055 www.Ma[yezziFuneraiI�ome.com
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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.
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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 _� , `. , : � _' . _ ,
; - ,, �
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C[TY : � � � STATE��`� � ZIP CODE%y `_. �=-`
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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 �' � _ ..
,
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— � ,) r.
ADDRESS ,`- � , � :,-. �`,,
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��. � � � �
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�
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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 �
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�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
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�'�.- DUANE PETRO � ��,j � ; g ;� �
813 W KELLER ST ,,.,,�; � ' •, Visit pennwaste.billtrust.com
MECHANICSBURG PA 17055-4060 � � ������ and make a One Time Payment.
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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 � �
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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
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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
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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
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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.:;;:::,:>:;`.::, •:,
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..:. ..� -:::. : Account Summary
. � Previous Balance _ �
$240 61
- , . _ :
. , . ,-..-_ _. :.:.:... ..: .:. ..: .. :.: _ _
Transferred to Account 717 766-6617 129 Apr 7 -$187.40
: __ _ _ __ _ _ _ _ __
VB[lxQ�.�BWS - . ' No Payment Received $.00
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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, -
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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
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MOVING? Call 1-866—VZMOVES Verizon Surcharges and Other Charges&Credits $8•73
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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
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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
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�,,�y�'"`` Account Number Amount Due
. 717766-6617 j129i27Y $187.40
ver��n
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s������,,���ay .: Statement Date: 4/19/14
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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. �
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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 $2.80
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717 766-6617�127�6�Y :
veri,�on
_ pccount Information
' d�Q� Statement Date: 5/19l14
�fS�V�'Ct[1F�aCf,lll�t�l�f DUANE PE7R�
SfiBp'�����`�`��a� Phone: 717-766-6617
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best enterlainmeni io you.Cali us at Your account has been disconne�• y ������a�tion.
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Call 1-888-285-�2�to ensure you're ge 9
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5t33
.,� /C Staterttent PAYPJtE11ET USAA C
��� 9800 Fredericksburg Roa�i p�£ p;�T� NUMBER o
'1 � San Antonio, Texas 78288
(,)$�,`� 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
;:
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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.
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✓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
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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
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SEE REVERSE SIDE fOR IMPORTANT ACCOUNT INFORMATION
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> ;.
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, _
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Ur���i�d�klc�r�r i��nn�yl.uania
�y �us�omer 5�rir�es Center
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�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�'�
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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 �
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_.. . „���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
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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'
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; ; � 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��"��
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�'�tepi�nne 717 �54-���2
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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 [��
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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
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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. ;
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DUANE A PETRO 03/26/2014
Met-Ed
PO Box 16001
Reading, PA 19612-6001
1-800-962-4848
100 080 691 031 10 DAY SHUT-OFF NOTICE
AVISO DE SUSPENCtON DE SERVlC[O
Your Electric Service May Be Shut Off !
Because your bill is past due, we will shut off the service to:
813 W KELLER ST MECHANICSBURG PA 17055
on or after 8:00 a.m. on 04/09/2014. 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
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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 -
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MECHANICSBURG PA 17055 Due Date: August 06, 2014
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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##�
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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; ;:
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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,
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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 ' ' - '
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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.
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1000 � :
800 :. - v
600
400 ' -
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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
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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 =
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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 '
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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
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�� 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
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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
_ _
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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
,� -� �� � � �
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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
,_.::::
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MECHANICSBURG PA 17055 Due Date: November 03, 2014
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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
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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
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To41 69.03 -69.03 26.36 28.36
Additional messages,if any,can be found on back
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800 :p�
600
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400
200
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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
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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
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Average Daily Use(KWH) � ��
Average Daily Temperature 48 53
Days in Billing Period 29 33
Last 12 Months Use(KWH) 4,407
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'� `" "� '� �° �". 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
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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
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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
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k �,�� ����� �'�'3�` : ��. x��. tS��,s.i, �`�i- �. �- .�. :v ��. �` ��/�
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��.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 � �
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« " ' 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'.
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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�
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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.
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