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Home My WebLink About08-31-15 1505610140 REV-1500 EX -10, OFFICIAL USE ONLY PA Department of Revenue CountyCode Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN PO BOX 280601 2 1 1 4 0 1 1 8 2 Harrisburg,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 1 2 0 5 2 0 1 4 1 2 2 0 1 9 3 6 Decedent's Last Name Suffix Decedent's First Name MI W 0 L F E R O N A L D C (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 Q 1.Original Return 2.Supplemental Return 3.Remainder Return(date of death prior to 12-13-82) 4.Limited Estate Cj 4a.Future Interest Compromise(date of ❑ 5.Federal Estate Tax Return Required death after 12-12-82) ❑X 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 El 11.Election to tax under Sec.9113(A) between 12-31-91 and 1-1-95) (Attach Sch.O) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number M A R C U S A - M c K N I G H T I I I 7 1 7 2 4 9 2 3 5 3 REGISTER OF WILLS US�ONLY C7 0 First line of address 3:: O C M I R W I N & M c K N I G H T P - C Second line of address `' ►--' «' 6 0 W E S T P 0 M F R E T S T R E E T S C, -n -`art City or Post Office State ZIP Code ,6ATE•FILED:3 C A R L I S L E P A 1 7 0 1 3 o v o cr1 -n Correspondent's e-mail address: Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNAT RE PERS f RE IBLE R FILING RETURN DATE ADD SS W8 PINE GROVV ROAD GARDNES PA 17324 SIGNATU F P A Ht-jMAU29PRESENTATIVE DATE ADDRESS 60 WEST POMFRET STREET CARLISLE A 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610140 1505610140 J 1505610240 REV-1500 EX Decedent's Social Security Number Decedent's Name: R O N A L D C - W O L FE RECAPITULATION 1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,. 170000 , 00 2. Stocks and Bonds(Schedule B) 2. 2 6 2 2 4 , 7 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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. 1 3 8 4 9 0 . 3 9 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . . . . . . . 6. 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) ❑ Separate Billing Requested . . . . . . . 7. 8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. 3 3 4 7 1 5 , 1 8 9. Funeral Expenses and Administrative Costs(Schedule H) . . . . . . . . . . . . . . . . . . 9• 8 1 1 1 7 . 0 0 10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule 1) .. . . . . . . . . . . . 10. 7 4 3 9 . 5 7 11. Total Deductions(total Lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 8 8 5 5 6 . 5 7 12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 2 4 6 1 5 8 . 6 1 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J) . . . . . . . . . . . . . . . . . . . . . . 13. 2 2 1 5 4 2 . 7 4 14. Net Value Subject to Tax(Line 12 minus Line 13) .. . . . . . . . . . . . . . . . . . . . . 14. 2 4 6 1 5 . 8 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 _ 0 . 0 0 15. 0 . ❑ 0 16. Amount of Line 14 taxable at lineal rate X.0 0 . 0 0 16. 0 . 0 0 17. Amount of Line 14 taxable at sibling rate X.12 0 . 0 0 17. 0 . 0 0 18. Amount of Line 14 taxable at collateral rate X.15 2 4 6 1 5 . 8 7 18. 3 6 9 2 . 3 8 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 3 6 9 2 • 3 8 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 0 Side 2 L 1505610240 1505610240 REV-1500 EX Page 3 File Number Decedent's Complete Address: 21 14 01182 DECEDENTS NAME RONALD C. WOLFE STREET ADDRESS 36 GREEN MOUNTAIN ROAD CIN STATE ZIP GARDNERS IPA 17324 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 3,692.38 2. Credits/Payments A.Prior Payments 10,000.00 B.Discount 0.00 Total Credits(A+B) (2) 10,000.00 3. Interest (3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT. Fill in oval on Page 2,Line 20 to request a refund. (4) 6,307.62 5. If Line 1+Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 0.00 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; ...................................................................... El0 b. retain the right to designate who shall use the property transferred or its income; ............................... El X c. retain a reversionary interest;or ................................................................................................ ❑ 121 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? .................................................................................. 3. Did decedent own an"in trust for or payable-upon-death bank account or security at his or her death? ......... ❑ 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation?.................................................................................................. ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS 1S 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 3 percent[72 P.S.§9116(a)(1.1)(i)]. 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 72 P.S.§9116(1.2)[72 P.S.§9116(a)(1)]. • 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,undE Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. REV-1502 EX+(12-12) pennsylvania SCHEDULE A DEPARTMENT OF REVENUE INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF: FILE NUMBER: RONALD C. WOLFE 21 14 01182 All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1. 36 GREEN MOUNTAIN ROAD, GARDNERS, PENNSYLVANIA 170,000.00 SETTLEMENT STATEMENT ATTACHED TOTAL(Also enter on Line 1,Recapitulation.) $ 170 000.00 If more space is needed,use additional sheets of paper of the same size. REV-1503 EX+(8-12) pennsylvania SCHEDULE B DEPARTMENT OF REVENUE INHERITANCE TAX RETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER RONALD C. WOLFE 21 14 01182 . All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. AMERICAN FUNDS-ACCOUNT#67836360 4,724.64 U.S. GOVERNMENT SECURITIES FUND-A 2. 62 SHARES OF PRUDENTIAL FINANCIAL, INC. STOCK 5,400.82 62 SHARES X$87.11 = $5,400.82 3. PRUDENTIAL NATIONAL MUNI FD CL A 16,099.33 ACCOUNT#4500401362 TOTAL(Also enter on Line 2,Recapitulation) $ 26 224.79 If more space is needed,insert additional sheets of the same size REV-1508 EX+(08-12) pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN RESIDENT DECEDENT PERSONAL PROPERTY ESTATE OF: FILE NUMBER: RONALD C. WOLFE 21 14 01182 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. PERSONAL PROPERTY-PUBLIC SALE STATEMENT ATTACHED 7.3,848.50 2. ALLIANZ-ANNUITY CONTRACT#3628963 20,327.76 3. ALLSTATE-ANNUITY#GA17246189 10,764.36 4. M&T BANK- INDIVIDUAL RETIREMENT ACCOUNT#35-007923474001 4,758.28 BENEFICIARY: THE ESTATE OF RONALD C. WOLFE 5. MEMBERS 1ST FEDERAL CREDIT UNION 8,050.42 REGULAR SAVINGS ACCOUNT 6. M&T BANK-CHECKING ACCOUNT#108472 4,834.92 7. SUSQUEHANNA BANCSHARES, INC. 900.77 STATEMENT SAVINGS ACCOUNT#205100000723 8. 1930 MODEL A FORD PICKUP TRUCK 1,500.00 9. M&T BANK ACCOUNT FOR BETTY J. WOLFE PAID TO THE ESTATE OF 4,705.38 RONALD C. WOLFE 10. 455 BACKHOE A400081 AND 24" BUCKET 8,800.00 MODEL#KF2PLZ, UNIT#811-1 7B TOTAL(Also enter on Line 5,Recapitulation) $ 138 490.39 If more space is needed,use additional sheets of paper of the same size. REV-1511 EX+(10-09) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN AD RESIDENT DECEDENT MINISTRATIVE COSTS ESTATE OF FILE NUMBER RONALD C. WOLFE 21 14 01182 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. HOLLINGER FUNERAL HOME &CREMATORY, INC. - RONALD C. WOLFE 8,646.15 2. HOLLINGER FUNERAL HOME&CREMATORY, INC. - BETTY J. WOLFE 10,954.57 3. N.L. MINICH &SONS, INC. -GRAVESTONE 303.16 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) JOHN D. PERKEY 13,850.00 Street Address 328 PINE GROVE ROAD City GARDNERS State PA ZIP 17324 Years)Commission Paid: 2015/2016 2. Attorney Fees: IRWIN & McKNIGHT, P.C. 9,500.00 3. Family Exemption:(If decedent's address is not the same as claimant's,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: REGISTER OF WILLS 445.50 5 Accountant Fees: 6. Tax Return Preparer Fees: 7. CLOSING COSTS FROM SALE OF REAL ESTATE 1,700.00 8. CLYDE DEHART, AUCTIONEER-COMMISSION ON SALE OF REAL ESTATE 3,400.00 9. CLYDE DEHART, AUCTIONEER-COMMISSION ON SALE OF PERSONAL PROP 10,817.58 10. REGISTER OF WILLS-SHORT CERTIFICATES 75.00 11. ROY D. GOTTSHALL-APPRAISAL ON 1930 MODEL A FORD PICK UP TRUCK 25.00 12. KLB &SONS CONSTRUCTION -ROOF AND REPAIRS 16,200.00 13. PENNLIVE- ESTATE NOTICE 154.74 14. MEMBERS 1ST FEDERAL CREDIT UNION - RETURNED ITEM FEE 15.00 15. BLACK'S WATER CONDITIONING -WATER TREATMENT 132.50 16. MIKE SPEELMAN-OUTSTANDING INVOICE 102.00 17. RT CAREY TRUCKING, LLC-TRASH REMOVAL 522.75 18. MT. HOLLY FIRE POLICE-AUCTION HELP 320.00 TOTAL(Also enter on Line 9,Recapitulation) $ 81 117.00 If more space is needed,use additional sheets of paper of the same size. Continuation of REV-1500 Inheritance Tax Return Resident Decedent RONALD C. WOLFE 21 14 01182 Decedent's Name Page 1 File Number Schedule H -Funeral Expenses&Administrative Costs -B2.Attorney Fees ITEM NUMBER DESCRIPTION AMOUNT 2. ALLIED ATTORNEYS OF CENTRAL PENNSYLVANIA 3,734.74 SUBTOTAL SCHEDULE H-B2 3,734.74 Continuation of REV-1500 Inheritance Tax Return Resident Decedent RONALD C. WOLFE 21 14 01182 Decedent's Name Page 2 File Number Schedule H -Funeral Expenses&Administrative Costs -B7. ITEM NUMBER DESCRIPTION AMOUNT 19. POSTAGE 19.75 20. ESTATE ADMINISTRATION SUPPLIES 24.14 21. MISCELLANEOUS ITS FOR REPAIRS TO REAL ESTATE 164.42 22. SOLLENBERGERS-NOTARY 10.00 SUBTOTAL SCHEDULE H-187 218.31 REV-1512 EX+(12-12) pennsylvania SCHEDULE DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES& LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER RONALD C. WOLFE 21 14 01182 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. KOUGH'S OIL SERVICE- FUEL OIL 2,503.04 2. GRAVER'S GARAGE-OUTSTANDING INVOICES 1,948.62 3. AT&T-TELEPHONE 49.34 4. CENTURYLINK-TELEPHONE 388.23 5. DIRECTV-CABLE 43.08 6. HEMPT BROS., INC. -OUTSTANDING INVOICE 85.19 7. MASLAND ASSOCIATES-MEDICAL 8.45 8. MET-ED- ELECTRIC 529.16 9. ALL BETTER CARE URGENT CARE CENTER-MEDICAL 50.00 10. WESTFIELD INSURANCE- HOMEOWNERS INSURANCE 542.50 11. CARLISLE REGIONAL MEDICAL CENTER-MEDICAL 760.00 12. CENTRAL PENN MANAGEMENT- MEDICAL 70.00 13. MONITRONICS-24-HOUR MONITORING 263.48 14. CAROLYN R. McQUILLEN, TAX COLLECTOR- REAL ESTATE TAXES 198.48 PRORATED TOTAL(Also enter on Line 10,Recapitulation) $ 7,439.57 If more space is needed,insert additional sheets of the same size. REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: RONALD C. WOLFE 21 14 01182 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. JOHN D. PERKEY Collateral 24,615.87 328 PINE GROVE ROAD 10% REMAINDER GARDNERS, PA 17324 2. DONNA L. THOMAS Collateral 126 ORE BANK ROAD ANTIQUES AND DILLSBURG, PA 17019 GLASSWARE* 3. LINDA K. RUSSELL Collateral PO BOX 1713 ANTIQUES AND RAEFORD, NC 28376 GLASSWARE* *ANTIQUES AND GLASSWARE SOLD AT PUBLIC SALE 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. ST. PAUL EVANGELICAL CHURCH (30%) 73,847.58 201 WEST LOUTHER STREET CARLISLE, PA 17013 2. BOYS TOWN ORGANIZATION (20%) 49,231.72 14100 CRAWFORD STREET BOYS TOWN, NE 68010 3. ST. JUDES CHILDRENS' HOSPITAL (20%) 49,231.72 262 DANNY THOMAS PL. MEMPHIS, TN 38105 TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ 221 542.74 If more space is needed,use additional sheets of paper of the same size. LAST WILL AND TESTAMENT OF RONALD C. WOLFE I, RONALD C. WOLFE, of Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and hereby revoke all prior Wills and Codicils. 1. I direct that all my just debts, funeral expenses, administrative expenses, and any inheritance tax which may be assessed shall be paid from my estate as soon as practicable after my death. It is my wish that upon my death, my body shall be cremated, and half of my ashes shall be buried at Victory Church Cemetery, Gardners, Pennsylvania, and half of my ashes shall be spread at my home at 36 Green Mountain Road, Gardners, PA 17324. 2. I direct that all real property and all personal property that 15vM at the' m time of my death shall be given, devised, and bequeathed in accordanceWP lep ern following: 7i a) My niece, Donna Thomas, and my niece, Linda Russell"',shall breCni given all of my antiques and glassware, in equal shares,per capita. (* 7�Gy\ o 6D(J �f b) The rest,residue and remainder of my estate shall be sold, and the proceeds shall be distributed in accordance with the following: i) Thirty-percent(30%) shall be given to Saint Paul Evangelical Lutheran Church, Carlisle,Pennsylvania. ii) Twenty-percent(20%) shall be given to Boys Town Organization, 14100 Crawford Street, Boys Town,Nebraska 68010. iii) Twenty-percent(20%) shall be given to St. Jude Children's Research Hospital, 262 Danny Thomas PI, Memphis, Tennessee 38105. iv) Ten-percent (10%) shall be given to the Salvation Army of Carlisle, Pennsylvania. Page 1 of 5 The preceding instrument consisting of this and four other pages was on the day and date hereof signed,published and declared by RONALD C. WOLFE, as and for his Last Will and Testament in the presence of us, who at his request,in his presence and in the presence of each other have subscribed our names as witnesses hereto. Witness Witness Page 3 of 5 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA : SS COUNTY OF CUMBERLAND I,RONALD C. WOLFE,the TESTATOR,whose name is signed to the attached or foregoing instrument,having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament;that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. RONALD C. WOLFE COMMONWEALTH OF PENNSYLVANIA S.S. COUNTY OF CUMBERLAND On this 2.�day of)j U Vfvl-Ler-- , 2014, before me personally appeared, RONALD C. WOLFE,the TESTATOR,known to me (or satisfactorily proven)to be the person whose name is subscribed to the within instrument, and he acknowledged that he was the declarant who executed the same for the purposes therein contained. IN WITNESS WHEREOF I hereto set my hand and official seal. Notary Public COMMONWEALTH OF PENNSYLVANIA Notarial Seal Adam Deluca,Notary Public Carlisle Boro,Cumberland County My Commission Expires]an.26,2016 Page 4 of 5 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND WE, -6f1ge .kms S , C..t�z and , the witnesses whose names are attached to the foregoing document,being duly qualified according to law, do depose and say that we were present and saw testator sign and execute the instrument as his Last Will; that he signed willingly and that he executed it as his free and voluntary act for'the purposes therein expressed; that each subscribing witness in the hearing and sight of the testator signed the Last Will and Testament as witnesses and that to the best of our knowledge the testator was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed and subscribed before me by L e�n and [( this day of ✓V WQII► Pj_ , 2014. Notary Public/Attorney COMMONWEALTH OF PENNSYLVANLA Notarial Seal Adam Deluca,Notary Public Carlisle Boro,Cumberland County My Commission Expires Jan.26,2016 C^ . Page 5 of 5 700. Total Real.Estate Broker Fees Paid From Paid From Division of commission line 700 as follows: Borrower's Seller's 701• $0.00 to Funds at Funds at 702• $0.00 to Settlement Settlement 703. Commission paid at settlement 800. Items Payable In Connection.wllh Loan 801. Our origination charge (includes Origination Point 0.000%or$0.00) (from GFE#1) 802. Your credit or charge(points)for the specific interest rate chosen $ (from GFE#2) 803. Your adjusted origination charges (from GFE A) 804. Appraisal fee to from GFE#3 805. Credit report to from GFE#3 806. Tax service to from GFE#3 807. Flood certification to from GFE#3 806. to 900. Items Required by Lender to be Paid In Advance 901. Daily interest charges from from 06/19/2015 to 07/01/2015 @$0.00/day (from GFE#10) 902. Mortgage insurance premium months to from GFE#3 903. Homeowner's insurance months to from GFE#11 904. months to from GFE#11 1000 Reserves De ited with Lender 1001. Initial deposit for your escrow account (from GFE#9) 1002. Homeowner's insurance months @$ /month 1003. Mortgage insurance months @$ /month 1004. Property,taxes months @$ /month 1005. County taxes months @$ 35.72/month $ 1006.Assessments months @$ 179.91/month $ 1007. Aggregate Adjustment $ 1100. TldeChaMes 1101. Title services and lender's title insurance $ from GFE#4 1102. Settlement or closing fee to $ 1103. Owner's title insurance $ from GFE#5 1104. Lender's title insurance $ 1105. Lender's title policy limit$0.00 1108. Owner's title policy limit$170,000.00 1107, Agent's portion of the total title insurance premium • $ to 1108. Underwriter's portion of the total title insurance premium $ to 1109. ATTORNEY FEE to IRWIN&MCKNIGNT, 900.00 P.C. 1110. NOTARY to IRWIN&MCKNIGNT, 7,00 P.C. 1200. Govemment Recording and Transfer Ch es 1201. Government recording,charges $ (from GFE#7) 81.00 1202. peed$81.00 Mortgage$ Release$ 1203. Transfer taxes $ (from GFE#8) 1,700.00 1204. City/County tax/stamps Deed$1,700.00 Mortgage$ 1205. State Taxistamps Deed$1,700.00 Mortgage$ 1,700.00 1206. Deed$ Mortgage$ 1300. Additional SetIfement Charges 1301. Required services that you can shop for (from GFE#6) 1302. to 1303. to 1304, to 1305. to 11 • • • 1 •NIF 0-111-13,33 =I 2,688.00 1 1,700.00 'Paid outside of dosing by(B)orrower,(S)eller,(L)ender,(I)nvestor,Bro(K)er."Credit by lender shown on page 1.***Credit by seller shown on page 1. Signa ./' HUD CERTIFICATION OF BUYER AND SELLER I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief,it is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction.I further certify that I have received a copy of the HUD-1 Settlement Statement. ADELINE H.SEPULVEDA RONALD C WOLFE ESTATE JO09 D.PERKEY,EXECUTOR l/ Settlement Agent The HUD-1 Settlement Statement which 1 have prepared is a true and accurate account of this transaction.I have caused or will cause the funds to be disbursed in accordance with this statement. SETTLEMENT AGENT DATE -77�0'5 ` �� Year-End Statement AMERICAN December 31, 2014 Page 1 of 3 For undeliverable mail only FUNDS® PO Box 1148 Primary account number: 67836360 From Capital Group Norfolk VA 23501-1148 �• _ ... - AV 01 051705 06847H184 A**5DGT X111111111111111111III 11l�111111�1111�111"�'�I'I��II'�II�111lI'I Best wishes for the New Year RONALD C WOLFE This statement shows your complete account 36 GREEN MOUNTAIN RD activity for 2014.We recommend you keep it for GARDNERS PA 17324-9053 your tax records.See our online Tax Center for tax information,including forms,worksheets,cost // basis information,how to make IRA contributions 111a /2 0 f and more.Visit us at americanfunds.com/taxes. / New e-delivery option for faster 2014 tax forms With American Funds'new e-delivery option you � can receive your 2014 tax forms faster.Register online to receive email alerts when your form is �4 +✓ available to print or download and enjoy safer access to your sensitive tax information.Go to J"7.2G1 ��(� americanfunds.com/paperless. Portfolio value of:all accounts $4,724.641 Portfolio allocation Since initial investment on. Yearvto•date since 1/1/2003* 1/1/2014 j Beginning value $7,809.79 $4,506.58 I 'I I ............................................................................-....................................................................................................................................................... i + Additions $0.00 $0.00 I ---- Wit--......-it-hdr----...a..wa.......l.s...._.._.._.._............_.......__.......------------------------..........-._-..$.5...,..3...2__.6.....85.....__........_-------_-------------- ....._..........._. .00 0 ... I f 100 ,7 i ....... ................................................................................. ... ..................._......................... .............._...................................._......_.... .................... Bond ! +/- Investment gain/decline $2,241.70 $218.06 i 100.00% I ............................................................................................................................................................................................. ..... ue as o .2/31/20 ................................ Ending value-as -- ------$4,724.64 $4,724.64_; i ........-......._......................-...........................- _...-.......-......-. _..........._.__..._._.-_............... i Dividends and capital gains paid in cash $31.10 ............................_.........._............._..._............................_.....................................................-.......................... — *For accounts opened prior to 2003,an initial investment date of January 1,2003,is us ore I information is available at americanfunds.com/statement. j Need help reading your statement or defining key terms? For a description of what's included I in the above numbers,go to americanfunds.com/statement. j j I I I i I Portfolio rate of - How to contact us Through your financial advisor f Annualized since initial investment on 1/1/2003* 3.06% ' Ryan Weigle ........._........... -_._._...._...................-•-----...-..........--.....-................................... Year-to-date since 1/1/2014 4.84% (717)249-3737 -----� CETERA ADVISOR NETWORKS LLC 5 KACEY CT STE 101 Portfolio value history MECHANICSBURG PA 17055-9220 — Value of portfolio --- Net investment* americanfunds.com j FundsLine®24-hour automated service ................................................................................ ............................................................................................................... � $10,766 (800)325-3590 I IShareholder Services Representative 800 421-4225(M-F 8 a.m.to 8 m.Eastern time $7,177 ................................................................................................ .............................................................................................. • Mail �.� American Funds I PO Box 2280 $3,589 ` Norfolk VA 23501-2280 ...................................................................................................... .......................................... i % ,-----------_-------------- Overnight courier I American Funds I5300 Robin Hood Road so , Norfolk VA 23513-2430 1/1/03 11/31/03 12/31/05 12/31/07 12/31/09 12/31/11 12/31/13 12/31/14 ; $7,810 SSA71 $9,464 $10,766 $4,001 $4,558 $4,507 $4,725 Questions about your statement j americanfunds.com/statement f *Net investment is the total amount you invested minus the total amount you withdrew 1 (including any dividends and capital gains paid to you in cash). { 051705 1/2 i 1-AF1-029069847-J30589 Page 1 of 2 PhWential ,,,omputershare Computershare Trust Company,N.A. PO Box 43033 Providence,RI 02940.3033 Within USA,US territories&Canada 800 305 9404 Outside USA,US territories&Canada 732 512 3782 www.computershare.comfinvestor 002944 �III�UIIIIlttllllnt�llllllll�lnlllnnlllll�lll�lrllrllllll, JOHN D PERKEY EX EST RONALD C WOLFE 328 PINE GROVE RD GARDNERS PA 17324 Holder Account Number 00033415281 F I D — 1 �1 V l� 1 Ticker symbol PRU CUSIP 744320102 Prudential Financial, Inc. _Sales Advice A111��iIMII1��IIr��IIIIM��111A111� MIYIIIq��A�1�M�I�Y-II�IIMIY�IM�11��1 Trade Date: 12 Jan 2015 14:18(Time) Settlement Date: 15 Jan 2015 Cost Basis Method: FIFO Shares/Units Price per Gross Amount Trading BankingMire Backup Other I Net Amount Sold Share/Unit(USD) of Sale(USD) Fees(USD) Fees(USD)�itholding(USD) Fees(USD) of Sale(USD) 62.000000 84.084400 5,213.23 15.96 0.00 0.00 15.00 5,182.27 Covered Transaction Total: 0.000000 Noncovered Transaction Total: 62.000000 Covered Shares/Units Covered Cost Covered Short Term Covered Long Term Overall Covered Sold Basis(USD) Gain/Loss(USD) Gain/Loss(USD)( Gain/Loss(USD) 0.000000 NIA NIA N/A NIA PLEASE SEE REVERSE SIDE FOR IMPORTANT DISCLOSURES AND DEFINITIONS 1 L T R P R U + 001 CD70003 us.lir.c.4dy.sal.iIJ565/002944/002944/i -_..._.._., _.._ ., .. ,... . ....y ..,...,vu--,0 3I10ICO as O&AAi as uie udlibrer tJ OUrnpletea.n me new owner wisnes to sell through Computershare,it offers a voluntary sales facility for eligible shareholders to conveniently liquidate their shares.A copy of the terms of this sales facility will be enclosed with the new account statement that will be mailed once the transfer is completed.Once the transfer.is complete and the new account materials are received,shareholders wishing to sell their shares may do so by contacting Computershare directly at the number contained within those materials. Please do not hesitate to contact us if we can be of any help to you during this difficult time.If you have any questions regarding the transfer process,please call 800-305-9404 and select menu option 4.After the automated message,you may then press 2 to reach a Computershare representative for assistance. Again,please accept our sincere condolences. Sincerely, Margaret M.Foran Chief Governance Officer, Vice President and Corporate Secretary C `DRS hook-entry shares-a recordkeeping option for you to record your ownership electronically on the books of the company. Shares for which a physical stock certificate has been issued. ""Account value subject to market fluctuation. PRU Historical Prices I Prudential Financial,Inc. Comm Stock-Ya... http://finance.yahoo.com/q/hp?s=PRU&a=11&b=5&c=2014&d=1... Home Mail Search News Sports Finance Weather Games .Answers Screen Fliokr Mobile I More - Mail Finance Home My Portfolio My Quotes News Market Data Yahoo Originals Business&Finance Personal Finance CNBC Contributors Einer Symbal Fri,Aug 21,2015,2:50pm EDT-US Markets Gose in 1 hrand 10 mins Reportan Issue Dow-42.40%N •___.. ie'r ' =Traria I - Prudential Financial,Inc.(PRU)-NYSE # watchlist ( Add io-Porerwiol Like Ea 81.784 2.53(3.00%) 2:50PM EDT-Nasdaq Real Time Price Historical Prices Get Historical Prices for. GQ M Set Date Range Daily Start Date: Dec 5 2014 E8.Jan 1,2010 n Weekly End Date: Dec 5 X2014 13 Monthly 0 Dividends Only L First I Previous I Next I Last Prices Date Open High Low Close Volume Adj Close' Dec 5,2014 87.73 89.86 87.62 88.34 4,755,800 87.11 Gose price adjusted for dividends and splits First I Previous I Next I Last ADownioad to Spreadsheet Currency in USD. Rehnagine investing. EIMDE on Applo watch. E*'TRAACE' Ad Topics That Might Interest You... 1.Dividend ETFs to Buy 6.Best Retirement Funds 2.Top Penny Stocks to Buy 6.Best CD Rates 3.Best ETFs to Invest In 7.Top 10 Oil ETFs 4.Best ETFs to Buy 8.Highest Annuity Rates ^ Feedback of - I of 2 8/21/2015 2:50 PM Chi Prudential t al Date of distribution: February 10,2015 Reason for distribution: Redemption TH-36-PRU1 P-1 ESTATE OF RONALD.C WOLFE Account Number: XKX3C1362 328 PINE GROVE RD GARDNERS PA 17324-8947 Check Number: 001825581 Total Distribution: $16,248.13 Page 1 of 1 Your Fund Name F.und.Class/Number._ PRUDENTIAL NATIONAL MUNI FD CL A Class A/ 22 Date Distribution Type Shares Value - Shares Redeemed 02/10/15 Gross Distribution 1,056.888 $16,233.80 Dividends Earned $14.33 Net Fund Distribution $16,248.13 - - Dak 0� 33 - bo � o � o W xo o. p O O O Detach.before_cashine.or deoositine_check_ .-, o rage i of i u DeHart\U7,013 \i\\i1\\\\\M1\%vs Carlisle 717-713-7062 cowboyauctioneerpa35@yaho-o.com #83-RON WOLFE ESTATE 36 GREEN MOUNTAIN RD GARDNERS,PA 17324 NO PHONE NO EMAIL Commission Setup COMMISSION STEPS AUCTION TOTALS COMMISSION TOTALS $0.00 TO $2000.00 AT 20 = $12291 $2458.2 $2001.00 TO $3000.00 AT 10 = $0 $0 $3001.00 TO $25000.00 AT 5 = $0 $0 $0.00 TO $0.00 AT 0 = $0 $0 $0.00 TO $0.00 AT 0 = $0 $0 Fees FLYERS ADVERTISING WEB SITE PORT A POTTY Seller Fee 5 0.00 0.00 372.50 180.00 0.00 NOTES Totals -XOTKL SALES MMISSION FEES AMOUNT DUE $12291 $2458.2 $552.5 $9280.3 ��oid n LOT# TITLE PRICE QUANTITY TOTAL SALE] TYPE DATE 1 LIGHT $4.00 1 $4.00 ONSITE June 5,2015 2 MISC LOT $1.00 1 $1.00 ONSITE June 5,2015 3 HUMMING BIRD FEEDER $1.00 1 $1.00 ONSITE June 5,2015 4 FAN $11.00 1 $11.00 ONSITE June 5,2015 5 BOX LOT $6.00 1 $6.00 ONSITE June 5,2015 6 BOX LOT $1.00 1 $1.00 ONSITE June 5,2015 7 LIFE VESTS $3.00 1 $3.00 ONSITE June 5,2015 8 BUCKET LOT $3.00 1 $3.00 ONSITE June 5,2015 9 BOX LOT $2.00 1 $2.00 ONSITE June 5,2015 10 BOX LOT $2.00 1 $2.00 ONSITE June 5,2015 11 BOX LOT $2.00 1 $2.00 ONSITE June 5,2015 12 GRILL GRIDDLE CROCK POT $9.00 3 $27.00 ONSITE June 5,2015 13 HOT DOG TOASTER $5.00 1 $5.00 ONSITE June 5,2015 14 BOX KNIVES $5.00 1 $5.00 ONSITE June 5,2015 15 BASKET LOT $2.00 1 $2.00 ONSITE June 5,2015 16 BASKET LOT $2.00 2 $4.00 ONSITE June 5,2015 17 PADDLE $2.00 1 $2.00 ONSITE June 5,2015 18 GRILL $7.00 1 $7.00 ONSITE June 5,2015 19 BUCKET METAL $4.00 1 $4.00 ONSITE June 5,2015 20 BOX LOT AND GRILL $2.00 2 $4.00 ONSITE June 5,2015 21 MISC LOT $1.00 1 $1.00 ONSITE June 5,2015 22 FROG $2.00 1 $2.00 ONSITE June 5,2015 23 WHEELCHAIR $5.00 1 $5.00 ONSITE June 5,2015 24 BOWLING BAG $5.00 1 $5.00 ONSITE June 5,2015 25 $0.00 1 $0.00 ONSITE June 5,2015 26 BOX OF BIRD FEEDERS $9.00 1 $9.00 ONSITE June 5,2015 27 BOX LOT $2.00 3 $6.00 ONSITE June 5,2015 28 LIGHT BULBS $2.00 1 $2.00 ONSITE June 5,2015 29 MISC BOX LOTS $1.00 1 $1.00 ONSITE June 5,2015 30 BUCKET OF GLOVES $20.00 1 $20.00 ONSITE June 5,2015 31 BOX LOT $12.00 1 $12.00 ONSITE June 5,2015 32 RABBIT $3.00 1 $3.00 ONSITE June 5,2015 https://www.gavelbuddy.com/app/printallsellers.php 7/2/2015 Page 1 of 12 DeHart1\\1111\\1\11\1\1\1\1!\U\\1\\'s �. Carlisle,PA 17013 717-713-7062 cowboyauctioneerpa35@yahoo.com Invoice#:6484 #83-RON WOLFE ESTATE 36 GREEN MOUNTAIN RD GARDNERS,PA 17324 NO PHONE NO EMAIL Commission Setup COMMISSION STEPS AUCTION TOTALS COMMISSION TOTALS ITEMS SOLD $0.00 TO $2000.00 AT 25% _ $25,657.50 $6,414.38 753 $2ool.00 TO $3000.00 AT 10% = $3000 $300.00 1 $3001.00 TO $25000.00 AT 5% _ $32900 $1,645.00 4 $0.00 TO $0.00 AT 0% = $0 $o.00 11 $0.00 TO $0.00 AT 0% _ $0 $0.00 11 Fees ADVERTISING FLYERS SIGNS 1632.00 0.00 0.00 NOTES Advertising includes flyers,signs,auction zip Totals TOTAL SALES COMMISSION FEES TOTAL BUYBACKS AMOUNT DUE $61,557.50 $8,359.38 $1632 $0.00 $51,566.13 Lo of LOT# TITLE PRICE QUANTITY , TYPE DATE 1 BOX LOT $1.00 3 ONSITE June 6,2015 -- .2. BOX LOT $1.00 2 ONSITE June 6,2015 3 bethlehwm steel sign $6.00 1 ONSITE June 6,2015 4 military folding shpvel $1.00 1 ONSITE June 6,2015 5 straw $1.50 4 ONSITE June 6,2015 6 3 levels $1.00 1 ONSITE June 6,2015 7 tarp kit $26.00 1 ONSITE June 6,2015 8 2 pipe cutters $3.00 1 ONSITE June 6,2015 9 vise and c clamp $1.00 1 ONSITE June 6,2015 10 2 hitch pins $3.00 1 ONSITE June 6,2015 11 fire extinguisher $5.00 1 ONSITE June 6,2015 12 drill $4.00 1 ONSITE June 6,2015 13 decals $7.00 1 ONSITE June 6,2015 14 pipe cutter and c damp $6.00 1 ONSITE June 6,2015 15 2 electric drills $2.00 1 ONSITE June 6,2015 16 wolfs head oil cans $16.00 1 ONSITE June 6,2015 17 2 jig saws $4.00 1 ONSITE June 6,2015 18 oil can $4.50 4 ONSITE June 6,2015 19 2 rolls wire $38.00 1 ONSITE June 6,2015 20 craftsman grinder $22.00 1 ONSITE June 6,2015 21 electric impact $40.00 1 ONSITE June 6,2015 22 jump box $28.00 1 ONSITE June 6,2015 23 box electrical $11.00 1 ONSITE June 6,2015 24 bucket teeth $11.00 1 ONSITE June 6,2015 26 planer $4.00 1 ONSITE June 6,2015 27 bottle jack $16.00 1 ONSITE June 6,2015 28 caution tape $1.00 1 ONSITE June 6,2015 29 drill bits $9.00 1 ONSITE June 6,2015 30 vise grip dips $24.00 1 ONSITE June 6,2015 https://www.gavelbuddy.com/app/Sellerprintout.php?SearchAuctionDate=604 7%212015 nz Life Insurance Company ,� of North America Allianz ; PO Box 59060 Minneapolis, MN 55459-0060 800.950.1962 January 9, 2015 ESTATE OF RONALD WOLFE C/O JOHN PERKEY 328 PINE GROVE RD GARDNERS PA 17324 Re: RONALD WOLFE, deceased Contract Number: 3628963 Taxable Amount: $20,327.76 Federal Tax Withholding: $0.00 State Tax Withholding: $0.00 Dear Executor: Please accept our sincere sympathies. We thank you for providing the necessary information to process your claim. You will be receiving a check under separate cover in the amount of$20,327.76, representing the net benefit. You will receive a Form 1099R early next year indicating your gross distribution amount and taxable amount. Should you have any questions, please call the Claims Team at 800.950.1962. Thank you. Annuity Claims Allianz Life Insurance Company of North America LCL-1026 Rev. 7/1/2009 11state., You're in good hands. December 15,2014 Estate of Ronald C. Wolfe 36 Green Mountain Rd Gardners, PA 17324-9053 Re: Ronald C. Wolfe Contract-No'' GA17246189- Type of Contract: IRA Dear Executor or Administrator: We are required to furnish the IRS with the date of deat o a contractholder's Individual ment Arrangement on a Form 5498. The value of the acco t on December 5,2014 was$10,764.36. .ease note that this value may be used to complete Form 8606. S&0.6 is require wen contributions were made to this IRA during the calendar year. Annuity proceeds are not reportable to the IRS on Form 712. Form 712 should only be used for life insurance contracts. If you have any questions, please contact us at 1-$77-499-6418. Sincerely, Steven Arbitman Senior Claim Examiner Allstate Life Insurance Company Life and Annuity Claims P.O. Box 94212, Palatine, IL 60094-4212 Phone 877-499-6418 Fax 866-635-4523 Retirement Plan Statemeni 3 01-01-14 to 12-31-14 1 INOT, I AL RETIREMENT ACCOUNT M&T TELEPHONE BANKING' CTR M&T BANK AS TRUSTEE FOR PO BOX 767 BUFFALO, NY 14240 000012776 J0811580 800-829-1924. i 4344' 29,741 ESTATE OF RONALD C .WOLFE C/O JOHN D PERKEY, EXEC. 328 PINE GROVE RD GARDNERS PA 17324 ' ._:: .... A 16-0538020 ,. ACCOUNT NO 35-007923474001 ACCOUNT TYPE M&T MKT ADV 01-01-14 BEGINNI-NG. BALANCE .00 12-24714 TRANSFER IN .TO .BENEFICIARY 4,758 .28• 4,758.28 "s 12-24-14 DEATH WITHDRAWAL 4,758 .28- .00 12-24-14 .TAX ..WITRHELD-DEATH WITHDRAWAL .00 .00 12-24-14. STATE. TX .W/H-DEATH WITHDRAWAL . 00 .00 v - 0 0 0 N N n' C LL O 0 O A n eN t0 v 0 0 m n N O O PLAN " SUMMARY .• BEGIN ',PLAN `13AL . 00 DISBURSEMENTS 4,758.28. PLUS 'DEP.OSITS 4,758.28 FED TAX WITHHELD . 00 NET. INTEREST . 00- ST . TAX WITHHELD . 00 LESS DEDUCTIONS 4,758.28 TOTAL PLAN VALUE . 00 2014 IRA CONTRIBUTION INFORMATION THE FOLLOWING I'S YOUR FORM 54.98 TOTALS. BECAUSE THE AMOUNTS ARE- ZERO, .NO REPORTING TO THE I .R .S HAS, OCCURRED BOX 1 - IR'A CONTRI•BUTIONS' IN 2014 OR 2015 FOR 2014 0 . 00 BOX 2 - 2014 .ROLLOVER CONTRIBUTIONS 0 . 00 BOX 5 - FAIR MARKET . VALUE OF PLAN AT .END OF 2014. 0 .00 L007(11114) Members 1 st Federal Credit Union 10/01/2014 12131/2014 1 of 2 XXXXXXX960 5000 Louise Drive P.O.Boa 40 Mechanicsburg PA 17055-0040 m (800)237-7288 MEMBERS V (717)697-5312(Hearing Impaired) FEEDERALCIREMM UMNION wivmmemberslst.org t 21 RONALD C WOLFE 36 GREEN MOUNTAIN ROAD GARDNERS PA 17324 99400 1099-INTs are NOT included in this statement. If you earned at least $10.00 in dividends on your account for 2014, you will receive your 1099-INT in a separate mailing in January 2015. = AMDG14GJ Your.aggregate balance as of December 1st is$8,516.78. .. An aggregate.balar ce oY$2,500 and,having 3,products will place you m the Silver MLR•;aevel.; CHECKING 0.00 SAVINGS 0.00 CERTIFICATES 0.00 LOANS 0.00 BEGINNING BALANCE: .$466.81 Eff. Post Date Date Description Deposits Withdrawals Balance 10/31 10/31 Deposit Dividend 0.100% 0.04 466.85 _ Annual_Percenta-ge Yield Eamed 0,100%from 10/01/14 through_-_ 10/31/14 11/30 11/30 Deposit Dividend 0.100% 466.89 Annual Percentage Yield Earned 0.100%from 11/01/14 through 11/30/14 12/17 12/17 Deposit 8,050.42 8,517.31 12/17 12/17 Withdrawal by Check 8,517.31 0.00 Check 00 978061 Disbursed 8,517.31 12/17 REGULAR SAVINGS CLOSED `This is the final statement presenting information on this product Please retain this final statement for tax reporting purposes. ENDING BALANCE: $0.00 Total Deposits 8 050.50. Total Withdrawals 8,517..31 . MIX a I t FOR INQUIRIES CALL: (800)724-2440 MYCHOICE CHECKING 00 0 04331 M NM 117 AM- 000001944 FIDS154IG70112311412 01 000000 P 108472 DEC.01-DEC.31,2014 t RON WOLFE EXCAVATING sEGINNiNG BALANCE $6,661.59 .; RONALD C WOLFE &j 'RE 0.00 BETTY J WOLFE ,3<.. 6,661.59 36 GREEN MOUNTAIN RD 0'00 GARDNERS PA 17324-9083 $0'00 INTEREST EARNED FOR STATEMENT PERIOD $0.00 MT HOLLY SPRINGS INTEREST PAID YEAR TO DATE $0.10 ACCOUNT SUMMARY BEGINNING= C}EPOSffS&OTtIER x* CURRENT ENt?ING CHINGKS PATI) OTHER i?EBITS{} x _ : . ..gra :- . INTER�STFALAN E°� NO. AMOUNT NO. AMOUNT NO. AMOUNT $6,661.59 0 $0.00 8 $1,777.11 2 $4,884.48 ' $0.00�' $0.00 ACCOUNT ACTIVITY POSTINGDEPOSITS&OIHERWITHDFIAWAL & I tALY ' IANSACTION IESCRIfTItSTIk` Al OTHER�IDE IT BALATiCB. 12101/2014 , BEGINNING BALANCE $6,661.59 12/01/2014 ATT Payment $49.56 N 12101/2014 CHECK NUMBER 13726 88.47 w 12/01/2014 CHECK NUMBER 13727 118.81 r 12/01/2014 CHECK NUMBER 13731 425.37 5,979.38 c 12/02/2014 CHECK NUMBER 13728 370.63 12/02/2014 CHECK NUMBER 13730 58.12 12/02/2014 CHECK NUMBER 13732 114.76 5,435.87 12/03/2014 CHECK NUMBER 13729 10.00 5,425_87-- Q 12/05/2014 CHECK NUMBER 13725 590.95 4,834.92 12/18/2014 CLOSEOUT 4,834.92 0.00 ENDING BALANCE $0.00 CHECKS PAID SUMMARY _ GHEGKNO . DATE.. . .;:z x;-AMOiJNT;'; ,CHECI€N�j'. ` DATE,... __ �' .'1'MO�NT CHECI!Ct+lGti D/4TI:._ -AMOI1NTm_ 13725 12/05/14 590.95 13726 12/01/14 88.47 13727 12/01/14 118.81 13728 12102/14 370.63 13729 12/03/14 10.00 13730 12102114 58.12 13731 12/01/14 425.37 13732 12/02/14 114.76 PAGE 1OF4 L008ACS(6/12) - Susquehanna Bank PO Box 1000 Lititz, PA 17543-7000 >000935 4876553 0001 092158 10Z o RONALD C WOLFE Date 12/31/14 Page 1 BETTY J WOLFE Primary Acct # 205100000723 a 36 GREEN MOUNTAIN RD Enclosures o GARDNERS PA 17324 o 0 0 m M1 m u- 0 a Paper cluttering your home? Receive account notices electronically! It's a secure and convenient- .:ay- to stay informed about your accounts. To enroll, simply log into Online Banking and visit the Documents and Settings section of the eDocs tab. »» S U M M A R Y O F A C C O U N T S «« ACCOUNT NUMBER ENDING BALANCE 205100000723 STATEMENT SAVINGS PERSONAL .00 »»»»»»»»»»> S A V I N G S A C C O U N T S ««««««««««< ACCOUNT TITLE: RONALD C WOLFE BETTY J WOLFE Effective 1/1/15, the maximum number of Overdraft Item Fees assessed will be limited to 5 per day. Visit www.susquehanna.net/overdrafts for more information. STATEMENT SAVINGS PERSONAL Account Number 205100000723 Statement Dates 10/01/14 thru 12/31/14 Previous Balance 572.39 Days in Statement Period 92 1 Deposits/Credits 328.32 Average Ledger 464.91 1 Withdrawals 900.79 Average Collected 464.91 Service Charge .00 Interest Earned .08 Interest Paid .08 Annual Percentage Yield Earned 0.05% Ending Balance .00 2014 Interest Paid .29 DETAIL TRANSACTIONS BY DATE Date Description Reference Amount Balance 11/02 Interest Deposit .03 572.42 11/07 Counter Deposit 002964240 328.32 9 11/30 Interest Deposit .03 0 12/17 Closing Entry:Accrued int paid 095100951 .02 00.79 12/17 Closing entry - zero balance 095100951 900.79- .00 If you have questions regarding your account(s), please contact us at: SUSQUEHANNA BANK, 9 E. Main Street, P.O. .Box 1000, Lititz, PA 17543; (800)311-3182; OR visit our Web site at www.susquehanna.net. Member FDIC DeHart's Auction Service. 965 Green Spring Road Nemille, PA 17241 717-713-7062 Appraisal for Ron Wolfe estate of antique truck 1930 ford model A Condition: basket case Running: no Condition: rough Y.. Evaluation: the vehicle has been parked for over 40 years and is need of a frame up restoration.The antique truck is a basket case ai'nc! needs`completely;redone:,The.body is at•30%,the interior is at 20%, the drive train is at 25%,after a complete evaluation, in the fair market value,and today the model A at auction,would bring$1,500.00 r . . FOR INQUIRIES CALL: (800)724-2440 ACCOUNT TYPE M&T CLASSIC CHECKING WANTEREST 00 0 04331 M NM 017 ACCOUNT NUMBER STATEMENT PERIOD P 9856270633 MAR.07=APR.08,2015 000005893 FIDS1549DO1704081504 02 010000 BETTY J WOLFS BEGINNING BALANCE.' $4,705.28 36 GREEN MOUNTAIN RD DEPOSITS.&CREDITS 0.00 GARDNERS PA 17324-9053 LESS CHECKS&DEBITS 0.00 1AITEREST � gx' a 0.04 I:E$SSRI/IG`E CH�RGI^Sa, 0.00 $4,705.32 INTEREST EARNED.FOR-STATEMENT PERIOD $0:04 ""` MT•HOLLY:$pRINt S. "::INTEREST PAID YEARTO"DATE" ` $0 15 •.;ACCOUNT SUMMARY BEGINNING DEPOSITS&OTHER '" CURRENT ENDING " BALANCE CREDITS + CHECKS PAID OTHER DEBITS(-) INTEREST PD BALANCE" NO. I AMOUNT NO. AMOUNT NO. AMOUNT $4,705.28 0 $0.00 0 $0.00 0 $0.00 $0.04 $4,705.32 ACCOUNT ACTIVITY g POSTING TRANSACTION DESCRIPTION DEPOSITS&OTHER WITHDRAWALS& DAILY DATE CREDITS t OTHER DEBITS - BALANCE .m.: - - . . _, ": . :.. .. _._�...�-. ....--- ----. _,�;_.--_,:.u. ..,�.:. ....-..:•:-:,,. •. ti.-:..::__ �-- -- 528 � a 03/07/201-6 8E011Tf�71N•GBA�CANCt -- '-,__:._� ___..K.._---.... $4,70 . c 04/08/2015 INTEREST PAYMENT $0.04 4,705.32 m ENDING BALANCE $4,705.32 0 s 0 m ANNUAL PERCENTAGE YIELD EARNED=0.00% WHEN WAS YOUR LAST MORTGAGE CHECK-UP?WHETHER YOU OWN A HOME OR ARE THINKING ABOUT BUYING ONE,NOW IS A GOOD TIME TO TALK TO AN M&T MORTGAGE EXPERT ABOUT n YOUR HOME FINANCING NEEDS.CALL 1-888-253-1023 TODAY. g 2015 M&T BANK.NMLS#381076.ALL LOANS SUBJECT TO CREDIT AND PROPERTY APPROVAL. THIS IS NOT A COMMITMENT TO MAKE A MORTGAGE LOAN.OTHER TERMS AND CONDITIONS MAY APPLY. OFFICIAL CHECK M M&T2004,99409 Bank -81' " Manufacturers and Traders Trust Company BUFFALO,N.Y.14240 . 10-4/220 „FDATE Rt:mlj ILK PAY TO T i ORDER OF I»S"�'A T€ Of -ROHM.D r �1CLF`E $ �77"�s I'VE &fi.r, 1} ;a f`d!ik"t x• CUSTO(■/MJER RECEIPT-RETAIN FOR YOUR RECORDS COPY - NOT NEGOTIABLE 40 2 20000461: 1700 20 199 2604:711'•" l . J (/ ' ` «Y ` D��m� = "�- .� Ho �� wmxeraa x�o / e�� `��^xa'ory, Inc. ��' Eric L. Hollinger,Supervisor . ` January 2,301S Estate ofRonald C.Wolfe 36 Green Mountain Road Gardners, PA 17324 The Funeral Service for Ronald C.Wolfe: We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact usifyou have any questions in regard tothis statement. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES,AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. Professional Service Cremation Package C71VIenmor|a|Service $3145.00 Merchandise Mosaic Urn 400.00 K8enmoha| Pho —Pathvxayin\Noods ` Register Book, Memorial Folders, Acknowledgement Cards, Bookmarks 200.00 ATTHE TIME FUNERAL ARRANGEMENTS WERE MADE,WEADVANCED CERTAIN PAYMENTS TO OTHERS ASANACCOMMODATION. THE FOLLOWING |SANACCOUNTING FOR THOSE CHARGES. Cash Advances Certified Copies ufDeath Certificate(35 @ $6) 150.00 Cumberland County Coroner's Authorization 30.00 Newspaper Notice'Sentinel 308.66 Patriot 267.50 Clergy 150.00 Organist 1001.80 Black Stone 3895.00 Total Charges $8646,15 Payment Estate of Ronald Wolfe#108 86/6.15 Balance Paid in Full 50 NORTH BALTIMORE AVENUE ° MOUNT HOLLY SPRINGS,PENNSYLVANIA 170*5 (717) 486-3433 ° FAX nx7} *e6'3n'o www.hollingerfuneralhome.com ' ' 19! F Hollinger Funeral Home & Crematory, Inc. Eric L.Hollinger,Supervisor November 26,2014 Ronald C.Wolfe 36 Green Mountain Road Gardners, PA 17324 The Funeral Service for Betty J.Wolfe: We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can, Please feel free to contact us if you have any questions in regard to this statement. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES,AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. Professional Service Traditional Package $5150.00 Merchandise Casket- Poplar 3295.00 Vault—Sentinel 1550.00 Memorial Package—Hummingbird Register Book, Memorial Folders, Acknowledgement Cards, Bookmarks N/C AT THE TIME FUNERAL ARRANGEMENTS WERE MADE,WE ADVANCED CERTAIN PAYMENTS TO OTHERS AS AN ACCOMMODATION. THE FOLLOWING IS AN ACCOUNTING FOR THOSE CHARGES. Las h.Advances Certified Copies of Death Certificate (25@ $6) 150.00 Clergy 150.00 Flowers- Family Spray-Fall Shades 200.00 Newspaper Notices—Sentinel 255.77 Patriot 203.80 Total Charges $10954.57 541 NORTH BALTIMORE AVENUE • MOUNT HOLLY SPRINGS.PENNSYLVANIA 17065 • (717)486-3433 • FAX(717)486-3215 www.hollingerfuneralhome.com t 4 yourINVOICE , P.1 I N.MIMILEMON l CAtIRUSl ,PA 17015 P 243-28ff a 07 49 . SOLD T0' ADDRESS GIUANTITY DESCRIPT PRICE., 11AMOUNT YARDS MIX ARRIVErOOB .LEAVE)OB TIME ON JOB TIME CHARGE MINUTESTAX PER HOUR: TOTAL :3 A ADI FINI READING-START--'.. UNITS DELIVERED` ` SUBJECTTO THE FOLLOWING CONDITIONS ADDED INGREDIENTS Pumbaser assumes full responsibility for the strength,stump-"quar4 of concretewhen additional water or other Ingredients are requested on the job. - - WATER SIGNED FOR GALLONS OF WATER ADDITIVES: BY ADDED- ADDED DETENTION&TRUCKS AT THE BUILDING SITE b . 'Purchaser will be allowed(30)thirty minutes free loading lime for the first yard;atter arrival of tuck on lob.Delay caused by purchaser- .. •Which exceeds this Ame will be charged at the,rate of $0 4 per-houL No claims for delays encountered in delryery will be.Albwed asall defrvedes are made to the best of our ability to dispatch and are subject to traffic and/or weather conditions.-. ; ALL ORDERS ARE FOR STREET CURB DELIVE. 'I,the undersigned,will a'ssuJms I res ibi ity for aJJ+�,damag where livery is ado inside of the am. ; SIGNATU6H 1 (�+ i Allied Attorneys of Central Pennsylvania, LLC 61 West Louther Street Carlisle, PA 17013 717-249-1177 Fax 717-249-4514 E.I.N. 26-4556116 March 11, 2015 John D. Perkey,Executor 328 Pine Grove Rd. Gardners,PA 17324 Re: Estate of Ronald C. Wolfe STATEMENT Date Description Hours 12/08/14 Meet with Client and Niece to discuss Estate Opening; gather information for Petition for Grant of Letters 0.9 12/17/14 Prepare Estate Information Sheet,Petition for Grant of Letters, Will copies, obtain Estate EIN for bank,prepare instructions for gathering items, open Estate at Courthouse and obtain Short Certificates 1.4 12/18/14 Telephone call with M&T re: Betty Wolfe's account they would not release to Ron's Estate;telephone call to M&T re: statute for release to next of kin,possible exception for Estate; will review w/legal department; telephone call w/M&T will not release to Estate 0.4 12/19/14 Telephone call w/Client re: update on M&T decision 0.2 12/29/14 Prepare DPW notice, important notice to beneficiaries, Certificate of Notice, ads for PNCO and CLJ,telephone call w/Client re: update, telephone call to Donna re: sister's address 1.3 12/31/14 File Certificate of Notice at Courthouse 0.3 01/21/15 Telephone call w/Client re: update on Estate; items sold; auctioneer information; debt paid for contract work owed to Estate 0.7 01/29/15 Research deed and land lots per Client request 0.5 02/03/15 Telephone call w/Donna re: update and need for paperwork 0.2 02/04/15 Telephone call w/Client re: update and land being one parcel; auction update; question re: train-email to Attorney Hockenberry and Cianci re: train regulations per Client request 0.5 02/13/15 Letter to Executor re: need for paperwork; letter to BoysTown w/Will and update 0.5 02/18/15 Received and reviewed letter from St. Jude's legal department 0.1 02/24/15 Telephone call w/Client; setup meeting for early file and inventory 0.4 02/25/15 File early Inheritance Tax at Courthouse($10,000.00); review and organize packet dropped off by Executor; create spreadsheet with information 2.2 02/26/15 Letter to Client re: additional items needed for file 0.2 03/05/15 Telephone call w/Client; travel to residence to take inventory; letter to Client re: checking account 1.7 03/09/15 Client office visit re: need for more detailed paperwork,review bank statements provided by Client; attempt to match deposits to insurance policies absent deposit slips and detailed records; letter to Client re: 1.1 moving forward w/Estate ,, 3/10/15 Received letter from Attorney McKnight re: change of Counsel; telephone call w/Attorney McKnight;prepare paperwork for transfer to Attorney McKnight 0.4 n/c Total time listed on this Statement 13.0 Total time charged on this Statement 12.6 12.6 hours @ $300.00 an hour $3,780.00 Previous retainer balance $45.26 (remaining from Personal Check: John Perkey$275.00 for advertising) Amount due on this Statement $3,780.00 Total amount due $3,734.74 Thank You. RECEIPT FOR PAYMENT ------------------- ------------------- LISA M. GRAYSON, ESQ. Receipt Date : 12/17/2014 Cumberland County - Register Of Wills Receipt Time : 10 :46 :45 One Courthouse Square Receipt No. : 1079945 Carlisle, PA 17613 WOLFE RONALD C Estate File No. : 2014-01182 Paid By Remarks : JOHN PERKEY DMB ------------------------ Receipt Distribution ------------------------ Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 260 . 00 CUMBERLAND COUNTY GENERAL FUN WILL 15 . 00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 100 . 00 CUMBERLAND COUNTY GENERAL FUN INVENTORY 15 . 00 CUMBERLAND COUNTY GENERAL FUN INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 35 . 50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN ---------------- Cash5445 . 50 Total Received. . . . . . . . . $445 . 50 Page i of l. DeHartkkXXIIXX\XXXXX\\X\\\\XXXk\\\I\Vs Cadisle,PA 17013 717-713-7062 cowboyauctioneerpa35@yahoo.com Invoice#:6495 1 #84-RON WOLFE REAL ESTATE 36 GREEN MOUNTAIN RD GARDNERS,PA 17324 NO PHONE NO EMAIL Commission Setup COMMISSION STEPS AUCTION TOTALS COMMISSION TOTALS 7 ITEMS SOLD $0.00 TO $200000.00 AT 2% $170,000.00 $3,400.00 1 suo TO so.00 AT o% $0 $0.00 0 so.00 TO so.00 AT o% $0 $0.00 0 $0.00 TO $0.00 AT 0% $0 $0.00 0 $0.00 TO $0.00 AT 0% $0 $0.00 0 Fees ADVERTISING FLYERS SIGNS 0.00 0.00 0.00 NOTES Totals TOTAL SALES /COMMISSION FEES TOTAL BUYBACKS AMOUNT DUE / $170,000.00 $3,400.00 $0 $0.00 $166700.00 —1 Lots Sold LOT# TITLE .1 PRICE QUANTITY I TYPE DATE 356 HOUSE AND PROPERTY $170000.00 1 ONSITE June 6,2015 .https://www.gavelbuddy.com/app/sellerpimtout.ph-p?SearchAuctionDate=604 7/2/2015 RECEIPT FOR PAYMENT ------------------- LISA M YSON, ESQ. Receipt Date : 6/08/2015 Cumberland County - Register Of Wills Receipt Time: 13 :41 :49 One Courthouse Sguare Receipt No. : 1081589 Carlisle, PA 17 13 WOLFE RONALD C Estate File No. : 2014-01182 Paid By Remarks : IRWIN & MCKNIGHT Wz ------------------------ Receipt Distribution ------------------------- Fee/Tax Description Payment Amount Payee Name SHORT CERTIFICATE 50 . 00 CUMBERLAND COUNTY GENERAL FUN ---------------- Check# 03700150 . 00 Total Received. . . . . . . . . P0 . 00 HLE COPY 734391 02.E 5� n ( kk i 7.32,4f CUSTOMER'S ORDER N0. DATE NAME ADDRESS 3 u.. C(tY,STATE,zi , 17 324 TIMSOCOBY` CAS rc § DO�t NYACGT, FRET PND'OUf�•: P,81_ `AMQUNi`;� a rm � a.•,o� r a All- 5 s LA 4 ";E� 9 -0 S0_;�,9 10 11 • �' S oa Q' 12 t RECEIVED BY "T KEEP THIS SLIP FOR REFERENCE 01" 60-295-313 ALLIED ATTORNEYS OF CENTRAL PENNSYLVANIA,LLC 1823 IOLTA ACCOUNT 61 WEST LOUTHER STREET CARLISLE,PA 17013 DATE (717)249-1177 PAY TO THE ORDER OF 06 DOLLARS J WmrrBank MEMO wp A:03 130 2qSSI: '18L. 3 S 261340111IA23 Eng DATE NEWSPAPER SAU SIZE, TIMES RUN REFERENCE DESCRIPTION-OTHER COMMENTS/CHARGES BILLED UNITS RATE AMOUNT ------------- --------------------------------------------_------- -------------- ........ --------------------------------------------------- ------------------------ ---------------- 01/20 0002323868 BARRICK/860-Community Legals EXECUTRIX S NOTICI 1.00 x 13 Li 3 166.26 DA PennLive,PNCO, Start Date: 1/6/2015 39 CL 4,2631 P --------------------------------------- ---------------- ----------------------------------------------------------------------------------------- --------------------- ------------------ 01/20 0002323883 WOLFE/860-Community Legals EXECUTOR S NOTICE L 1.00 x 12 Li 3 154.74 DA PennLive,PNCO, Start Date: 1/6/2015 36 CL 4.2983 --------------------------------------------- ----------------------- ------------------------------------------------------------------------------------- ------------------ ------------------ Amount to Pay: $321.00 STATEMENT OF ACCOUNT AGING OF PAST DUE AMOUNTS CURRENT NET AMOUNT DUE 30 DAYS 60 DAYS OVER 90 DAYS UNAPPLIED AMOUNT - TOTAL AMOUNT DUE $ 321.00 $ 0.00 $ 0.00' T $ 0.00 .00 $ 321.00 _ Fsar1 zbepatriot-INtws All Billing Inquires(717)255-8213 Fed.ID#23-1304402 UNAPPLIED AMOUNTS ARE INCLUDED IN TOTAL AMOUNT DUE INVOICE# ADVERTISER INFORMATION ADVERTISERICLIENT NAME BILLING PERIOD BILLED ACCOUNT NUMBER ADVERTISERICLIENT NUMBER 89 01/01/2015-01/31/20157130178 130178 JALLIED ATTORNEYS OF CEN 1M ML +.=. QD MEMBERS 1st FEDERAL CREDIT UNION 12/23/2014 Estate Of Ronald C Wolfe C/O John D Perkey 328 Pine Grove Rd Gardners, PA 17324 Re: Account#XXX343 Dear Member, The enclosed original check item(s) was returned to us unpaid due to: * Refer to maker A returned item fee of$15.00 per item has been deducted from.your account. The amount of the item(s) returned has been deducted from your account. If you have any questions regarding this matter, please contact me at 717-795-5202 or 1-800-283-2328 ext. 6363. Sincerely, Lori A Suter Loss Prevention Analyst 5000 Louise Drive P.O. Box 40 • Mechanicsburg,Pennsylvania 17055 (800) 283-2328 www.memberslst.org Flack's Water Conditioning, Inc. Invoice 147 Old State Road Gardners,PA 17324 PA HICPA# DATE INVOICE # (71.7) 486-5033 PA25903 2/16/15 53195 BILL TO UNIT LOCATION Ronald C. Wolfe Ronald C. Wolfe C/O John Perky 36 Green Mt. Rd. 36 Green Mt. Rd. Gardners, PA 17324 Gardners, PA 17324 TERMS" DUE DATE SERVICED Net 30 3/1.8/15 2/16/15 ITEM DESCRIPTION QTY RATE AMOUNT Service Call Service Call and Labor 1 125.00 125.00T 6.00% 7.50 Please include invoice#on your check,to pay by credit card please call our office Total Due at 717-486-5033 A i lz%Per Month Finance Charge is Added on the Unpaid Balance on If you have any questions about this invoice, Accounts Not Paid By Due Date.This is an 18%Annual Rate. $40.00 please contact us at dave@blackswater.com.or Service Fee on all returned checks. 717-486-5033 RT Carey Trucking, LLC DBA Carey's Dumpster Service Invoice 61 Heisers Lane Carlisle, PA 17015 Invoice Date 7/7/2015 717-258-1400 Invoice# 8235 careysdumpsters@centurylink.net Billing Address Service Address Diane Perkey 36 Green Mt Rd 328 Pinegrove Rd. Estate of Ron C. Wolfe Gardners, PA 17324 P.O.No. Terms Due Date -on receipt 7/7/2015 s Date Description Quantity Rate Amount 6/30/2015 30yd Container Removal/Final Pull 0.00 0.00 Disposal Fee-CCLF Tkt# 126122 ( Includes 3 0.350 65.00 22.75 ton of 3.35 ton) i!v Thanks for choosing Carey's -your local, Subtotal $22.75 family-owned trucking and dumpster service! u Sales Tax (6.0%) $0.00 It's been a pleasure working with youl payments/Credits $0.00 Please call if you have any questions regarding this invoice, we can be reached at 717.258.1400. Balance Due $22.76 Want to receive your invoices by email? Drop us a note at careysdumpsters@centurylink.net to go paperless! RT Carey Trucking, LLC Work Order Date 6/10/2015 DBA Carey's Dumpster Service Work Order Completed On 61 Heisers Lane Work Order# 5713 Carlisle,PA 17015 717-258-1400 Driver Initials Invoice# Customer Information/Billing Address Service Addres . DMW*"F er 36 Green Mt Rd 328 Pinegrove Rd. 36 e,e,, Gardners,PA 17324 P.O.No. Work Description Qty Rate Item Total 30yd Container Delivery(Includes 3 tons of disposal) 500.00 500.00 PA Sales Tax 6.00% 0.00 CUSTOMER PHONE 4 . 486-5080 Estimated Subtotal $500.00 ; Estimated Work Order Total $500.00 I have requested that RT Carey Trucking,LLC.,deliver a container to the above address.I understand that RT Carey Trucking,LLC.,will take normal precautions while delivering and picking-up the container at this site.I will assume all responsibility for any damage that may result to the driveway, sidewalk,yard or other portions of my address during normal delivery and pick-up of the container,and while the container is located at this property. Signatur Printed Name Mount Holly ' ~' CL -- — � � MOUNT HOLLY SPRINGS, Pennsylvania � l} u*oou�w '' OLLY SPRINGS, Pennsylvania 170659998 - +c/ --- 4134870065 -0097 -- � 41 12/29/2014 (800)375-8777 11:08:58 AM ' 12/18/2014 (80O)375-87�7 09:27:03 AN --------- Sales Receipt -----��-- ^ --------- Product Sale Unit Final a Product Sale Unit Finn) u Description OLy Price Price -- Description 8ty Price Price = r� PHILADELPHIA PA 19123 Zone-2 $0.49 PHILADELPHIA PA 19176-0174 $16.95 --- First-Class Mail Letter `-- Zone-2 - 1.80 oz. Priority Mail Express 1-Day Expected Delivery: Nod 12/31/14 � 4.10 oz. ' ---' ======== USPS Tracking #: Issue Postage: $0.49 EK220762108US Scheduled Delivery Day: Fri 12/19/14 MINNEAPOLIS NN 55459 Zone-5 $0.70 12:OUPM - Money Back Guarantee |m First-Class Mail Letter Includes $100 insurance __-- 1.7U oz. -- � Expected Delivery: Fri 01/02/15 - Signature Waived Issue Postage: *0.70 -- Issue Postage: $16.$5 Total : $1.18 Total : $16.95 rn====` Paid by: __ Paid by: ru��| Cash $2.00 Cash $%U.UU mm�� Change Dun' -$0.81 Z Change Due: -$3.O5 ~~ -' o-�� Order-s*QmpA.aq_usps.com/sh or cal - - Save this receipt as evidence of ru�0�0�� - - insurance. For information on filing an \'--- ---� m insurance claim go to Holly rings �� saving, ` . � � ��___�_� --- %nsylvania 4870065 � ----- N�ore do~ng� 01/27/201512:42:28 PM (800)275-8777 _ CARLISLE STURE MANAGER ��C -- '^ prpo�ct Sale� Sales Receipt 7 2«g'1771 [ '--------- Urit Final 4149 CiooI4 — � prj�� Price CASHIER TINA - TRH693 Doocr1ption u�y 06/02/15 10:25 W1 --------+ PHILADELPHIA PA 19176 Zone-2 $1.61 ~`' 2.87 First-Class-Mail - - eEnv Lu8U CENTER COV SCREW S106 � / . 3'80 oz. Delivery: Thu 01/29/15SUBTOTAL ==== 2.87 $1.61 SALES TAX 0.17 Issue Postage: TOTAL � 04 CA �.UU �-� *1,61 / CHANGE DUE 0.06 ' Total -. -- paid by: $1.61 ^ ""~ . Orderat num/�wp or u�\ yq �� D2�4 OGoom/:`/vw= ''/ 112110114117111" PUL�� 1-800-Stamp24. Go to UsPs with postage For to print shipping labels Emliow RET-^ ' ' other 1nTormnz/w` vp'` ^^~~~x��""^�* A --�� ^" ON � x***`^«xv*x ^°"^"x^*v"**x**^ uuozo ' ^^^ 90 0�N8.�� n want �t �� n 8e� your mail when and *ve'�e you ƒ - 8ffi Box, Sign up or - ' secure Post oe . ' with o � "' ' ' ~~''' -�~� . - `� ------�� a box online.atunp� com/ YOUR OPINIU� CUUNTS � -------~--~�`---'-~'~- __________________ OF , DOLLAR GENERAL STORE #08813 BALTIMORE MOUNT HOLLYN SPRINGS, PAA17065-1603 OfficeMax #746 (717) 486-31, -, .w....- 650 E. HIGH ST. SUITE 600 HEFTY ULTRA FLX 30 G 5.50 s 013700852169-130 CARLISLE, PA 17013 ,; HEFTY ULTRA FLX 30 G 5,50 (717) 245-2764 0133700852169--130 SUBTOTAL. $11 .00 ---- - ------T---- 0746 01 1159 12/29/14 03:01:26 PM Taxt $0.66 TOTAL... $11 .66 Visa/Debit $11 .66 ******x*****3507 AUTH# REFER 4P2358 ,�?"° x �, REFER08472358 iA�?1a ITEMS 2 011491044787 $5.99 --a— 2015-03-13 10:32 135 0 3 Sided Int Fldr Ltr Man 1 087958721348 $10.49 . Account Book 12 Column 80 011491980290 $6.29 OMX Copy Ream 20# 11 ; .�....�. Moa saving. . . SubTotal $22.77 t�otClg• Tax 6.000% $1.37 MO ? TOTAL $24.14 �" . .. 2 CARLISLE PA 17013 717 249-1771 �, own STORE MANAGER MARC COCHRAN 15 Ol PM Cash 25.00 `" Change $0.86 CASHIER PATRICIA6$ pM3474 4/ 6.24 - _._. 077089070125 6"2PK 3/8" '`A' 6.24 BEST 6 X 3!8 IN MICROFIBER MINI 2PK 077089070101 6" RC W/FR "A' 10514-06061-06240-93020-30175-10175 BEST 6 X 3!8 IN WOVEN ASSEMBLY 4.67 051141393681 CH SP 8220 `A'E 220Gl3204 37E A' 3M PGP CHANNELS BLK XFIN 764666105553 2"FNDWLSCWI# ` i 2" FINE DRYWALL SCREW 1 LB 4.97 1 02238401000Q EDGER PRO `A' 5.57 077489100464 6`2PK 1/4" `A' OltBEST 6 X 1!4 IN WOVEN MINI 2PK 32.06 Uff ce axSUBTOTALAX 1.92 Now one company. Now great savings. Office Depot, Inc., including its subsidiary OfficeMax Incorporated Tell us about your shopping experience and get $5 off your next $25 purchase. More saving. Visit officemaxfeedback.com and enter More c#oing:" the following Survey Code: F 0746-01-1159-6 STORE MANAGER RL ARC PA N3717 249-1771 !�'ty� R 4149 00001 3321 03/19/15 01:05 PM��7L�4ir' ' CASHIER THERESA - TS69YGOfficeMax djust provide great i 719968760016 SHEETHING <A> values, we also live them. OfficeMax has ! 1-1/2"X4'X8' PQLY TSO RMATTE R9.6 been named one of 2013s World's Most ` ' 4428.58 114.32 --- 764666187764 PLASTIC CAP <A> 5.86 Ethical Companies. For more information 6D 2" PLASTIC ROUND CAP ROOFING 1 LB visit OfficeMax.com/ethics. SUBTOTAL 120.18 SALES TAX 7.22 X $127.40 ORDER BY PHONE 1-877-OFFICE MAX CHANGE DUE 112.60 ORDER BY WEB www.of€icedepot.com -- 4149 01 38321,03/19/2015 1369 1`/\lii\/ii PlJ Vi `I&, AJ VKa aa.✓av Sollenbergers-Carlisle Record#: 50730 29 Westminster Dr Carlisle,PA 17013 (717)249-8149 For: Date:03/09/2015 JOHN D PERKEY Time: 11:03 AM 328 PINE GROVE RD GARDNERS,PA 17324 Clerks Initials:DAN Vehicle Registration Information Agency Fees 3/9/2015 11:03:56 AM DAN: NEXT OF KIN AFFIDAVIT In store processed-Notary 0.00 7 Agency amount paid 0.00 Check to state 0 0.00 G Surcharge 0.00 Total Agency Fees 0.00 e4 c Ire 14L C Service Fees Messenger Fee 0.00 Notary/Clerical Fee 5.00 Copy/Fax Fee 0.00 I/We swear that I/we have applied for the above item(s). Other Fee 0.00 I Payment Type CASH Total Service Fee 5.00 Surcharge 0.00 Sworn and subscribed to before me on 09-Mar-2015. Total Surcharge 0.00 Total Amount Due 5.00 Amount Tendered 20.00 Change Due 15.00 No Refunds on Service or Notary fees.We are not responsible for the work the State fails to process. Notary Seal Welcome to Sollenbergers-Carlisle Your Direct Connection with PENNDOT,"Online",State&Service Fees Apply 03/09/2015 11:03 AM Sollenbergers - Carlisle Sollenbergers-Carlisle Record#: 50730 29 Westminster Dr Carlisle,PA 17013 (717)249-8149 For: Date:03/09/2015 JOHN D PERKEY Time: 11:03 AM 328 PINE GROVE RD GARDNERS,PA 17324 Clerks Initials:DAN Vehicle Registration Information Agency Fees 3/9/2015 11:03:56 AM DAN: NEXT OF KIN AFFIDAVIT In store processed-Notary, 0.00 Agency amount paid 0.00 Check to state 0 0.00 Surcharge 0.00 Total Agency Fees 0.00 Service Fees Messenger Fee 0.00 Notary/Clerical Fee 5.00 Copy/Fax Fee 0.00 I/We swear that I/we have applied for the above item(s). Other Fee 0.00 Payment Type CASH Total Service Fee 5.00 Surcharge 0.00 Sworn and subscribed to before me on 09-Mar-2015. Total Surcharge 0.00 Total Amount Due 5.00 Amount Tendered 20.00 Change Due 15.00 No Refunds on Service or Notary fees.We are not responsible for the work the State fails to process. Notary Seal Welcome to Sollenbergers-Carlisle Your Direct Connection with PENNDOT, "Online",State&Service Fees Apply KC -L SERVICE INC. AwOMUGH'S OIL SERVICEINC K' UG'HrS Of P. O. BOX 116 P. O; BOX 116 NEMILLE, PA 17241. NEWVILLE, PA 17241 PHONE.-r.776-3533'or 716-'5685 PHONE: 776-3533 or 776-5685 A20 1047 A1• 9744P DATE DATE T SOLD TO — /i F ct/' kev SOLD TO ADDRESS lir e. eq ADDRESS, 2 6 Rd TERMS: NET 15 DAYS. INTEREST OF 1114% PER MONTH ADDED TO TERMS: NET 15 DAYS. INTEREST OF 1 11A% PER MONTH ADDED TO ALL ACCOUNTS OVER 30 DAYS, OR 15% ANNUALLY. ALL ACCOUNTS OVER 30 DAYS, OR 15% ANNUALLY. PAYMENT ❑PAYMENT Ll CHECK C1 CASH Q THIS DELIVERY C) C.O:6. (j CHARGE RECEIVED Ll CHECK ElCASH (j THIS DELIVERY J C.O.D. L) CHARGE RECEIVED is L) A/C OLD BALANCE aUL L Lj NOT FULL LJ A/C OLD BALANCE 0 FULL C3 NOT FULL THIS INVOICE HAS BEEN ACCURATELY COMPUTED AND AUTOMATICALLY PRINTED a THIS INVOICE HAS BEEN ACCURATELY COMPUTED AND AUTOMATICALLY PRINTED El/NA 1993 Heating Oil(No.2 Fuel Oit) 3,rDye Wing 011,Not for Ji IRNA 1993 Heating Oil(No.2 Fuel Oil) cam Id.3,D e,Vnmar Hea Ig 011,Not for o,d!IUnmarkedML Z=10n. oconnotive or manne engines, use 1b=ghvg non-road,ya In ocomoteed or In e engines. NA 1993 Clear Ultra-low Sulfur Diesel Fuel Combustible Liquid,3.15-porn.sultui q ULW NA 1993 Clear Ultra-low Sulfur Diesel Fuel Combustible Liquid,3,15-Ppm sulfur ULSD. MV2 E12-Soy. WV2 82-Say. O NA 1993 Dyed Ultra-tow Sulfur Diesel Fuel Combustible Liquid.3. 15-ppm sulfur dyed ULSD. p NA 1993 Dyed Ultra-low Sulfur Diesel Fuel Combustible Liquid,3. 15-porn sulfur dyed ULSD. Non-road or tax exempt use only. Non-road or tax exempt use only. ❑ UN 1223 Dyed Low Sulfur Kerosene Combustible Liquid,3.500-pp sulfur LIN 1223 Dyed Low Sulfur Kerosene Combustible LiqlJxdjmpt':-lpP1T1 sulfur dyed LSK. IYI r tax a a anity. In Non-road or tax exempt use on Non-road o REMARKSREMARKS - -, – .1�X--K C CUSTOMER CUSTOMER SIGN HERE �1 —e2 SIGN HERE 7-17 7, �7, Gals. Reading-Start i Gals. Reading-Start Gals. Reading-Finish Gals. Reading-Finish Sales Sequence Number Sales Sequence Number Price per Gallon-Cents' Price per Gallon-Cents Product Cost Product Cost Tax Tax' Total Price Total Price KOUGH'S OIL -SERVICE INC KOUGH"S OIL SERVICE INC, P. O. BOX 116 E P. O. BOX 116 NEMILLE, PA 17241 NEMILLE, PA 17241 PHONE: 776-3533 or 776-5685 PHONE: 776-3533 or- 776-5685 ': 202334. A205804 A DATE DATE SOLD TO 1<'a V SOLD TO ( ADDRESS r1.Q af4a4 fi:A ADDRESS 4-<to ii- TERMS: NET 15 DAYS. INTEREST OF 1 ')A%' P5RM(3NTH ADDED TO TERMS: NET 15 DAYS. INTEREST OF 1 '/A% PER MONTH ADDED TO ALL ACCOUNTS OVER 30 DAYS, OR 15% ANNUALLY. ALL ACCOUNTS OVER 30 DAYS, OR 15% ANNUALLY. PAYMENT [] CHECK L] CASH Q THIS DELIVERY Q C.O.D. Q CHARGE PAYMENT Q CHECK Q CASH Lj THIS DELIVERY Ll C.O.D. Q CHARGE RECEIVED RECEIVED is ❑ A/C OLD BALANCE El FULL ❑ NOT FULL 1ll BALANCE A/C OLD FULL Q NOT FULL THIS INVOICE HAS BEEN ACCURATELY COMPUTED AND AUTOMATICALLY PRINTED THIS INVOICE HAS BEEN ACCURATELY COMPUTED AND AUTOMATICALLY PRINTED Combustibie&d! Dyed Unmarked Heating it. Not for CDM eu id.3,D eddUnmarked Heating 011. Not for QAA 1993 Heating Oil(No.2 Fuel Oil) � ynon-road,.3' y d ke at 0 UAA 1993 Heating Oil(No.2 Fuel Oil) use Mbghwaqyu non-road,locomotive of marine engines. use In hig . locomotive or marine engines. Q NA 1993 Clear Ultra-low Sulfur Diesel Fuel Combustible Liquid,3.15-ppm sulfur ULSD. ❑ NA 1993 Clear Ultra-low Sulfur Diesel Fuel Combustible Liquid,3.15-ppm sulfur ULSD. MV2 132-Soy. MV2 132-Say. Combustible Liquid.3. 15-ppm sulfur dyed ULSD. Co bustible Liquid,3. 15-ppm sulfur dyed ULSD. El NA 1993 Dyed Ultra-low Sulfur Diesel Fuel Nom road or tax exempt use only. NA 1993 Dyed Ultra-low Sulfur Diesel Fuel Non-road or tax exempt use only. Combustible Liquid,3.500-ppm sulfur dyed LSK ❑ LIN 1223 Dyed Low Sulfur Kerosene Combustible Liquid,3. 500-ppm sulfur dyed LSK. Q LIN 1223 Dyed Low Sulfur Kerosene Nom road or tax exempt use only. Mon-road or tax exempt use only. REMARKS 3—c) /-(C'z4'f t # REMARKS % CUSTOMERCUSTOMER SIGN HERE SIGN HERE �15 T I Gals. Reading-Start Gals. Reading-Start Gals. Reading-Finish Gals. Reading-Finish Sales Sequence Number Sales Sequence Number Price per Gallon-Cents Price per Gallon-Cents Product Cost Product Cost E-1 Tax Tax Total Price Total Price Graver's Garage 4622R Carlisle Road, Gardners PA 17324 717-486-3093 Name(s): ern-,_ P�' F't Date: C- n Phone: f Address: ;�' .- u•._� ,•' :;. -u�eTJ Mileage: City: State: C Zip: / ; ? WORK PERFORMED Year/MakeNodel: Front Tires License#: Rear Tires Vin#: Front Brakes QTY. PARTS AMOUNT Rear Brakes 3 .�✓. G r.•.''�f'� r�r! -t, y©i), G c Insurance r, G CHARGES State Inspection '"' $ Sticker $ _ +' J Emissions $ PMF $ Parts $ Labor $ Tires $ Gas/Oil/Grease $ Tax $ TOTAL PARTS AMOUNT D,._JE I hereby authorize Graver's Garage to perform the above work to be done with the necessary materials and grant permission to operate car/truck herein described on streets or highways for the purpose of testing. I understand Graver's Garage is not responsible for loss or damage to vehicles or articles left in car/trucks in case of fire,theft or any other cause beyond our control.A 10%interest charge will be applied to unpaid repairs/services that are not paid within 30 days. Customer Signature Date Gra,yer'o Garage 46228 Carlisle Road, Gardners FA 17324 717-486-3093 Name(s): Date: Phone: Address: Mileage: City: State: Zip:,, WORK PERFORMED Year/Make/Model: Front Tires License#: Rear Tires Vin#: Front Brakes T Y. PARTS ! AMOUNT Rear Brakes Insurance 's , CI-IAIZGES State Inspection $ Sticker $ Emissions $ PMF $ Parts $ Labor $ Tires $ Gas/Oil/Grease $ Tax $ TOTAL PARTS AMOUNT DU I hereby authorize Graver's Garage to perform the above work to be done with the necessary materials and grant permission to operate car/truck herein described on streets or highways for the purpose of testing. I understand Graver's Garage is not responsible for loss or damage to vehicles or articles left in car/trucks in case of fire,theft or any other cause beyond our control.A 10%interest charge will be applied to unpaid repairs/services that are not paid within 30 days. Customer Signature Date Graver's Garage 4622R Carlisle Road, Gardners PA 17324 717-486-3093 y. f Name(s): ,c.r�, �` Date: " Phone: Address: r` '` r L„ Mileage: City: State: 10. Zip: /7,1;. Year/Make/Model: Front Tires License#: Rear Tires Vin#: Front Brakes t ew Rear Brakes , P Insurance ; " 1 State Inspection $ Sticker Emissions $ - A-, r, PMF $ Parts Labor $ Tires $ Gas/Oit/Grease $ Tax $ -r" Mt.- 14" $ $ 3C , : I hereby authorize Graver's Garage to perform the above work to be done with the necessary materials and grant permission to operate car/truck herein described on streets or highways for the purpose of testing. I understand Graver's Garage is not responsible for loss or damage to vehicles or articles left in car/trucks in case of fire,theft or any other cause beyond our control.A 10%interest charge will be applied to unpaid repairs/services that are not paid within 30 days. Customer Signature Date Graver's Garage 4622R Carlisle Road, Gardners PA 17324 717-486-3093 Name(s): �`t e,�W C, Date: to .x , .2 o t 3 ` Phone: Address: -7q �-4� c o-,j Mileage: City: _ > .- Stater Zip:f 7 r{ x•11 ' K P RFORIVIED x '�; Year/Make/Model: Front Tires License#: Rear Tires Vin#: Front Brakes 001 ;TSS + �s .,;T Rear Brakes wyZl IpJM t V)V Insurance � .`.'ti:•I�.•# ".0 �41�i� ki f IS f oa S : s i�. oCksS Al C, UQ State Inspection $ Sticker $ Emissions $ PMF $ Parts $ .�� , Labor $ Tires $ Gas/Oil/Grease $ Tax Is ,j T !A TS - -NIT a._. ....,, $ � � , C// I hereby authorize Graver's Garage to perform the above work to be done with the necessary materials and grant permission to operate car/truck herein described on streets or highways for the purpose of testing. I understand Graver's Garage is not responsible for loss or damage to vehicles or articles left in car/trucks in case of fire,theft or any other cause beyond our control.A 10%interest charge will be applied to unpaid repairs/services that are not paid within 30 days. Customer Signature Date Graver's Garage 4622R Carlisle Road, Gardners PA 17324 7.17-486-3093 Name(s): f' Date: Phone: ! / Address: Mileage: &70 City: v State ' zip:/7 Z u WO � � -i O � D . Year/Make/Model: —� Front Tires License#: Rear Tires Vin#: Front Brakes QTY P T O Rear Brakes Insurance ax C�HARGE:S M l '� State Inspection $ 4 Sticker $ Emissions $ PMF $ Parts $ Ay Z j- Labor $ �{, �• Tires $ Gas/Oil/Grease ,$ Tax Is OT W $ $ l CJS �a I hereby authorize Graver's Garage to perform the above work to be done with the necessary materials and grant permission to operate car/truck herein described on streets or highways for the purpose of testing. I understand Graver's Garage is not responsible for loss or damage to vehicles or articles left in car/trucks in caseof fire,theft or any other cause beyond our control.A 10%interest charge will be applied to unpaid repairs/services that are not paid within tj�ays. Customer Signature Date .�.� .i..,::r..................>r s -i:S•- ..... ^;n..'S: .3:.�L�7tu+.�:�--,t. - ,-^.....�t.�..'+.'... _r_._s.±�.�-�:..i.�i:,w:._ 'u.r....,.iu�+.�.d..:.„....r1ir.,.:.�....�,..[.w..6.:,... Graver's Garage 4622R Carlisle Road, Gardners PA 17324 717-486-3093 Name(s): - ; Date: Phone: Address: 1 vl ., ., ��' .'1' f.• - Mileage: City: i' State: Zip: z J % WORK PERFORMED Year/Make/Model: J �,,�/ A Front Tires - License#: ;r" ;O/J l r Rear Tires Vin#: '_ ' !=�" ;�/ v fJ G r-f - g Front Brakes QTY. PARTS AMOUNT Rear Brakes a f ; c1 Insurance i - 7 00 CHARGES State Inspection,M� _ $ Sticker $ Emissions r e"'�"F` $ :., , j PMF $ Parts $ , Labor _ $ Tires $ Gas/Oil/Grease $ Tax TOTAL PARTS AMOUNT DUE T 7.11 I hereby authorize Graver's Garage to perform the above work to be done with the necessary materials and grant permission to operate car/truck herein described on streets or highways for the purpose of testing. I understand Graver's Garage is not responsible for loss or damage to vehicles or articles left in car/trucks in case of fire,theft or any other cause beyond our control.A 10%interest charge will be applied to unpaid repairs/services that are not paid within 30 days. Customer Signature Date RONALD WOLFE Page: 1 of 3 36 GREEN MOUNTAIN RD Bill Cycle Date: 11/07/14- 12/06/14 at&t GARDNERS, PA 17324-9053 ,, Account: 464087023421 Visit us online at: www.att.com Wireless Statement i ` ' f Previous Balance $49.56 I let 1 Add a UIXI Payment - 11/29 - Thank You! $49.56CR I i to your Mob1*1e Share Value.." 1 Adjustments 50.00 serlficepfai7 for ^7D/mo. Balance $0:00 I Call£ :; ,.zi')9.01'.il:, Visit,a". c;r1; ,;;;c,:3� Go tcir,A l-, New Charges. 549.34 Pricing is for wireless service only.Reqs Mobile Share Valueµ'plan charge(min$30/mo.) 1 &per tablet access charge($10/mo.).Up to ten devices.Add'I monthly charges for extra Amount to be Debited $49.34 data and devices.Does not include device purchase costs.Other pricing options:charges &restrictions apply. Your Bank Account.will be Debited-by, : Dec 30:20.14 ■ 717 2LD 0172 RONALD WOLFE Service Summary Nation 450 with Rollover- Includes 450 Anytime Minutes Service Page` Total with Rollover, Nationwide Long Distance & Roaming, Unlimited Wireless $49.34 Mobile to Mobile calling to/from other AT&T Mobiles, 5,000 Night(9pm-6am) & Weekend Minutes, Call Forward Feature, 717 226-0172 $49.34 1 Caller ID, Call Wait, Conference Call Feature, Mobile Purchases & Downloads Detail, Basic Voice Mail Feature, Total'New Charges $49.34 (Additional Minutes $0.45 each). - International Long Distance-Standard - Includes international long distance from the U.S.to over 220 countries at standard, pay-per-use international rates. See rates at www.att.com/global. Data Pay Per Use- Includes $2 per megabyte for domestic data usage. Pay Per Use Picture/Video Messaging - Includes $0.30 each domestic picture or video message. *'' Pay Per Use Text/instant Messaging - Includes $0.20 each domestic text or instant message. How to Contact Us: Monthly Charges - Dec 7 thru Jan 6 For questions about our account: 1 800 331--0500 1. Nation 450 with Rollover 39.99 G your =�+ 2. International Long Distance -Standard 0.00 or 611 from your cell phone' For.Deaf/Hard of hearing TTY: 1 866 241-:6567 3. Data Pay Per Use 0.00 Visit us online at www.att.com 4. Pay Per Use Picture/Video Messaging 0.00 For Important Information about your bill, please see the News You Can Use section (Page 2). Wireless Services provided by AT&T Mobility,LLC. Printed on Fttyclablc Pape- I � Century. nk Account Number: 313229614 Page: 1 of 6 Bill Date: Jan.04,2015 a Hello, RONALD C WOL.FE Monthly Account Summary Previous Balance 151.32 Payments Received .00 Balance Forward 151.32 Current Charges(see below) 157.97 Total Amount Due , $309.29 4A. t - Payment Due B Feb.02,2015 �'��•��`��`��•��ca--r�,y�'t��`,��.�; y y eh)*sO, The Due Date On This Bill Applies To Current Charges Only B ryk*Kf: ti Current Charges Summary Packages 59.90 0 a Package Discounts -10.00 M Broadband .09 - °' Voice 8.36- Entertainment 85.14. 0) co Late Payment Charge6.57 `' Cn A 0 co Taxes, Fees,and Surcharges 7.01 0 ©. r� Total Current Charges ( - $157.97 3� Online security dkL'j comes easy with `� Centur Link Ease." "d" 4�� ,,•r,r ,a�,,Genturyt.ink• Need Anything? Call us: Product,Services and Billing 1-500-201-4099 Repair Service 1-800-758-3600 Visit us: centurylink.corn CenturyLinke Account Number: 313229614 Page: 1 1o 4 Bill Date: Mar.04,2015 Hello, RONALD NALD C WOLFE Monthly Account Summary Previous Balance 6.57 Payments Received .00 r Balance Forward 6.57 { Current Charges(see below) 24.05 Get your brp delivered electronically. Total Amount Due $30.62 . 1 _,,r, � C-,�� _ I Payment Due By Mar.30,2015 The Due Date On This Bill Applies To Current Charges Only Current Charges Summary _ ] Packages 29.95 Package Discounts -10.00 N co Voice 1.07 Late Payment Charge •O$ E D RISING RATNr Ln Taxes, Fees,and Surcharges 2•95Get High-Speed Internet and Unlimited Nationvuico Calling at a price that won't change for 5 Meat's. LO Total Current Charges $24 0 F5years. 1 price. 0 contract. Call 888.258.0362 Need Anything? Call us: Product,Services and Billing 1-800-201-4099 Repair Service 1-800-788-3600 Visit us: centurylink.com "rc_A. UCDC AKin 097,T1 117"rale o^--.. ...,.._.. ��... _ oO V� Centu ryLi n ke Account Number: 313229614 Page: 1 •of 6 Bill Date: Feb.04,2015 Hello, RONALD C WOLFS Monthly Account Summary Previous Balance 309.29 Payment Received-Jan.25,2015 -309.29 Adjustments(details on page 3) -2.56 Balance Forward -2.56 Current Charges(see below) 9.13 Get your bill delivered electronically. f bpi ,S!rs,-Apx Total Amount Due 441 fj*so Payment Due By JS l.�1 1rtcW�%�yx11 iA�ikr�'•in.�••S'. '.LLn�i3a� The Due Date On This Bill Applies To Current Charges Only ` Current Charges Summary ` _ o 0 Packages 23.95 0 Package Discounts -14.33 N ® Voice -1.51 0 0 co Taxes, Fees,and Surcharges 1.02 END RISING RATcoE Get High-Speed Internet and Unlimited Nation Total Current Charges $9.13 Calling at a price that won't change for 5 yeari;�^ 0 o N E5 years. 1 price. 0 contract. Call 888.258.0362 Need Anything? Cali us: Product,Services and Billing 1-800-201-4099 Repair Service 1-800-788-3600 Visit us: centurylink.com PAGE 1 OF:C> Account#: 71516064 Statement Date: 12/20/14 Statement for: RONALD C WOLFE Billing Period: 12/15/14 to 12/19/14 36 GREEN MOUNTAIN RD SORRY TO LOSE YOU AS A CUSTOMER GARDNERS, PA 17324-9053 WHAT IS MY ACCOUNT 6VE WHAT DO I OWE AND WHEN? kv 1 Previous Balance $85,14 Payments Received Since Last Bill 0.00 1 TOTAL DUE: Balance 85.14 j New Charges: I Activity Since Last Bili -102.25 Other Charges,Adjustments&Taxes 60.19 , Q$ -4 Please Pay Total New Charles -42.06 Upon Receipt TOTAL AMOUNT DUE $43.08 Please note: Your credit or debit card on file will be charged I automatically if not paid in 15 days. WHAT 11 I NEEDTOXNOW?� • Your credit/debit card on file will be automatically charged if This account is no longer active the account balance has not been paid in full in 15 days. I n • You will receive an Equipment Return Kit in the next few �f l days. �a`I�� • If you cancelled service prior to the end of your agreement,a. Y prorated Early Cancellation Fee will be shown on this bill. For additional information,see page 2. I's easy to pay online at By mail—send Call us at 1.800.531..5000 By mobile,text PAY to 21880 HOW DO I PAY? directv.com/blilpay remittance below and say,"Pay my bill" Text msgrates may apply Transaction fee may apply PLtAJt Ut IAGH ANU Ht 1 UNN IUP PUHIIUN WITH YOUR PAYMENT STATEMENT 'IDENTIFICATION CODE:LAST THREE DIGITS ON BACK OF MC.DISCOVER,AND VISA DATE DESCRIPTION OF SERVICE TAMOUNT INS.BAL PAT.BAL. LINE ITEM BAL 10/22/14 ENCOUNTER 946904 FOR RONALD WITH BERG, MD, CHRISTOPHER J 10/22/14 93010-Electrocardiogram report $38.00 $8.45 12%18/14 Advantra Freedom Payment $0.00 12/18/14 Advantra Freedom Adjustment -$29.55 ENCOUNTER TOTAL $8.45 . $0.00 $8.45 $8.45 Balance is your responsibility. Please notify us of insurance changes promptly.Thank you. 9v e5i� f CURRENT 30-60-DAYS 60-90 DAYS 90-120 DAYS OVER 120 DAYS TOTAL ACCOUNT BALANCE DUE,'FROM°PATIENT f $8.45 $0.00 $0.00 $0.00 $0:00 $8.45 ' ,� w 143W. z� -N ASLAND ASSOCIATES INC • •220 WILSON STREET SUITE 109 CARLISLE,PA 17013 ; r Me Ed Bill Based On: Actual Meter Reading,Prorated Page 1 of 2 ---� Biu December 05, 2014 M63 a��erca,�,• �a Billing Period:Oct 31 to Dec 02,2014 for 33 days Account Number: 100 0 1 3 2 605 Bill For: RONALD C WOLFE !�t}1bt�Ylt due ;. 36 GREEN MOUNTAIN RD " "- GARDNERS PA 17324 Due Date: December 26, 2014 To report an emergency or an outage,call 24 hours a day 1-888-544-4877. For Customer Service,call 1-800545-7741. For Payment Options,call 1-800-962-4848. Pay your bill online at www.firstenergyoorp.com Bill issued by:Met-Ed,PO Box 16001,Reading PA 19612.6001 _:.... r}..:.._F_.Me6wo __:.,:_;,_ r: ..- _-..:. __: -.. _.:::._Account-Summa:_:. :_._:..__ _...--_:....Amourit.i'<i e To avoid a 1.50% Late Payment Charge being added to your bill, Previous Balance 104.01 please pay the Amount Due by the Due Date. Payments/Adjustments -104.01 Your current PRICE TO COMPARE for generation and transmission Balance at Billing on Dec 05,2014 0.00 from Met-Ed is listed below. For you to save,a supplier's price must Met-Ed -Consumption 24.09 be lower. Pennsylvania Gas&Electric 44.94 Standard Residential-0002111750-7.32 cents per KWH Late Payment Charges 0.51 Your next meter reading is scheduled to be estimated. If you Total Current Charges 69.54 would like to provide us with an actual reading,please do so between Amount Due by Dec 26,2014 $69.54 Dec 30, 2014 and the close of business on Jan 01,2015. See the back of this bill for more information. `'-_U. ii lilfotiitati0rrfoi Meter.:Niusber W78665261 F Dec 02,2014 KWH Reading(Actual) 45,403 You, bill includes $1.77 in PA taxes, of which $1.42 is PA gross Oct 31,2014 KWH Reading(Estimate) 45,004 receipts tax. KWH used 399 Generation prices and charges are set by the electric generation _._.� , _ .0 Ar--W., supplier you have chosen.The Public Utilities Commission regulates When contacting an Electric Generation Supplier,please provide the following. distribution prices and services. The Federal Energy Regulatory Customer Number:0801369887 0002111750 Commission regulates transmission prices and services. Rate:Standard Residential ME-RSD Effective December 1,2014,the Non-Utility Generation Charge,which Customer Charge 10.51 recovers costs associated with purchase power contracts with Distribution 399 KWH x 0.029098 11.61 non-utility generation has been adjusted. Solar Requirements Charge 399 KWH x 0.000140 0.06 We are warning customers about a scam Involving a telephone Default Service Support Charge 399 KWH - x 0.003810 1.52 caller posing as an electric company employee threatening to Non-Utility Generation Charge 25 KWH x 0.000940 0.02 374 KWH x 0.001180 0.44 shut off power unless an immediate payment is made using a 0.07 pre-paid debit card such as a Green Dot card. State Tax Surcharge Current Consumption Bill Charges 24.09 Although we may phone customers to remind them that'a Late payment charge 0.51 payment is past due,we would explain how a payment can be Total Charges $24.60 made using one of our many payment options. If you receive a s ._rr_,__.- it in rm ortfo7=#�enns vaniaGasB. calf demanding immediate payment using a specific option, Lmglestown Road #113 Harrisburg PA 1 112 please contact us at 1400-545.7741. For more information,visit Customer Service:1-866-706-7361 www.firstenergycorp.comipaymentoptions. Account Number: 379937-378203 Rate: BILL-READY Customers receiving Default Service have a new Price to Compare Billing Period:Oct 31,2014 to Dec 02,2014 (PTC), effective December 1, 2014. Please review the PTC Generation&Transmission 399 Kwh @$0.1126 44.94 information shown on page 1 of your bill. You can save money by .Total Pennsylvania Gas&Electric Current Changes 44._9.4 switching to an electric generation supplier that offers a lower price MMM 13eiailt?a^ Snd_ simentinfgratton.__::. :" than your PTC. 12/02/14 Pa ment 104.01 Effective January 1, 2015, Met-Ed customers having a new electric - - c n# -a ces Co a meter installed after this date will receive smart meters, which are Previous Payments/ Curren: Amount mandated by PA Act 129. While these meters will accurately record Balance Adjustments Charges Due your usage,they will not have all the features and benefits of a smart Met-Ed 33.92 -33.92 24.60 24.60 meter enabled until we install the supporting technology in your area. Pennsylvania Gas&Electric 70.09 -70.09 44.94 44.94 For more information,please visit firstenergycorp.cwm/PAsmartmeter. Total 104.01 -104.01 69.54 69.54 Best wishes for a joyous holiday season from all of us at Met-Ed. Additional messages,If any,can be found on back. 10 0.1s_..__. _ _..___-. _ ..__.. _.._...__.: 800 INN 600 400 200 D 0 J F M A M J J A S, O N D A-Actual E-Estimate C-Customer Comparisons Last Year This Year Average Daily Use(KWH) 18 12 Average Daily Temperature 40 41 Days in Billing Period 31 33 Last 12 Months Use(KWH) 7,365 Average Monthly Use(KWH) 614 j Eid Bill Based Or.: Actual Meter Reading,Prorated Page 1 of 2 -"'""ter► Bill December 05, 2014 M63 AFist6trrgyC�ry ' -- Account Number 100 021 322 621 Billin§-Rriod:Oct 31 to Dec 02,2014 for 33 days Bill For: RONALD C WOLFE Am4ntlUe 36 GREEN MOUNTAIN RD GARDNERS PA 17324 Due Date: December 26, 2014 __._?....x.........._.._7-s�..............a'..,"___.._.�..�..,,..,......._._...,,._..___.....,.........._xa...N...._.._.... - =:Gt"'.ii:=:�_., k...i.. To report 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 Bill Issued by:Met-Ed,PO Box 16001,Reading PA 19612.6001 .__.-_.-: _ .. Him fit. To avoid a 1.50% Late Payment Charge being added to your bill, Previous Balance 10.75 please pay the Amount Due by the Due Date. Payments/Adjustments -10.75 Your current PRICE TO COMPARE for generation and transmission Balance at Billing on Dec 05,2014 0.00 from Met-Ed is listed below. For you to save,a supplier's price must Met-Ed -Consumption 11.85 be lower. Pennsylvania Gas&Electric 4.50 Standard Residential-0002111751-7.30 cents per KWH Late Payment Charges 0.16 Your next meter reading is scheduled to be estimated. If you Total Current Charges 16.51 would like to provide us with an actual reading,please do so between Amount Due by Dec 26 2014 $16,51 Dec 30, 2014 and the close of business on Jan 01,2015. See the lea g ilil ;jiltation.feNletei NitrrtE�ae2i778 back of this bill for more information. ,{ Dec 02,2014 KWH Reading(Actual) 925 Your bili includes'$0.87 in PA taxes, of which $0.70 is PA gross Oct 31,20114 KWH Reading(Estimate) 885 receipts tax. KWH used 40 Generation prices and charges are set by the electric generation ,f.".^ ;._. _ _.G arFirfttl9 At`. d i ..:. n,i, :. supplier you have chosen. The Public Utilities Commission regulates When contacting an Electric Generation Supplier,please provide the following. distribution prices and services.. The Federal Energy Regulatory Customer Number:0801369887 0002111751 Commission regulates transmission prices and services. Rate:Standard Residential ME-RSD Effective December 1,2014,the Non-Utility Generation Charge,which Customer Charge 10.51 recovers costs associated with purchase power contracts with Distribution 40 KWH x 0.029250 1.17 non-utility generation has been adjusted. Solar Requirements Charge 40 KWH x 0.000140 0.01 We are warning customers about a scam Involving a telephone Default Service Support Charge 40 KWH x 0.003810 0.15 caller posing as an electric company employee threatening to Non-Utility Generation Charge 37 KWH x 0.001180 0.04 State Tax Surcharge -0.03 shut off power unless an immediate payment is made using a pre-paid debit card such as a Green Dot card. Current Consumption Bili Charges 11.135 Late payment charge 0.18 Although we may phone customers to remind them that:a.. Total Charges $12.01 payment Is past due,we would explain how a payment can be l iln otnsatlon for.=till made using one of our many payment options. If you receive a Linglestown Road,#113,Harrisburg,PA 11112 call demanding Immediate payment using a specific option, Customer Service:1-866-706-7361 please contact us at 1-800-545-7741. For more information,visit Account Number: 379915-378203 Rate: BILL-READY www.firstenergycorp.com/paymentoptions. Billing Period:Oct 31,2014 to Dec 02,2014 Customers receiving Default Service have a new Price to Compare Generation&Transmission 40 Kwh @$0.1126 4.50 (PTC), effective December 1, 2014. Please review the PTC ^Total Pennsylvania Gas&Electric Current Charges 4.50 information shown on page 1 of your bill. You can save money by -.. €-- Delaii : and;A: tf�IltInfDtibdlibll switching to an electric generation supplier that offers a lower price 12/02/14 Payment -10.75 than your PTC. m, _ �11R'!NLJ Effective January 1, 2015, Met-Ed customers having a new electric Previous Paymentsf Current Amount meter installed after this date will receive smart meters, which are Balance Adjustments Charges Due mandated by PA Act 129. While these meters will accurately record Met-Ed 10.55 -10.55 12.01 12.01 your usage,they will not have all the features and benefits of a smart Pennsylvania Gas&Electric 0.20 -0.20 4.50 4.50 meter enabled until we install the supporting technology in your area. Total 10.75 -10.75 16.51 16.51 For more information,please visit firstenergycorp.com/PAsmartmeter. Best wishes for a joyous holiday season from all of us at Met-Ed. Additional messages If any,can be found on back 100 �0 60 40 20 0 . E A E A E D J F M A M J J A S 0 N D A-Actual E-Estimate C-Customer Comparisons Last Year This Year Average Daily Use(KWH) 1 1 Average Daily Temperature 40 41 Days in Billing Period 31 33 Last 12 Months Use(KWH) 268 Average Monthly Use(KWH) 22 r Met-Ed Bill Based On: Actual Meter Reading,Prorated Page 1 of 2 Bili December O5, 2014 M63 Billing Period:Oct 31 to Dec 02,2014 for 33 days Account Number 100 080 853 714 Bill For: RONALD C WOLFE Am0111t -1 112 30 GREEN MOUNTAIN RD == ERR GARDNERS PA 17324 Due Date: December 26, 2014 To report an 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 Bili issued by:Met-Ed,PO Box 16001,Reading PA 19612-6001 _. =Nessa es::- __ fict ouritiimma -- AmountEe To avoid a 1.50% Late Payment Charge being added to your bill, Previous Balance -0.81 please pay the Amount Due by the Due Date. Payments/Adjustments 0.00 Your current PRICE TO COMPARE for generation and transmission Balance at Billing on Dec 05,2014 -0.81 from Met-Ed is listed below. For you to save,a supplier's price must Met-Ed -Consumption 13.41 be lower. Pennsylvania Gas&Electric 7.22 Standard Residential-0006536421-7.33 cents per KWH Total Current Charges 20.63 Your next meter reading is scheduled to be estimated. If you Amount Due by Dec 26 2014 $19.82 would like to provide us with an actual reading,please do so between - Dec 30, 2014 and the close of business on Jan 01,2015. See the - MHOR -` U " iformationfirf�Aetei NumbA2d4I428f _....:.__.: back of this bill for more information. Dec 02 2014 KWH Reading(Actual) 378 Oct 31,2014 KWH Reading(Estimate) 314 Your bill includes $0.93 in PA taxes, of which $0.75 is PA gross KWH used 64 receiptstax. _..._._.....::__::_.::.-.-C :-,:;::;:..::;:=:�4-;-=:.-:i:-itt----��::::...-.Z=::'I...::. _ =::::::_ _::_:__:::_::� Char FrorftMt-Ed;::=_:,:;:;:: ::::-;_:__--,:::__._-__.__ Generation prices and charges are set by the electric generation When contacting an Electric Generation Supplier,please provide the following. supplier you have chosen. The Public Utilities Commission regulates Customer Number:0801369887 0006536421 distribution prices and services. The Federal Energy Regulatory Rate:Standard Residential ME-RSD Commission regulates transmission prices and services. Customer Charge 10.51 Effective December 1,2014,the Non-Utility Generation Charge,which Distribution 64 KWH x 0.029063 1.86 recovers costs associated with purchase power contracts with Solar Requirements Charge 64 KWH x 0.000140 0.01 non-utility generation has been adjusted. Default Service Support Charge 64 KWH x 0.003810 0.24 We are warning customers about a scam involving a telephone Non-Utility Generation Charge 60 KWH x 0.001180 0.07 caller posing as an electric company employee threatening to State Tax Surcharge -0.04 shut off power unless an immediate payment Is made using a State Sales Tax P g 0.76 pre-paid debit card such as a Green Dot card. Current Consumption Bill Charges 13.41 ��;-�;;t_n_= -=-;B.illrn :if►fofinefiatr#o1:Pent►s`Ivani�{3as8�Ele`ctef�..::---:_ �_.:.._: Although we may phone customers to remind them that a 4075 Linglestown Road,#113,Harrisburg,PA 17112 payment is past due,we would explain how a payment can be Customer Service:1-866-706-7361 made using one of our many payment options. If you receive a Account Number: 379911-378203 Rate: BILL-READY call demanding immediate payment using a specific option, Billing Period:Oct 31,2014 to Dec 02,2014 please contact us at 1-800-545-7741. For more information,visit Generation&Transmission 64 Kwh @$0.1129 7.22 www.firstenergycorp.com/paymentoptions. Total Pennsylvania Gas&Electric Current Charges 7.22 Customers receiving Default Service have a new Price to Compare _.....- (PTC), effective December 1, 2014. Please review the PTC Previous Payments/ Current Amount information shown on page 1 of your bill. You can save money by Balance Adjustments Charges Due switching to an electric generation supplier that offers a lower price Met-Ed -1.12 0.00 13.41 12.29 than your PTC. Pennsylvania Gas&Electric 0.31 0.00 7.22 7.53 Effective January 1, 2015, Met-Ed customers having a new electric Total -0.81 0.00 20.63 19.82 meter installed after this date will receive smart meters, which are mandated by PA Act 129. While these meters will accurately record your usage,they will not have all the features and benefits of a smart meter enabled until we install the supporting technology in your area. For more information,please visit firstenergycorp.com/PAsmartmeter. Best wishes for a joyous holiday season from all of us at Met-Ed. Additional messages If any,can be found on back 70 60 EN 50 40 30 Es 20 10 A E • 0 D J F M A M J J A S 0 N D A-Actual E-Estimate C-Customer Comparisons Last Year This Year Average Daily Use(KWH) 0 2 Average Daily Temperature 40 41 Days in Billing Period 31 33 Last 12 Months Use(KWH) 157 Average Monthly Use(KWH) 13 Alet E Bill Based On: Estimated Meter Reading Page 1 of 2 ---"AFrsl6sgCamenY% January 07, 2015 M63 v . Biding Period:Dec 03 to Dec 31,2014 for 29 days Acco11 unt Number 100 080 853 714 Bill For: RONALD C WOLFS11E3Lintlt@ . 17. , 30 GREEN MOUNTAIN RD GARDNERS PA 17324 Due Date: January 27, 2015 To report 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 Bill issued by:Met-Ed,PO Box 16001,Reading PA 19612-6001 M " To avoid a 1.50% Late Payment Charge being added to your bill, Previous Balance 19.82 please pay the Amount Due by the Due Date. Payments/Adjustments -19.82 Your current PRICE TO COMPARE for generation and transmission Balance at Billing on Jan 07,2015 0.00 from Met-Ed is listed below. For you to save,a supplier's price must Met-Ed -Consumption 12.35 be lower. Pennsylvania Gas&Electric 2.92 Standard Residential-0006536421-6.97 cents per KWH Total Current Charges 15.27 Your next meter reading is scheduled to occur on or about Amount Due by Jan 27,2015 $15.27 Jan 30,2015. =. Usa Hiformation foe Meter NutnberA2t474281 Your bill includes $0.86 in PA taxes, of which $0.69 is PA gross Dec 31,2014 KWH Reading(Estimate) 413 receipts tax. Dec 03,2014 KWH Reading(Actual) 378 Generation prices and charges are set by the electric generation KWH used 35 supplier you have chosen. The Public Utilities Commission regulates CharsF '@At- Etl 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:0801369887 0006536421 Avoid the seasonal highs and lows in your electric bills by signing up Rate: Standard Residential ME-RSD for the Equal Payment Plan(EPP). While in this plan,each month you Customer Charge 10.51 are billed one-twelfth of your estimated annual usage.Your account is Distribution 35 KWH x 0.028857 1.01 reviewed periodically and adjusted, if necessary, to ensure your Default Service Support Charge 35 KWH x 0.003810 0.13 payment amount reflects your actual usage. To participate in EPP, Non-Utility Generation Charge 35 KWH x 0.000940 0.03 call our toll-free Customer Service Number, or go online to State Tax Surcharge -0.03 www.firstenergycorp.com. State Sales Tax 0.70 The Smart Meter Technology charge, which is included in the Current Consumption Bill Charges 112.35 Customer Charge on your bill,has changed effective January 1,2015. For more information,please visit www.firstenergycorp.com/PaTariffs. _ .. .. ;Bllllh irtf�rlltzrtlon fttlP0111118 IVAT118�3as1i IRtI 4075 Linglestown Road #113 Harrisburg PA 17112 Customer Service:1-866-706-7361 Account Number: 379911-378203 Rate: BILL-READY Billing Period: Dec 03,2014 to Dec 31,2014 Generation&Transmission 35 Kwh @$0.0835 2.92 Total Pennsylvania Gas&Electric Current Charges $2.92 DWIIII?a`meritand Ad uet ietttlnf, i%; an :. : 12/31/14 Payment -19.82 Account t3alainces b._from an.:;-_ Previous Payments/ Current Amount Balance Adjustments Charges Due Met-Ed 12.60 -12.60 12.35 12.35 Pennsylvania Gas&Electric 7.22 -7.22 2.92 2.92 Total 19.82 -19.82 15.27 15.27 Additional messages,if any,can be found on back. e'Histc 70 ��- 60 L` ' 50 40 ` - 30 20 10 l A E 0 J F M A M J J A S O N D J P,Actual E-Estimate C-Customer Comparisons Last Year This Year Average Daily Use(KWH). 0 1 Average Daily Temperature 34 37 Days in Billing Period 31 29 Last 12 Months Use(KWH) 180 Average Monthly Use(KWH) 15 MetF-Ad Bill Based On: Estimated Meter Reading Page 1 of 2 AFiV January 07, 2015 M63 Account Number Billing Period: Dec 03 to Dec 31,2014 for 29 days 100 021 322 621 Bill For: RONALD C WOLFE Allis€unt (#e $1. $4 36 GREEN MOUNTAIN RD GARDNERS PA 17324 Due Date: January 27, 2015 To report 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 Bill issued by:Met-Ed,PO Box 16001,Reading PA 19612-6001 -Nessa s. ACCONtSumma Amount<I To'avoid a 1.50% Late Payment Charge being added to your bill, Previous Balance 16.51 please pay the Amount Due by the Due Date. Payments/Adjustments -16.51 Your current PRICE TO COMPARE for generation and transmission Balance at Billing on Jan 07,2015 0.00 from Met-Ed is listed below. For you to save,a supplier's price must Met-Ed -Consumption 12.31 be lower. Pennsylvania Gas&Electric 4.53 Standard Residential-0602111751-6.98 cents per KWH Total Current Charges 16.84 Your next meter reading is scheduled to occur on or about Amount Due by Jan 27,2015 $16.84 Jan 30,2015. _. . Usa a Infonnatron for Meter Ni{tnhet 5287778 Your bill includes $0.90 in PA taxes, of which $0.73 is PA gross Dec 31,2014 KWH Reading(Estimate) 979 receipts tax. Dec 03,2014 KWH Reading(Actual) 925 Generation prices and charges are set by the electric generation KWH used 54 supplier you have chosen.The Public Utilities Commission regulates Cham Fro :fAetEd 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:0801369887 0002111751 Avoid the seasonal highs and lows in your electric bills by signing up Rate: Standard Residential ME-RSD for the Equal Payment Plan(EPP). While in this plan,each month you Customer Charge 10.51 are bitted one-twelfth of your estimated annual usage.Your account is Distribution 54 KWH x 0.029074 1.57 reviewed periodically and.adjusted, if necessary, to ensure your Solar Requirements Charge 54 KWH x 0.000140 0.01 payment amount reflects your actual usage. To participate in EPP, Default Service Support Charge 54 KWH x 0.003810 0.21 call our toll-free Customer Service Number, or go online to Non-Utility Generation Charge 54 KWH x 0.000940 0.05 www.firstenergycorp.com. State Tax Surcharge -0.04 The Smart Meter Technology charge, which is included in the Current Consumption Bill Charges 12.31 Customer Charge on your bill,has changed effective January 1,2015. iiIiHIII.-I -15. For more information,please visit www.firstenergycorp.com/PaTariffs. Billln TtifelntaNsh1564 KuNU19.tt tle '8*E{eG1 10; 4075 Lmglestown Road,#113,Harrisburg,PA 17112 Customer Service:1-866-706-7361 Account Number: 379915-378203 Rate: BILL-READY Billing Period: Dec 03,2014 to Dec 31,2014 Generation&Transmission 54 Kwh @$0.0838 4.53 Total Pennsylvania Gas&Electric Current Charges $4.53 Detad Ps"mtaiidAd isentinfotnation 12/31/14 Payment -16.51 al4ourtt= Previous Payments/ Current Amount Balance Adjustments Charges Due Met-Ed 12.01 -12.01 12.31 12.31 Pennsylvania Gas&Electric 4.50 450 4.53 4.53 Total 16.51 -16.51 16.84 16.84 Additional messages,if any,can be found on back. -fid. e_HW*._ Pc 'sso M IN l/ ©l 60 40 �/ .. 20 0 E A E A. E J. F M A M J J. A S O N D J A-Actual E-Estimate C-Customer Comparisons Last Year This Year Average Daily Use(KWH) 1 2 Average Daily Temperature 34 37 Days.in Billing Period 31 29 Last 12 Months Use(KWH) 304 Average Monthly Use(KWH) 25 Met Ed Bill Based On: Estimated Meter Reading Page 1 of 2 A.__7__---7-_--% January 07,2015 M63 Account Number: 100 021 322 605 eriod: Dec 03 to Dec 31,2014 for 29 days Bill For: RONALD C WOLFSmlunt 36 GREEN MOUNTAIN RD - GARDNERS PA 17324 Due Date: January 27, 2015 To report 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 Bill issued by:Met-Ed,PO Box 16001,Reading PA 19612-6001 AscouJ0 3ui rma: Affiw Sue To avoid a 1.50% Late Payment Charge being added to your bili, Previous Balance 69.54 please pay the Amount Due by the Due Date. Payments/Adjustments -69.54 Your current PRICE TO COMPARE for generation and transmission Balance at Billing on Jan 07,2015 0.00 from Met-Ed is listed below. For you to save,a supplier's price must Met-Ed -Consumption 34.14 be lower. Pennsylvania Gas&Electric 58.52 Standard Residential-0002111750-6.99 cents per KWH Total Current Charges 92.66 Your next meter reading is scheduled to occur on or about Amount Due by Jan 27,2015 $92.66 Jan 30,2015. _... ltsa a Inforti;ytaon for='Meter Nur W78865261 Your bill includes $2.51 in PA taxes, of which $2.01 is PA gross Dec 31,2014 KWH Reading(Estimate) 46,101 receipts tax. Dec 03,2014 KWH Reading(Actual) 45,403 Generation prices and charges are set by the electric generation K"vVH used 698 supplier you have chosen. The Public Utilities Commission regulates Ghar FrbM MOtd . . distribution prices and services. The Federal Energy Regulatory When contacting an Electric Generation Supplier,please provide the following. Commission regulates transmission prices and services. Customer Number:0801369887 0002111750 Avoid the seasonal highs and lows in your electric bills by signing up Rate: Standard Residential ME-RSD for the Equal Payment Plan(EPP), While in this plan,each month you Customer Charge 10.51 are billed one-twelfth of your estimated annual usage.Your account is Distribution 698 KWH x 0.029097 2031 reviewed periodically and adjusted, if necessary, to ensure your Solar Requirements Charge 698 KWH x 0.000140 0.10 payment amount reflects your actual usage. To participate in EPP, Default Service Support Charge 698 KWH x 0.003810 2.66 call our toll-free Customer Service Number, or go online to www.firstenergycorp.com. Non-Utility Generation Charge 698 KWH x 0.000940 0.66 The Smart Meter Technology charge, which is included in the State Tax r 0.10 Customer Charge on your bill,has changed effective January 1,2015. Current Consunsum pti#ian Bill Charg es 3414 For more information,please visit www.firstenergycorp.comlPa7ariffs. BIIIIn 1010,matlo» C Op.$ vat►la. 'VE!4075 Linglestown Road #113,Harrisburg,PA 17112 Customer Service:1-866-706-7361 Account Number: 379937-378203 Rate: BILL-READY Billing Period: Dec 03,2014 to Dec 31,2014 Generation&Transmission 698 Kwh @$0.0838 58.52 Total Pennsylvania Gas&Electric Current Charges $59.52 Dt#all.Phi'ffiW atid:Ad' strrt t lh f'ti t uabo 12!31!14 Pa meet -69.54 ccflu afat>ce an Previous Payments! Current Amount Balance Adjustments Charges Due Met-Ed 24.60 -24.60 34.14 34.14 Pennsylvania Gas&Electric 44.94 -44.94 58.52 58.52 Total 69.54 -69.54 92.66 92.66 Additional messages,if any,can be found on back. ... MIN 0 a Huta: . . 800 600 400 a 200 0 J F M A M J 3 A 5 0 N D J EAActual E-Estimate C-Customer Comparisons Last Year This Year Average Daily Use(KWH) 19 24 Average Daily Temperature 34 37 Days in Billing Period 31 29 Last 12 Months Use(KWH) 7,466 Average Monthly Use(KWH) 622 Met-Ed Bill Based On: Estimated Meter Reading, Page 1 of 2 A,,� Prorated Biii March 09, 2015 M63 Billing Period:Jan 30 to Mar 03,2015 for 33 days Account Number 100 080 853 714 Bill For: RONALD C WOLFS Ami Qt�} f-' , � �� _, t 30 GREEN MOUNTAIN RD _ GARDNERS PA 17324 Due Date: March 30, 2015 To report 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,cal! 1-800-962-4848. Pay your bill online at www.firstenergycorp.com Bill issued by:Met-Ed,PO Box 16001,Reading PA 19612-0001. _ �.__ _ _..: ,, _._:.:.._=IIIIeSsa eS. i''".•_..,_P >w-_. _ ..._ '�.:2, H.R.-Iffimmi H7tctxrunt'Snmma r a-.. tn63irlt-DitB� To avoid a 1.501% Late Payment Charge being added to your bill, Previous Balance 11.58 please pay the Amount Due by the Due Date. Payments/Adjustments -11.58 Your current PRICE TO COMPARE for generation and transmission Balance at Billing on Mar 09,2015 0.00 from Met-Ed is listed below. For you to save,a supplier=s price must Met-Ed -Consumption 10.85 be lower. Pennsylvania Gas&Electric 1.78 Standard Residential.0006536421-7.17 cents per KWH Total Current Charges 12.63 Your next meter reading is scheduled to occur on or about . Amount Due by Mar 30,2015 $12.63 Apr 02,2015. Ufa rmatrow,for lfiete'Nuibe# 2447d28t r .._ Your bill includes $0.75 in PA taxes, of which $0.60 is PA gross Mar 03,2015 KWH Reading(Estimate) 433 receipts tax. Jan 30,2015 KWH Reading(Actual) 421 Generation prices and charges are set by the electric generation KWH used 12 supplier you have chosen. The Public Utilities Commission regulateseS�Ft�td'►;NIet-Et4_:.=�==_a�'?�_-"_-_-�:= 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:0801369887 0006536421 The Earned Income Tax Credit (EITC) is a tax credit for certain Rate: Standard Residential ME-RSD lower-income families and individuals. For information and to Customer Charge 9.84 determine if you qualify, simply dial 1-800.829-1040 or visit Distribution 12 KWH x 0.029167 0.35 www.irs.gov/iindividuais. Default Service Support Charge 12 KWH x 0.003810 0.05 Customers receiving Default Service have a new Price to Compare Non-Utility Generation Charge 10 KWH x 0.000940 0.01 (PTC), effective March 1, 2015. Please review the PTC information State Tax Surcharge -0.02 shown on page 1 of your bill.You can save money by switching to an State Sales Tax 0.62 electric generation supplier that offers a lower price than your PTC. Current Consumption Bill Charges 10.85 Effective March 1 2015 the Non-Utility Generation Charge, which „- -.- 9 ,,<<,:- .. :Billln !Irifol` aldn#or:P4nn lvariia_Cas €k trlc': ,iy" :: recovers costs associated with purchase power contracts with 4075 Linglestown Road,#113,Harrisburg,PA 17112 non-utility generation has been adjusted. Customer Service:1-866-706-7361 Extremely cold temperatures experienced during the month of Account Number: 379911-378203 Rate: BILL-READY February prevented our employees from reading some meters. Billing Perlod: Jan 30,2015 to Mar 03,2015 Consequently,your bill may be based on an estimated meter reading. Generation&Transmission 12 Kwh @$0.1485 138. Your bill will be adjusted automatically to reflect your actual usage Total Pennsylvania Gas&Electric Current Char es $1.78 when the next actual meter reading is obtained by our Company. D�krEtr metitattd:;Ad tti;lnf¢rtu>h= Customers always have the option to provide a reading and possibly 02/16/15 Payment -11.58 receive an adjusted bill. To do so you may call us at 1-800-545-7741 ,::::= '__::::--,-_:"E__i:,:- -=:n-: _:::::_-_ - _ - --_ =- _..:............_ ccou EBa7a ces .Co --;; ,�::-;_---�___=,�=�;>,:.; and say meter reading,' or visit Previous Pa ments/ Current Amount www.firstenergycorp.com/aboutyourbill. We apologize for the Y inconvenience. Balance Adjustments Charges Due Met-Ed 10.69 -10.69 10.85 10.85 Pennsylvania Gas&Electric 0.89 -0.89 1.78 1.78 Total 11.58 -11.58 12.63 12.63 Additional messages,if any,can be found on back. 70 60 - 50 _.. C` 40 30 J � 20 0 10 A E ; M A M J J A S O N D J F M A Actual E-Estimate C-Customer Comparisons Last Year This Year Average Daily Use(KWH) 0 0 Average Daily Temperature 29 21 Days In Billing Period 32 33 Last 12 Months Use(KWH) 158 Average Monthly Use(KWH) 13 Met-Ed Bill Based On: Estimated Meter Reading, Page 1 of 2 1 Prorated Bill March 09, 2015 M63 A r.V&-W C-WW Billing Period:Jan 30 to Mar 03,2015 for 33 days Account Number 100 021 322 605 Bill For: RONALD C WOLFE1Y1(3t11tg 36 GREEN MOUNTAIN RD - - _...,_ .: GARDNERS PA 17324 Due Date: March 30, 2015 To report an emergency or an outage,call 24 hours a day 1.888-5444877. For Customer Service,call 1-800545-7741. 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 19612-6001 _:.:.__-_ __....._.__..__.s.:.:. -_-..._ __;._Nessa es_ --:-.:_ . A.raaunt:Sriiitma To avoid a 1.50% Late Payment Charge being added to your bill, Previous Balance -16.76 please pay the Amount Due by the Due Date. Payments/Adjustments 0.00 Your current PRICE TO COMPARE for generation and transmission Balance at Billing on Mar 09,2015 -16.76 from Met-Ed is listed below. For you to save,a supplier's price must Met-Ed -Consumption 19.50 be lower. Pennsylvania Gas&Electric 42.38 Standard Residential-0002111750-7.08 cents per KWH Total Current Charges 61.88 Your next meter reading is scheduled to occur on or about Amount Due by Mar 30 2015 $45.12 Apr 02,2015. -_ :Tisa e_Irrfomatrontnr.Mefe[.NurnbekW788t3526i_._.__ 9 Mar 03,2015 KWH Reading Estimate 46,116 Your bill includes $1.43 in PA taxes, of which $1.15 is PA gross 9( ) receipts tax. Jan 30,2015 KWH Reading(Actual) 45,828 Generation prices and charges are set by the electric generation KWH used 288 G h- _°'°r',''__-"' _- "o 'Medsu supplier you have chosen The Public Utilities Commission regulates ._.....€--------------- distribution -..--=--- 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:0801369887 0002111750 The Earned Income Tax Credit (EITC) is a tax credit for certain Rate: Standard Residential ME-RSD lower-income families and individuals. For information and to Customer Charge 9.84 determine if you qualify, simply dial 1-800-829-1040 or visit Distribution 288 KWH x 0.028750 8.28 www.irs.govfindividuais. Solar Requirements Charge 288 KWH x 0.000140 0.04 Customers receiving Default Service have a new Price to Compare Default Service Support Charge 288 KWH x 0.003810 1.10 (PTC), effective March 1, 2015. Please review the PTC information Non-Utility Generation Charge 27 KWH x 0.001040 0.03 shown on page 1 of your bill.You can save money by switching to an 261 KWH x 0.000940 0.25 electric generation supplier that offers a lower price than your PTC. State Tax Surcharge -0.04 Effective March 1, 2015, the Non-Utility Generation Charge, which Current Consumption Bill Charges 19.50 recovers costs associated with purchase power contracts with =-��;�. - non-utility generation has been adjusted. .;= '-611n :. ocmatlonar.t'enns_vaotaG�:�::Baet►1c �;---_:-_-_==: 407 Linglestown Road,#113,Harrisburg,PA 17112 Extremely cold temperatures experienced during the month of Customer Service:1-866-706-7361 February prevented our employees from reading some meters. Account Number: 379937-378203 Rate: BILL-READY Consequently,your bill may be based on an estimated meter reading. Billing Period: Jan 30,2015 to Mar 03,2015 Your bill will be adjusted automatically to reflect your actual usage Generation&Transmission 288 Kwh @$0.1472 42.38 when the next actual meter reading is obtained by our Company. Total Pennsylvania Gas&Electric Current Charges $42.38 Customers always have the option to provide a reading and possibty receive an adjusted bill. To do so,you may callus at 1-800-545-7741 Previous Payments/ Current Amount and say meter reading; or visit Balance Adjustments Charges Due www.firstenergyoorp.com/aboutyourbill. We apologize for the Met-Ed -40.25 0.00 19.50 -20.75 inconvenience. Pennsylvania Gas&Electric 23.49 0.00 42.38 65.87 Total -16.76 0.00 61.88 45.12 Additional messages,If any,can be found on back 1300ri J 600 r 400 200 ! a + a- s It 0 M A M J J A S O N D J F M A-Aclual E-Estimate C-Customer Comparisons Last Year This Year Average Daily Use(KWH) 23 9 Average Dally Temperature 29 21 Days in Billing Period 32 33 Last 12 Months Use(KWH) 5,998 Average Monthly Use(KWH) 500 Met Ed Bill Based On: Estimated Meter Reading, Page 1 of 2 A.__7_7--"% Prorated Bill March 09, 2015 M63 Billing Period:Jan 31 to Mar 03,2015 for 32 days Account Number 100 021 322 621 Bill For: RONALD C WOLFEt11if3ttnt Ci:ue $22 Z , 36 GREEN MOUNTAIN RD _ GARDNERS PA 17324 Due Date: March 30, 2015 __ice=..__:._ _........_..r.._.e.a.._.:-:.,....--_!_.__..__.... ..-._.....---•. -_ - -__- - - --To report an 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 19612-6001 _ ...._ _ cat ;-__ umma - - _ -Ainouirt#Aie To avoid a 1.50°1. Late Payment Charge being added to your bill, Previous Balance 17.59 please pay the Amount Due by the Due Date. Payments/Adjustments -17.59 Your current PRICE TO COMPARE for generation and transmission Balance at Billing on Mar 09,2015 0.00 from Met-Ed is listed below. For you to save,a supplier's price must Met-Ed -Consumption 12.10 be lower. Pennsylvania Gas&Electric 10.12 Standard Residential-0002111751-7.07 cents per KWH Total Current Charges 22.22 Your next meter reading is scheduled to occur on or about Amount Due b Mar 30 2015 $22.22 Apr 02,2015. _ ...._. -- 1. _<t)sa r, 2. _= Your bill includes $0.89 in PA taxes, of which $0.71 is PA gross Mar 03,2015 KWH Reading(Estimate) 1,101 receipts tax. Jan 31,2015 KWH Reading(Estimate) 1,033 Generation prices and charges are set by the electric generation KWH used 68 ... :i::iii!!-_-cv1t3F-u-d:i F_-:::::--_.._ UK-,.. ::::::_ �i;!=^..ie:e;_-,c_ �?i!_!_-:::_::�:n:::�:�-__:!!:__::!;::_ supplier you have chosen. The Public Utilities Commission regulates .-_:::_::_._:_:::::__._::_.__:::::_::_ Ch0 Fein:fll�t-lEd__::::::_ :_.:::.._.,:._.,..-,.:..._.._......._._. 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:0801369887 0002111751 The Earned Income Tax Credit (EITC) is a tax credit for certain Rate: Standard Residential ME-RSD lower-income families and individuals. For information and to Customer Charge 9.84 determine if you qualify, simply dial 1-800.829-1040 or visit Distribution 68 KWH x 0.028676 1.95 www.irs.govfindividuals. Solar Requirements Charge 68 KWH x 0.000140 0.01 Customers receiving Default Service have a new Price to Compare Default Service Support Charge 68 KWH x 0.003810 0.26 (PTC), effective March 1, 2015. Please review the PTC information Non-Utility Generation Charge 7 KWH x 0.001040 0.01 shown on page 1 of your bill.You can save money by switching to an 61 KWH x 0.000940 0.06 electric generation supplier that offers a lower price than your PTC. State Tax Surcharge -0.03 Effective March 1, 2015, the Non-Utility Generation Charge, which Current Consumption Bill Charges 12.10 recovers costs associated with purchase Power contracts with non-utility generation has been adjusted. In :_ffa.r..m.a4h___._ .._nnK.1:0.....:. lo...:...t,"c...- _:._._.::,::::::::,-=-: Linglestown Road,#113,Harrisburg,PA 17112 Extremely cold temperatures experienced during the month of Customer Service:1-866-706-7361 February prevented our employees from reading some meters. Account Number: 379915-378203 Rate: BILL-READY Consequently,your bill may be based on an estimated meter reading. Billing Period: Jan 31,2015 to Mar 03,2015 Your bill will be adjusted automatically to reflect your actual usage Generation&Transmission 68 Kwh @$0.1488 10.12 when the next actual meter reading is obtained by our Company. Total Pennsylvania Gas&Electric Current Charges $10.12 Customers always have the tion to provide a reading and possibly --' 6, _ "-- "' - -=- _I "===- y option P 9 Po _= -- = ,::Det;tilPa:mentOnd:AdOslideCft=lnfnriri'atf�ri-�:r;===-r -- receive an adjusted bill. To do so,you may call us at 1-800-545-7741 02/16/15 Payment -17.59 meter reading,' or visit _!:!;::_;___:__!;__•:-;!;,_::_; -:::::::::_ ::::_ ::._::;-_-_;!:;__ and say a -_ _:-:::_,:_,,-==_!_==-;;!�=:,!_;-2,� ,�; .co t: Iarrces:b =:__-;____::- _...! ._.... .Ac un V www.firstenergycorp.coin/aboutyourbill. We apologize for the __._..,:.__. _ -_.....__......__._...__.. inconvenience. Previous Payments/ Current Amount Balance Adjustments Charges Due Met-Ed 11.64 -11.64 12.10 12.10 Pennsylvania Gas&Electric 5.95 -5.95 10.12 10.12 Total 17.59 -17.59 22.22 22.22 Additional messages,If any,can be found on back. _ -lifsa a Hrsto _ 100 80 60 PR 40 20 1_ _kAA .& KA E 0 M A M J J A S O N D J F M f� A-Actual E-Estimate C-Customer ! Comparisons Last Year This Year Average Daily Use(KWH) 3 2 Average Daily Temperature 29 21 Days in Billing Period 32 32 Last 12 Months Use(KWH) 250 Average Monthly Use(KWH) 21 Met-Ed Bill Based On: Estimated Meter Reading,Lock Page 1 of 2 _A F,r z Changed February 05, 2015 M63 . Billing Period:Jan 01 to Jan 30,2015 for 30 days Account Number 100 021 322 621 Bill For: RONALD C WOLFE1tnQtIC]tAQ, $�L 36 GREEN MOUNTAIN RD ::...-. :_: :........_.....:_,-.::_......._.::......_.... ,_.:.. . .._..: GARDNERS PA 17324 Due Date: February 25, 2015 riZEE „ e-:i --= - To report an 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 19612-6001 .Nessa s: .__=``_;;"-`,r .. __.. :#cunfSunuiia - -- Amount;Nil To avoid a 1.50% Late Payment Charge being added to your bill, Previous Balance 16.84 please pay the Amount Due by the Due Date. Payments/Adjustments -16.84 Your current PRICE TO COMPARE for generation and transmission Balance at Billing on Feb 05,2015 0.00 from Met-Ed is listed below. For you to save,a supplier's price must Met-Ed -Consumption 11.64 be lower. Pennsylvania Gas&Electric 5.95 Standard Residential-0002111751-6.98 cents per KWH Total Current Charges 17.59 Your next meter reading is scheduled to be estimated. If you Amount Due by Feb 25 2015 $17.59 would like to provide us with an actual reading,please do so between - .._.. .. 61fifo tn�trc�for.iVII: Numiser 53�28T 76. Mar 02,2015 and the close of business on Mar 04, 2015. See the Jan 30,2015 KWH Reading(Estimate) 1,033. back of this bill for more information. Jan 01,2015 KWH Reading(Estimate) 979 Your bill includes $0.86 in PA taxes, of which $0.69 is PA gross KWH used 54 receipts tax. Generation prices and charges are set by the electric generation When contacting an Electric Generation Supplier,please provide the following. supplier you have chosen. The Public Utilities Commission regulates Customer Number:0801369887 0002111751 distribution prices and services. The Federal Energy Regulatory Rate: Standard Residential ME-RSD Commission regulates transmission prices and services. Customer Charge 9.84 Avoid the seasonal highs and lows in your electric bills by signing up Distribution 54 KWH x 0.028889 1.56 for the Equal Payment Plan(EPP). While in this plan,you are billed Solar Requirements Charge 54 KWH x 0.000140 0.01 one-twelfth of your estimated annual usage each month.Your account Default Service Support Charge 54 KWH x 0.003810 0.21 is reviewed periodically and adjusted, if necessary, to ensure your Non-Utility Generation Charge 54 KWH x 0.000940 0.05 payment amount reflects your actual usage. To participate in EPP, call our toll-free Customer Service Number, or visit State Tax Surcharge -0.03 www.firstenergycorp.com. Current Consumption Bill Charges 11.64 The Earned Income Tax Credit (EITC) is a.tax credit for certain 151 mr-ME.I.I.,IN "..-..-_Billiif ;M'.yrhatidtifor Penns vahIC.04. EI i Rtds lower-income families and individuals. For information and to 40 5 Linglestown Road #113,Harrisburg,PA 17112 determine if you qualify, simply dial 1-800-829-1040 or visit Customer Service:1.866-706-7361 www.irs.govCndividuals. Account Number: 379915.378203 Rate: BILL-READY Billing Period: Jan 01,2015 to Jan 30,2015 Generation&Transmission 54 Kwh @$0.1102 5.95 Total Pennsylvania Gas&Electric Current Charges $5.95 DeleitPa trYeiitand.Ad`ustmetrtiloifarntatiotf:;r=: ?=; 0123/15 Payment -16 84 gg� _:.:: Previous Paymentsl Current Amount Balance Adjustments Charges Due Met-Ed 12.31 -12.31 11.64 11.64 Pennsylvania Gas&Electric 4.53 -4.53 5.95 5.95 Total 16.84 -16.84 17.59 17.59 Additional messages,if any,can be found on back. 100 60 60 40 20 0 F M A M J J A S O N D J F A-Actual E-Estimate C-Customer Comparisons Last Year This Year Average Daily Use(KWH) 3 2 Average Daily Temperature 23 27 Days in Billing Period 28 30 Last 12 Months Use(KWH) 271 Average Monthly Use(KWH) 23 Met-Ed Bill Based On: Actual Meter Reading Page 1 of 2 ---°1 February 03, 2015 M63 A Fst6'ia'gYCorysry Account Number: 100 080 853 714 Billing Period:Jan 01 to Jan 29,2015 for 29 days - 1 Bill For: RONALD C WOLFE A1Y141aI11#- i 30 GREEN MOUNTAIN RD GARDNERS PA 17324 Due Date: February 23, 2015 : .v::;:. c..n-�..c-_=!:i:_-_�H1.1 _ :.;H:::t:_:v"�''"----_ it_u::F'-:1::..:.�.:'i_ F: --- --- To report 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 Bill issued by:Met-Ed,PO Box 16001,Reading PA 19612-6001 - = .._ -- .._, Mea es__ _ - _ _. lccouritSuinma 1Rmountf3de To avoid a 1.50°/6 Late Payment Charge being added to your bill, Previous Balance 15.27 please pay the Amount Due by the Due Date. Payments/Adjustments -15.27 Your current PRICE TO COMPARE for generation and transmission Balance at Billing on Feb 03,2015 0.00 from Met-Ed is listed below. For you to save,a supplier's price must Met-Ed -Consumption 10.69 be lower. Pennsylvania Gas&Electric 0.89 Standard Residential-0006536421-7.00 cents per KWH Total Current Charges 11.58 Your next meter reading is scheduled to be estimated. If you Amount Due by Feb 23,2015 $11.58 would like to provide us with an actual reading,please do so between k Usit edfbnnation for_fVteter Numtief24474281. _... Mar 02,2015 and the close of business on Mar 04, 2015. See the back of this bill for more information. Jan 29,2015 KWH Reading(Actual) 421 Jan 01,2015 KWH Reading(Estimate) 413 Your bill includes $0.74 in PA taxes, of which $O.GO is PA_gro3s KWH used 8 receipts fax. :::_:::--::...__-:;:::::::__ :,,:. Generation prices and charges are set by the electric generation When contacting an Electric Generation Supplier,please provide the following. supplier you have chosen. The Public Utilities Commission regulates Customer Number:0801369887 0006536421 distribution prices and services.- " The Federal Energy Regulatory Rate: Standard Residential ME-RSD Commission regulates transmission prices and services. Customer Charge 9.84 Avoid the seasonal highs and lows in your electric bills by signing up Distribution 8 KWH x 0.028750 0.23 for the Equal Payment Plan(EPP). While in this plan,you are billed Default Service Support Charge 8 KWH x 0.003810 0.03 one-twelfth of your estimated annual usage each month.Your account Non-Utility Generation Charge 8'KWH x 0.000940 0.01 is reviewed periodically and adjusted, if necessary, to ensure your State Tax Surcharge -0.02 payment amount reflects your actual usage. To participate in EPP, call our toll-free Customer Service Number, or visit State Sales Tax 0.60 Current Consumption Bill Charges 10.69 www.firstenergycorp.com. The Earned Income Tax Credit (EITC) is a tax credit for certain Blllin JttfotmdOattftMKPeI► iai3s3`EfkiC lower-income families and individuals. For: .information and .to 4075 Linglestown Road #113,Harrisburg,PA 11112 Customer Service:1-866- determine if you qualify, simply dial 1-800-829-1040 or. -visit www.irs.govCndividuals. Account Number: 379911-376203 Rate: BILL-READY 7361 Billing Period: Jan 01,2015 to Jan 29,2015 Generation&Transmission 8 Kwh @$0.1107 0.89 Total Pennsylvania Gas&Electric Current Char es $0.89 _ 01/23/15 Payment -15.27 -- _ =Tdlccouni lands b .Com Previous Payments/ Current Amount Balance Adjustments Charges Due Met-Ed 12.35 -12.35 10.69 10.69 Pennsylvania Gas&Electric 2.92 -2.92 0.89 0.89 Total 15.27 -15.27 11.58 11.58 Additional messages,if any,can be found on back. tlsa aH I a 6 70 60 50 40 30 20 10 A E 0 F M A M J J A S O N D J F A-Actual E-Estimate C-Customer Comparisons Last Year This Year Average Daily Use(KWH) 1 0 Average Daily Temperature 23 27 Days in Billing Period 28 29 Last 12 Months Use(KWH) 154 Average Monthly Use(KWH) 13 __ Met-Ed Bili Based On: Actual Meter Reading Page 1 of 2 April 06, 2015 M63 A Billing Period:Mar 04 to Apr til,2015 for 29 days Account Number 100 021 322 605 Bill For: RONALD C WOLFS AIYIOUnt duel 36 GREEN MOUNTAIN RD GARDNERS PA 17324 Due Date: April 27, 2015 To report an emergency or an outage,call 24 hours a day 1-8885444877. 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 Bax 16001,Reading PA 19612-6001 _.: Wr.,..._,_7k _�'-__�'= s°....._,L_�VIeS�! S_..'.....� :... ._k.. .:�. ....;,�_t:. �..--_... '�..'..._:..�.. ,,......-A�C6prit;SBmma To avoid a 1.50% Late Payment Charge being added to your bill, Previous Balance 45.12 please pay the Amount Due by the Due Date. Payments/Adjustments -45.12 Your current PRICE TO COMPARE for generation and transmission Balance at Billing on Apr 06,2015 0.00 from-Met-Ed is listed below. For you to save,'a supplier's price must Met-Ed -Consumption 48.09 be lower. Pennsylvania Gas&Electric 116.33 Standard Residential-0002111750-7.91 cents per KWH Total Current Charges 164.42 Your next meter reading is scheduled to be estimated. If you Amount Due by Apr 27 2015 $164.42 would like to provide us with an actual reading,please do so between 4134? a(rffofmalrirfi,;orae:Numbe#W86B5281... May 03,2015 and the close of business on May 05,2015. See the u back of this bill for more information. Apr 01,2015 KWH Reading(Actual) 47,252 Mar 04,2015 KWH Reading(Estimate) 46,116 Your bill includes $3.53 in PA taxes, of which $2.84 is PA gross KWH used I'M receipts �:-_-:::; ,:-_:_,:_:-:,:z--::::-:::::.,__.._ _; _ . .._..:.............._._r__..,..,._.__....._. ecep tax. _-= ::::,:; . -u -::=F :;--_;: Generation prices and charges are set by the electric generation When contacting an Electric Generation Supplier,please provide the following. supplier you have chosen. The Public Utilities Commission regulates Customer Number:0801369887 0002111750 distribution prices and services. The Federal Energy Regulatory Rate: Standard Residential ME-RSD Commission regulates transmission prices and services. Customer Charge 9.84 Spring's warm weather often produces thunderstorms, which can Distribution 1,136 KWH x 0.028776 32.69 cause power outages. If your power goes out, call 1.888-LIGHTSS Solar Requirements Charge 1,136 KWH x 0.000140 0.16 (1-888-544-4877). For your safety, please treat all downed wires as Default Service Support Charge 1,136 KWH x 0.003810 4.33 live and dangerous. For more information on preparing for outages, Non-Utility Generation Charge 1,136 KWH x 0.001040 1.18 visit www.firstenergycorp.com/storminfo. State Tax Surcharge -0.11 Current Consumption Bill Charges 48.09 !,Bllll6 44t0wo1110Wk-:- .stns.ivNive s` K riei 4075 Linglestown Road,#113,Harrisburg,PA 17112 Customer Service.1486&706-7361 Account Number: 379937-378203 Rate: BILL-READY (� (t Billing Period: Mar 04,2015 to Apr 01,2015 Generation&Transmission 1136 Kwh @$0.1024 116.33 Total Pennsylvania Gas&Electric Current Charges $116.33 Ds4arf4�r : . 000WHH111 03/24/15 Pa ment -45.12 Akcount Previous Payments! Current Amount Balance Adjustments Charges Due Met-Ed 2.74 -2.74 48.09 48.09 Pennsylvania Gas&Electric 42.38 -42.38 116.33 116.33 'D Total 45.12 45.12 164.42 164.42 Additional messages,if any,jcan be found on back. 1200 -- 1000 - GM �..: ..�.. 600 400 sm -t4 P 200 0 A M J J A S O N D J F M A A-Actual E-Estimate C-Customer Comparisons Last Year This Year Average Daily Use(KWH) 21 39 Average Daily Temperature 38 Days In Billing Period 30 29 Last 12 Months Use(KWH) 6,498 Average Monthly Use(KWH) 542 Bill Based On: Minimum Bill,Actual Meter Page 1 of 2 Reading April 06, 2015 M63 Account Number: 100 080 853 714 Billing Period: Mar 04 to Apr 01,2015 for 29 days -- Bill For: RONALD C WOLFS AiriOtll�t DrIE__._ �Qy _ _..:....:. _ ..... 30 GREEN MOUNTAIN RD _............: ..- _:...._._..-::.._..... . GARDNERS PA 17324 Due Date: April 27, 2015 To report an 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 19612-6001 Azcount_Suinma :AmouritDue To avoid a 1.50% Late Payment Charge being added to your bill, Previous Balance 12.63 please pay the Amount Due by the Due Date. Payments/Adjustments -12.63 To receive your PRICE TO COMPARE please call 1-888-478-2300. Balance at Billing on Apr O6,2015 0.00 Your next meter reading is scheduled to be estimated. If you Met-Ed -Consumption 10.41 would like to provide us with an actual reading,please do so between Amount Due by Apr 27,2015 $10.41 May 03,2015 and the close of business on May 05,2015. See the U .btformati6H for IdteterNumberA2447 # _ back of this bill for more information. RISE__ Apr 01,2015 KWH Reading(Actual) 433 Your bill includes $0.72 in PA taxes, of which $0.58 is PA gross Mar 04,2015 KWH Reading(Estimate) 433 receipts tax. KWH used 0 Generation paces and charges are set by the electric generation :_::_---.::-:=:_:_=-.:, ::: -.:Char es:.F.ram.falet£d........_...__:.:..1IN ..:..........__._....... .....:__.__....__ supplier you have chosen.The Public Utilities Commission regulates When contacting an Electric Generation Supplier,please provide the foliowing. distribution prices and services. The Federal Energy Regulatory Customer Number:0801369887 0006536421 Commission regulates transmission prices and services. Rate: Standard Residential ME-RSD Spring's warm weather often produces thunderstorms, which can Customer Charge 9.84 cause power outages. If your power goes out, call 1-888-LIGHTSS State Tax Surcharge -0.02 (1-888-5444877). For your safety,please treat all downed wires as State Sales Tax 0.59 live and dangerous. For more information on preparing for outages, Current Consumption Bill Charges 10.41 m/storminfo. _. visit www.firste a gy rP -,:._,.:_,::,_::,,_,.::Delartpa nteid:and:A 0324/15 Payment -12.63 Previous Payments/ Current Amount Balance Adjustments Charges Due Met-Ed 10.85 -10.85 10.41 10.41 Pennsylvania Gas&Electric 1.78 -1.78 0.00 0.00 Total 12.63 •12.63 10.41 10.41 Additional messages,if any,can be found on back M.70 60 50 40 30 20 10 A E Y A 0 A M J J A S O N D J F M A A-Actual E-Estimate C-Customer Comparisons Last Year This Year Average Daily Use(KWH) 0 0 Average Daily Temperature 38 Days in Billing Period 3.0 29 Last 12 Months Use(KWH) 154 Average Monthly Use(KWH) v13 _ AlerE.Ad Bill Based On: Estimated Meter Reading,Lock Page 1 of 2 ,_7 - 1% Changed April 08, 2015 M63 Billing Period: Mar 04 to Apr 01,2015 for 29 days Account Number 100 021 322 621 Bill For: RONALD C WOLFE �►tnount[Fite. 36 GREEN MOUNTAIN RD GARDNERS PA 17324 Due Date: April 28, 2015 To report an 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 19612-6001 .1Vlessa a§- _:=: Arcount'Surttnta �Itmourit To avoid a 1.50% Late Payment Charge being added to your bill, Previous Balance 22.22 please pay the Amount Due by the Due Date. Payments/Adjustments -22.22 Your current PRICE TO COMPARE for generation and transmission Balance at Billing on Apr 08,2015 0.00 from Met-Ed is listed below. For you to save,a supplier's price must Met-Ed -Consumption 10.98 be lower. Pennsylvania Gas&Electric 3.57 Standard Residential-0002111751-7.89 cents per KWH Total Current Charges 14.55 Your next meter reading is scheduled to be estimated. If you Amount Due by Apr 28 2015 $14.55 would like to provide us with an actual reading,please do so between a anformabott#orMeteraVuirtber S28777$: _. May 03,2015 and the close of business on May 05,2015. See the Apr 011,2015 KWH Reading(Estimate) 1,136 back of this bill for more information. Mar 04,2015 KWH Reading(Estimate) 1,101 Your bill includes $0.81 in PA taxes. of which $0.65 is PA gross K1mH used 35 receipts tax. . .. .. _ . .....,_.,..:.... - .._ _.-....._......_: _ _ - .__.: :.. ,....-,__._. Generation prices and charges are set by the electric generation When contacting an Electric Generation Supplier,please provide the following. supplier you have chosen. The Public Utilities Commission regulates Customer Number:0801369887 0002111751 distribution prices and services. The Federal Energy Regulatory Rate: Standard Residential ME-RSD Commission regulates transmission prices and services. Customer Charge 9.84 Spring's warm weather often produces thunderstorms, which can Distribution 35 KWH x 0.028571 1.00 cause power outages. If your power goes out, call 1-888-LIGHTSS Default Service Support Charge 35 KWH x 0.003810 0.13 (1-888-5444877). For your safety, please treat all downed wires as Non-Utility Generation Charge 35 KWH x 0.001040 0.04 Ince and dangerous. For more information on preparing for outages, State Tax Surcharge -0.03 visit www.firstenergycorp.com/storrtiinfo. Current Consumption Bill Charges 10.98 Billin `1AfcrmafiQri,forPo1►ni; Iva`nfa.Gas_B�Flet tclG"r::_i ___' 4075 Linglestown Road,4113,Harrisburg,PA 17112 Customer Service:1-866-706-7361 Account Number: 379915.378203 Rate: BILL-READY Billing Period: Mar 04,2015 to Apr 01,2015 Generation&Transmission 35 Kwh @$01021 3.57 (� Total Pennsylvania Gas&Electric Current Charges $3.57 DetadTaymeft9fid,Adht Ififobb►t -20 j 03/24/15 Payment -22.22 I ccou = aces# a Previous Payments/ Current Amount / ✓ Balance Adjustments Charges Due Met-Ed 12.10 -12.10 10.98 10.98 / Pennsylvania Gas&Electric 10.12 -10.12 3.57 3.57 Total 22.22 -22.22 14.55 14.55 Additional messages,if any,can be found on back e Hi « __. 80 70 FA 60 50 40 0 7 20 10 0 " A M J J A S O N D J F M A A-Actual E-Estimate C-Customer Comparisons LasYYear This Year Average Daily Use(KWH) 1 1 Average Daily Temperature 38 Days in Billing Period 30 29 Last 12 Months Use(KWH) 269 Average Monthly Use(KWH) 22 Met-Ed Bill Based On: Minimum Bill,Actual Meter Page 1 of 2 AATG� Reading April 06, 2015 M63 Billing Period:Mar 04 to Apr 01,2015 for 29 days: Account Number 100 080 853 714 Sill For: RONALD C WOLFE F1tT�oUnt..... bti@ X14 41 30 GREEN MOUNTAIN RD := :r .: _-- _ GARDNERS PA 17324 Due Date: April 27, 2015 To report an emergency or an outage,call 24 hours a day 1-8885444877. 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 19612-6001 _ '. AccountSuriima AmcuMil3ue :=Mss3a To avoid a 1.50% Late Payment Charge being added to your bill, Previous Balance 12.63 please pay the Amount Due by the Due Date. Payments/Adjustments -12.63 To receive your PRICE TO COMPARE please call 1.888-478-2300. Balance at Billing on Apr 06,2015 0.00 Your next meter reading.is scheduled to be estimated. If you Met-Ed -Consumption 10.41' would like to provide us with an actual reading,please do so between Amount Due by Apr 27 2015 $10.41 May 03,2015 and the close of business on May 05,2015. See the U etnfo; `atlnirtfo ltlfeterNutnberA24+17 back of this bill for more information. Apr 01,2015 KWH Reading(Actual) 433 Your bill includes $0.72 in PA taxes, of which $0.58 is PA gross Mar 04,2015 KWH Reading(Estimate) 433 receipts tax. KWH used 0 Generation prices and charges are set by the electric generation - _._.`=_'_ " _; _..--:_. _._.:..Cha esF�am.IWet=£d . supplier you have chosen.The Public Utilities Commission regulates When contacting an Electric Generation Supplier,please provide the foliowing. distribution prices and services. The Federal Energy Regulatory Customer Number:0801369887 0006536421 Commission regulates transmission prices and services. Rate: Standard Residential ME-RSD Spring's warm weather often produces thunderstorms, which can Customer Charge 9.84 cause power outages. If your power goes out, call 1-888-LIGHTSS State Tax Surcharge -0.02 (1-888-5444877). For your safety, please treat all downed wires as State Sales Tax 0.59 live and dangerous. For more information on preparing for outages, Current Consumption Bill Charges 10.41 visit www.firstenergycorp.com/storminfo. --.__-_.-__:DetarLPa:irt�rirtetrdA lriiir7trtetrti==_ :a_:, 03/24/15 Payment -12.63 .._.._..........__..._::_._...._..-----......_._. _ _ . Previous Payments/ Current Amount JBalance Adjustments Charges Due Met-Ed 10.85 -10.85 10.41 10.41 Pennsylvania Gas&Electric 1.78 -1.78 0.00 0.00 Total 12.63 •12.63 10.41 10.41 Additional messages,If any,can be found on back. tfse a `rstn } 70 60 50 40 30 20 10 14 pX .A E "„ A 0 - A M J J A S O N D J F M A A-Actual E-Estimate C-Customer Comparisons Last Year This Year Average Daily Use(KWH) 0 0 Average Daily Temperature 38 Days in Billing Period 30 29 Last 12 Months Use(KWH) 154 Average Monthly Use(KWH) 13 Please pa upon receipt of this statement or pax your bill online at www.allbettercare.com. If you have billin questions, please call at (877) 856-2279 ext.3441, Mon-Fri, 7:30am o 4:00pm. THANK YOU! Appointment Service Description Charge Payment Adjust Patient 11/23/14 - RON - GREINER, VERNNE, D.O. IV INFUSION, HYDRATION, 3 96360 206.00 50.00 12/26/14 ADVANTRA FRE Payment 3.02 12/26/14 Accept Assign Adj. -0.06 12/26/14 Accept Assign Add. -152.92 The 'PLEASE PAY' includes unpaid co-pay or co-ins. Please make payment. /X` d' LAST PAYMENT RECEIVED Current Over30 OVer66 Over90 Over120 Patient 00/00/00. 0.:0"0 50.00 0.00 0.00 0.00 0.00 50.00 LEASE ALLBETTERCARE URGENT .CARE CENTER AAKE CHEC PO BOX 1278 ayaBtE To CAMP s HILL, 'PA 17001 1278 Payment Due Date 02%04/15 50.00 Ph (877) ,856-2279:. 5tatement:Date: 01/20/15 .; Acct#:,50358 Page 1.of 1 M E D N 15012111907.013726.01.01.010000 Westfield Billing Contact Information Billing Customer Service: 1.800.552.9134 W E S T F I E L D Monday - Friday 7:00 a.m. -8:00 p.m. EST INSURANCE Pay-by-Phone: 1.800.766.9133, Access code=5 digit zip code Pay Online: www.westfieldinsurance.com Sharing Knowledge.Building Trust! One Park Circle, PO Box 5001, Westfield Center OH 44251 Invoice Date: August 03, 2014 INSURANCE INVOICE ACCOUNT NUMBER RONALD C & BETTY J WOLFSLast Payment I_ 3700501161:' 36 GREEN MOUNTAIN RD $494.00AMOUNT DUE GARDNERS PA 17324-9053 March 04, 2014 $542.50. TO PAY IN FULL For policy questions cal;: $1,085.00 GUNN-MOWERY LLC DUE DATE CAMP HILL PA 17001 717.761.4600 �------ ------.___—�-Y._._. August 23, .2014 POLICY DESCRIPTION DURATION PAY POLICY AMOUNT _..__ OF.POLICY- - PLAN BALANCE" DUE - Homeowners Policy: HOP 8819156 08-23-14 to 08-23-15' Semi-Annual $1,085.00 . $542.50 TOTAL $1,085.00 $542,50] A Are you or someone you know without health insurance? rAffordable health insurance options are now available! GIONALI. GEN7Eft ' \U • • • YOUR OPTIONS Patient Name Ronald C Wolfe F-1 Online at www.carlislermc.com Account Number 1502094 (available 24/7) Date of Service November 10, 2014 SBy phone -717-960-1680 Service Type Outpatient Insurance Name Advantra Ha Medi Replc Name of Insured Ronald C Wolfe By check-return section below with check Policy Number 80306573901 Amount Due From You $275.00 © • • • OIF CHARGES — Amount due from you is$275.00 as of 12/28/2014 for The charges listed below do not reflect the discount that Outpatient performed on November 10, 2014. you and your insurance company received. Supplies 32.41 Total Charges $19,377.17 MRI 5,293.53 Discounts/Adjustments Given -$17,615.97 Lab 23.76 Insurance Payments Received 41,486.20 Nuclear Medicine 14,027.47 Amount You Paid $0.00 TOTAL CHARGES $19,377.17 Amount Due From You $275.00 A V Itllt9!nl lul • • OU. 3269-HMASTMT-2485736-1848658695-P; 11052341-1-2206;35506550-1; 1 As of today,we have not received payment in full on your account. Immediate payment is required, please contact our business office today. MASTERCARD oaCCVErt DISCOVER VISA VISA l AMEX 361 Alexander Spring Rd. Save Time and Postage. Pay your bill Online or by Phone �R�cp St. Carlisle, PA 170 5 Today. It's Fast, Easy, and Secure. xoirnee eina www.carlislermc.com I PATIENT NAME STATEMENT DATE DATE DUE b �j Ronald C Wolfe 12/28/2014 UPON RECEIPT ®3►3 Patient Financial Services: � ACCOUNT NUMBER AMOUNTDUE AMOUNT PAYING 717-960-1680 \1 1502094 $275.00 Check box if address below is incorrect or changed and indicate changels)on back. r- - REMIT THIS PAYMENT STUB TO: +w9c(Pal 004306 RONALD C WOLFE CARLISLE REGIONAL MEDICAL CENTER 0101 36 GREEN MOUNTAIN RD PO BOX 281442 GARDNERS, PA 17324-9053 Atlanta, GA 30384-1442 00000150209400000027500RONALDCWOLFE 9 >1 ® Are you or someone you know without health insurance? AM • Cl1I$1.� Affordable health insurance options are now available! R.EGlONAL - ti@t)tGAt. CCtvTFR YOUR • ' • f �! • • ' • V Patient Name Ronald C Wolfe �/ CD Online at www.carlislermc.com Account Number 1502094 (available 24/7) Date of Service November 10, 2014 Service Type Outpatient By phone-717-960-1680 Insurance Name Advantra Ha Medi Replc Name of Insured Ronald C Wolfe By check-return section below with check Policy Number 80306573901 Amount Due From You $275.00 YOUR • ® YOUR OF Amount due from you is$275.00 as of 12/07/2014 for The charges listed below do not reflect the discount that Outpatient performed on November 10, 2014. you and your insurance company received. Supplies 32.41 Total Charges $19;377:17 MRI 5;293:53 Discounts/Adjustments Given -$17,615.97- Lab /�,f3� G��/ 23.76 Insurance Payments Received $11486;20 Nuclear Medicine / /141027.47 Amount You Paid $0.00 TOTAL CHARGES $19,377.17 - CCiI Amount Due From You $275.00 . OU � AMESSAGE FOR 3269-HMASTMT-2460841-1834311924-P; 10941774-2-10;35423567-1; 1 The amount shown on,this statement is outstanding at this time.Your prompt payment will be.greatly appreciated. L Date Description Amount Insurance Patient Line Item Balance Balance Balance 11/18/14 ENCOUNTER 188055 FOR RONALD WITH SACHELARIE MD, IRINA 11/18/14 99215-OFFICE OUTPATIENT VISIT EST $194.00 $35.00 12/05/14 Adjustment PPO(PR3(Copayment Amount)) -$86.28 12/05/14 Payment LB Commercial(PR3(Copayment =$72.72 Amount)) ENCOUNTER TOTAL $35.00 $0.00 $35.00 $35.00 0 g 0 a Message: TOTAL ACCOUNT For Billing Inquiries Please Call 717-519-1550. Please contact the office at the number indicated on this statement if you would like to make a credit card.payment. BALANCE $35.00 PAYMENT DUE UPON RECEIPT-THANK YOU IIIIPIIII�iatlJdl 440-HMASTM-2516965-1864476480-P; 11195019-1-515;35605493-1; 1 riease aetacn ano return top portion wan your payment DateT Description Amount Insurance Patient Line Item Balance Balance Balance 11/03/14 ENCOUNTER 184688 FOR RONALD WITH SACHELARIE MD, IRINA 11/03/14 99205-OFFICE/OUTPATIENT VISIT, NEW $280.00 $35.00 11/24/14 Payment LB.Commercial (PR3(Copayment -$129.29 Amount)) 11/24/14 Adjustment PPO(PR3(Copayment Amount)) -.$115.71 ENCOUNTER TOTAL $35.00 $0.00 $35.00 $35.00 S 0 1� Message: TOTAL ACCOUNT For Billing Inquiries Please Call 717-519-1550. Please contact the office at the number indicated_ on . this statement if you would like to make a credit card payment. BALANCE $35.00 PAYMENT DUE UPON RECEIPT-THANK YOU IIIIC�ffllN�tgE'k'llll 440-HMASTM-2447868-1827457153-P; 10887284-1-462;35383541-1; 1 PRSRT ®Monitronics® € FIRST-CLASS YOUR SECUR/TYPROVIDER f U.S.POSTAGE PO Box 814530 1.Dallas,TX 75381-4530 PAID j ATLANTA,GA PERMIT NO.1111 r Electronic Service Requested . ; it is. F 0003817 000020-T MIXED AADC 300 fill still ��I,I1�-„III��IIIIII„111'��II�IIIIIiII�,�IIl1u�Nl,�,ll1,,,1�,1 RONALD WOLFE' 328 PINE GROVE.RD GARDNERS, PA 17324-8947 Safety i Need help? 800.447._9239 mymonitronics.com Account"Details Customer Number.20204848 Statement Date:OZl23/205 _ Due Date:03/75/2015 BALANCE FORWARD $43.98 Date Invoice Description Amount 02/11/2015 116385800 Payment-Check $(43:00). 02/18/2015 125799100 24-Hour Monitoring 02/18/15 to 03/17/15 $43.98 Quickly confirm or update your Emergency Contact List to ensure we can reach you during an alarm. �J r t 1�2 S Go online at mymonitronics.com or call 800.447.9239! Total Amount ue:$44.96 ARM- Pay s easy. ®' Remember to test your system monthly. mymonitronics.comEM,< UO mymonitronics.com ................... ................................................................................... * ,t,'F '4 s!`v 4h�7 .rjt..n4 = 3.t i�`'tkY^,I�,y r y�•, - t. � R` Monitroni cs• YOUR SECURlTYPROVIDER ,. t .. PD Box 814530 1 Dallas TX 75381 4530 :, a. ` mymonitronics.com cJ t"R 0 JA,-1 A=Ranald Wolfe t f N----,328'Pine Grove Rd tt� ��4 s fxy♦ GARDNERS, PA 17324AY is -.. - '�y t,�t 42 ?-t ^y" 'ly*rt.t(,t #..� � � •�f�($ A 'Y • Need help?,' ;; W � ;,.'800A47.9239 mymonitFonk Account Details Customer Number'20244848 Statement D{ 1.1/21/2414 Due Date12111/2414 cx Balance•Fbrward• c Date "Invoicecription Oes .Amount . 10!22!2014 112329416Visa rc �.' L ($43;98) ;11/1812014 122175111•y 24-Hour Monitoring 11/18/14 to 12/17/14' $43.98 Ale- Total Amount Due `543.98' lQf91iVM zEM - PRSRT Monitronics® FIRST-CLASS YOUR SECURRYPROVIDER U.S.POSTAGE PO Box 814530 1 Dallas,TX 75381-4530 PAID ATLANTA,GA lit PERMIT NO.2620 r Electronic Service Requested ;1111, lift 0003805 000020 -T MIXED AADC 300 all i; AllIIIiI�nfIII�II�IInn�lI11�11111�1�I�lI1�I,�I�LIIIIIIIII�II�nI r i RONALD WOLFE ?4 4328 PINE GROVE RD I GARDNERS,PA 17324-8947 i Safety Need help? 800.447.9239 mymonitronics.com Tips ACCOIJnt Deta11S Customer Number.20204848 Statement Date.03/23/2015 rDue Date:04/12/2015 ink BALANCE FORWARD $�4•9 Date Y Invoice Description . Amount 03/18/2015 127017078 24-Hour Monitoring 03/18/15 to 04/17h5 43.98 03/20/2015 127119618• . . Cate Fee Have you tested your system lately? It's important to test your alarm (� system monthly to ensure it's _ _ communicating with us properly. .-- /�.._As Visit mymonitronics.com for fy step-by-step instructions. 1 Total Amount Due $91.94 Sirnplify your • ®' Update your Emergency Contact List. mymonitronics.com Elm ....................................................................................................................................................................................................... Monitronics. Statement Date: 5/22/2015 1 Customer Name: Ronald Wolfe SECURITY Customer Number: 20204848 Billing Address: 328 Pine Grove Rd Need Help? Call 800.447.9239 or visit mymonitronics.com Accountfor 20204848 Previous Balance $44.97 Payments/Credits $0.00 Current Charges $47.97 I i Taxes $0.00 Total Balance Due as of 5/21/2015 $92.94 t Account Details Protect your mom with the Date Invoice Description Amount gift of security. Previous Balance $44.97 05/17 129471334 Late Fee $3.00 Give her the convenience of 05/18 129485370 24-Hour Monitoring 05/18/15 to 06/17/15 $44.97 HomeTouch remote home management. Learn more at monitronics.com. Pay Online. It's easy. Total Amount Due $92. 4 mymonitronics.com Test your system monthly mymonitronics.com Monitronics International,Inc.has been chosen as the recipient of the Award in the categories of Home Alarm and Business Security Systems—Headquartered in DFW in the Survey Sampling International Survey in the Dallas,Texas area for the year 2014"Award Year"Monitronics Security LP,2350 Valley View Ln#100,Dallas,TX 75234; 866-507-5343:AK:40102;AL:AL St.Lic.#1062;AR:E 07-034,Regulated by:Arkansas Board of Private Investigators and Private Security Agencies,#1 State Police Plaza Drive,Little Rock,Arkansas 72209,501-618-8600;AZ:18004-0;GA:LVU405149;NJ:Burglar&Fire Alarm Business Lic.#34BF00053500;OK:1175;Monitronics International, Inc.:AK:40103;AL:AL St.Lic.#0009;AR:E 97-045,Regulated by:Arkansas Board of Private Investigators and Private Security Agencies,#1 State Police Plaza Drive,Little Rock,Arkansas 72209,501-618-8600;AZ:18004-0 CAROLYN R MCQUILLEN,TAX COLLECTOR TAXPAYER'S COPY 1044 PINE ROAD CARLISLE,PA 17015-9373 KEEP THIS PORTION FOR YOUR RECORDS TEMP -RETURN SERVICE REQUESTED MUNICIPALOFFICIAL COUNTY 075942'—************AUTO**5-DIGIT 17317 WOLFE36 GREEN MOUNTA N RD TY J I(VIII VIII VIII VIII VIII IIID VIII VIII IIII IIII GARDNERS PA 17324-9053 IJill 11111 11.111I11IIIIII'll 11II1Jill �II��I��I�� To review the assessment data for this ppropertyy, go to: www.courthouseonline.com>AssessmentOffice>Cumber land>PropertyRecords. i Then enter control# 08001951 and password CUEJTXWW ........................................................................................................................................................................... . . .................................................................................................................— Has rymyne Payable To: CAROLYN R MCQUILEENJAXINF c r MAR�AP ON 6-9PM TUES 9-12 NOON 1044 PINE ROAD $ APR 30 9 M& 6-8PM;MAY-JUNE MON 6-9PM CARLISLE,PA 17615 937 . NO FEB BY PPT ONLY NO SAT,SUN OR HOLIDAYS ree.� ':� Bill No: 2588 PHONE(717)486 907,ti^r 7j �'�a f;� j U e� t Bill Date: 3/1/15 „ Control No: 08001951 MAP NO: 08-38-2175-001. CA Desc: 36 GREEN MOUNTAIN ROAD nd:57,800 Im rovement:122,800 Total:180,600 PB 44 PG 87 Discount Face ena y Acres 2.92 Deed 0020G00 ?"rf. 'Courii , - , •e. ^ ; $388.49 396 36.06 cs 'Cbunty Liti 0.143 $25.31 $25.83 $28.41 Fire Protc 0.084 $14.87 $15.17 $16.69 $1.00 FEE FOR ADDITIONAL RECEIPTS Tax Payer: WOLFS,RONALD C&BETTY J TAX AMOUNT DUE 36 GREEN MOUNTAIN RD $437.42 $481.16 GARDNERS PA 17324-9053 If Date Of Pa ment is on 3/1/15C$421.67 30 5/1/15 thru 6/30/15 7/1/16 or Later ................................................................................................................................................................................................................................................................................................................::.