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Inventory of the reo I ond personal estate of
Clifford C. Lynn
deceased.
I
REAL ESTATE:
TOTAL REAL ESTATE
NONE
NONE
PERSONALTY:
1. Checking Account No. 4-2569-6, Farmers Trust Company, registered
in name of decedent
Balance as of date of death" $1.,422 67
,,'
,
2. Continental Casualty Insurance Company: Payment of claim for
hospitalization commencing September 13, 1977
3.
Aetna Insurance Company:
Reimbursement for drugs and medicines
-.
4. Continental Casualty Insurance Company: Payment of claim for ',_
hospitalization commencing November 29, 1977
5. Reimbur,sements from Medicare for medical payments to Dr. H. P.
Lenton
TOTAL PERSONALTY
RECAPITULATION'
Total Value Real Estate: NONE
Total Value Personalty:
Total Appraised Value:
$2,248.81
$2,248.81
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COMMONWEALTH I)F PENNSYLVANIA
COUNTY OF CUMBERLAND
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55:
HAZEL L.L'lI'NN
being duly .""'''11-- according to law, deposes and says that she i. toh..
Executrix of the Estate of (:1 i fford C. T.ynn
late of -the.:sor.clUgb-.of-.Car1il1e--- , Cumberland County, Pa., deceased and that the
within is an inventory made by Hazel L. Lynn ., the said Executrix
of the entire estate of said decedent, consisting of all the personal proputy and real estate, except real estate outside
the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value
as of the date of dec:edent's death.
~ and subscribed before me,
~/ 13 19 78
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MARY LEA ENK NotoN PubIIo
Carlisle, Cumberland Co., PJ\
tift Col... 1><1,.. El<pIres Feb. 71, 1982
%'tY,f !:..:~ Executrix
262 McKnight Street
Carlisle, Pe. 17013
Address
Date of Death
20th
Day
Dl!/:!..mh..-ro
Month
1 Q77
Year
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal representative.
2. A supplement in',entory must be filed within thirty days of discovery of additional assets.
3. Additional sheets may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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