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Inventory of the real an-d personal estate of
Michael C. Seman A~ Michael C. Semvan. deceased.
REAL ESTATE:
; .
TOTAL REAL .ESTATE
,
PERSONALTY
1. Checking Accotmt No. 150-0865-9, CCNB Bank,N.A.
2. Pension check dated December.30, 1977, Crucible, Inc.
3. - Death Benefit: Colt Industries Crucible, Inc.
NONIE
NONIE
$3,260 94-
34-6 94-
,
~~I;4-9.'O ,,;90
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4- -- ;60->-
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TOTAL PERSONALTY-- - ;$5 012 '54<:"-
4-. Reftmd on safe deposit box, CCNB Bank, N.A.
RECAPITUIATION
TOTAL VALUE - REAL ESTATE
TOTAL VALUE PERSONALTY
TOTAL APPRAISED VALUE
NONE
$5,012.54-
$5,012.54-
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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CECILIA J. SEMYAN
being duly sworn according to law, deposes and says that she is the
Administratrix C.T.A. of the Estate of Michael C. Seman A/KIA Michael C.
S~uYd.l1
late of _LQ\\1er JQ,le!!_:r()\'lI1!lh~_ _________ , Cumberland County, Pa., deceased and that the
within is an inventory made by Cecilia J. Semyan ., the said Administratrix CTA
of the entire estate of said decedent, consisting of all the personal proparty 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 decedent's death.
;J/ /;y
~#1'/l/."o zF. ~~A~J~
CATHARINE E. BOUSUM. NOTARY PUBLIC
MECHANICS8URG BOROUGH
CUMBERLAND COUNTY
uv """'MIS~lnN EXPIRES FEB. 27, 1982
/Y
19
78
{] ~ 1-:f:.:t.%1/
108 Lancaster Boulevard
Sworn
and subscribed before me,
Mechanicsburg, Pennsylvania 17055
Addr.u
Date of Death
2nd
Day
January
Month
1978
Year
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal representative.
2. A supplement inventory 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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