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Inventory of the real and personal estate of
AJIr.HTF: P. - BIJRK
1.
Real Estate - No; 613 Hummel A~;-/in the
Borough of Lemoyne, CuIDberland County,
Pennsylvania. (Deed Book 8-Y, Page 36)
Sale Price -
2. Dauphin Deposit Bank and Trust Company
Checking Account No. 18-64-842-8
14 Certificates of Deposit @ $1,000.00 each -
Interest to date of death .for above certificates
(See attached verification letter)
1 Certificate of Deposit - $2,000.00
Interest to date of death -
3. State Capital Savings
savings Account No. 002-20-12703
Date of death balance, plus interest
4. "West Shore Savings & Loan Association
Account No. 1359 - Date of Death balance
5. Household Goods
6. 1962 Oldsmobile Sedan
7. 304 Shares - Dauphin Deposit Bank & Trust
Company Stock @ 30.00 p/sh
8. 334 shares - CCNB Corporation Stock
@ 12.00 p/sh.
9. 12 - U.S. Series E Savings Bonds
dated February 1959 - $100.00 each
Date of death value - $179.80 each
SUB-TOTAL
"Interest from 10/1/77 to 1/8/78 on
West Shore Savings & Loan Association
Account NO. 1359 -
TOTAL
deceased,
23,000 00
3,636 95
14,000 00
10 75
. 2,000 00
,- . 1 67
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20-; 2.26 82
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20,000 00
1,000 00
50 00
9,120 00
4,008 00
2,157 60
$99,21 79
28" 86
$99,499 65
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
"
J
55:
DOROTHY McDOWELL
being duly sworn according to law, deposes and says that she is F.x.."utrix
of the Estate of /lRrHTF. F RTTRK
late of _u_139rQugjL9_~_Lemoyne_ n ____ . Cumberland County, Pa., deceased and that the
within is an inventory made by h~r . the said RV~('Ol1t-1"'i v
of the entire estate of said decedent, consisting of all the personal prop.rty 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 vllue
IS of the date of decedent's death.
19.1Y
/'-' /,
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n ~ .?/
d/ ~ CLk/.V///
DorOthY~We ,X~utrix
4705 North Clearview Drive
Sworn to
and subscribed before me,
Camp Hill, Pennsylvania 17011
Address
Date of Death
8th
January
Month
1978
DIY
Veer
INSTRUCTIONS
I. An inventory must be filed within three months alter 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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