HomeMy WebLinkAbout02-27-79 (2)
Form RC C -10
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DEDUCTtONS ALLOWED IN
;;( /~'7 't-d.l9
STATEMENT OF DEBTS
AND DEDUCTIONS
THE SUM OF ,....,
,31:J}J?e1fJ!
,.IL./9'?.f(
.
... ~F'FleE- of TN&:
.
REGISTER OF W1I...\...S
OF
Cumberland
COU NTY
AND AGENT OF THB COMMONWEALTH
ESTATE OF
Henry J. Lodek
Hampden Township, Cumberlan
April 26, 1978
L.ATE OF
OATS OF DEATH
DATE OF FILlNG APPRAISEMENT
DATI!:
NO. OF
YOUC""''""
NA.ME OF PAYEE
REMARKS
AMOU NT
Cannon's Mobile Court
Myers Funeral Home
225.00
1,984.00
Rent
Funeral
Register of Wills
Probate and Filing of
an e s
Estate Notice
37 00
Cumb.Co. Law Journal
18 00
,.
20.15
Paul N. Garrett
Bell Telephone Co.
Bond
25.00
38.35
Cumberland County Tax Off.
1977 Tax
36 35
P. P. & L.
Holy Spirit Hospital
52.27
93.00
Med. Bill
Med. Bill
Harrisbur
Wormleysburg Ambulence
Hampden Township
Ambulence
Moffit- Pease & Lim Assoc.
Herbert S. Bowman, M.D.
Med. Bill
Med. Bill
'35.00
Goldberg, Evans & Katzman
Janet A. Rhinehart
Attorneys' fee
Administratrix fee
200.00
263.32
TOTAL
3~786.44
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COMMONWEAl-TH OF PENNSYLVANIA
}ss,
COUNTY OF rllmhorl ~nit
I, .T~no+- 'A "Rhi nClh;:n-t-
MY KNOWLEI?.eE AND BELIEF, THII!: FOREGOING 18 A JUST AND TRU E
AC....,NIST~ATION SUBMITTED TO THE ESTA.TE OF
JNIolER~f~NC.E ;AX P~~PO&E8.
... '.. ... r- ~
~ ~ ~.\ ""I:, "', -. . / ~
ffi~"'OR";'~ 8 S~'8:: ~EFORE ME THIS I{o DAY Of'
:-~ --<':...e. ~- ,- . .-'7G;
_ - , a ..L....-L
'~ HEREBY CERTIFY. THAT. TO THE BnT "'Of'
STATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES ~,.
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