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RCC-S9-RI
COMMONWEALTH OF PENNSYLVANIA
Department of Revenue
ENTRY INTO SAFE DEPOSIT BOX
TO RE~IDVE' A WILL OR CEMETERY DEED
J1il.7 24, 1978
(Da te of Entry)
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1. Name of decedent: Mabel Strayer
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2. Address of decedent: 118 Borth 31st Street. Caco.JllP B1ll, Pa. 179ll
3. Date of death:
July 10, 1978
4. Name and address of person who requested the opening of the box:Hellle ~ StraJer and
Mildred A. StraJ'V 118 H. 3let street, Cup B1ll, Pa. (oo-!xecutr1x)
5. Name and address of the financial institution where the safe deposit box is
located:
Dauphin ))epes! t BaDk &: Tru8t Co.
3045 Market Street CaIIIp H1l1, Pal 17011
6. Number of box: 1882
7. Title under which box is registered: Mabel Ie or Helli. ~ Strayer
8. Was there a will in the box? (Yes or No) ;reS
9. If yes, state date of will, name and address of personal representative, if
named in the will, and name and address of attorney, if any: AURUSt 25. 1972
Hellie M. Stra;rer 118 H. 3let St. Camp Bill, Pa. 17011
Mildnd A. stra,.- 118 H. 31st St. Cup H1l1, h. 17011
BIECU'1'RICES
No Attorney n~ed.
And now this 24th day of JulT
certify under penalty of perjury that the
to the best of my know~edge and belief.
, 19 78 ,I hereby
above record is correct and complete
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~arrY D. Reel, Jr., Vice President
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