HomeMy WebLinkAbout09-06-79 (2)
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STATEMENT OF DEBTS
AND DEDUCTIONS
DEDUCTIONS ALLOWED IN
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THE SUM OF ............ $p<~4?~, .33
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. Register of i lis, Agent ' .
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L.ATE OF
Borough of Camp Hill
lENT
j q h OATS OF DEATH
December 8, 1978
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~;: G'i2' )j~ Hall Funeral
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NAMIi: OF PAVEE
REMARKS
AMOUNT
Horre
All
serv ice s
2 ,204. 29
lm Sullivan, M. D.
190. 00
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id e Haven West
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Insurance of 3007 ChestnutI
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air it Hos ital
Ller, Tax Collector
Borough & County Tax
(,636. 04
Frey, Jr., C.P.A.
Services
40. 00
t. of Revenue
1 Revenue Service
Incorre Tax
Incorre Tax
1,204. 73
Sock Service
36. 10
nsurance Agency
Riverton Consolidated Water Co. 3007 Chestnut Street
89. 00
2. 99
Pa. Power & Light
3007 Chestnut St.
2. 95
Snyders Paint
189. 49
Gin rich Memorials
Ann Keller, Tax Collector
Ann Keller, Tax Collector
Gr ave mar ke r
2131 Chestnut
327. 00
506. 78
e stn~ RCl6 LUl
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.J15,400~
3 05 2 0
Dau
osit Bank
Safe Deposit Box
Attorney Fees
Nursing Services
Cleckner & Fearen
Clare Mannion, N. N.
Mar Huber
Blue Ridge Haven West
Nursin
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Ambulance Service
River Rescue
40 00
COMMONWEALTH OF PENNSYLVANIA l
COUNTY OF Dauphin ..:
HObert H. Kal.ba
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HEREBY CERTIFY. THAT. TO THE BE.I" OF
Iv. Y KNOWLI!:DGE AND BEL.IEF. THE FOREGOING fS A JUST AND TRU E STATEMENT OF DEBTS, FUNERAL. EXPENSES AND EXPENSES 01"
ADMINISTRATION SUBMITTED TO THE EST"'TE OF Gr ace F. - Hemh.... -'9 .' .'/~C:EA~. D. A. S. DEDUCTIONS ,..OR
INHERITANCE TAX PURPOSES. ':/ -/ ~~~y pc" /' . ~/
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SWORN AN~~~-:E";::;E TH:: c.p . DAY OF Robe r t H. Kalbac h
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