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Home My WebLink About03-16-06 REV.1500 EX + (6.00) REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT '* COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 OFFICIAL USE ONl Y FILE NUMBER 2 1 -0 6 0 0 0 9 COUNTYCOOE ---vEAr-- - - N'UMBER- - DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER I- Z W C W o W C BOWERS BETTY JANE DATE OF DEATH (MM-DD-Year) ALBRIGHT DATE OF BIRTH (MM-DD-Year) 12/10/2005 01/18/1920 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) 5 79- 4 0 - 8 2 3 4 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER W I- :.::$en oa::~ wQ.(.) :z: 00 oa::...J 8;l:C cr: [XJ 1. Original Return D 4. Limited Estate D 6. Decedent Died Testate (Attach copy of Will) D 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (dale of death after 12'12-82) o 7. Decedent Maintained a Living Trust (AtlachcopyofTrust) o 10. Spousal Poverty Credit (date ofdealt1 between 12.31.91 and 1-1.95) o 3. Remainder Return (date of death priorto 12-13-82) o 5. Federal Estate Tax Return Required _ 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) I- Z W C Z o Q. en UI a:: a: o (.) THIS SECTION MUST.BECOMP1.ETElliAlt.CbFtRESPONOENCEANDCONFIDENl1ALTAX.tNFbRMATlONSHOULD.. BE OIRECTE'OTO: NAME COMPLETE MAILING ADDRESS MARCUS A. McKNIGHT III 60 WEST POMFRET STREET FIRM NAME (If Applicable) IRWIN & McKNIGHT TELEPHONE NUMBER 717 249-2353 CARLISLE PA 17013 z o i= < -.oJ ::) l- e: < o w a: 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3, Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) I 79,941.02 OFFICIAL USE ONLY I , I 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o i= ~ ::) a.. :E o o >< < I- 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 19. Tax Due 0.00 X _(15) 0.00 X _(16) 0.00 X .12 (17) 291 ,41 0.14 X .15 (18) (19) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 20. 69,571.84 I 164.449.041 (8) 313,961.90 19,931.65 2,620.11 (11) (12) (13) 22,551.76 291,410.14 (14) 291,410.14 0.00 0.00 0.00 43,711.52 43,711.52 > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < REV-15".1 EX, (6-. SCHEDULE B STOCKS & BONDS .. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF BOWERS BETTY JANE ALBRIGHT FILE NUMBER 21 06 0009 ITEM NUMBER 1. 2. 3. 5. 6. All property jointly-owned with right of survivorship must be disclosed on Schedule F. DESCRIPTION Van Kampen Investments - Account Number 32 / 670691022 600.962 Shares @ $18.72 Van Kampen Investments - Account Number 50 /670691023 2,283.453 Shares @ $10.48 First Investors - Account Number 7V1 0512 7 First Investors Fund for Income A (FIFIX) 5,595.762 Shares @ $2.96 Scudder Investments Managed Municipal Bond Fund - Class A 1,187.662 Shares @ $9.06 SunTrust Banks, Inc. Certificate Number ST 249098 Cusip #867914 10 3 226 Shares @ $73.40 VALUE AT DATE OF DEATH 11,250.01 24,752.63 16,563.46 10,786.52 16,588.40 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 79.941.02 REV-l";B EX. I'. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ... ESTATE OF BOWERS FilE NUMBER BETTY JANE ALBRIGHT 21 06 Include the proceeds of litigation and the date the proceeds were received by the estate, All property jointly-owned with right of survivorship must be disclosed on Schedule F. 0009 ITEM NUMBER 1. DESCRIPTION Personal Property - Appraisal Attached VALUE AT DATE OF DEATH 4,677.00 2. 1992 Ford Escort VIN # 3FAPP13J4NR116321 675.00 3. Sovereign Bank - Checking Account #2891032829 26,854.35 4. Sovereign Bank - Savings Account #2894018171 4,930.54 5. Sovereign Bank - Certificate of Deposit #32895434617 22,018.45 6. Sovereign Bank - Certificate of Deposit #2895505465 10,416.50 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 69 571.84 REV."'~EX'(6. , COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF BOWERS BETTY JANE ALBRIGHT FILE NUMBER 21 06 0009 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV.1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE. THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER. ATTACH A COpy OF THE DEED FOR REAL ESTATE V ALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1. Sovereign Bank - IRA #2899146465 4,866.27 100. 4,866.27 2. AIG Annuity 159,582.77 100. 159,582.77 Policy No. BX203397 TOTAL (Also enter on line 7 Recapitulation) $ 164449.04 (If more space is needed, insert additional sheets of the same size) REV-1511 EX + (12-99) ',* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF BOWERS ITEM NUMBER A. 1. B. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. FILE NUMBER BETTY JANE ALBRIGHT 21 0009 06 Debts of decedent must be reported on Schedule I. DESCRIPTION AMOUNT FUNERAL EXPENSES: Auer Memorial Home 56.00 ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) 7,500.00 Social Security Number(s)/E!N Number of Personal Representative(s) Street Mdress 60 West Pomfret Street City Carlisle State P A Zip 17013 Year(s) Commission Paid: Attorney Fees Irwin & McKnight Family Exemption: (If decedents address is not the same as claimant's, attach explanation) Claimant 9,875.00 Street Address City State Zip Relationship of Claimant to Decedent Probate Fees 352.00 Accountant's Fees . Tax Return Preparer's Fees 350.00 Register of Wills, Short Certificates Register of Wills, Filing Fee Notary Fees Cumberland Law Journal, Estate Notice Roy Gottshall, Appraisal on Personal Property Garnet Management, Rent The Sentinel - Legal, Estate Notice Jeffrey Albright, Reimbursement of Expenses 16.00 30.00 25.00 75.00 65.00 173.20 122.51 1,291.94 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 19931.65 REV-1512 EX + (6-98) . SCHEDULE' DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF BOWERS FILE NUMBER BETTY JANE ALBRIGHT 21 06 0009 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1. Sprint, Telephone VALUE AT DATE OF DEATH 137.42 2. Comcast Cable, Utility 67.51 3. PP&L, Electric 43.22 4. Thornwald Home, Nursing 2,371.96 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets 01 the same size) 2.620.11 """no".,. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES BOWER BETTY .IANE ALBRIGHT NUMBER 1. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. John R. Albright 127 Carlton Avenue Deland, FL 32720 2. Jeffrey D. Albright 68.Morgan Road Unity, NH 03773 FILE NUMBER 21 06 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Collateral Collateral ooo~ AMOUNT OR SHARE OF ESTATE 1/2 Remainder 1/2 Remainder ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET ll. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) LAST WILL AND TESTAMENT I BETTY JANE ALBRIGHT BO\VERS, of the Borough of Carlisle, Cumberland County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. ONE: I direct my Executor to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. T\VO: I give, devise, and bequeath all of my estate of every nature and wherever situate, in equal shares to the following per capita: To JOHN R. ALBRIGHT ...........................................50% To JEFFREY D. ALBRIGHT.....................................50% If one of those named has predeceased me, his share will be distributed to the person named above then living. THREE: I appoint l\IARCUS A. l\lcKN1GHT, III, as Executor of this my Last Will. FOUR: My Executor may, at his discretion, compromise claims, borrow money, retain property for such length of time as he may deem proper; lease and sell property for such prices, on such terms, at public or private sales, as he may deem proper; and invest estate property and income without restriction to legal investments. FIVE: No Executor, acting hereunder shall be required to post bond or enter security in this or any jurisdiction. (SEAL) Signed, sealed, published and declared by BETTY JANE ALBRIGHT BO~VERS, the above named Testatrix, as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence and in the presence of each other have subscribed our names as witnesses hereto. yM~ d v1duud~ / - ,/ f'--- (. ",x. ~.:", n, (..." 'j .~ <\ ,,~", I " ,~:. ,; r'f''-.-(\\ (L~f"- ~=..i . \~.() (I J lif lU./1 2 ACKNO'VLEDGMENT AND AFFIDAVIT 'VE, BETTY JANE ALBRIGHT BOWERS, SHARON L. SCffiV ALM and KALVIELA S. CORNl\'IAN, the testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her last will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the will as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. ~ ~ . 'dt"t . /\-~ R ~~ BETTY JA~ E ALBRIGHT BO'VERS \tIA~~ tt? ~j~il,~f~ , , SHARON L. SCH'VALM I ''La /1 COLVIl\ION''''EALTH OF PENNSYLVANIA : SS: COUNTY OF CULVIBERLAND Subscribed, sworn to and acknowledged before me by BETTY JANE ALBRIGHT BOWERS, the testatrix herein, and subscribed and sworn ~olbeforeme by SHARON L. SCH\VALl\:J aT1d KAlVIELA S. CORNl\'IAN, witnesses, this )~d'ay of February, 2002. I -~~_._..._-_...-..__..._._--_._-~.~ j'-'''.'-'''-'' Notarial Seal ,,' j Martlla L. Noel, Notal"j PllUllC " ',\ j Carlisle 8cro. CUf!1berland ~~un;fn" { 1 My Commission Explf8S Sept I "'..:.- "v j 'rd1G(t"!h8f ?Enr~s'ih'8.n)8-~SSCGta~jc>n o~ j',\ot2ln.~3 It February 23, 2006 ~.~.l)~~~U rrmm,l,.l ,~ ~ lJ~ ;~~'- . -, .-~ _.~ i :~~'~) i. d .~ JVc MARCUS A MCKNIGHT III IRWIN & MCKNIGHT 60 WEST POMFRET ST CARLISLE P A 17013-3222 IR !l, ,f.. k" l'- '1" 'G~'H''-i.'~ tYlt.Jl",L"~ ". 1 Reference: 00369323 Re: 32/670691022 50/670691023 Betty A. Bowers Dear Mr. McKnight: We recently received your inquiry regarding the above referenced shareholder's Van Kampen accounts from Jefferson Pilot Securities Corporation. In your letter, you requested information regarding the decedent's accounts. Please know that the client's accounts are registered in Betty A. Bowers' name solely. Account number 32/670691022 was established on September 27,1995, and account number 50 / 670691023 was established on July 1, 1998. The registrations of the accounts have not changed in the year preceding the decedent's death (December 10, 2005). There were no other accounts closed for the year preceding the shareholder's date of death. Since the date of death fell on a weekend, the following share balance and net asset value (NA V) information is based on the previous business day's (December 9,2005) close. Account Number Shares NAV Account Value 32/670691022 600.962 $18.72 $11,250.01 50/670691023 2,283.453 $10.84 $24,752.63 The amount of dividend income accrued, but not posted to account 32 / 670691022 as of December 9, 2005, was $10.29. The amount of dividend income accrued, but not yet posted to account 50 / 670691023 as of December 9, 2005, was $32.83. In order to transfer (re-register) the accounts, Van Kampen requires the following documentation: . Completed Transfer Form (enclosed) bearing your guaranteed signature as well as the signature( s) of the new owner( s) . Certified copy of the Letter of Appointment naming you as the executor of the estate, dated within 120 days of the request . Copy of the death certificate for Betty A. Bowers ( on file) In order to redeem the accounts, Van Kampen requires the following documentation: . Letter of instruction bearing your guaranteed signature . Certified copy of the Letter of Appointment naming you as the executor of the estate, dated within 120 days of the request . Copy of the death certificate for Berty A. Bowers (on file) . \V -9 form (if app licable) A signature guarantee is simply the witness of a signature and can be performed by a registered broker dealer, a commercial ban..L:: or tmst company. a savings and loan associ3tion, J. credit union, a member tim. of a national securities exchange, a securities clearing agency, or a federal savings bank. A signature guarantee cannot be performed by a notary public. Additionally, an endorsement guarantee is not acceptable. -. The Letter of Appointment is a court issued or persona! document appointing a person or entity to a fiduciary capacity. It is essentially a document issued by the court evidencing the appointment from the courts. The letter must be celiified at the courthouse and must bear the coun clerk's seal, which may be raised or flat. Certification of the Letter of Appointment must be dated within 120 days of the request. If the redemption should be reported under the estate's tax identification number (TIN) or the recipient's Social Security number (SSN), we will need a completed W-9 form signed by the appropriate party (i.e., you, if it should be reported under the estate' 5 TIN or the recipient of the assets if it should be reported under [hat person's SSN). In addition, you will need to specifically request that the shares be transferred into the name of the estate or recipient prior to redemption. \Ve have enclosed a W-9 form for your convenience. Please mail the appropriate documentation to our transfer agent at the following address: Van Kampen Investor Services P.O. Box 947 Jersey City, NJ 07303-0947 Thank you for doing business with Van Kampen Investments. If we may be of further assistance, please contact our Client Relations Department at 1-800-847-2424 between the hours of 8:00 AM and 5:00 PM Central Time, Monday through Friday. Sincerely, ~J~ Douglas Krodell Correspondence Representative .11111111 First Investors 1 of 4 January 1,2005 - December 31,2005 = - - = Account Summary Mutual Service Corporation 2030 Sue Creek Drive Baltimore, MD 21221-1930 - = - - Betty A Bowers 129 W Ridge St Apt C Carlisle PA 17013-3825 --- = Representative 6391 GENTRY --- --- --- - = Office 839 Customer # 756065 5000054762 --- - First Investors Mutual Funds --- - - - Fund For Income - A Type Individual Account Number 7V105127 Shares ,./ . Owned (.5,595.762 NAV $3.00 Ending Value $16,787.29 - - - - 'I ," }' , ' ./ / It i,.,-./';-, , t" ) t-l .) - - I' /..- "" GRAND TOTAL $16,787.29 Information Is Just A Phone Call Away - For assistance 24 hours a day. seven days a week, please call our automated telephone system at 1-800-423-4026 and have your Customer Number 756065 handy. You will be able to check your account balance, review recent transactions and access other helpful information. \' '.,; \ \ \/ \ " .".t \ \ 2 First Investors funds and variable products are not FDIC insured, are not guaranteed by First Investors Federal Savings Bank (FIFSB), and are subject to investment risks - - - FlFIX: Historical Prices for FIRST INVESTORS FUND FOR INCOME - Yahoo! Finance Page 1 of 2 Yahoo! Mv YahoqJ Mail :3e~rch the V.}eb Y1\.HoO!3i FI NANCE Sign In New User? SjgnJ,lQ Search I FinaDC:;~ HQD1~ - Help Friday, February 24,2006, 10:35AM ET - u.s. Markets close in 5 hours and 25 minutes. Dow -0.27% Nasdaq -0.11 Home Investing News & Commentary Retirement & Planning Banking & Credit Loans Taxes My Port r"larket Overview Market Stats Stocks Mutual Funds ETFs Bonds Options Industries Currency Education GO I Symbol Lookup I Finance Search Get Quotes First Investors Fund for Income A (FIFIX) .. FREE TRADES $7 stock trClc:l~!i Free Trades Trade smarter Historical Prices On Feb 23: 3.01 AMERITRADf IRA . Get Mi<rosott;t:J\ . ~Mon~!!~~~~':'~~~.'W"M~~k Plus 15 freeJIgdes Get Historical Prices for: 1"(30-) I . J ~.~~._..' SET DATE RANGE Start Date: Dec Eg. Jan 1, 2003 (~) Daily Weekly Monthly Dividends Only End Date: Dee 10 10 2005 2005 Get Prices First I Prey I Next I Last PRICES Date Open High Low Close Volume Adj Close* 9-Dec-05 3.00 3.00 3.00 3.00 0 * Close price adjusted for dividends and splits. First I Prey I Next I Last rL~JJ.ownload To Spreadsheet New trading tools from Schwab. Maximized for power~ Optimized for ease. 2.96 Test-drive our fully loaded simulator. - http://finance.yahoo.comlq/hp?s=FIFIX&a=11&b=10&c=2005&d=11&e=10&f=2005&g=d 2/24/2006 .SCUDDER INVESTMENTS v Scudder Distributors, Inc. 222 So. RiversIde Plaza Chicagu, IL 6060(,-5808 Phone: 1-800-621-1048 www.scudder.com January 12,2006 Irwin & McKnight Attn: Marcus A. McKnight, III 60 West Pomfret Professional Building Carlisle, PA 17013-3222 Dear Mr. McKnight: I am writing in response your recent correspondence regarding Scudder Managed Municipal Bond Fund-Class A account 9334715232, which is registered individually to Betty A. Bowers. As December 10, 2005 was not a business day. I have provided below, the number of shares, share prices, dollar values, and accrued dividends in this account as of the previous and next business days. Date Number of Shares Share Price Dollar Value Accrued Dividends December 9,2005 1,187.466 $9.06 $10,758.44 $22. 14 December 12, 2005 1,187.662 $9.06 $10,760.22 $26.30 As of December 9, 2005 and December 12, 2005, the year-to-date dividends paid in this account were $435.64. Please note that on December 12,2005, there was a short-term capital gain distribution of$1.78. As a result, 0.196 shares were purchased in the account at a price of $9.06 per share. According to our records, the above account was established on July 1, 1988, and there have not been any registrations changes on the account. Please note that I did not locate any accounts for Betty A. Bowers that were closed within the past year. I have enclosed a checklist that provides instructions for you to transfer or redeem this account as the executor of the estate of Betty A. Bowers. An Inheritance Tax Waiver is not required for this account. If you have additional questions or require further assistance, please contact Scudder Investments at (800) 621- 1048. A representative will be happy to assist you Monday through Friday 8:00 a.m. to 5:00 p.m. Central Time. Sincerely, ~?~ Monique Fullenwilder Scudder Investments 60668939 IJ~ SUNTRUST- Ernest Hale Vice President Stock Transfer Department SunTrust Banks, Inc. P. O. Box 4625 Atlanta, Ga. 30302 --;81404.581.1578 Fax EMAIL Ernest.Hale@suntrust.com January 17, 2006 Marcus A. McKnight, III Law Offices Irwin & McKnight West Pomfret Professional Building 60 West Pomfret Street Carlisle, PA 17013-3222 Re: Estate of Betty Jane Albright Bowers Dear Mr. McKnight, Enclosed you will find two computer screen prints revealing the information you requested on securities held by Betty A. Bowers. Since the account was opened there has been no change in ownership. All dividend checks issued since the account was opened have been negotiated. The balance of 226 shares of SunTrust Banks, Inc. stock has not changed since inception. Sincerely, /"';} "1 ~. - ~ "" 1....L/ /- tlL---' L~l.AJ~ ~'. Ernest Hale (-! 1/ X ,-')". I -~/-) l (. .~-: r~__>f ._...._,,/ .....4". , / I fl ClL. \. Page: .1 Document Name: untitled POI ASCY TERM/OP: A023 RSTA43 DATE/TIME: 01/12/06 17:15:56 ID: SMASCY ERES: MESSACE: 150 INFO--NO ADDITIONAL PAGES COMPANY: SUNT ISSUE: COM SUNTRUST BANKS, INC. ACCT ID: BET A BOWERS 1 TAXPAYER ID: 579-40-8234 ACCT NUMBER; 79485 OPEN ONLY: BEG CERT: BEG DATE: END DATE: A C C 0 U N T C E R T I F I CAT E HIS TOR Y BETTY A BOWERS 129 W RIDGE ST APT C SEL ---CERT ID--- ---DEBIT--- ---CREDIT-- ---UNITS--- STP COR USER NBR PREFIX NUMBER TP DATE TP DATE 1 ST 249098 CF 12/31/98 226.0000 SELECT ONE OF THE ABOVE FOR INQUIRY AND UPDATE ====> PROCEED TO: ====> (I = CERT INQUIRY, M = CERT MAINT, P = PRICE INQ / MAINT) PAGE DIRECTION: => F (F/B) NUMBER OF PAGES: => 01 (01-50) PAGE NUMBER: => 1 _"., 'l {1 {~" ,. i/,~~tt~ A } tJ,1....L.-. '--~ ~ ,; "-~ U 1 . /) r jl 7Le t ~\.'-~~ Date: 1/12/2006 Time: 5:16:10 PM ?age: .1 Document Name: untitled POI ASHI TERM/OP: A020 RSTA43 DATE/TIME: 01/17/06 13:28:23 10: EP~S: MESSACE: 150 INFO--NO ADDITIONAL PAGES COMP: SUNT ACCT 10: BET A BOWERS 1 TAXPAYER 10: 579-40-8234 ACCT NUMBER: 79485 DDA NUMBER: STATUS: A C C 0 U N T C H E C K HIS TOR Y I N QUI R Y BETTY A BOWERS 129 W RIDGE ST APT C CARLISLE PA 17013-3825 SEL -DDA NBR- CHECK NBR 1 08800712518 7570436 2 08800712518 7587866 3 08800712518 7604988 4 08800712518 7622173 5 08800712518 7644171 6 08800712518 8000645 7 08800712518 8021978 8 08800712518 8042902 SMASHI ~L4Q l~lUt&-it.~~O -CHECK AMOUNT- PAY DATE STATU~ DATE -----MESSAGE----- 113.00 113.00 113.00 113.00 124.30 124.30 124.30 124.30 03/15/04 SE 06/15/04 SE 09/15/04 SE 12/15/04 SE 03/15/05 SE 06/15/05 SE 09/15/05 SE 12/15/05 SE 03/25/04 06/25/04 09/21/04 12/21 /04 03/21/05 06/20/05 09/21/05 12/29/05 SELECT ONE OF THE ABOVE: ====> PROCEED TO: => (A = ACCOUNT CHECK INQUIRY, M = CHECK MAINTENANCE) PAGE DIRECTION:-=> F (F/B) NUMBER OF PAGES: => 01 (01-50) PAGE NUMBER: => 1 ~- or. Ij r.\ . \ I ii, . J v'C;""';' ,J---di..t..--v'.--d,/ ,n b---e~ 1.........--- ,)ate: 1/17/2006 Time: 1:28:27 PM ""- '-~~ Q ,r~.,-rrl/ a~<, . /1 ~O~' - c"--"-LlY STI: Historical Prices for SUNTRUST BANKS - Yahoo! Finance .. Yahoo! Mv Yahoo! Mail ~38arl~h the V';eb YJ\..HoO!>:i FI NANCE Si9n-In New User? SlgnUQ 2:arc~J EJD_cw_qUiQme - H_eIQ Page 1 of 2 Friday, January 20,2006, 1:37PM ET - U.S. Markets close in 2 hours and 23 minutes. Dow -1.370/0 Nasdaq -1.82' To track stocks 8,. Quotes & Info Enter Symbol(s): e.g. YHOO, ^DJI SunTrust Banks Inc. (STI) ~ EE~~ILaJt~ iLstock tracL~s Trade smarjgc Historical Prices 1-----"1 i GO i Symbol Lookup I Finance Sear< L.'-_..:....~.~~. At 1:17PM ET: 70.49 + 011'10 :c:i:; FI!~~ ~RADES ,..': ,.,,:' + .0' ,,;t.; CASH A. NQYlL_<;l_tArn ~ri tr2lcJ~ GO Get Historical Prices for: ADVERTISEMENT SET DATE RANGE Start Date: Dee 2005 2005 Eg. Jan 1, 2003 (~) Daily Weekly Monthly Dividends Only End Date: Dee 10 10 Get Prices First I Prev I Next I Last PRICES Date Open High Low Close Volume Adj Close* 73.40 9-Dec-05 72.54 73.92 72.37 73.40 1,206,700 . Close price adjusted for dividends and splits. First I Prey I Next I Last rUi Download To SQreadsheet $170,000 Mortgage as low as $560/month* http://financc.yahoo.comlq/hp?s=STI&a=11 &b= 1 O&c=2005&d= 11 &e= 1 O&f=2005&g=d 1/20/2006 " JS ;) -;1:7:- ,-;; . ~ ~~, ~ /~ b~A ~ .t,-D(..-{$.~ ~,<!:K:..:../ ;/ ~ f W./~d~ S,;r:;;c:yer e /,' e /0 /'> .#. / ~ r;"-t. I ~~O/_? <.-<-"~/ ~/, ) " " /" "-{.I2/''' .. ~ .,'" /-:' /)/1 /'" ~ '.":':;~--/-.J ./ ~ C"_~_~. /7' L,,"'Z:<C'..L,,--:l/ y/~ "Yf;;'. ",""';'.'4"'/,,-, ;:';"'/d"':::,~:7/ '. U~' ..;?-:~~",.;t...c ~G:,:. ~ __/ \ '" r) ~'"?~rl...~-;J~"~?_ '-1 ( . I' /, ?/;' /;;" h -L, /...." 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' " ?-" *'1 ~~-' "r.~ of"...4 /. l/ /~~;.I; / /J' 7- /S~../~:.u.-L(!/.L Jellt ~.i\. ~'Z. r-A I (_ ~4-a.? 1..2--13 ~o, . o. * ,....~,/,~-~. / ~ ~ _ ,t:J::.'I'.. /...j ""~/ ~a ~., ... /:. ~ . " . . - h -->.:-/ :-r::;' ./' ./U/i-?~ /c~'" :f'- 2,588'00+ -rT - 1,391.00+ -:::q- _--~ 698000 + .!.J-- = 4,677. * , ' .....r /~;r:~~4(?#cZ~Rl: / ,'~".' ,'" //--/3--0.5' I ~ ...j 0.* 10 - MG Annuity tnllunnce Cmnpnny P.O. Box 871 Am<1rillo. TcxllS 791OS-tl871 800.42't4990 March 10, 2006 BETTY A BOWERS 129 W RIDGE ST CARLISLE PA 17013 Rc: Annuity Contract: Annuitant: BX203397 BETTY A BUWERS (Deceased) Dear Policy O\vner: Thank you for your recent inquiry regarding the referen.ced a1UlUity contract. It is our pleasure to be of service to you. Our records reflect the following information on your contract: Date of Dtath 12110/2005Accum.Value: $159,582.77 We appreciate your business and this opportunity to be of assistance. Should you have additional questions, please feel free to contact our Client Care Center by using our toU free number of 800-424.4990. Sincerely, '<~o~~ Peter Drolet Client Care Center t1'(J",,'''~;IY IJI,~."l'fmrr C"m/JlJlJl' MonJ.}()' '~/I\/IICI'I((II' 1I1!~.'!'r1,,!;,;,,/,1 (Jrmf)', I",. Sovereign Bank ESTATE OF SOCIAL SECURITY #: DATE OF DEATH: Betty Jane Albright Bo\vers 579-40-8234 December lO, 2005 Account #: 2891032829 Type: In the name of: Betty A. Bmvers Date of Death Balance: Int.(YTD) from 1/1/2005 to Accrued interest to date of death: Other Info: Checking Open date: 8/3/1990 $26,844.10 12/4/2005 $10.25 $528.21 Account #: 2894018171 Type: In the name of: Betty A. Bowers Date of Death Balance: Int.(YTD) from 1/1/2005 to Accrued interest tD date of death: Other Info: Savings Open date: 8/31l990 $4,924.72 9/30/2005 $5.82 $1 &.48 Account #: 2895409791 Type: CD Open date: In the name of: Betty A. Bmvers ITF John R. Albright and Jeffrey D. Albright / Date of Death Balance: $22,975.50 / J. Int.(YTD) from 1/1/2005 to 11/30/2005 __ Jl ..l--- Accrued interest to date of death: $22.36 V I \Sl Other Info: / I ill, 1 ~ v i 2/1112000 $613.20 Account #: 2895416283 Type: CD Open date: In the name of: Betty A. Bowers ITF Jeffrey D. Albright and John R. Albright / Date of Death Balance: $10,000.00 <\ ",,\0nt.(YTD) from 1/1/2005 to 11/30/2005 ,I . I \ Accrued interest to date of death: $9.73 ( f.\\')\ i \' ~v Other Info: 1\ 7/24/1997 $270.86 Account #: 2895434617 Type: In the name of: Betty A. Bowers Date of Death Balance: Int.(YTD) from 1Il/2005 to Accrued interest to date of death: Other lnfo: CD Open date: 5/27/2003 $22,000.00 11/30/2005 $18.45 $499.14 Page 1 of 2 Sovereign Bank ESTATE OF SOCIAL SECURITY #: DATE OF DEATH: Betty Jane Albright Bowers 579-40-8234 December 10,2005 Account #: 2895505465 Type: In the name of: Betty A. Bowers Date of Death Balance: Int.(YTD) from 1/112005 to Accrued interest to date of death: Other Info: CD Open date: 7/28/2004 $10,404.70 lI/30/2005 $11.80 $328.47 Account #: 2898146465 Type: IRA Open date: .811/1996 In the name of: Betty A. Bowers Date of Death Balance: . $4,859.99 Int.(YTD) from 1/112005 to 11130/2005 $182.19 Accrued interest to date of death: $6.28 Other Info: Beneficiaries: John R. Albright & Jetlrey D. Albright (nephevv) Page 2 of 2 Sovereign Bank ESTATE OF SOCIAL SECURITY #: DATE OF DEATH: Betty Jane Albright Bowers 579-40-8234 December 10, 2005 Account #: 2891032829 Type: In the name of: Betty A. Bowers Date of Death Balance: Int.(YTD) from 1/1/2005 to Accrued interest to date of death: Other Info: Checking Open date: 8/3/1990 $26,844.10 12/4/2005 $10.25 $528.21 Account #: 2894018171 Type: In the name of: Betty A. Bowers Date of Death Balance: Int.(YTD) from 1/l/2005 to Accrued interest to date of death: . Savings Open date: 8/3/1990 $4,924.72 9/30/2005 $5.82 $18.48 Other Info: Account #: 2895409791 Type: CD Open date: 2/11/2000 In the name of: Betty A. Bowers ITF John R. Albright and Jeffrey D. Albright Date of Death Balance: $22,975.50 Int.(YTD) from 1/1/2005 to 11/30/2005 $613.20 Accrued interest to date of death: $22.36 Other Info: Account #: 2895416283 Type: CD Open date: 7/24/1997 In the name of: Betty A. Bowers ITF Jeffrey D. Albright and John R. Albright Date of Death Balance: $10,000.00 Int.(YTD) from 1/1/2005 to 11/30/2005 $270.86 Accrued interest to date of death: $9.73 Other Info: Account #: 2895434617 Type: In the name of: Betty A. Bowers Date of Death Balance: Int.(YTD) from 1/1/2005 to Accrued interest to date of death: Other Info: CD Open date: 5/27/2003 $22,000.00 11/30/2005 $18.45 $499.14 Page 1 of 2 Sovereign Bank ESTATE OF SOCIAL SECURITY #: DATE OF DEATH: Betty Jane Albright Bowers 579-40-8234 December 10,2005 Account #: 2895505465 Type: In the name of: Betty A. Bowers Date of Death Balance: Int.(YTD) from 1/1/2005 to Accrued interest to date of death: Other Info: CD Open date: 7/28/2004 $10,404.70 11/30/2005 $11.80 $328.47 Account #: 2898146465 Type: IRA Open date: 8/1/1996 In the name of: Betty A. Bowers Date of Death Balance: $4,859.99 Int.(YTD) from 1/1/2005 to 11/30/2005 $182.19 Accrued interest to date of death: $6.28 Of her I~fo' B""",pf:"1''lr1''''s' Tohn R !\lhr;"h~!lf J""f'fr"'" D ^lb"-;',.l-,~ (nepL.",\,,) ..~.. ... .......L..l._.l...1..... u. ..d.. .., .L "..L ...LU 1 OLd.. ~ "'..L \..I} . J.'-\,. Lt.&,(l.. ,.L 1.1.'-' 'v Page 2 of 2 January 17, 2006 Irwin & McKnight West Pomfret Professional Building 60 West Fomfret Street Carlisle, pa 17013-3222 RE: Estate of Betty Jane Albright Bowers To Whom It May Concern: Attached please find slips for my trip tc Carlisle, Pa from Jan. 14-16, 2006. Total Amount spent was $1291.94. Sincerely, Jeffrey :c. Albright enclosures r~ -JI ili1 I~n~ ~!l[~ .'~ ...."l:} "'7!;:~ i~-- I I j , ~~ '.; "" ,I:! '-';- t:, t~;; r ~~ " I I I ; ': ~,;:<! !,j r.;' I ;'~:~,', Hi: ,i'T. I "I ,~i. l: E i I I I f,-r,' l' . . , I I I I ! A8udget. 1'\ j' , ['l ,~,G.i.:.~f,-,.~jUIIE~Q. i2:21 p~ : CIJST. REF. I 1558000016164 ;r:'cJdlLlrr.L':'L/ftatLD Mlr.6.J..D.'1 Glli.ill TDtal Alit najJ] Ratf Wkly Rat". 60.00 310.00 O.25001HI ~iJ. 95 146.65 22.q~ 160.65 2.01 14.21 : r.~ ;: i 1. ~ T (I i. ~ \I O{\~, I i l Rnd :11 Tax ~ 3 OO~ .,'.......... R"flt;ti TI,LI! : I" Pff:r:E1. WI GAS 180.00# 242.751 62.85 68.85 6.091 ::4.31 5~4,85 o ~; f)} (1 7 r::. 9 ':'1'. ; ': r;i!'! .1, [I) 11.5, t j_:j._ i to' f '-' r ~i! t~; i I,' ~! · ;:;: < r " . ~: I' " '1 .. , ::1'1;": I ~L:~EN'.gT rfN~~r ~T~RA~F ~:~ ~!~}lj~:;Tr'N ~T;'~fT ::;,I!V}I,'l)T, \~H ',:;, t'~,'~l ..'~-~I'; E.\ ~:~.)II( !~l'li\(('f I; : Hi-I ,~ -': ~ f' R ~ t ; ;rji~S, nAMA~K W~IVK? ; } ~ ,I,i(ji,! .1:0~, CS L : ;,; ~~ h j I: \;. L i i~~' 1) ~ t~ F (~t- I;, I' ; [;.,tll A(lditi<inal I:!urge, . """"'" r.:, tal D,; '1ur; t j I.' 0 S : ". .. .. . . .. .. . .. .. . O.I)\} G.OO .', <,II! ,I:. .: .! !; " l} ~ ~;': T'dal GhH~':5: ....... ............... ~14,85 L~5S: D~p0jjt!P[eujuu5 Payments...... 0.01 Am0Uhl Due BudKel ........,. ,. .."..,. 594.84 ; [ I, ;,,'[ilj _. ~t.lL~ (>~II1JJdJiimLc.J~U-l',-__~Q1-aJ. ~ :' 1&1, J "'/0,01 '\ ; I ~ ,""" .......1'10J1 jr '" 'J"'.'lt (Y r'l' af ) ',11 '), ." "t:ffi;"'~" I' ,..,11 I.' } \ ~ ,~. J / :I~+ :';I~:'i-:S;;"d., .~.:" '/-/",,,::":1- --' .--..--:...--------:"..""'~/ x:-./.- ~f;f.--- -- ----- "1 ' "., '1"". " .', - I ., /. '.;(,~-----'- _. ----:;;-:;-;"1-;----- 1>1""': ".,;.:, 'I,:.'.}, .- j,;I.~ ~ v1.07b .__ __.. __ _'_ __~i~_r:::~(~ ~ .&..........:'.:a......~w...._1:II ... Days Inn Carlisle 101 Alexander Spring Road Jan 15, 2C 12:19 ; Carlisle, P A 17013 Phone: (717)258-4147 Fax: (717)258-1207 JEFFREY ALBRIGHT 68 MORGAN RD Newport, NH 03773 Account #: 42037 Room Number: 101 Rate: $72.00 Pay Method: XXXXXXXXXXXI007 AX Arrival Date: Saturday, January 14, 2006 Departure Date: Saturday, January 14,2006 Member #: Information: Date Department Room postings ccupancy Tax = 6% ourist Tax = 2% merican Express P 101 $72.00 101 $4.32 101 $1 .44 101 $77.71 Balance: I $O.Ot OOM AND TAX OOM AND' TAX OOM AND TAX HECKED-OUT As a TripRewards member. you could have earned 720 points for this stay. To become a member visit us at triprewards.com or call1-800-FOR-TRIP. Notice: This facility is independently owned and operated under license from Days Inn. Contact the facility manager first with any questions about the bill. Days Inn and it affiliates may contact you about goods and services. If you prefer not to be contacted by the Iincensor or it affiliates. please write us at Days Inn. PO Box 27970. Minneapolis. MN 55427-09tQ Signature Please contact the Manager about any issues with your stay. Days Inn or affiliates may contact you about goods and services unless you call 877-212-2733 or write to Box 27970, Minneapolis. MN 55427-0970 to opt out. View our Days Inn website about privacy. WA\.*~' 'Lw.v~'"ES' SUP ERe E ~ i E R ~E SELL FOR LESS t\Al'IAGER JOHN LlNDEMULDER ( 1'7 ) 2S3 - '250 CARLISlE, PENNSYLVANIA Tt ~Si~ oPt 000020'5 iE' 30 iR' 09'30 OiiON CORD 007'S'~06'S2 ~.17 ~ SUiiOiAL ~.71 'TA~' 6.000 Yo ,A)....29-- TOiAL 1.~.06).- CASH iEND 20-:-O\f CHANGE DUE ' " .9" 99'~ jB~'li\-\'J G3'cllG\'B1. \-\s~'J Receipt 1047947 Type SALE ~~~~~;~~ ----------- ---------- _____ Pr' --- 1 Road A~i~;-2005---------~:~----:otal 160z Hot 5 99 u__ __~_ Refill Hot 1: 19 5.99 n___nn ' 0 89 1.19 Subtotal ---------------~-- 0.89 Discounts --------- Tax Rate 1 8.07 __________ .00 ~?:~I ----- _ 0.48 Rf;:;;'; -; ~;,; d- - - ---- _m - -- -8:55 MEX ----~:/~" AC~ xxxxXXXXXXX10Q7 ,i' 8.55 '\} pproved Exp 12/2007 s'~ APP ED Aut N REF 0.: 00000595797 , ItEMS SOLD , ie' 3"'" '22" 6'39 91"" OSS \1\\\\1\\\\1\\\\11\\\\"\\' scnolarahiP Applicationa NOW ONLINE Appl~ at (~ww.wal~'rttoundation,or9) 0,,'''/06 ,,:06:29 oo'ot (~ , ,;{7 86'S pos:1 Clerk'2 . 19 Store:2800000 _~:~~::~~~~_03;12:03 ---- ---- ------ 6Z: \ 6\' 6 OS'z, 'i-'li1. ~l l'Qj 'W i01 g\ls ^ 1~0 tI'QB\lS jOl lV\S t 10 z€ 3'Jl\lf jB~'Ij'clO t 1V\ ~ 1 B\lV\'JV\ BD3 t S\:LotunS)90,S\'U~f 6t6~-LCZ(SOZ) ~ljL 6t:L ~3'clG1.S t 'S ZO~S)\ (,0 6S L G'JV\ Date: Card Type: Acct ~: Exp Date: Auth Code: Check: Table: Server: JOHNNY D'S NEWBURGH II k as anyone" i~~~4'06 06:02AM XXXXXXXXXXX1007 12/07 559760 2905 23/1 216 Nery NIl \jj ~Ol' japJO \10 ^ )\N"1H 1- osv90 1.'J '~301~1V\ is tn~V\ j S~L s,p\'~UQC\:lV\ \\2 6uQ\2a JO~ noli WI12l\i '1S u~~V\ '3 s,pt\2UOC\8V\ Guest 20.10 COP y/~~<O-~ ,.r/ /~.... /7jli. ) 0 ) / .-.-,-",// Subtotal: ,:~ ;:' f >1(\" ~- :-'.:,'.~ i'I.: .. ";, ) ::..'.. ; ~ I . -(:l~: :.~. ~' 1);J~~;-)?;~' ~~~ " i '~~/~t-: :~:: ~<';~~M :-_: r ~~' ,- ,~', "I :: ' .. " ~:;.ir~" j:.~:,r~\:i,:\'~2,;'~i' l~~!~; ),'~I :-,:::; ,:, .':.J -..= .: ,/" : ~. " ~ - ," ~.J t'~:: Li:. ;~~ ~ t.9 ,7.:i~~ ': rl ~:~ f~ 1 :. ,;, ' ., f~~ -,;.:"; .,.}- ~.~ ;~f~r.~l ;t J~.; i -.I ~.'U J t ~ ~ ::1) :i. ~ :,'l.,~ I~:'" , . : ~t..:3G 8.-ri '~:-i' . r, ;, : }~: ',;' '~ ~ ;_1. ;. q ;' r ~:} : ~ ,', " ' ~~. ;1' .. '," ."'. t, ' './' i , i ,; i:.:)Ii,- " 'ii::'" ,;' I ,'::l;,; ~~,;;'j:;~",. I' ,..-,J_,(/'" . ) ,1/ /' "-If /t#r' / .('../ ,1,~ JYI .. ')' . ." j! ,I> r- _.. , .: , - ~'~ ~/~f' /., _, ~. _. ";');"':::::)': ~ :~:;-1 '~i~ ;,."; ';7._I_-'i,t'.:'j ~':ri i .j,l'-'_I'" . .,') ... 1.,j Hess 38252 712 North Hanover St Carlisle Pa 17813 Term: JD4225146G~81 Appr: 527824 Seq": 821875 PUMP" 87 CREDIT/SELF Unleaded @ $ 2.379/G VOLUME 24.388 GAL ~~~A~OTAL : ~ American Express Exp. Date: 12/87 XXXXXXXXXXX1887 81/15/2886 89:36:35 I agree to pay the above Total Amount according to Card Issuer Agreement. THANK YOU FOR SHOPPIHG AT HESS For Questions Or Comments Call 1-888-HESS-OIL I AJ\ I w ~ , II illl \ Z i I Lj I" , \ \, II i u: :::l I l- , ,. -' \ L; // I -; , ./ , \ ~I Z !/---'~' , :I.l"l G.;t I l-i~ i o~ ~o ) I'N \ a.. / 01 co U"l ~ (Y1 '<:t '" . , co L.'1 (/)N '<:teeo ;" .~I .-:::.' ("J ~ Cl -. 6 >- c:::; u WI.l"l z,,--. :5 1-3 -co x...... W >-.;t 0::: ...... ~- 0 z w t..D ..~ o .- 00 ~z~ L.""l ..... ........e<lJ ..-. '" - 0"'-- l-O U .:tt: WELCOME TO SUNOCO 7297 SUNOC07297 78 RT 171\ NEW BURGH NY 12550 DLR#: H336420183001 01/14/06 05:19:18 Pump#: 1 ISe I f Product:Regular Gallons 25.317 $/Ga I /$ -r'519', Fue I Sa I e / $ 63,77 J Total Salt!' $ 63,77 ' \ .. " \~/ XXXXXXXXXXXl007 AMX Trans# 050115 Approval# 546252 181126s177c1 THANK YOU FOR YOUR BUSINESS GETTY 934 E. MAIN ST. MER I DEN , CT 06450 203-237-8837 1/14/068:26 PM Site Tran Auth 0005908 3246 545485 From: CREDIT Pump #6 regular Gallons. Price/Gal Tot a I . 14.235 ,2-:459 '$35.00 THANKYOlJ PLEASE COME AGAIN ~ ... IJ . I.. Bpplebee's .1 1\ 0 ~hbor ^le:::c G (II! & 001 APPLEBEE'S NEIGHBORHOOD GRILL & BAR 260 Noble Blvd Carlisle. PA 17013 717-245-2500 SHANNON P TB#67 DATE: 01-14-06 TIME: 12:49 PM GUESTS: 5 CARD TYPE: AM EX CARD NUMBER: *********1007 APPROVAL CODE: 594155 Merchant 10: 61345 Trans Type: Auth Tracking 10: ****** Amount: 79.88 Tip: / ~-P~9__ : 73. ;~:': \------------7 " Total Cardmember agrees to pay total in accordance with agreement governing use of such card. ** GUEST COPY ** , ,.. POlO' AIJI'IIOIIIIY ~j,l~ (mlB(?!!rllt~- - n .. /)iw~ - jill George Washington Bridge Upper Level lane: 14 Card #: 42283 Date: 01/15/2006 04:58 ?/~ ." Class: 2 Toll Paid;$ 12.00/, \'''....... ;> I.:: :. , /:'1 I..J (', I:;: E I ;.: I \) L~ h: ,.,1 ':j T ,'Ii' T U L. L XJ i:;~ I D Ci L c~ U \i f'" I b ~:" I U "',j lrf r~t:;t.::::.~.~.; t( {~. ~. (I ;"1 C: 0 ;~; CUi .!_r:i~I'(')F\ !.; t '7":; -:; J Ii J -i1';"')i~' CI'/ ~ :S5 ~ /t-~\ ~~rd r . ,,", C.,r--- ~I ~t:-'I~' ;.,'.:.., , i U Im~. ;:':1 I ( ~ "~;~; ";}~i 'j , ,/, '- / ". ..'" .~-~~ Co; l. #.lCH~ L~~',:~ 1}3r'\ 01./1-5.....0:::. ,}5~ 1-'3;Li7.~f\.\ ~:t;.~~ ~~!~ /:';~~~C:~) NEW YORK STATE THRUWAY AUTHOR! Lane 10X 01/14/06 Plaza 17X Class 2H Coll 16 6:28am to Plaz..a- I /. TOll(,$2.31 '~~.._-~_.-/"" Pilot ..288 919 Route 113 Bloomsbury NJ 8888- Invoice" 8858331 Date 81/16'86 Time 84:84AM Auth .. 88888686 AX Acct .. 3XXXXXXXXXX1887 Exp. Date 12'87 Pump Gallons Prict 83 14.268 $2.25~ Product Unleaded Tota I Sa I e SALE - Card Approved Refer .. Welcome to Pilot Am ou n 1 $32 .2; ..-~ ,..-----......~ ! $32.2: \ '----- ",.- ../ Sw i p'tt'cf' . ~. \ 01/16/06 12:05:00 T-Bird Mini Mart 225 Washington St ClareMont, NH 03743 Ticket: 392889 Pump Gallons Price 3 17.141 2.389 Product Unleaded Amount 140.95 AMEX CLAREMONT T BIRD 225 WASHINGTON ST CLAREMONT, NH ACCT: *********** 1007 EXP:12/07 REF: 960002S021S AUTH:578297 TIME:12:07:21 UN IT 1:00020781009 :::>":\ p r- 'I;- "\ :5 --\ ,:,- ~ ~ (- <'""'-- \ ') L--- (> / -7:> (2- ~ Q> v'J 0' ~ ~.,"-.J ~_~ (; ~ o ::z, s v r\ .... ,...;. !'J\ ::::r- - -n o ':xl \ j, (', r\J ... ... ,-.:l ,-.:l o , r\J ~ -.:l ... - .. -:;-- 0. o I-' I-' pl l'1 (fl \ \ , \ \ , , , \ , , \ \ \ \ \ \ \ \ \ , \ , , \ , \ \ \ , \ \ \ \ \ , \ \ \ \ \ \ \ \ I , \ , \ \ o o ';: ~ III nF-t"lJJIl.f,. P,6F _ __ o~"C "o~ o~-- ~~ o -n lID \\ \i. OJ \.f\ ... o ;l~ r\J \ \1"" ,0 \ ,a? \ il,\,~~. '~, \ \ '10 l,\~ \ \~ \~ ~~ \~~ \--::'1- ,. J , \ \ \ I \l -:t rn z$S: ~s:r- -uO 0 o~o ~~" Z 'JJ "" :I:? 0 OCC (.>z_ ::\~~ <>>-<0 ~ o ~ f1I 8> \\\ , . l\ l-' o o . g 't \ -.I ~ ~ -.I " ('\) o (j) WI .- . \1~~ .OCU'" ":-\"1) , ~O~ 1 ~ 0 ~~~ j3 ~ ~~ I ~ \ . % \ ~ ~ : ~\":. ~ ,1)\ ~ , 0 ,LUJ ~ , b ,..' .; \\ \ it \ \ , , , , , \ \ \ \ \ \ \ \ \ , , \ , \ \ , , , , \ \ \ , \ \ , , \ , \ \ \ \ - \ .. ~ ':1: t\'\ z$; (t\ ; r: ~oo. "8~o ~~?' z:o "t\ :t? 0 ~cc -.,\ Z .." -.,\~.. v>..c.C) ~ f'\J ... ... -J -J o f'\J -J .... - .. o !t ~ 0 ~ ...-' i"" g '; . '" (fJ g 'it 0 -.I 6> '" to ~ \\\ ~ '" -.I \\ ill //> .: I //' // Statement United Church of Christ Homes Thornwald Home 442 Walnut Bottom Road Carlisle, PA 17013 Statement Date: 01/01/2006 Marcus McKnight Attorney At Law 60 W Pomfret St. Carlisle, Pa 17013 Due Date: 01/25/2006 Re: Betty A Bowers Account Nr: 961 Date Description Days Quant Rate Charges Payments Balance BALANCE FORWARD 61417.32 6,417.32 12/01/05 Room & Board - Semi 31 198.00 -6,138.00 279.32 12/05/05 Pharmacy - Rx 1. 00 176.88 176.88 456.20 12/09/05 Incontinence Suppli 1. 00 29.64 29.64 485.84 12/09/05 Medical Supplies 1.00 104.12 104.12 589.96 12/31/05 Room & Board - Semi 9 198.00 1,782.00 2,371.96 nf'\~..re~rr. ,) V, ,\, . . .'. I ~ -'1 "",,,,;, ~. lor UW[f' ""~ 4,~\1 MEDICARE PART D!! When you have your Part D picked out, please notify the Billing office. Copies of the cards.