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PENNSYL VANIA NA TIONAL
MUTUAL CASUALTY INSURANCE COMPANY
Harrisburg, Pennsylvania
BOND NO. 319896
In the Matter of the Estate of: Edith Mayo
KNOW ALL MEN BY THESE PRESENTS, that we,
Guardians
of the Estate of
Kevin Ellis and Dorothy Ellis
Edith Mayo
as
Pennsylvania, as Surety, are held and firmly bound unto the
and Pennsylvania National Mutual Casualty lnsurance Company, a Pennsylvania Corporation, of HalT is burg,
administrators, SUccessors and assigns, jointly and severally, firmly by these presents.
for the payment of which, well and truly to be made, we bind ourselves, our heirs, executors, ,
One Hundred Thousand and 00/100
Court of Cumberland County
in the full and just sum of
($ ] 00.000 )
DOLLARS,
Sealed with Our seals, and dated this 18th day of Januar):, 2006.
\VHEREAS,
Guardians
Kevin Ellis and Dorothy Ellis , has been, or is about to be, appointed
of the estate of Edith Mayo
, by the
Judge Oler
County.
Court of
Cumberland
NOW, THEREFORE, the condition of this obligation is such, that if the said
is void, otherwise to remain in full force and effect.
shall well and truly discharge the duties of said trust according to law, then this obligation
Guardians
~~,-
Dorothy Ellis \
PENNSYL VANIA NATIONAL MUTUAL
CA UALTYINSUR NCECOMPANY
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By:
Gayle K.
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I, J I
F 01111 78-168
PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE COMPANY
Harrisburg, Pennsylvania
POWER OF ATTORNEY
Know All Men By these Presents, That PENNSYL V ANlA NATIONAL MUTuAL CASUALTY INSURANCE COMPANY, a
cOIporation of the Commonwealth of Pennsylvania, does hereby make, constitute and appoint
KA1HLEEN M. HOOVER, GAYLE K. MORSE, TIMOTHY C. HOAGLAND, KITTY A. CASSELL, HEIDI R. GATES, JAMI
WERNER AND BRENT D. HEADLEY, ALL OF MEcHANICSBURG, PENNSYL VANIA (EACH)
its true and lawful Attomey(s)-in-Fact to make, execute, seal and deliver for and on its behalf as surety as its act and deed:
ANY AND ALL BONDS AND UNDERTAKINGS PROVIDED 1HE AMOUNT OF NO ONE BOND OR UNDERTAKING
EXCEEDS THE SUM OF FIVE HUNDRED 1HO USAND DOLLARS ($500,000. 00)--------_____________________________________________
----------------------- -------------------------------------------------------------------------------------------------------------------------------------
ALL POWER AND AUTHORITY HEREBY CONFERRED SHALL HEREBY EXPIRE AND TERMINATE WITHOUT NOTI E
AT MIDNIGHT OF THE 30TH DAY OF NOVEMBER 2009, AS RESPECTS EXECUTION SUBSEQUENT THERETO.
And the execution of such bonds in pursuance of these presents shall be as binding upon said Company as fully and amply, to all
intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the Company at its
office in Harrisburg Pennsylvania, in their own proper persons,
This appointment is made by and under the authorization ofa resolution adopted by the Board of Directors of the Company on
October 24, 1973 at Harrisburg, Pennsylvania, which resolution is shown on the reverse side hereof and is now in full force and eff, t.
In Witness Whereof: PENNSYL V ANlA NATIONAL MUTUAL CASUALTY INSURANCE COMP ANY has caused these
presents to be signed and its corporate seal to be affIXed on FEBRUARY 23,2006
PENNSYL VANIA NATIONAL MUTUAL CASUALTY INSURANCE COMP
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Commonwealth of Pennsylvania, County of Dauphin _ ss:
Kenneth R. Shutts, Executive Vice-President, Secretary & General Co el
On FEBRUARY 23,2006, before me appeared Kenneth R. Shutts to me personally known, who being by me duly sworn, did say
he resides in the Commonwealth of Pennsylvania, that he is Executive Vice-President, Secretary & General Counsel of
PENNSYL VANIA NATIONAL MUm AL CASUALTY INSURANCE COMP ANY, That he is the individual described in and w
executed the preceding instrument, and that the seal afflXed on said instrument is the cOIporate seal of said Company, and that said
instrument was signed and sealed on behalf of said Company by authority and direction of said Company, and the said office
acknowledged said instrument to be the free act and deed of said Company.
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Commonwealth of Pennsylvania, County of Dauphin _ ss:
Notary Public
Notarial Seal
Jacqueline A. Ellis, Notary Public
City Of Harrisburg, Dauphin County
My Commission Expires Dec. 19, 2009
Member, Pennsylvania Association of Notaries
I, Michael F. Greer, Vice President, Surety & Fidelity of the PENNSYL VANIA NATIONAL MUTUAL CASUALTY INSURANC
COMPANY, a cOIporation oftbe Commonwealth of Pennsylvania, do hereby certify that the above and foregoing is a true and corre
copy of a Power of Attorney, executed by the said Company, which is still in full force and effect.
In Witness Whereof, I have hereunto set my hand and affixed the cOIporate
IMPORTANT NOTICE: This border must be RED in color. If it is not /
eli
e us at Area Code 717-255-6870. ~
78-190 (Rev 05/02)
The Law Office of
MAIm:Iu F. HAZEN
An Estate Planning and Elder Law Firm
Certified Elder Law Attorney*
2000 LingJestown Road
Suite 202
Harrisburg, PA 17110
TEL: (717) 540-4332
FAX: (71 7) 540-4313
WWW.hazenelderlaw.com
Marlelle F. Hazen, JD, CELA *
Jeta C. Combs, Paralegal
Jessica A. Holland, Paralegal
Catherine M. Semon, Paralegal
Kim M. Smith, Office Administrator
March 23,2006
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, P A 17013
Re: Guardianship of Edith Mayo
File No. 21-05-1012
To the Register of Wills:
Enclosed you will find Bond No. 3 19896 in the amount of $100,000 from Pennsylvania
National Mutual Casualty Insurance Company for Kevin Ellis and Dorothy Ellis, co-guardians for
Edith Mayo.
Thank you for your time and assistance in this matter. If you have any questions, please do
not hesitate to contact our office.
Sincerely,
0' (dtu-~6"--
Cathy Sel110H
Paralegal
/cms
Enclosure
cc: Kevin Ellis (w/enc.)
Dorothy Ellis (w/enc.)
'Certified Elder Law Attorney by the National Elder Law Foundation as authorized by the Pennsylvania Supreme Court
RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Orphans Court
One Courthouse Square
Carlisle, PA 17IT13-3387
Receipt Date:
Receipt Time:
Receipt No. :
3/29/2006
14:47:59
1029738
MAYO EDITH
File Number:
Paid By Remarks:
2005-01012
MARIELLE HAZEN, ESQ
RSK
------------------------
Receipt Distribution ________________________
Payment Amount Payee Name
Fee/Tax Description
GUARDIAN'S BOND
Check# 104
Total Received.........
15.00
----------------
$15.00
$15.00
CUMBERLAND COUNTY GENERAL FUN