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Home My WebLink About04-07-06 Register of Wills of Cumberland County, Pennsylvania INVENTORY No. 21 - 05 - 00250 Date of Death 3/2/2005 Estate of Shoemaker, Robert C also known as , Deceased Social Security No. 208-28-6517 Bonnie Lee Waggoner Joan Marie Conners Barbara Jean Rourke The Personal Representative{s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Attorney: Step~~~ L. Bloo_~__~ Personal Representative Signature: 1.0. No.: 49811 Signature: .......,.,..,~ Signature: Address: 2100 Longs Gap Road Carlisle, P A 17013 Address: Telephone: 717/249-7717 Telephone: 717-243-3591 ~-~_.~~ Dated: -:s11~Jo~ I f """';"1 , :_~. ~_.~ t I""", Personal Property (.....) ..[;.:"'" U.S. Savings Bond, Series H/HH, #M6653467HH 1,000.00 U.S. Savings Bond, Series H/HH, #V1320769HH 5,000.00 U.S. Savings Bond, Series HlHH, #D4673700HH 500.00 U.S. Savings Bond, Series H/HH, #M6653466HH 1,000.00 U.S. Savings Bond, Series H/HH, #M6653469HH 1,000.00 U.S. Savings Bond, Series H/HH, #M6653468HH 1,000.00 U.S. Savings Bond, Series HlHH, #X9052711HH 10,000.00 M&T Bank Checking Account #923982 (was jointly titled with predeceased spouse, Anna M. Shoemaker - therefore was fully vested in Decedent) 4,656.51 M&T Bank Checking Account #78029856 (was jointly titled with predeceased spouse, Anna M. Shoemaker - therefore was fully vested in Decedent) 690.45 (Attach additional sheets if necessary) Total Personal Property and Real Estate $234,826.43 pt Register of Wills of Cumberland County, Pennsylvania INVENTORY continued Estate of Shoemaker, Robert C No. 21 - 05 - 00250 Date of Death 3/2/2005 also known as , Deceased Social Security No. 208-28-6517 M&T Bank Savings Account #015004210580096 13,880.44 M&T Bank Safe Deposit Box, North Middleton Branch #0000589 (Inventory attached) - Cash $26.85, Silver Dollar $2.00, Pocketwatch/Chain $200.00 229.00 Miscellaneous Personal Property - Farm Machinery, Tools, Household Goods (Public Auction - Final Settlement statement attached) 22,014.75 1997 Chevrolet 2500 3/4 Ton Pickup 157,981 miles (no current inspection, poor condition) 1,000.00 Cumberland Valley Memorial Gardens - 4 Unused Burial Plots 800.00 Westfield Group - Automobile Insurance Refund 65.50 GE Life & Annuity Assurance Co. - Life Insurance Unearned Premium Refund 403.78 United States Department of Agriculture - Crop Subsidies 40.00 Tobi Monismith - Accrued Land Rent 546.00 Total Personal Property $63,826.43 2 Register of Wills of Cumberland County, Pennsylvania INVENTORY continued Estate of Shoemaker, Robert C No. 21 - 05 - 00250 also known as Date of Death 3/2/2005 , Deceased Social Security No. 208-28-6517 Real Estate 1690 Longs Gap Road, North Middleton Township, Cumberland County, Pennsylvania (Appraisal Report Attached) 171,000.00 Total Real Estate $171,000.00 3 REV - 1500 EX + (6-001 *' REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONWEAlTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 FILE NUMBER 21 05 COUNTY CODE YEAR SOCIAL SECURITY NUMBER 00250 NUMBER >> BE SURE TO ANSWER ALL qUf:S:nONS ONR!VERSE SIDE AND RECHECK MATH <,< I- Z W o w u w o DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Shoemaker, Robert C I DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) I I ~03/02/2005 i 11/30/1929 I (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE 208-28-6517 REGISTER OF WILLS - -~------"--- SOCIAL SECURITY NUMBER W I- ~Scn uO::lI:: wa..u J:OO uO::..J a..al a.. ~ ~ 1. Original Return o ~ D I ! o 3. Remainder Return (date of death prior to 12-13-82) D 1 o 2. Supplemental Return o 4a. Future Interest Compromise (date of death after 12-12-82) 6. Decedent Died Testate (Attach copy 0 7. Decedent Maintained a Living Trust (Attach of Will) copy of Trust) , 9. Litigation Proceeds Received 0 10. Spousal Poverty Credit (date of death between ~.~~~1-.91,.and1.~.1 ~~~) THtSSECTI.ON .MLJST..~I;COMP12l;mI;O~All. C()RRI;$RPNJ:)ENCE"~OiOONFIDI;~r!A.LTA)(I~ImCl)BMATtQNSH()ULD$EDIR.EC'T'EDTO: AME COMPLETE MAILING ADDRESS ! Stephen L. Bloom fiRM NAME (If applicable) _ Stephen L._!3loom, Esquir~ ELEPHONE NUMBER I 717/249-7717 --+-------- --~---~ - -,--- ---------- --- : 1. Real Estate (Schedule A) i I 2. Stocks and Bonds (Schedule B) I 3. Closely Held Corporation, Partnership or Sole-Proprietorship i i 4. Mortgages & Notes Receivable (Schedule D) 4. Limited Estate 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- cnz Ww 0::0 O::z 00 ua.. 2100 Longs Gap Road Carlisle, PA 17013 :'f'"..,., "'I C'::::')~- r-:::- '-, -l I I ()FF! c(;:;\r)~,)SE: f~~.:'" ", I ............ r"",) (..Ij (8) 270,313.30 (11 ) 34,509.14 (1 ) 171,000.00 19,500.00 (12) 235,804.16 -~~--- (13) (14) 235,804.16 --~.~- (15) ~---_.- (16) 10,611.19 -- .__.._~-~------_._-- (17) (18) (19) 10,611.19 (2) (3) None (4) None z o i= ~ ;:) l- ii: ~ u W 0:: 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 33,804.86 704.28 (5) (6) (7) 44,326.43 963.88 34,522.99 (9) (10) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) x .00 z o i= ~ I- ;:) a.. :::IE o U ~ I- 16. Amount of Line 14 taxable at lineal rate 235,804.16 x .045 17.Amount of Line 14 taxable at sibling rate x .12 18. Amount of Line 14 taxable at collateral rate x .15 19. Tax Due 20. ~ CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) pj( Decedent's Complete Address: STREET ADDRESS 1690 Longs Gap Road -I STATE PA I ZIp. 17013 CITY Carlisle Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1 ) 10,611.19 13,714.60 530.56 Total Credits (A + 8 + C) (2) 14,245.16 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. 8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) (4) (5) (5A) (58) 0.00 3,633.97 0.00 Make Check to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: a. retain the use or income of the property transferred;.................................................................................. b. retain the right to designate who shall use the property transferred or its income;.................................... c. retain a reversionary interest; or... ................... ..................... ....................................................................... d. receive the promise for life of either payments, benefits or care?.............................................................. 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?................................................................................................................ ...... 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?..................................................................................................................... Yes No ~ I D ~ D ~ ~ D IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ----- ----~._-- --- --- Under penalties of pe~ury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than tl"le personal representative is based on all information of which preparer has any knowledge. - --- SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE Bonnie Lee Waggoner ~~#//AA;~ ~--rLJRE OF 'PERSON R SPONSIBL n Marie Conners :J -'iJ ':"/d --DAT~~#--- 3 Wild Rose Lane Mechanicsburg, P A 17050 3 - I :"--"b~ DA~- ADDRESS 2100 LOQgs G@ Road Carlisle, VA 17013 5'/ 06 For dates of death on or after July 1, 1994 and before Jant'!:llr'\/ 1 1 qq!) the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. ~9116 (a) (1.1) (i)] :'p~~(j ~\<0 ~~ \)~ ~t) ~~~ ~ -'\ -~~ lue of transfers to or for the use of the surviving spouse is 0% ~ spouse from tax, and the statutory requirements for disclosure the only beneficiary. For dates of death on or after January 1, 1995, the [72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not of assets and filing a tax return are still applicable I For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers parent, an adoptive parent, or a stepparent of the I The tax rate imposed on the net value of transfers 1.2} [72 P.S. ~9116 (a) (1)]. ~~ )ne years of age or younger at death to or for the use of a natural 1.2}]. nt's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116 The tax rate imposed on the net value of transfers under Section 9102, as an individual who has at IE nt's siblings is 12% [72 P.S. 39116 (a) (1.3)]. A sibling is defined, 1 the decedent, whether by blood or adoption. . SCHEDULE A REAL ESTATE 1___ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF \ FILE NUMBER _____u~_ Sh~emaker, Robert C i 21 - 05 - 00250___ ~._ All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a wilnng seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on schedule F. VALUE AT DATE OF DEATH --~_.._-~._--- 171,000.00 ITEM NUMBER 1 DESCRIPTION 1690 Longs Gap Road, North Middleton Township, Cumberland County, Pennsylvania (Appraisal Report Attached) --I---------n------- TOTAL (Also enter on Line 1, Recapitulation) 171,000.00 *' SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Shoemaker, Robert C · FILE NUMBER 21 - 05 - 00250 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITE~Ei~ NUMBER DESCRIPTION 1 U.S. Savings Bond, Series H/HH, #M6653467HH 2 . U.S. Savings Bond, Series H/HH, #V1320769HH UNIT VALUE VALUE AT DATE OF DEATH 1,000.00 5,000.00 3 , U.S. Savings Bond, Series H/HH, #D4673700HH 500.00 4 U.S. Savings Bond, Series H/HH, #M6653466HH 1,000.00 5 U.S. Savings Bond, Series H/HH, #M6653469HH 1,000.00 6 U.S. Savings Bond, Series H/HH, #M6653468HH 1,000.00 7 U.S. Savings Bond, Series H/HH, #X9052711HH 10,000.00 TOTAL (Also enter on line 2, Recapitulation) 19,500.00 *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Shoemaker, Robert C I FILE NUMBER I 21 - 05 - 00250 I ESTATE OF Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER 1 DESCRIPTION VALUE AT DATE OF DEATH 4,656.51 M&T Bank Checking Account #923982 (was jointly titled with predeceased spouse, Anna M. Shoemaker - therefore was fully vested in Decedent) 2 M&T Bank Checking Account #78029856 (was jointly titled with predeceased spouse, Anna M. Shoemaker - therefore was fully vested in Decedent) 690.45 3 M&T Bank Savings Account #015004210580096 13,880.44 4 M&T Bank Safe Deposit Box, North Middleton Branch #0000589 (Inventory attached) - Cash $26.85, Silver Dollar $2.00, PocketwatchlChain $200.00 229.00 5 Miscellaneous Personal Property - Farm Machinery, Tools, Household Goods (Public Auction - Final Settlement statement attached) 22,014.75 6 1997 Chevrolet 25003/4 Ton Pickup 157,981 miles (no current inspection, poor condition) 1,000.00 7 Cumberland Valley Memorial Gardens - 4 Unused Burial Plots 800.00 8 Westfield Group - Automobile Insurance Refund 65.50 9 GE Life & Annuity Assurance Co. - Life Insurance Unearned Premium Refund 403.78 10 United States Department of Agriculture - Crop Subsidies 40.00 11 Tobi Monismith - Accrued Land Rent 546.00 TOTAL (Also enter on Line 5, Recapitulation) 44,326.43 *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Shoemaker, Robert C _J__ SCHEDULE F JOINTLY-OWNED PROPERTY _J_ SURVIVING JOINT TENANT(S) NAME RELATIONSHIP TO DECEDENT I FILE NUMBER I 21 - 05 - 00250 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. ADDRESS 1690 Longs Gap Road Carlisle, PA 17013 JOINTLY OWNED PROPERTY: ~ I DESCRIPTION OF PROPERTY -I~EM I LETTER I DATE Include name of financial institution and bank account number NUMBER F~~NJ~~~T ~61~~ or similar identifying number. Attach deed for jointly-held real ~ estate. I I A \ 08/03/1999 M&T Bank Certificate of Deposit #031003910354122 I I i I Daughter DATE OF DEATH % OF II DATE OF DEATH DECO'S VALUE OF VALUE OF ASSET INTEREST DECEDENTS INTEREST 1,927.75 500/0 963.88 A Diane L. Shoemaker i I i I _____~...L__ TOTAL (Also enter on line 6, Recapitulation) 963.88 . SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY I i I L_ ___ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ITEM NUMBER ___Ihis schedule ntust be completed and filed if the answer to an DESCRIPTION OF PROPERTY EXCLUSION (IF APPLICABLE) TAXABLE VALUE 862.18 17,144.57 16,516.24 34,522.99 Shoemaker, Robert C FILE NUMBER 21 - 05 - 00250 Include the name of the transferee, their relationship to decedent and the date of transfer. Attach a copy of the deed for real estate. %OF VALUE OF ASSET DECO'S ! INTEREST M&T Bank IRA Account #035004110097646 (Estate of Decedent was beneficiary) 862.18 100% 2 Western-Southern Life Assurance Company - Single Premium Deferred Annuity #W0020583540 (three of Decedent's daughters were beneficiaries) 17,144.57 100% 3 Western-Southern Life Assurance Company - Single Premium Deferred Annuity #W0020880802 (three of Decedent's daughters were beneficiaries) 16,516.24 100% I , I I I I I I _~__J . 1_ TOTAL (Also enter on line 7, RecaPitulatiO~)-r *' SCHEDULEH FUNERAL EXPENSES & ADIVIINlSTRAllVE COSTS COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT : FILE NUMBER -- 21 - 05 - 00250 ESTATE OF Shoemaker, Robert C Debts of decedent must be reported on Schedule I. N~1J::ER I~ A. FUNERAL EXPENSES: 1 ,Waggoners United Methodist Church Cemetery - Burial Lot \ 2 I Ronan Funeral Home - Funeral Services -~ DESCRIPTION AMOUNT 3 Wenz Company Inc. - Stone Memorial Marker 4 Stone & Metal Inc. - Bronze Companion Memorial 5 Cumberland Valley Memorial Gardens - Casket 6 Waggoners United Methodist Church - Funeral Meal B. ADMINISTRATIVE COSTS: Personal Representative's Commissions 1. Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City Year(s) Commission paid State _ Zip 2. Attorney's Fees Stephen L. Bloom, Esquire 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Diane L. Shoemaker Street Address 1690 Longs Gap Road City Carlisle Relationship of Claimant to Decedent State P A Daughter 17013 Zip 4. Probate Fees Probate Fees - Register of Wills, Cumberland County Add'l Probate Fees - Register of Wills, Cumberland County 5. Accountant's Fees 6. Tax Return Preparer's Fees Accounting Associates 7. 1 Other Administrative Costs The Sentinel - Publishing Fee - Legal Notice 2 Cumberland Law Journal - Publishing Fee - Legal Notice Total of Continuation Schedule(s) TOTAL (Also enter on line 9, Recapitulation) 700.00 5,635.80 3,492.00 365.00 1,475.00 123.22 9,555.00 3,500.00 330.00 80.00 100.00 144.29 75.00 8,229.55 33,804.86 ESTATE OF . Schedule H FlI1eIClI Expenses & Acminislrative Costs cooIinued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Shoemaker, Robert C 3 York Waste Disposal, Inc. - Refuse Removal 4 Northeastern Supply, Inc. - Plumbing Repairs 5 Suburban Energy Services - Heating Fuel Oil 6 Diversified Appraisal Services - Real Estate Appraisal Report 7 Carlisle Main Post Office - Postage 8 Robin K. Sollenberger, Tax Collector - County/Township 2005 Real Estate Taxes 9 PPL - Electric Utility Service to Estate Real Property 10 Kevin M. Wickard Auctioneer - Public Sale Expenses/Commission 11 North Middleton Township - Costs of Required Subdivision 12 Robin K. Sollenberger, Tax Collector - School 2005-06 Real Estate Taxes 13 Cumberland County Planning Commission - Costs of Required Subdivision 14 Westfield Group - Insurance for Real Property I FilE NUMBER ~.~. -. --_..- 21 - 05 - 00250 15 Cumberland County Recorder of Deeds - Recordation of Subdivision Pland and Deeds of Distribution 195.66 10.67 1,244.21 350.00 3.19 292.03 650.29 2,088.84 822.00 1,139.66 130.00 1,211.00 92.00 i 1___ Page 2 of Schedule H *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS _L COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ! FILE NUMBER 21 - 05 - 00250 ESTATE OF Shoemaker, Robert C Include unreimbursed medical expenses. ITEM NUMBER 1 DESCRIPTION AMOUNT Pennsylvania Department of Revenue - Decedent's 2004 PA-40 Income Taxes 508.00 2 Pinker & Associates - Podiatric Treatment 110.00 3 Sprint - Final Telephone Bills 64.84 4 Internists of Central P A - Hospital Care 21.44 TOTAL (Also enter on Line 10, Recapitulation) 704.28 REV-1513 EX+ (9-00) *' SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT I FILE NUMBER- 21 - 05 - 00250 t:ELATIONSHIP TO .1 AMOUN~- T OR SHA~.~-~R~--.~-- DECEDENT OF ESTATE Do Not L1llt TrulltRe(so) _~_ , Daughter 250/0 of residue ESTATE OF Shoemaker, Robert C NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) Bonnie Lee Waggoner 2220 Longs Gap Road , Carlisle, P A 17013 2 Barbara Jean Rourke 1585 Ferguson Valley Road McVeytown, PA 17051 Daughter 25% of residue 3 Joan Marie Conners 3 Wild Rose Lane Mechanicsburg, P A 17050 4 Diane L. Shoemaker 1690 Longs Gap Road Carlisle, P A 17013 Daughter Subdivided real estate parcel and 25% of residue Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 130F REV-1500 COVERSHEETI ...,... ..............t;a;tlt.v' "': .... OJ. ~..' '.... LAST WILL AND TESTAMENT OF ROBERT c. SROEMA~ r, ROBERTC. SHOEMAKER., of North Middleton Townsh~{~l.f9'O Long's Gap Road, Carlisle), Cum~.erl~d County" PennsylVania. being of '~."'~'.""'. .....,"'",.........."'.;.-fl....~,"" .""'.:_,"t~.., ," ','" , . ...~ .....,'.L.:.:~~..~""'-..~~...... :...., +-_. sound and di'sposfng mind, m~p1ory and understandihg, do hereby make. ,~.ub1i~ and' de~hCt~e ~i8 as. and for ply La.8t Will and' Testament. hereby :revoking a~~ maldl'li void any and all Wills by me at anytime heretofore :.',:~.de" I' 1. I dir.eot my hereinafter named Executrix tOjpayJlU aJ-PlY..jU.st debts aad funeral expenses as soon after my death as may be fOURd c.onvenient to do so. 2. All the rest, residue and remainder of my estate, real, personal .. ,aqd.,mlxed, andwhe~~'1er the same may he situ.tel I give., devieeand . btllt...,>>.Ul to my wife. AAna M. fbOemak~l".h~.;l\jie1.rI!,.Nl!!!~~:r,,;~e exclusion of my children, born and unborn, pro~ded my said ,rite shall .l!lUrvive me by a period of ninety (90) days. . 3. Should my said wife, Anna M. fhoemaker, pre'-deceaee me or , taU to survive me by the aforesaid period of ninety (90) day., then in such e~ .all the rest, residue and remainder 01 m;e.state, real, personal and mixed, and wheresoever the SaIne may be sit\1ate, ll(ive, deYlee and bequeath to such of my children as shall survive me by a period of ninety (90) days, the. share any deceased child would have received to. pass to his w_...t.:.....et .!ttOf!I.lf t~" .he no i.... 800h eha~.ean l1rpse ,.-and'~ tdded to 1ft~.l d.Ju;;!nlug ~ares. At the pre-s~nt timeT am the father of the following four (4) children: tf~~ Page 1 of 3 pages I I....;. , '. (a) Bonni~ L~e Waggon~r, wUe of steven R. Waggoner, or R. D. *3, Long's Gap Road, Carlisle, Pennsylvania. (b) Barbara Jean McClintock, wile 01 Steven McClintock, ot R. D. #4, Box 90, Carlisle, Pennsylvania. (c) Joan Marie Conne.:s, wile ofJ,ames A. Conners.. of 104 ~.., ~ . ,.. .............._--'" West'Green Street, Mechanicsburg, PennBYlva:nta. . (d) Dianne Louise 9l~maker,of 1690 Long's Gap Road!, Carlisle, Pennsylvania. 4:. 810uld any person l~ss than 2"1 years ot age be entitled to distribution fram my estate, in such event 1 nominate, constitute and appoint"I;>aitphin Deposit Bank and Trust Corppany, and its successors, 2 W~st High St:r-eet, Carlisle, Pennsylvania. as Guardian of the Estate of each suell. person, and authorize and direct it to receiv~ and invest the same~and.tc pay the income arising therefrom together with so much of tht! pr-i~cipal.,~.ereof as in .its opinion is necessaI"Y. or desirable to be \ .."..~ ..~. - '. , . ,'. ~ .......... T- -)1',-;'~" .......:.._,.....~." .. e~;~nded.ror:. the proper maintenance, support and ~ducatlon of such person, to or tor th~ benefit CJl such person, and upon such pe~80n attaining 21 years of age to pay to him or her the then r~m~ining prinCipal together with any undistributed income. 5. 910uld my said wife!, Anna M. 3loem.aker, pre...deceaae me and should any child at mine survive me who is leas .than 21 years of age, . then in.. such event I nominate!, c on8titute and app.oint my daughter. B.Qtulie Lee Waggoner, as Guardian of the person of each such child. of mine. 6. I hereby nominate~ constitute $rid appoint my said wire~ Anna .. ~~_-.:.~; ....... :,'-.,.. .... _' .",~:,.;.., I, ~"~~~~" a... ~x{t.cutrix of-tb.i8IQ3 LMt.Will~....:re~At...but should she pre-decease me or fail to qualify, then in such "vent I nominate. constitute and appoint my four (4) daughters, or any of them, they being ci~ C~4~4~~ Page 2 of 3 pages .~o~ Lee:.~ggQner, Barb~a~leap McClintock, Joan MaTl~ Qonnel's, and '; .' .. 'f'~~...i., :-". / ~.i,. . r~' Louise lI1Qf1maker, as Co-Executri:Cee~Ql this m.y Last Will. and Testament, and I further dirf!ct that none olth~ shall be required to, post any bond to secure the faithful performance ()f her duties in the Common- wealth ~.P.e,QQqJ. V4ll1,~:~.q.r,}~, any other Juti11tttt!t'trm. :... ."......-... "-' ...._~. _ IN ,WITNESS WHEREOF, I have hereunto set my hand and seal to thiemy Last Will and Testament written on tli~(3) pages this 31st day of July , 1978. ~h~(5EAL) obert C. S10em ker Signed, B@aled~> published, and declared by ROBERT',C. ~OEMAKER. the Testator above named, as and for his Last Will and Testament, ln our presence, who, in his presence, at his ~eque~E~d in the p~e8ence of each other, have beret\nto subscribed our name8 as attesting witnesses. JllA;l .~~AJ r/~7 ...~ :f'~r,~.. "'...,.;~'~.lq ,. Page 3 of 3 pages FIRST CODICIL TO THE LAST WILL AND TEST AMENT OF ROBERT C. SHOEMAKER DATED JULY 31, 1978 I, ROBERT C. SHOEMAKER, of North Middleton Township (mailing address: 1690 Longs Gap Road, Carlisle, Pennsylvania 17013), Cumberland County, Pennsylvania, being of sound and disposing min~ memory and Wlderstanding, do hereby make, publish and declare this as and for a First Codicil to my Last Will and Testament dated July 31, 1978, as follows: 1. If I am still the owner of a tract of land containing approximately five (5) acres located on Humble Way off Longs Gap Road in North Middleton Township, Cumberland County, Pennsylvania, I give, devise and !Jequeath the same, including . the CO.tl.lePtSp.f ,the calngthereon. erected, to my daughter~ Diane LOUise Shoem.arcer~"her:rlf!iftJ!_.~YJ.aetf'!slie shall survive me by a period of ninety (90) days, but should she fail to so survive me then the same shall lapse and be included in the residue of my estate. 2. If at the time of my death I am still the owner of all or most of the fann on which I live in North Middleton Township, Cumberland County, Pennsylvania, which has the mailing address of 1690 Longs Gap Road, Carlisle, Pennsylvania 17013, in such case I direct my Executors to cause a subdivision of a portion of it to be made to provide for a building lot for my daughter, Diane Louise Shoemaker, her heirs and assigns, to be located anywhere on said farm where she may deem it desirable for her, the size of same to be at least the minimum size required by North Middleton Township for subdivision, and my Executors shall pay from the residue of my estate all expenses in connection with obtaining subdivision approval for same and conveying it to my said daughter, Diane Louise Shoemaker, provided she shall survive me by a period of ninety (90) days, but should she fail to so survive me then this provision for a lot to be conveyed to her shall lapse and the entire farm shall be included in the residue of my estate. In the event that during my lifetime I shall have conveyed to my said daughter a building lot from said fann, then this devise to her shall be null and void. 3. Except as hereinabove provided, I hereby ratify and affirm the provisions of my said Last Will and Testament dated July 31, 1978. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this First Codicil to my said Last Will and Testament which First Codicil is written on one (1) page, this 28th day of April, 1994. cr~t(;L4 Robert C. Shoemaker (SEAL) Signed, sealed, published and declared by ROBERT C. SHOEMAKER, the Testator above named, as and for a Frrst Codicil to his Last Will and Testament dated July 31, 1978, in our presence, who, in his presence, at his request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. -V~ k~-d -1-> ~~, J APPRAISAL REPORT 1690 LONGS GAP ROAD CARLISLE,PENNSYL VANIA PREP ARED FOR THE EST ATE OF ROBERT C. SHOEMAKER BY LARR Y E. FOOTE DIVERSIFIED APPRAISAL SERVICES 35 EAST HIGH STREET, SUITE 101 CARLISLE, PENNSYL VANIA 17013-3052 (717) 249-2758 SUMMARY OF IMPORTANT FACTS AND CONCLUSIONS LoeA TION: 1690 Longs Gap Road Carlisle, Pennsylvania TAX PARCEL NUMBER: 29-05-0425-013 IMPROVEMENTS: Two-story detached single-family dwelling. PROPERTY RIGHTS: Fee simple interest. OWNERSHIP l-llSTORY: The subject property is owned by Robert C. Shoemaker. The property was purchased on July 11, 1960 for a reported consideration of $10,000 and ownership transferred on deed reference 19- Y -76. SCOPE OF THE ASSIGNMENT: The scope of the assignment included an analysis of the subject's area, an inspection of the subject property, an estimation of the property's highest and best use, consideration of all three approaches to value, and the application of those relevant to the valuation of the subject. OBJECTIVE: To estimate the market value of the subject property as unencumbered. EFFECTIVE DATE: March 2, 2005. HIGHEST AND BEST USE: Continued use as a single-family residence and small farm. COST APPROACH: N.A. SALES APPROACH: $171,000 INCOME APPROACH: N.A. FINAL VALUE CONCLUSION: $171,000 I 2 APPRAISAL CERTIFICA TION I hereby certify that upon application for valuation by: THE ESTATE OF ROBERT C. SHOEMAKER the undersigned personally inspected the following described property: All that certain piece or parcel of land, with the improvements thereon erected, situate in North Middleton Township, Cumberland County, Pennsylvania, bounded and described as follows: Beginning at a stone in the public road in line of land of A.H. Baldwin; thence by land of same, South 24 degrees West, 168 perches to a stone; thence by same, South 35 degrees East, 47 perches to a stone; thence by lands of William Brownawell and Carl Shoemaker, South 83 degrees West, 74 perches to a stone; thence by same, South 7 degrees West, 26 perches to a pine; thence by land of V.M. Penrose Heirs, North 50 degrees West, 41 perches to a stone; thence by same, South 58Y2 degrees West, 39.8 perches to a stone; thence South 38~ degrees West, 17.7 perches to a white oak; thence by same, South 21 degrees West, 16 perches to a stone; thence by same, South 76 degrees West, 27 perches to a small run; thence along said run and lands of Roy Nailor, North 62 degrees West, 9.4 perches; thence North 36 degrees West, 36 perches; thence North 19 degrees West, 6.2 perches; thence North 6 degrees East, 3.5 perches; thence North 29~ degrees West, 17 perches to a fallen ironwood tree; thence by lands of same, Nortyh 18 degrees West, 31 perches to a stone; thence by lands of Roy Shughart, North 81 degrees East, 174 perches to a stone; thence by public road, North 35 degrees East, 36.5 perches; thence by same, North 50 degrees East, 10 perches; thence North 80 degrees East, 16 perches to the place of beginning. Containing 51 acres and 80 perches, more or less. Less, however, a triangular piece of land located at the intersection of the Long's Gap Road and the Township Road leading from the Long's Gap Road to the EnolaRoad, having a distance of 230 feet on each side and being a tract of land conveyed by Carl H. Shoemaker and wife to Robert C. Shoemaker and Anna M. Shoemaker, his wife, by deed dated July 16, 1954, and having thereon erected a two and one-half story brick dwelling house, barn and other out- buildings. To the best of my knowledge and bel ief the statements contained in this report are true and correct, and that neither the employment to make this appraisal nor the compensation is contingent upon the value reported, and that in my opinion the Market Value as of March 2, 2005 is: ONE HUNDRED SEVENTY -ONE THOUSAND DOLLARS $1 71 ,000 3 The property was appraised as a whole, subject to the contingent and limiting conditions outlined herein. .: -- :.. ........ , - = .J . /~ Larry E. 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".. --------=-=---- - -.~"',. . .- _n_> . -1~.~~~~~5U~ DATE ~F "-. .7; ~ -. ----- u ~<5~~4~~:~-:~:c:-'~~"'"~~~ri~il -- - --'.:"'..:..~~:..-:_-=~--===:.:-=-=-:..:..::.;~--... :. ~~]?~~~~t~~IE~ ;_:.;4i~~!~~;I~~'j ':::--~::':-.=::.:.:-.:~7=~=~~~~=::'--::_m .. . _~+<i::~" :_-:~~--;'~~;'~~~E~~=- -===-:'..:2~.:.~'~~_:-:-'- .'.~~'-~~~~i3~~~~-;J -Mlb~il_ - '.; .'-,,"-=~=- .--."7-=..a;:,......,..M1 SHQEMAKE.R .. ... d. .. .~ ,,& f..:~t.Jli[ - . .~~.~ _ lnl..DOO ~b_~a.._g.bti;- ~.~ ....~ ~~~'~~~'1\~~el'~~i~r' ':;~~lj~~-~E.2~;~~~~ - 0 - -- -- --tt~J!r~irlJ~ r ...., I 11 I 111'1 I' -, - -. - . .~---'------~ >. 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FROM' ISSUE DATE OF, , .~ ::.:~~::~;~~~"."I~li~ -- ---- -_.- . - ' - ~--- - .....--- --- - - --... _.__..-.~- ....-_. --. .-----...----.- .. _. ____ __ u. _ .... . . - - - --.-- --- .. --...~ - - ----. -- - -. -----.. - . ..-. . - ... - - --.-_..- - - --- -- .-_., -----. ".- -~. ._- - _. - -- - -. - - SHcfE'MAK E R 'O,665.~ 4~~~.::--. - ---. ..--.. ~"~.f..rt~ '~-'Y""/Jll, ;;:---." M;b b- 5- 3:~;iSiI~Jlt[_~ .5 .000 b b 5~'" b8'1I1 -,--..--,_._. .---_.-.. ---- . - --.----. .._- ."------ . -. . -... -- _.. ---_._-- - _u ___.._ .___. _ ___.. __ _. .__. .... _ u __ _ _.___ _ u. _______ _ . _ ..-- -- . . .. - -_.__. . . -_... _0._ _~._.___.n_...O '0_ - -.__. ...- ---. --- -- -. -._-_.-._-- . - - -----~ - ----- ..:,.,-===',",.:::-:;::""'" t::... ~ : -- - . -- . --... . '- '~::;:'~'=--?~~~9"'~ ;:1,~:2~~,ur,~'":tJ1Ei~3:~~~~.;~; sli fiE MA:K'J;B' -,', ',',~,::~,",.'.:.".~,-,:,:::;:,'~~::',:, - -''''7~-':'-==-':=-':----'' '7-:7":' --,===- ___C-_____"_ _ -:: ~j- :t~ifg-" ~~&~:II!~;~?~~,-=-~-~~~ c3i~~~~ -:--~:~ ---------.....- -_:~:::.. ' r-- _Mr~ . _. .. . ~-,,~,~=~~--" st~~~nb-D ~~qrr5--~~;~~~:';~~-'h -- !I M&fBank 499 Mitchell Road, MiIIsboro, DE 19966 Mail Code DE-MB-12 Stephen L Bloom Attorney and Counselor at Law 2100 Longs Gap Road Carlisle, Pennsylvania 17013 Re: Estate of' Robert C Shoemaker Social Security: 208-28-6517 Date of Death: March 02, 2005 Dear Sir or Madam: Phone (888) 502-4349 Fax (302) 934-2955 April 6, 2005 Per your inquiry dated March 24, 2005, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of Account Checking Account Account Number 923982 Ownership (Names oj) Anna M Shoemaker, Joint Owners * Robert C Shoemaker, Joint Owners * Diane L shoemaker, POA Bonnie L Waggoner, POA Opening Date 02/19/80 Closed 03/23/05 Balance on Date of Death $4,656.36 $ 0.15 Accrued Interest Total $4,656.51 2. Type of Account Checking Account A ccount Number 78029856 Ownership (Names oj) Anna M Shoemaker, Joint Owners * Robert C Shoemaker, Joint Owners * Diane L shoemaker, POA Bonnie L Waggoner, POA Opening Date 08/28/64 Closed 03/23/05 Balance on Date of Death $690.43 Accrued Interest $ 0.02 Total $690.45 3. Type of Account Savings Account Account Number 015004210580096 Ownership (Names oj) Robert C Shoemaker * Joan M Conners, POA Bonnie L Waggoner, POA Opening Date 11123104 Closed 03117105 Balance on Date of Death $13,877.78 A ccrued Interest $ 2.66 Total $13,880.44 4. Type of Account Certificate of Deposit Account Number 031003910354122 Ownership (Names oj) Diane L Shoemaker, Joint Owners * Robert C Shoemaker, Joint Owners * Opening Date 08103199 Closed 03118105 Balance on Date of Death $1,926.28 Accrued Interest $ 1.47 Total $1,927.75 5. Type of Account IRA Account Number 035004110097646 Ownership (Names oj) Robert C Shoemaker * Opening Date 11123/04 Closed 03123/05 Balance on Date of Death $860. 72 Accrued Interest $ 1.46 Total $862.18 6. Type of Account Safe Deposit Box Box Number/Location 0000589/ North Middleton Ownership (Names of) Robert C Shoemaker Anna M Shoemaker Opening Date 02/06/98 .. For further account information, regarding ownership, closures and/or reimbursement of funds, etc., please call the North Middleton Office # 717-240-4521. Sincerely, ~~~a~ Nancy CI~ett Records Management REY.485 EX. (1.92) ~~b SAFE DEPOSIT BOX INVENTORY COMMONWEALTH OF PENNSYlVMIIA DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG. PA 17128.0601 Please Print or Type MUST BE COMPLETED BY REPRESENTATIVE OF FINANCIAL INSTITUTION WHERE SAFE DEPOSIT BOX IS LOCATED AND RETURNED TO ABOVE ADDRESS FILE NUMBER SOCIAL SECURITY OR DEATH CERTIFICATE NUMBER OS-.- O:2~O J..{)~ -:2. ~ - 6517 I DECEDENT'S NAME (LAST, FIRST, MIDDLE) DATE OF DEATH ~l-\O~MAv(~ R013Q2.:( C.. 0:;).. ;LC05 · ADDRESS OF DECEDENT (STREET) (CITY) ATATE) (ZIP CODE) 16CfO Lo ~5 Ab P-L; s~ vA 17D(3 NAME AND ADDRESS OF PERSON REQUESTING THE OPENING OF THE SAFE DEPOSIT BOX (NAME) COUNTY CODE 2. I S--r-~f't-\€N L. DLoOfv'\ J A-r(otZ.tJE.Y (STREET ADDRESS) (CITY) (STATE) (ZIP CODE) PA 170[3 ::2toO LON65 6A~ (2.oPtb QL:C.SL-~ NAME, ADDRESS AND RELATIONSHIP (IF ANY) TO DECEDENT, OF PERSON(S) PRESENT AT THE BOX OPENING o. (NAME) (RELATIONSHIP) l3otul\J~ L..G~ WA-(~(J108--r.2 DAv6ti-C~12.. (STREET ADDRESS) (CITY) ;;;L:;l:;;LO LoNG,S GAP floA-t:> c..p..~sU:- b. (NAME) (RelATIONSHIP) (STATE) (ZIP CODE) VA '"70/3 (STREET ADDRESS) (CITY) (STATE) (ZIP CODE) c. (NAME) (RelATIONSHIP) (STREET ADDRESS) (CITY) (STATE) (ZIP CODE) · NAME AND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATED (NAME) M~'l T5AN~ (STREET ADDRESS) q.s-~ ~p(L'1-N~ (loAD I NAME OF PERSON MAKI LAST ENTRY . CA.f NUMBER OF BOX o:J-jobIJ<=t9"g ooooS-~9 NAME AND ADDRESS OF PERSON(S) HAVING ACCESS TO BOX a.~~~ b.(N~g~ ~(STREEq;RESSI Q.... ....... fo( 'srRT,;;crD~. Q~ ~. . "'- ~ ...J.S~TE) (ZIP CODE) (CITY). _ \ (STATE) (ZIP CODE) rttt l'lDI 'F'A lIt) · NAMJ AND TITLE OjDtP~OYE TAKING THE INVENTORY tv bcUtl f~' 13rW--LQ./. S"~ ~. (STATE) (ZIP CODE) A- 170)3 WAS A WILL IN THE BOX? DYES ~O If yes, o. Date of will: b. Name and addre.. of personal representative, if named in the will (NAME) 13o~tJ1.-E". LEE WPtGGOf'..J~ (STREET ADDRESS) ;;2 -;2-:;:2 0 La,u G S <::, AC/ /2LJ A ~ c. NQme and address of attorney, if any (NAME) ~lE:P~~ L - LSuoo"-^/ ES&. (STREET ADDRESS) ~\O 0 LO~GS- bAR /2oAD (CITY) (STATEI PA (ZIP CODE) (" -Af2( :-1:. 5lk':: { 70 (:! (CITY) CAf2L:.:U:; ~ (STATE) PA (ZIP CODE) , 70 13 Page_ of SAFE DEPOSIT BOX INVENTORY INSTRUCTIONS (1) Cash: Report total only. (2) Stocks: List in detail every common or preferred certificate, warrant or other rights found in box. Stocks ore to be designated by name of company, certificate number, date of certificate, name in which stock is registered, and number of shares and class of stock. (3) Obligations of U. S. Government: Number of items, date of issue, face value, names in which registered and type of ownership, i.e., jointly held, payable on death, ete. (4) Bonds: Designate by name, amount, serial number, or other designation. (Bearer Bonds) (5) Bank and Savings and Loan Passbooks: State name of depositor, number of book, last dote appearing in book, nome of bank and branch, and balance. (6) Jewelry, Coins, Stamps, Manuscripts, ete: List and describe as fully as possible. (7) De.ds, Mortgages, Current Insurance Policies or other evidence. of indebtedne.s: list and describe as fully os possible. (8) All other contents. ITEM NO. ITEM DESCRIPTION ;'i A : ,~~c~1~t~~.. i ~ ~A~"l I~. I ---J . '"' I CERTIFY UNDER PENALTY OF PERJURY THAT THE ABOVE RECORD IS PERSON RECEIVING COpy OF OF MY KNOWLEDGE AND BELIEF. SAFE DEPOSIT BOX INVENTORY: SIGNATURE BOX BElOW: -------1 I I I --- - .-4 I I _____J 13oN~ ~ WAGG000e;K2 CHECK APPROPRIATE BOX: I&fExecutor(trix) 0 Administrator(trix) o Estate Representative 0 Joint owner of safe deposit box Page 1 of 1 Copyright ~ 1995-2005 Oldwatch.com Inc. OW 4567 Illinois 18, 15 jewels Very Nice Silveroid triple hinged open faced case, single sunk porcelain dial, roman numerals, blue spade hands, lever set, full plate gilt transition movement, micrometric regulator (615018) circa 1886 This is a nice watch. OW 4567 Illinois 18, 15 jewels, $195.00 plus S/H Add to cart You have 0 line items in your shopping cart VIEW CART CHECK OUT EmpJY__yQllL~~.rt Bac_k to Sea__r_c_b_nR~s]llts Se3x~h_Again Return-.1o HOQlep~~ htto://www.oldwatch.com/c2:i-bin/webdata watch. nl?fid= 1115673 807 &auerv=l JSo~?Rro... 1/?7/?001 AMERICA W A TCI-I U.S. 1 Fine Antique Pocketwatches Page 1 of 4 Illinois Production Dates to date your watch use the serial number of the movement! Production numbers until 1880 are not in order so dating your early Illinois can be difficult Serial no. Date Serial No. Date Serial No. Date 1-2,000 1872 162,001 1881 2,502,000 1913 2,411- 235,000 1882 2,596,000 1914 2,550 310,000 1883 2,689,101 1915 3,001- ::> 2,873,000 3,700 ~,ooo 1884 1916 t+S.-'f9'1-S - 4,001- 470,000 1885 3,057,000 1917 4,360 552,001 1886 3,241,000 1918 4,401- 4,470 1873 672,000 1887 3,425,000 1919 5,001- 792,000 1888 3,609,000 1920 5,500 912,000 1889 3,793,000 1921 2,301- 2,410 1,030,001 1890 3,977,000 1922 2,551- 1,075,000 1891 4,166,801 1923 2,720 1,120,000 1892 4,492,501 1924 3,701- 4,000 1,165,000 1893 4,547,001 1925 http://www.oldwatch.com/Illinoisdate.html 5/27/2005 - s..... PO BOlt 46JMfFlNIURB. ~A 17M4 . PHOfE (Ilq "7" -r;it-J- 1\ ;;;1.)0 14.1S FINAL SETTLEMENT HLERNAME~ ~~ ~ \DDRESS /~8o o(~ Aar Rt:L C~L DATE OF SALE rJcJ. 0("'7) 0 5 PHONE ZIP JCA TION OF SALE ,UCTIONEER PHONE C.A$EUfR':S:.EXPENSE5.... ) C. -.',-RECEIPTS; ) PROFESSIONAL FEES AUCTIONEEr $ CLERK ~ % $ J) llo I · 00 CASHIER $ CASH $ 1~~4.0() , ~o) 155.75 CHECKS OTHER RECEIPTS $ ~ Ll8 . teL! D~~ ~ l 5 . oc (~~~~) $ lCJ. ).0 $ $ $ $ $ $ OTHER EXPENSES ad.~ J~ ~ $ $ $ $ $ $ $ $ $ TOTAL RECEIPTS $ $ JJ.of4-'75 , $ ~I D<l~ .g4 $ LESS TOTAL EXPENSES C TOTAl EXPENSES $ d.IO~9>. ~4) NET PROCEEDS P,AYABlE:.TO "SELLER I (or we), the seller, accept this settlement and acknowledge receipt of the above specified net proceeds from the auction of my goods and property sold on the above date. I accept all responsibility for providing merchantable title to all goods, and property sold, and for delivery of title to the purchaser. .X~ /Y'-l ' ~LL.~j ,( _~~~~! j,y'; x/2'~---?;:~ ~':~tp J' /,)1' /D >- ::(! W; SRT J IuE;? Here is your Westfield Group draft. We appreciate having the opportu- nity to serve you. The panel below indicates the reason for the draft. Your Independent Insurance Agent, indicated below, can show you other fine insurance products. Call them or stop by for more informa- tion. - - - - - - - - - - - - - - - - - - - - - - - - - - - - NOTE This document does not reinstate any coverage or policy previously cancelled. If you have any questions concerning this document or your insurance coverage, contact your Independent Insurance Agent: 37-0-4188 HUNTER INS ASSOCIATES INC CARLISLE, PA 17013 717 -243-0625 Reason: CANCELLATION OTHER Insured's Name: ROBERT C SHOEMAKER Date 04/24/05 Policy Number APV 8587863 Account Number Amount 65.50 3700336974-001-00001 2088-B AGENCY NUMBER 37-0-4188 ACCOUNT NUMBER 3700336974-001-00001 POLICY NUMBER DATE DRAFT NUMBER APV 8587863 04/24/05 2717312 56-1544 441 Bonk One, NA AMOUNT 65 .50 A T SIGHT PAY TO THE ORDER OF: HUNTER INS ASSOCIATES INC OR - ROBERT C SHOEMAKER ANNA M SHOEMAKER 1690 LONGS GAP RD CARLISLE PA 17013.8609 GE Life & Annuity Assurance Co. Insurance Service Center P.O. Box 10821 Clearwater, FL 33757-8821 1-877-825-9337 000000003 0030003242 1 0486 031 I.. .111.. .111..... .11..11.1. .1..11. .11.. .1.1. .1.1. .11. ...11..1 THE ESTATE OF ROBERT SHOEMAKER 1690 LONGS GAP RD CARLISLE PA 17013-8609 Policy/Certificate No: Check No: Check Date: Check Amoun t : Date of Death: 0110397616 30003242 06/16/2005 $403.78 03/02/2005 REFUND OF UNEARNED PREMILN ON POLICY/CERTIFICATE ,A? ~ CK~86 03-18-04 li ted States ~partment of rricul ture Farm Service Agency CUMBERLAND COUNTY FSA OFFICE 43 BROOKWOOD AVE SUITE 2 CARLISLE, PA 17013-9172 lte 08-03-2005 ~me 12:41 :atement Type B Original Program 2004 Direct/Counter Program Application Direct/Counter Program Phone 717-249-3924 PAGE Name: 1...111'1 11111 ... 1111'111.1111..111.111..1.1" 1.1.. 11111.11.. I ROBERT C SHOEMAKER 1690 LONGS GAP RD CARLISLE, PA 17013-8609 ~TAIN FOR TAX PURPOSES Producer ID XXX-XX-6517 S Disbursement Statement cansaction Information ~ference Number(s) lrm 249 Amount 23.00 23.00 STAT Payment Description COUNTER CYCLICAL PAYMENT - BARLEY Total Payments (Transactions) Transaction WH21500024 isbursement Information "sue ACH! Check D0036401 ASGN! JPYMT RECVBL! Claim Amount 23.00 Payee Name/CCC Debt Repaid ROBERT C SHOEMAKER Funds to be deposited in: M & T BANK :l__t;;~_ -3-03-2005 23.00 Total Disbursements 23.00 Total Program Payment Earned )proved: Signed of issue date. (Authorized Representative of CCC) nited States epartment of .;Jricul ture Farm Service Agency CUMBERLAND COUNTY FSA OFFICE 43 BROOKWOOD AVE SUITE 2 CARLISLE, PA ~7013-9172 ate 08-03-2005 ime 12:41 tatement Type B Original Program 2004 Direct/Counter Program Application Direct/Counter Program Phone 717-249-3924 PAGE Name: 1,1111 L II " 1111 J ,1111111,11111111,11 L ,,1,1111. 1"111,"11"1 ROBERT C SHOEMAKER 1690 LONGS GAP RD CARLISLE, PA 17013-8609 ETAIN FOR TAX PURPOSES Producer ID XXX-XX-6517 S Disbursement Statement '.ransaction Information :eference Number(s) 'arm 277 Transaction WH21500042 7.00 7.00 STAT Payment Description COUNTER CYCLICAL PAYMENT - BARLEY Total Payments (Transactions) Amount }sbursement Information ssue ACH/ ASGN/ RECVBL/ Jate Check JPYMT Claim ,8-03-2005 D0036418 7.00 Payee Name/CCC Debt Repaid ROBERT C SHOEMAKER Funds to be deposited in: M & T BANK Amount 7.00 Total Disbursements 7.00 Total Program Payment Earned 'unds shou 1 d be a v"",-lab 1 e Within. ;h~. _ e.. \ wor.. king days of ~ s sue da te , ,pproved: S1gned \, ./{\.l. , C ; ~ ~(l, vVv' ,n \-c.. -' (Authorized Representative of CCC) Jni ted S ta tes lepartment of \gricul ture )ate 08-03-2005 'ime 12: 41 ;tatement Type B Original \ETAIN FOR TAX PURPOSES ~~an)?action Information ~ef~rence Number(s) ~arm 820 )isbursement Information [ssue )a~g_ -18-03-2005 ACH/ Check 00036464 Farm Service Agency Program 2004 Direct/Counter Program Application Direct/Counter Program CUMBERLAND COUNTY FSA OFFICE 43 BROOKWOOO AVE SUITE 2 CARLISLE, PA 17013-9172 Phone 717-249-3924 PAGE 1 Name: III J 111,1.111 J .1 I '111..11.1'11..111.11"1111 " 1.1 " 111...11111 ROBERT C SHOEMAKER 1690 LONGS GAP RD CARLISLE, PA 17013-8609 Producer 1D XXX-XX-6517 S Amount 10.00 10.00 Amount 10.00 10.00 10.00 "unds should be a~a1T,ll;le, :' thin t,hr~e .,or,king days of issue date, '.pproved, Signed l_ ~~ \ ,...c. (1 I.~ ..Y1. \, ,'\"",1'".. (Authorized Representative of CCC) Transaction WH21500089 ASGN/ JPY~ RECVBL/ Claim Disbursement Statement STAT Payment DescriPtion COUNTER CYCLICAL PAYMENT - BARLEY Total Payments (Transactions) Payee Name/CCC Debt Repaid ROBERT C SHOEMAKER Funds to be deposited in: M & T BANK Total Disbursements Total Program Payment Earned F! lVI&T Bank ACCOUNT NO. ACCOUNT TYPE STATEMENT PERIOD PAGE 9833854830 H&T SELECT WITH INTEREST AUG.19-SEP.16,2005 1 OF 1 00 0 04335M NM 017 59878 ESTATE OF ROBERT C SHOEMAKER BONNIE L WAGGONER, BARBARA J ROURKE JOAN MARIE CONNERS, EXEC C/O BONNIE WAGGONER 2220 LONGS GAP RD CARLISLE PA 17013 INTEREST PAID YEAR TO DATE 8.02 NORTH MIDDLETON ACCOUNT SUMMARY BEGINNING DEPOSITS & OTHER CURRENT ENDING BALANCE OTHER ADDITIONS CHECKS PAID SUBTRACTIONS INTEREST PD BALANCE NO. I AMOUNT NO. I AMOUNT NO. I AMOUNT 10,605.57 2/ 22,560.75 21 2,135.44 o I 0.00 1.86 31,032.74 ACCOUNT ACTIVITY POSTING DEPOSITS, INTEREST CHECKS & OTHER DAILY DATE TRANSACTION DESCRIPTION & OTHER ADDITIONS SUBTRACTIONS BALANCE 08-19-05 BEGINNING BALANCE $10,605.57 08-29-05 DEPOSIT 22,014.75 08-29-05 DEPOSIT 546.00 33,166.32 08-30-05 CHECK NUMBER 0123 31,077.48 09-01-05 CHECK NUMBER 0122 '2{) 0 S'- 31,030.88 09-16-05 INTEREST PAYMENT To/; ; fJto .v?{ S /)1 / Ii, 31,032.74 ENDING BALANCE $31,032.74 - CHECKS tC ~Jt7f tll. re ;- /e/ t/f 1,,4 f Ii ( JY.!,y 6, {)c/ 122 09-01-05 46.60 123 08- 31 ANNUAL PERCENTAGE THANK YOU FOR AT M&T, WE DO EVERYTHING POSSIBLE TO I YOUR TRUST. FROM OUR BRANCH TELLERS j SCENES, OUR GOAL IS TO MAKE SURE THAT PLEASANT ONE. WE DO THIS BECAUSE WE ~"... . __ . _ . ___ .... "___'" __ . . . BECAUSE YOU ARE. THANK YOU FROM ALL OF US AT H&T BANK. 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Ronan, F.D. 717.258.9863 717.241.4041 (fax) www.ronanfh.com Our Family Serving Your Family Wednesday, March 9, 2005 Mrs. Bonnie Waggoner 2220 Long's Gap Road Carlisle, Pennsylvania] 7013 Dear Bonnie, Thank you for selecting our funeral home to provide services for your family during your time of bereavement. I hope that you found our services, so- far, to be of the highest standards that we always- try to achieve. The following is a swnmary of the service charges as previously explained and provided in written form on the services for: ROBERT C. SHOEMAKER 1. Professional Services Basic Service Of Funeral Director & Staff Embalming Dressing, Casketing, Cosmetics, Details 2. Use Of Facilities, Staff And Equipment Use Of Staff And Facilities For Viewing / Visitation Use Of Staff And Facilities For Funeral Ceremony Equipment & Staff For Graveside Service 3. Automotive Equipment Transfer Remams To Funeral Home Hearse Flower Car Lead Car For Funeral Procession TOTAL OF PROFESSIONAL SERVICES, FACILITIES AND AUTOMOTIVE EQUIPMENT Merchandise Memorial Package CASH ADV ANCF.S Cemetery Charges Paid. Newspaper Notice Patnot Church or Clergy Certified Copies of Death Certificate Flowers Organist TOTAL FUNERAL CONTRACT BALANCE DUE $ 1795.00 $ 675.00 $ 240.00 $2,710.00 $ 375.00 $ 425.00 $ 240.00 $1,040.00 $ 240.00 $ 285.00 $ 80.00 $ 90.00 $695.00 $4,445.00 $ 145.00 $145.00 $ 450.00 $ 100.80 $ 156.00 $ 75.00 $ 108 $ 106.00 $ 50.00 $1,045.80 $5,635.80 ---..---- $5,635.80 If there are any questions or concerns that remain unansweredt please call me. BALANCE DUE ApT 6, 2005 A late charge of 1.5% per month on the outstanding balance (annual rate of 18%) will be added to the balance. ~~I!L-- Lynn A. Ronan Funeral Director 255 York Road + CarlisletPennsylvania17103 + 717.258.9863 + 717.241.4041 (fax). www.ronanfh.com Oat. ~c~ 2 <:; Loo~ Purch_ ~"'() ,e.. 4. ?p.%~ t"J~' :~- ~~:~ t:~C~~~:. 7I(i,tJ ;CO. (l LOC8tlon (city) ~tt: Ie EstabRshed;18415 Phone (810)434~157 FAX(810)432~5784 1928 HAMILTON STREET ALLENTOWN. PENNSYLVANIA 18104-6497 Stat. ~\ Shall WENZ"co. Qrder',Foundatlont NO Win Customer, Pay WENZFor Foundation? NO Shall c...tomer Or8r Foundatlo...., rC ( Will C.tom.r Pay Cemetary Directly? 1 ~$ . Found.I'OM .81. Ba,PaIcl By Customer Be"re Ihmorfal Dttllve", Phone Name of Cemetery L0~~fI\'s. fA YY) Ce.-ne;:;r.- Description Of Work To Se Done Size, Finis ,Etc.. ~~~5~' ~~ ~~ d~~B~ . J-/2... ;l. I(~ . 4t ,'Top ~ {<..ock.. R.;;~ :~\~~!j~ ~;;: tt:;r;i ~ !D' ~'7~~ cksT8n . ~f- fI.:(r!f: b<\. COV\+ I~ p."ss. - <::.. .~ ~ e'l # Hame & H.....berOn o..tgft lIat.rial Type Of Lettering A. I.......t.d Un ... Code Differently _ Lett.red A. Followa: (Extra Charge Will Be Made For Cutting Inscriptions Other Than Those Specified Herein) SttDl;m AKl:g, ~.~t C-.. ~OJ 2J~ ~~~ AnnA- ~~~ '13 tf c!JJ.OO~ LEFT SIDE FACING MEMORIAL lettering and sides verified by: (Slgnature.p(--u~/ ~ 1cs.",. A".-c ff~ WENZ COMPANY, tnt.Allentown. PA., Rrst Party, And The Purchaser. Second Party "Jt.I.'~'t'<: The First Party Agrees To Furnish And Set tn Good Workmanlike And Substantial Manner All The Memorial Work Described Above. The Second Party Agrees To Pay First Party In lawful Money Of the United States The Sum Of RIGHT SIDE FACING MEMORIAL 't Memorial (Not InCluding Servic At The Signing Of This Agreem Balance Not Including Se~e GUARANTEE The WENZ COMPANY Agrees To Remedy Or Replace At Their Own Expense Any Part Or Parts Of A Granite Memorial That May Develop Defects In Workmanship Or Material, Reported By The Purchaser, Other Than Damage Done By Vandals, Storms, Elc . . Thp. work ~!I tift completed as !talDd after 1CtOUfI11, fully PlIO. PltHioeo,l:'la! iI f..')l1".Oletion be oel2yeti wltnoulliUI! 01 Inn "~!1 party!)( Slri~~. IiI lletav com ronllOl, !he agrel!!d 1I~, lot r;amplefion wll be exlended 'Of a rornmell3tlt1le period I~ Ihe, e.1llllof r.or. -payrre" nr of l/le obIlo11lon, IhlI JeCOI1d pafIV tle':'el7( aulOOrIre3 !h~ Cerrewy CO'lICilllY 01 Assoc:lli:)r' 1,0 pe: m, ,il tile IPmC\l, a:~, II rro:ial ~.t1nlfn Or!! ~da\loo or 'IJrf llaDllIty IncoMflCllon INlrofr\tI. Of IhelBI Piny rr.ty all!le Off,ion. cctl!ct tJ/1aw. and fhe ~ helM co.1talr.al k) ~ r., pa" wff be accUnt A 1 tn'll. ServiCE Charoewill be added 8ICh month. starling lhlrtt ~ aner wor~ is ~pletfJd. an<I, ..'Ie memorial remains \lit! P'~ty eo: me f: 1 U~b'\ paid lot I fllt'ment me Iii$! pattY sl;al; IMfl tile IJoht 10 letJIce said tne/rDIla/ wITh 01 wlmolJl 1l!Qi DUSSS i1fXlleSlllt lIle sarro JCCUld~ 10 liIW.ll'44No<nll ~li . ':S Pftftlo pllCtl It:nai.1ing i!I~ aOOllillQ the second I*ti such pi1'fl118l11 and ltIe lie! plorlleds 01 Such lesale, and ltIe second parly heleOv av\~ri1eS ~"d ern lhe. ollrry Coo lud9emcnl8galtlSl hIm b l~ 1bC'Nie sum. wldIoul declnllon. Mtll costs 01 sull, rofease 0' erttn and wtthoul!lir)' of ClteCU~on. willi 10'l\ aodtlllo! lion ~; ~ f ""ves 'od1lr.I~lly condem the same and aufhorfms IIle Pttllnonotiary 10 en1eI uoon al;Y wr.! 01 BX.ICJIlon S3/d VOllinlAl}' C()f\det!I",ai!on, <lilli, ",lIier IllCPe:i I ltle !d lea! 18 bll said, r tavIs no. il1 nee or ~cd ..:' rilly perrIJ'II of meIJYlflJJ llfico ttoUSl be ~ wfflln ltIIrty days Ii elite of cU3lomer~ rontf1C: 01 OOIItrad may \)IS QllCtlIleQ by \\'\:.Nl COMfW'Y, NC. I "Wl1 tor fhe ~ _Jy hel~ JCknowledgll.s 1Ir:elP( 01 diled "Ndlce if Car,w:lficp' as pr8:ljoa1 ~ ;aw. No cash lefUndS T!II!. agr~ e lTIiOe !Iub/fd 10 Jhe Wfl1llln apptNII and ~nce III a corpcnleoltlt:8r of me t1/'Sl pally; 3ny\'fl/lallirlOefSlindil'.t) M' el(Of and lN~e all ~l! r:; cNr), only. NalUral ~'1e Is a prooliCl olllllUJe and subloct k> roo Ifld ledUl& Y1!laliOll dolaull bV!he S8COOd pill'y In rralcin(j :;,)C", Pifj Itle 1Irs1 partY any dellldency lr; the COItftlit1 Aeoord f\$)'Ivan/a oflllsarhefe ltnppeal fo' 3'ld 10 m!t' IlQlllsi1lcn on any realllSllle leVied utxJr, il'l:l ~ r:aetrt' ~,g and waMno 19 tellef Irom Iny JPlnI'-'T'eI1I. ~tly ~: ~p'!or, flts!!W1'; Mike a:t ct.eck3 payable D lhe tOrpolailon all'le IlrS! Daiiy, first Party WENZ Company, I . Representative's Phone '-. 1452 37 PURCHASER'S COpy PRE-NEED BRONZE MEMORIAL AGREEMENT , .t ':f /t" between Stone & Metal Inc. --- Carlisle, Pa. DATE SIGNED \,.; , SELLER and /. /. I /. .r .,," , PURCHASER /. I). , ,,"'~ /' _ I ,':t:,;r- DESIGN OF MEMORIAL Rockedse Re..l Edse Hammered Use SIZE t..,..""#. ..... . II ~.. l' / if No Vase 0 MEMORIAL Vase Combination One Vase m/'Two Vases 0 Plain Doric Vase Subsurface Vase FINISH Hammered Doric Vase Dark Light ~ ,.r:~ LEITER STYLE Quantity INSCRIPTION Oval Face Flat Face Othen " ....... '. ,,/ Rockedge Hammered Edge INSCRIPTION. . u EMBLEM (if any) , '" ....,......_ ...._.,...........-L_....""'#,. ........,. .--. I . C' ~ "/"" / I , , ....,J' ...., -, I{ k L~ k i ...../ ! i I \ 1- o SCROLLS TO BE FURNISHED WITH MEMORIAL [!lMtMORIAL TO BE DRILLED AND TAPPED FOR LATER ADDITION OF SCROLLS ,......... WITNESSETH: ',,", " The Seller agrees to sell, install, and maintain and THE PURCHASER to buy in accordance with the terms and conditions of this contract including provisions on the reverse side of this contract, a Bronze Memorial, hereinafter called MEMORIAL the cost and specifications whereof are more particularly described in this contract. The description oftheparticular MEMORIAL or MEMORIALS, specifications, cost, and the inscriptioDl to be placed thereon, constItuting the subject matter of this contract, have been duly identified by the PURCHASER. Said MEMORIAL is to be installed in accordance with the cemetery rules and regulations. The purchase price of the said MEMORIAL, as indicated above, including foundation, installation and maintenance is as follows: Price of Bronze Memorial . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . .. S < Sales Tax (where applicable) ....,................................... Cost of Foundation ........ ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cost of Installation ......................................,....... Deposit for Care Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T oral Cost .............................................,... S ....., ,.... "...... The PURCHASER agrees to pay S. . . . . . . . ~'. simultaneously with the signing of this agreement and S. . . . . . . .. . . on the. . . . . . . ,,' day of each succeeding month for a period of . . / I. . . months until the total cost is paid. When the amount due the Care Fund has been paid in full it shall be immediately placed in the Trust Fund established under the agreement existing between the Cemetery and the Trustee of the Memorial Care Fund. The amount deposited in the Trust Fund for Care, constitutes a deposit in trust, to be invested by the Trustee from time to time with other similar funds deposited. The proceeds arising from such Trust Fund shall be used, to the extent that it is available, for maintenance and repair of all bronze memorials in the cemetery. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and year first above written and in consideration of the provisions, mutually agreed upon by the SELLER and the PURCHASER, as so stipulated on the reverse side of this Agreement. . f F I /,. ,~+.._' .."r' ' [. ~~. ~ ~-I' '. 'Ii. (\ Representatrtre Date Accepted ~< ~NameofPURCHASER ;f #'/ f {' ,J- ~,,~ Month I ,!,! ",_,~ + 'i '...~ .)~ r- Day /1"/..)' 'I Year of Birth Officer of the SELLER ~berland Vall~y Mem~~~~~!. I~~!~~!~~~a~ G~e?n~~~c~u~tY~~~al~~~?~i!!m~~~~~~e~!rad N 1921 RItner HIghway 3776 Peters Mountain Rd. 740 Wyndamere Road 1159 Newville Road Carlisle, PA 17013 Halifax, PA 17032 Lewisberry, PA 17339 Carlisle, PA 17013 717-243-3541 717-896-3272 717-938-3435 717-249-2029 THIS AGREEMENT, made by and between Seller and I'y' j r,. ,I. ,\ (v. ,_/C, if') CL /} /, ""J j " ~( I I : / ~ t, . , ,/ (Please Print) (hereinafter called the "Purchaser") WI1NESSETH TIIAT Purchaser agrees to buy and Seller agrees to sell to Purchaser, or his designated beneficiary in accordance with the terms hereof, the following items to be provided or used at the above checked location (hereinafter called "Cemetery"). In consideration for Seller binding itself to provide the items with- out regard to the actual cost and price of said items prevailing at the time of performance hereunder, Purchaser agrees that this Agreement shall be irrevocable. 1. DESCRIPfION OF BURIAL RIGHTS, The Burial Rights covered by the Agreement are shown by the map of such garden/building on file in the office of the CEMETERY, and are more particularly described below. The purchase price of Burial Rights does not include IntennentlEntombmentJInurnment Fees (opening and closing costs). _ Burial Rights in _ Grave Space(s) _ Garden Crypt: 0 Double Depth 0 Side-by-Side o Single 0 Developed 0 Preconstruction Niche: *Mausoleum: 0 Chapel D Garden 0 Tandem 0 Side-by-Side 0 Single o Developed 0 Preconstruction o Chapel 0 Garden 0 Single 0 Companion 0 Developed 0 Preconstruction 1st Choice 2nd Choice Garden Section Lot Space(s) 2. MERCHANDISE o Check here if merchandise is being purchased for use at another cemetery. Cemetery's Name: A. VAULT(S) #1. Description #2. Description B. URNeS): #1. Description #2. Description C. MEMORIAL INFORMATION: Memorial Design: Bronze Size X Location (Section, etc.) Vase: Y / N Granite Size X D. MONUMENT INFORMATION: Type: Color: Size: x Die: x Base: x P P P x x x .-(""" , , I ; ( ',' f I f\, E. CASKET(S):. / ""\ I. Model: (~--::::=-~.::;: Type: j..../: ) . ~ -""'" .~- r - ./ - {!". ,.Model # ( t' ~ / do, .~ 2. Model: Type: Model # 5. PAYMENT. The Purchaser shall pay SELLER for such rights in accordance with the following disclosure statement: 1st Choice 2nd Choice Building Section No.(s) Level *Maximum casket dimensions are: length 85", width 29", height 26" 3. ITEMIZATION OF CHARGES (A) Burial Rights (as described in Para. 1 above) $ (B) Less Certificate Discount $ (C) Second Right of Interment $ (D) Vault(s) $ (E) Um(s) $ (F) Mausoleum Lettering/Crypt Plate $ (G) MemoriallMonument $ (H) Installation Charge $ (I) Caskets $ (1) _ IntennentlEntombmentlInumment Fees $ (K) Other $ (L) $ (M)Sales Tax $ 4. TOTAL CASH PRICE (A THRU M) $ ITEMIZATION OF THE AMOUNT FINANCED ( 1 ) Total Cash Price $ (2) A. Cash Down Payment $ B. Trade In: $ Old Agreement No. C. Total Down Payment (2A + 2B) (3) Unpaid Balance of Cash Price (I - 2C) (4) Finance Charge (5) Total Unpaid Balance (3 + 4) j 1.../ ".7./r _ ,J. l '-f / '-- f / ! '\. ./ / '. I , " ,f ; $ $ $ $ (" ) ANNUAL PERCENTAGE RATE FINANCE CHARGE ' AMOUNT FINANCED TOTAL OF PAYMENTS' TOTAt SALE PRICE The cost of your credit The dollar amount the credit will The amount of credit provided The amount you will have paid The total cost of purchase as a yearly rate. cost you. to you on your own behalf. after 'hou have made all payments on credit, including down as sc eduled. payment of $ % $ $ $ $ YOUR PAYMENT SCHEDULE WILL BE: Number of Payments Amount of Payments Thereafter, Payments Are Due $ 0 Monthly on the $ SECURITY: You are giving a security interest in the goods or property being purchased or in part of the funds paid under this Agreement held in a Merchandise Trust Fund, PREPAYMENT: If you payoff early, you will not have to pay a penalty and you may be entitled to a refund of part of the Finance Charge. 'NOTICE: See the remainder of this Agreement (including General Provisions on the reverse side hereof) for additional information about nonpayment, default. security interests, any required payment in full before the scheduled date, and prepayment refunds and penalties. If you do not meet your contract obligations, you may lose the funds paid under this Agreement held in. the Merchandise Trust Fund. TI-Il~ A ~DJ4'J4'UJ4'NT A V'~14'~ OIlT OF A rONSTTMRR CRROIT SALE AND IS SUBJECT TO THE ADDITIONAL GENERAL First Payment Due Date qvaggoneft~ CUnited uUethodi~t Chuftch Church Location: 1271 Long's Gap Road · Carlisle, PA 17013 Phone: (717) 249-1624 PASTOR TIM FUNK Church Mailing Address: 1055 Long's Gap Road · CarIi~le, PA 17013 Home/Office Phone: (717) 243-2261 May 8, 2005 Mrs. Bonnie Waggoner 2220 Longs Gap Rd. Carlisle, PA 17013 Dear Mrs. Waggoner, . Thank you for your recent payment of $ 123.22 for the meal served at Waggoners United Methodist Church after Robert Shoemaker's (your father) funeral. Please know that the Waggoners Church family is very sorry for your Joss and we were pleased to have this opportunity to help in this difficult time. Please retain this letter for your records. It is an important document that may be necessary for any federal income tax deductions. Sincerely, ?a4tM 7im Rev. Timothy Funk Pastor STEPHENL. BLOOM A TTORNE'Y i\:--JD COlfNSELLOR AT LAW/ \\ \V W I' I{ A (' TIC ..\ L C () l J N S I: I. C () M 2100 LONGS GAP ROAD CAR 1. I S 1. E. P r ~. ;..; s y 1. \' .\ N 1.\ 1 7 0 1 J S B L 0 () M @ J> I{ :\ ( , TIC :\ I. (. ( ) 1 . " S F I (: ~ ) \ I Invoice submitted to: Estate of Robert C. Shoemaker c/o 2220 Longs Gap Road Carlisle, PA 17013 Bonnie Waggoner, Barbara Rourke & Joan Conners, Co-Executrix March 24, 2005 In Reference To: Estate Administration - Initial Interim Billing Invoice # 1556 Professional Services 3/3/2005 Review Last Will and Testament and Codicil; Preliminary preparations for estate administration 3/11/2005 Preparations for probate/administration; Research re real estate information and documentation of death, etc.; Conference with Executrices/Beneficiaries and review additional information; Correspondence with Surveyor (Mr. Fisher) and Appraiser (Mr. Foote) 3/15/2005 Telephone conferences with Surveyor, Co-Executor, Attorney Frey; Administrative Matters 3/16/2005 Telephone conference with Attorney Frey; Preparations for administration and probate of Last Will and Testament and First Codicil thereto, including Renunciation, Petition for Grant of Letters Testamentary and Exhibits, Oath of Personal Representatives, proposed Decree, Estate Information Document, Oath of Non-Subscribing Witnesses; Appearance at Register of Wills for presentation of same/probate; Conference with Co-Executrices and review of Letters Testamentary and other documents; Prepare and file IRS Form SS-4; Review acceptance of same and assignment of FEIN; Telephone conferences with Co-Executrix re same for banking pu rposes 3/17/2005 Telephone conferences with Co-Executor and Surveyor 3/22/2005 Administrative and estate accounting matters P RAe TIC i\ L C () U N S E J. + C II R J S T 1 1\ N PER S PEe T I V E TEL E P II () ~ F 7 1 7 - 2 4 9 - 7 7 1 7 F A c: S r \11 L E 7 J 7 - 2 4 9 - 7 7 5 7 T()LI. FREF 877-548-9602 Hrs/Rate 0.60 200.00/hr 3.58 200.00/hr 0.37 200.00/hr 2.93 200.00/hr 0.17 200.00/hr 0.07 200.00/hr Amount 120.00 715.39 74.78 586.00 33.56 13.72 Estate of Robert C. Shoemaker 3/23/2005 Review documents; Telephone conferences; Miscellaneous matters 3/24/2005 Administrative and estate matters; Required Notice to Beneficiaries of Estate Administration; Certification of Notice Under Rule 5.6(A); Correspondence with M& T Bank re date of death account information; Preparation of required legal Estate Notices for publication and correspondence with Sentinel and Cumberland Law Journal re same For professional services rendered Balance due PAYABLE UPON RECEIPT - THANK YOU P R t\ C T J C ^ I. C () U N S I:': L + C H R 1ST rAN PER S PEe T I V E Page 2 H rs/Rate Amount 0.17 33.33 200.00/hr 1.64 328.22 200.00/hr 9.53 $1,905.00 $1,905.00 STEPHEN L. BLOOM A T 'I' 0 R N E Y AND C 0 l; N S ELL 0 RAT LAW' W \\' W I' 1\ .-\ (I It' :\ I (' ( ) ! ' 1\ S F I. C () I,! 2 1 0 0 LON r; s G /\ /' R t ) A [) CAR L r S L E, P F j\; :-..; S Y I V:\:-': I A 1 7 0 1 -' S B ). ( ) () M @ I' /{ A (: T f ( : .\ [. ( () I ~ :'\ S F I. (' ( ) \ I Invoice submitted to: Estate of Robert C. Shoemaker c/o 2220 Longs Gap Road Carlisle, PA 17013 Bonnie Waggoner, Barbara Rourke & Joan Conners, Co-Executrix April 25, 2005 In Reference To: Estate Administration - Interim Billing #2 Invoice #1571 Professional Services 3/25/2005 Review and evaluation of Real Property Appraisal Report; Review correspondence; Administrative and estate accounting matters; Evaluation of assets and related documentation; Correspondence with Co-Executrix re various invoices for payment from Estate Checking Account; Correspondence with Tax Collector; Correspondence with Department of Public Welfare Estate Recovery Section 3/29/2005 Administrative matters; Telephone conference with Surveyor re status of subdivision process/file documentation re same; Filing of Certification of Notice at Register of Wills 4/1/2005 Telephone conference with Executrix; Administrative matters; Telephone conference with Department of Revenue re Safe Deposit Box Inventory Authorization documentation 4/5/2005 Correspondence; Review correspondence from Department of Revenue/Certificate of Authorization for Safe Deposit Box Inventory 4/19/2005 Administrative and estate accounting matters; Telephone conferences; Preliminary preparation of Safe Deposit Box Inventory documents; Review correspondence and documentation from M& T Bank; Review Clearance Letter from Department of Public Welfare. Estate Recovery Section; Documentation of expenses; Proof of Publication of Legal Notice (The Sentinel); Preliminary preparation of Pennsylvania Inheritance Tax Return and Schedules; Correspondence and telephone conference with Cumberland Valley Memorial Gardens ra valuation/disposition of interests of Decedent therein; Research vehicle valuation PRACTIC::\I. C()UNSI~[. + CHRISTiAN PERSPECTIVE T F. I. F P II () :\ I; 7 1 7 - 2 4 9 - 7 7 1 7 F:\CSIMIIF 717-249-7757 T 0 L \. F R F I. R 7 7 - S 4 R - C) 6 C 2 H rs/Rate Amount 4.12 200.00/hr 823.44 0.61 200.00/hr 122.00 0.36 200.00/hr 72.83 0.19 200.00/hr 4.06 200.00/hr 37.33 812.78 Estate of Robert C. Shoemaker 4/20/2005 Telephone consultations; Inheritance Tax and Valuation matters 4/22/2005 Reserve for Conference with parties at M& T Bank for Inventory of Safe Deposit Box; Review contents and documents; Complete and file required I nventory Documentation with Department of Revenue/Correspondence re same; Miscellaneous matters; Additional asset valuationllnheritance Tax matters For professional services rendered Previous balance 3/31/2005 Payment - thank you Total payments and adjustments Balance due PAYABLE UPON RECEIPT - THANK YOU P R ;\ C TIC /\ L C () U N S E I. + C H R 1ST I ^ N PER S PEe T I V E Hrs/Rate Page 2 Amount 0.52 103.50 200.00/hr 2.50 500.00 200.00/hr 12.36 $2,471.88 $1,905.00 ($1,905.00) ($1,905.00) $2,471.88 STEPHEN L. BLOOM ATTORNEY AND COUNSELLOR AT LAW WWW PRACTICAI.COlJNSEL.COM 2 100 LON G S GAP R () AD CARI.ISI.!':, PENNSYI.VANIA 17013 S B 1. 0 0 M@ P R ^ C TIC A 1. c: 0 l' N S E L. c: 0 M Invoice submitted to: Estate of Robert C. Shoemaker c/o 2220 Longs Gap Road Carlisle, PA 17013 Bonnie Waggoner, Barbara Rourke & Joan Conners, Co-Executrix April 07, 2006 In Reference To: Estate Administration - Final Billing Invoice #1728 Professional Services 5/4/2005 Review Proof of Publication of required legal notice (Cumberland Law Journal) 5/6/2005 Review documentation re Annuities; Revenue Department matters 5/19/2005 Administrative and estate matters; Review documentation and information re assets and liabilities 5/20/2005 Consultation with client re decedent's insurance matters 5/27/2005 Administrative and estate accounting matters; Estimated Inheritance Tax calculations; Personal property valuation research and documentation; Annuity valuation/taxability research; Telephone conference 5/31/2005 Administrative and estate accounting matters; Inheritance Tax matters 6/1/2005 Appearance at Register of Wills Office to present payment of Inheritance Tax estimated discount; Review and file documents 6/10/2005 Correspondence with Attorney Frey; Telephone conferences with Executrix; Telephone conference with Surveyor; File documentation 7/15/2005 Telephone conferences with Executrix TEL E PliO N I: 7 1 7 - 2 4 <) - 7 7 1 7 F A C S I M r I. E 7 1 7 - 2 4 9 - 7 7 .s 7 To I. L F REF 8 77- 5 4 R - 96 :; 2 Hrs/Rate Amount 0.08 16.67 200.00/hr 0.36 71.83 200.00/hr 0.42 83.33 200.00/hr 0.26 51.06 200.00/hr 2.38 475.56 200.00/hr 0.24 47.61 200.00/hr 0.75 150.00 200.00/hr 1.20 240.72 200.00/hr 0.31 61.06 200.00/hr PRACTICAL COl'NSEL + CHRISTIAN PERSPECTIVE Estate of Robert C. Shoemaker 8/8/2005 Correspondence with Attorney Frey; Review documents and information 8/16/2005 Telephone consultation with client re Public Sale matters 8/26/2005 Telephone consultation with client 8/30/2005 Telephone consultation with client re Public Sale proceeds and related matters Telephone conferences with Executrix and Attorney Frey 9/7/2005 Telephone consultation with client re disposition of vehicle 9/14/2005 Telephone conference with client re vehicle disposition 9/20/2005 Review correspondence from Attorney Frey and estate information 9/29/2005 Review correspondence and documents from Attorney Frey 10/12/2005 Correspondence with Attorney Frey 11/11/2005 Telephone conferences with fiduciary, beneficiary and surveyor re property transfer/subdivision matters 11/29/2005 Correspondence with surveyor 12/1/2005 Telephone conference with surveyor 12/15/2005 Telephone conferences with surveyor; Real estate matters 1/24/2006 Evaluation and analysis of Subdivision Plan/Survey; Telephone conference with fiduciary 2/16/2006 Correspondence and real property matters; Telephone conference with Zoning Officer; Review Township Correspondence and Documents; Deed preparation and realty transfer tax matters 3/7/2006 Telephone conference with fiduciary re Deeds and Inheritance Tax Matters PRACTICAL C()U~SEL + CHRISTIAN PERSPECTIVE Page 2 Hrs/Rate Amount 0.47 94.50 200.00/hr 0.17 33.33 200.00/hr 0.13 26.67 200.00/hr 0.20 40.00 200.00/hr 0.31 61.11 200.00/hr 0.12 23.61 200.00/hr 0.08 16.67 200.00/hr 0.67 133.33 200.00/hr 0.33 66.67 200.00/hr 0.13 26.72 200.00/hr 0.72 143.33 200.00/hr 0.26 51.67 200.00/hr 0.12 23.33 200.00/hr 0.68 136.67 200.00/hr 0.53 133.33 250.00/hr 1.64 408.75 250.00/hr 0.17 41.67 250.00/hr Estate of Robert C. Shoemaker 3/8/2006 Appearance at Recorder of Deeds Office for recordation of Deeds; Filing documents 2/28/2006 Conference with parties for execution of conveyance documents; Recordation of Subdivision Plan 3/14/2006 Telephone consultation with client; Deed execution for specific bequest conveyance of lot; Preparation for recordation 3/17/2006 Telephone conferences with County Assessment Office re Clean and Green rollback issues; Research re same and determine exemption for conveyances from Estate; Telephone conference with Attorney Frey; Correspondence with same; Estate administration matters 3/22/2006 Review correspondence and Clean and Green Amendment documents from County Assessment Office; Prepare for execution of same 4/7/2006 Administrative and estate accounting matters; Telephone conference with County Assessment Office re Clean and Green Amendment matters; Telephone conference with fiduciary re same; Assembly of Inheritance Tax Return and Exhibits for filing; Appearance at Register of Wills for filing of same; Reserve for final matters of taxation and administration, including property conveyances, distribution and family settlement agreement For professional services rendered Previous balance 4/26/2005 Payment - thank you 5/31/2005 Payment - thank you 2/14/2006 Payment - thank you 3/22/2006 Payment - thank you Total payments and adjustments Balance due PAYABLE UPON RECEIPT - THANK YOU P RAe TIC 1\ L C () l: N S E L + C H R 1ST I A N PER S PEe T I V E Page 3 Hrs/Rate Amount 0.61 152.01 250.00/hr 1.57 391.67 250.00/hr 0.58 145.83 250.00/hr 2.65 662.57 250.00/hr 0.33 83.33 250.00/hr 4.33 1,083.54 250.00/hr 22.80 $5,178.15 $2,471.88 ($2,471.88) ($4,373.12) ($480.00) ($325.00) ($7,650.00) $0.03 RECEIPT FOR PAYMENT * DUPLICATE * ------------------- ------------------- GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 SHOEMAKER ROBERT C Estate File No. : Paid By Remarks: 2005-00250 BONNIE L WAGGONER JA Receipt Date: Receipt Time: Rece ipt No.: 3/16/2005 15:29:45 1039963 ------------------------ Receipt Distribution ------------------------ Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST WILL AUTOMATION FEE SHORT CERTIFICATE JCP FEE CODICIL RENUNCIATION Check# 1015 Total Received......... 260.00 15.00 5.00 20.00 10.00 15.00 5.00 ---------------- $330.00 $330.00 CUMBERLAND COUNTY GENERAL FU CUMBERLAND COUNTY GENERAL FU CUMBERLAND COUNTY GENERAL FU CUMBERLAND COUNTY GENERAL FU BUREAU OF RECEIPTS & CNTR M. CUMBERLAND COUNTY GENERAL FU CUMBERLAND COUNTY GENERAL FU Accounting Associates 1849 W Lisburn Rd Carlisle, P A 17013-9734 717-258-6671 March 24, 2005 CONFIDENTIAL ROBERT C & ANNA M SHOEMAKER 1690 LONGS GAP RD CARLISLE, PA 17013-8609 For professional services rendered in connection with the preparation of your 2004 individual tax return: Form 1040 (Individual Income Tax Return)....................................................$ 35.00 Sched u Ie D (Capital Gains and Losses)........................................................... 25.00 Schedule F (Profit or Loss From Farming) ...................................................... 85.00 Social Security Wrks ....... ..... ....... ......... ......... ........................... ....................... 15.00 2 Yr Comparison Rpt ...................................................................................... 10.00 PA Form PA-40 (Income Tax Return)............................................................. 10.00 ~ ~ J $ ~ /--;tJZJ ,-') L / _..-/ ---------- c \OC; ~Q~ ~\d0\ r ~ .' G~G Amount due RETAIN THIS PORTION FOR YOUR RECORDS AD DESCRIPTION NOTICE LETTERS TESTAMENTARY ON THE I AILI TO ATTORNEY AT LAW STEPHEN L. BLOOM SALESPERSON BILLING DA fE LINES 29 04/13/05 38 * 2 START DAn: STOP DATE 03/29/05 04/12/05 REMITTANCE ADDRESS THE SENTINEL - LEGAL P.o. BOX 130, CARLISLE, PA 17013 AD NUMBER I CLASS 283117 10 PUBLIC NOTICES PUBLICA TION 3 THE SENTINEL - LEGAL TOTAL AD CHARGE INSERTIONS RATE 3 LGL NE T AMOUNT 137.94 137.94 GROSS AMOUNT 3 PROOF OF PUBLICATION 01PRF 6.35 DA YS RUN PURCHASE OR DE R RobertShoemaker PAY THIS AMOUNT 144.29 173.15* * AFTER 05/13/05 MESSAGE: Thank you for advertising with The Sentinel. Deadlines for in-column legal advertisements: Monday is Friday at 11 a.m.; Tuesday is Friday at 4 p.m.; Wednesday is Monday at 12 Noon; Thursday is Tuesday at 12 Noon; Friday is Wednesday at 12 Noon; Sunday is Thursday at 12 Noon. If you have any questions regarding your Legal bill please call Tammy Shoemaker 243-2611, ext 203. Fax your legals to 243-3754, attention Tammy Shoemaker You can also EMAIL yourlegaltoClassifiedads:classified@cumberlink.com Please send a cover letter including your name and address as an attachment DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT THE SENTINEL - LEGAL POBOX 130 CARLISLE PA 17013 RobertShoemaker . . AD NUMBER CLASSO START DATE STOP DATE 283117 I PUBLIC NOTICES 03/29/05 04/12/05 AD DESCRIPTION BILLING DATE TELEPHONE NUMBER NOTICE LETTERS TESTAMENTARY ON THE 04/13/05 717-249-7717 GROSS AMOUNT OF 173.15 DUE AFTER 05/13/05 TOTAL AMOUNT DUF 144.29 ENTER AMOUNT ENCLOSED ATTORNEY AT LAW STEPHEN L. BLOOM 2100 LONGS GAP ROAD CARLISLE, PA 17013 '/70IJK' \ - ~ \ .. ~ 0"" """ .... """ o ru .D \J"\ \J"\ - .. COLoN\1-\- CL~SS\OII IS ..~ i~~ I. 11II4 c--- '\11.I ~~ l~. ~ \~ ~ '- ~ ~ X- .D tp ~ """ tp \J"\ r tp, ..~~~ Ci ~ \, o ~ '~ ~ l1 \, d e. ~ ~ - ~ rJ; 8 8> \~\ it, ~c:> ~-- ~c:> ~c:> YORK WASTE DISP05AL~ INC. . PO BOX 1401 . YORK, PA 17405 INVOICE DATE. 12/16/05 ~ INVOICE INVOICE NO. ACCOUNT NO. 3811 14 009219 81 (717) 845-1557 FOR PERIOD: JAN FEB MARCH 2006 FOR BilLING INQUIRIES, CAll '" SERVICE ADDRESS: ' \. " 1690 LONGS GAP RD CARLISLE PA 17013 PAGE NO. 1 ~ ~ . .. DATE DESCRIPTION aTV: RATE TOTAL. , .' 12/19/05 RESIDENTIAL TOTER SVC 40.05 (,)) r il ) 1- ~1 /-,./ , -jf J ') ~ tAL " YORK:845-1557 LANC:581-8383 **DOORS MUST BE REMOVED FROM REFRIGERATORS FOR PICKUP PAYMENT DUE UPON RECEIPT. PLEASE MAIL PAYMENT TO PO BOX 9001837 LOUISVILLE, KY I l __. ACCOUNT STATUS TOTAL THIS INVOICE 40.05 ____---u-------.---------.------ : . . . . I · · 40 05 I · ___J -------------------------------------------------------------------------------------------------------------------- YORK WASTE DISPOSAL, INC. . PO BOX 1401 . YORK, PA 17405 ~~~ i 9/12/05 I INVOICE ~_._----~- ~ _, ~VOICl: NO: . . FOH BilLING INQUIRIES, CALL:, ... ';_ ; ~'_":, - - SEBVleE'ADDRESS" '.' -' . u, ~.'''' ~ '" oAl""'~"'~" .. ~,JiIl,,, f.I'~ ,,, -~, :~.... 1690 LONGS GAP RD CARLISLE PA 17013 PAGE NO. 1 3811 14 009219 8\ (717) 845-1557 FOR PERIOD: OCT NOV DEC 2005 ~ .. ,. DATE DESCRIPTION ' QTY.,. ~ RATE TOTAL ~ . " 9/12/05 RESIDENTIAL TOTER SVC 40.05 YORK:845-1557 LANC:581-8383 **DOORS MUST BE REMOVED FROM REFRIGERATORS FOR PICKUP PAVMENT DUE UPON RECEIPT. PLEASE MAIL PAYMENT TO PO BOX 9001837 LOUISVILLE, KY ./"' - J 1/' tJj CI ftl- ,~}Q-Y Jt JC ACCOUNT STATUS TOTAL THIS INVOICE ~- PLEASE PAY THIS AMOUNT' i 40 . 05 I ~' JlS' ! -,~~ WV^ ~~u~ . YUKK~ PA 17405 3/18/05 RESIDENTIAL TOTER SVC YORK:845-1557 LANC:581-8383 ~~DOORS MUST BE REMOVED FROM REFRIGERATORS FOR PICKUP PAYMENT DUE UPON RECEIPT. PLEASE MAIL PAYMENT TO PO BOX 9001837 LOUISVILLE, KY \ O{ OOC{)" ~ ))~tctt ACCOUNT STATUS 38.52 .00 .00 .00 TOTAL THIS INVOICE --- -- -~--- PLEASE PAY THIS AMOUNT 38.52 38.52 )> () () 0 c Z -0-00'< -t 0' l;lol;lorno ....... (f) << ;:0 .... :X~:::O~ 0' -t rn rn rn .. ....... 0 -< ~ Z%ZO) Ut -4.-10-" 0 C <:\11 .a ,0 -tern' m ~ (f) oc:C'.... Vl m \11 ..... ~ -0 "1"\\11 ~ m ~ oc::::o-...l ~ -00 (/) O'oXr- ..... -t 0% )> > rn >< :::0% r- ::orn("') -4 0 \D rn "1"\ 00 S 0("')::0\11 rn H orn....O) .a (/) .........G>.... 'U O)-OI'T1' Vl 0 ~-4::OO) < ~ . )>~ n (/) -10) ):it ,..--oo~ r 0"'-'" ~ c:rnt/))t( .....)> }4( H VJVJ."t:J <:fT1oo Z ..... ::00 n r-X ::0 r-1>-OVJ m.......... ... r-("')X ~c: ~ c:t/) "0 < -0-4 0 OJ 0 X .... ~ 0 .... ~ -< ~ 0 \"- ,0 " ~ " ... , c:-- , ~ ~ \ "'0 ~ ):>> --~ ~ .... ""'- ...... '\ \ ~ 0 r...., U1 ,...' \J'. I ~ C>> \71 N r', ,~ \ (.M . l,o \ CJ) \tn ; \J'l l\) J N ~ORK WASTE DISPOSAL, INC. . PO BOX 1401 · YORK, PA 17405 I 6/16/05 INVOICE :INVOICE- DATE INVOICE'NO.. ACCOUNT NO. . FOR 'BILLI~~ INQUlRIE~1 C"t~ . "~. ," .~~ ,', SERVlce'ADDRESs'" , ". l' .~~ ~ ~ , ...~ .. ~.. < ,..;. PAGE NO. 1 3811 14 009219 8 (717) 845-1557 FOR PERIOD: JULY AUG SEPT 200S 1690 LONGS GAP RD I CARLISLE PA 17013 \ i ;~. ' QA"tE ' . DESCRIPTION .:....' ..:' ~~..".', " Qn,,::.~"~':': . '>:RA1:e~~"" :,.' ': iOTAL' .~. --, ~'~ i(~ ..- . ~ ......' to. . ',,,.' ~ '.~ -f. J :' .. . . ; 6/16/05 RESIDENTIAL TOTER SVC , 38.52 fJL~ "7 .~-- /:' <.. I ,_ ^ ~ (....1 t: -:tL . / ,- .A: I L II ,5 YORK;845-1557 LANC:581-8383 **DOORS MUST BE REMOVED FROM REFRIGERATORS FOR PICKUP PAYMENT DUE UPON RECEIPT. PLEASE MAIL PAYMENT TO PO BOX 9001837 LOUISVILLE, KY 38.52 ACCOUNT STATUS -'-~ Q ---L- -~~-~- -~-_. ----=--~~- ~A C:~ (--_._~-~ .....--.-.... . ~,~~VWSI.IRPLYi' 302-698-1414 -4-'- (HjjS:s"664 -36Pfi9:~'OO . '~~01:73i=}n4 "-"4rO:36a':};i 717~2~~1'7~; 1Q.Hi1~94; ..~ 410-792-7199 J'~ MO CIIfIICi . '~, va ~-75 ~.HfAJII8.". ~mJM.1MIIDIIMf 1IIcNIetIWI, DE ""'mort Wat 301~ 170 nlllOlllllft,MD HI""",M 302-378-1880 410-728--1133 ~ ,41 0-880-3041 410-252-9610 717.e37-2238 540- 550 8323 Pulaski Highway. Baltimore, MD 21237 \ , 411).; 81-7200 L"*.. MD R..... VA 410-574-0010. Fax 410-574-3315 I.. Air, MD 301 ~ 5-~828 .....lnItIr, MD LItICIItIr, PA 540-342...060 WWWAlOftheasJ.m~ 410-569-2600 41~-~~ Oc"~ M' 410-8411-7044 717.~ ~.VA '. ~ fI71)'..aMOJUI (1-1n......). 410~1s..1900 41 n2 41o-a1&a55 .=4158 CASH S ALE I N V 0 ICE NO,RTHEASTERN SUPPLY INC it OrdfJr' # Page' 1.46135' .1 Invoice # : 154279 P r'i nte<j R1: Inv Date .. o.3l~?3/0~) 08: 2 tJ ::17 2 3-' M~f( ~?OOb :~o l!L T Q.l.__l'!.:ll:~~J._.__-_...--_...._,--.._~-.,-_.__..,-.,---_._- : CARLtSLE CASH 'CUSTOMER : , I I t I I I I I ,. I I , I t _......._.._.........-_"....__...__.._~........__.._..______...____._.._.....-+-_._........-.-_ t S h~:i:.j;!p~ d .,Jjj..L.__.___.._.__--------..--.......-.-..-. : CRRLISLE CRSH CUSTOMER t , I I I I I ' t _.______...........'"'.............~_......._._~_"_~......._._~..._.._._.> ._..__._...... 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II' . , I :: ,:~~:,Ii~~k 11, "~:'~;, t ~~c., ~;;~~.~~.. ~;~-~~- ;,~~~;,~;~ ~- -- -~::i<::.- -- ,.- - --- - .~,.~ - -~'"~\~ ..::~- -'.-. . I" ~ ,~..'~ ' ,. "r OU t~ consent. I'(l.ust. be obtHained. \I<?il: ;~~~- ~cc'ept..e~j. for' t"e',t~u,..t'f,,'~i.+..110U+_" t ~~ ~ ' \~. C k~4~ tot" T J. eke -l:. #.. .. .. ' - ~-Et.. ltMJ[in9 cha t"ges wi 11 . t)e tllc:\de . '1#/N,e1~ - ;Amoun~.' ,onal~ c~~~~"t~?ed ma~rial. ,..,,., , '-', ;. - " Tax "1 ';"','';<.. ./~Jf:~1~omet";;).1~~"lni\,tur'el" ... '., . ..', .;;....".; ',~..'..t-.,..,;.....-._-,._"..._..,--.- :> r'de t., F i i 1 ed"R ;/1. ': . -_.._-~._.--'I)aia,--;-.---.-I...-:---7-H......._:0;.2 or . I nvdiice ~:}mour\i: ., '...r: _.___~__>"_ --_==~:=---'2r..--=="':'~- . Z{:~~ : C(:~t"t()n~): Co.ils : Bundles ;~ .' ,Re(~ls : "fl~ka,;~es ,': I I I , I' I , t , It' ,F;>.....~ 'j '; , ~,. :x;3~ .' T:'~,lf \ , ::'Z'~/~w.... ~.:~:jy:.. ,;" 4" ...u..........._.._....._............._...___..........._.-.._...._...._....__.._.._........__.....__......__.___...._........."'.__.'_............_.H._..~I_...... .~... ...... , I I I I I I f , , I I I , I' , ':''',- 10.06 O"bl $ ~LO . ll'7 1 l'f V V ll, t. - I t. 1'\1'1,): 1'4 t. 1 .) V U f\ , .) LLof 1 ROBERT C SHOEMAKER 1690 LONGS GAP RD CARLISLE PA 17013 jLOCI I I UNIT PRICE h TAX AMOUNTS I OTHER TAX I AMOUNT CHARGED MO-DAY NR DESCRIPTION QUANTITY EXCL. TAX FEDERALTSTAT~ OR CREDITED (CA) 3/15 01 1807108 Order No211159.00Bill Of Lading 000000211 #2 FUEL OIL 158.40 1.79900 PA SALES TAX EXEMPT 0.00000% ON 284.96 284.96 .00 - - SUBTOTAL 284.96 iiiiiiiiiiiiiii PAYMENT DUE DATE: 04/15/05 - - Ipei t '3 Jd-q I 0 ') (, tJJ 6u ((}- - - - - - - .-: I f"-4 t~ ~.~ c: : t,1F r: j()[ .; 2__. TOS FINANCE CHARGE RATES MONTHL Y PERIODIC RATE ANNUAL PERCENTAGE RATE MINIMUM CHARGE 1 . 5000 18.0000 0.50 S lieURe-AN ENE'RGY.SE RVIC ES 530 E NORTH 5T CARLI 5LE, PA 17013 . .J?H 0 N l ZJ 7 - 2~3- _5B-.5~LH_ INVOICE TOTAL 284.96 -t I I FOR CUSTOMER SERVICE OR DELIVERIES PLEASE WRITE OR CALL RETAiN FOri YOUR TAX FiECOHU~ SUBURBAN ENERGY SERVICES 1 of 1 1_.Qf 1 i ROBERT C SHOEMAKER EST OF ROBERT SHOEMAKER 1690 LONGS GAP RD CARLISLE , PA 17013-8609---- ... .......liir~_..-ti1i:l...~.'""...,....._ 9/23 01 1900964 Order No293624.00Bill Of Lading 000000093 #2 FUEL OIL 119.10 2.61900 PA SALES TAX EXEMPT 0.00000% ON SUBTOTAL 311.92 PAYMENT DUE DATE: 10/26/05 EA~~[. r.::,-~',,~ :~I;-;;ilrJ\, T~:_Rrvi f ~ : fJ." I\~.- '---0;, FINANC2CHARGE, BASE: ME.IHOD' :,-2. FINANCE CHARGE RATES TO S MONTHL Y PERIODIC RATE ANNUAL PERCENTAGE RATE' MINIMUM CHARGE FOR CUSTOMER SERVICE OR DELIVERIES PLEASE WRITE OR CALL' 01 . I I 1 . 50 00 18 . 0000 ';/.l ,il.4ny,,; '''[:T~{J;::) ~ O. 5 0 ADD'T,(Y~M Ir-JFOHM"\TID~: - S U BURS-AN EN'ER-C"fV SER'Vlc'e-s I . 530 E NORTH ST 09/26/05 CAR LIS L E. PAl 7013 .~MM.: -( - ': I~T11~::~'~I:~ r"'~;F'; ,'0;., \'!r"';;'~;~:J P{\r','! '.' PH 0 N E ZJ 7 - 243 - 5,858 0 28Q~J? 7800 ".'t' ,: . ': "I ',\(1\',\, "")'0' '. '1: 'li(I',,"Ak' RETAIN FOR YOUR TAX RECORDS ! I ; J / , (". :/ fiL I ,t/ )':J-! ,elL _/_.~ j ~~ _- t C~-::e ,I ; " 'vI .....~' ....,~ ..v / i r; L i-'! -'.i,. .:) Il/ "., , ~- .JtA,~ ~;:;i '1' y . f. INVOICE TOTAL 311.92 .00 311.92 311.92 SUBURBANENERGYSERWCES - - - - - - - - - . ---.. INVOICE - TERMS: NET 30 DAYS :l'lC1:1~llh"r:I:I: 1 of 1 ROBERl C SHOEMAKER EST OF ROBERT SHOEMAKER i600, LONGS GAP RD CARLISLE . PA 17013-8609 ... _.~~'I:i"'.-"""__""'''''i!ilmll''''''''''.l'''~_ 1 :/16 Service 11/16/05 Call 88871 1924352 Order No312155.00 LABOR WORK MINOR #2 DEL H .75-80-H-A GEN lA30; FELT C AIR FILT 16X25Xl PA SALES TAX EXEMPT 1. 00 1. 00 1.00 8.20 1.00 2.86 1.00 1.99 0.00000% ON 1. 99 129.95 129.95 .00 8.20 2.86 - - - - - - - - 143.00 .Ou - - - SUBTOTAL 143.00 - - - - - PAYMENT DUE DATE: 12/17/05 ,'> ) J.. - j"L /e' / ,~L Ii /'}f -i. j l P~E/j~ D.')..':' ~_)R[I~'ll--:' Te, T>:~r\J15 T:t.\'/C)I~ F:r\JA~~CE C"H.A;'-K~[~ 08 L!"T:- CI~tJ.f~f._;(-~ FOR CUSTOMER . SERVICE OR DELIVERIES ' PLEASE WRITE OR CALL' :-=~=_~Flt-J AN C~(CHA RG-EBA sE"~ETI:WO~-'--" -..=~=--=====~=-_=~=_=--====~- ....------- -~----..- FINANCE CHARGE RATES i TO S S~C hl~ '-lSE SIDE MONTHLY PERIODIC RATE' 1 . 50 %: CUP CU,/:':,CE (,HARGE ANNUAL PERCENTAGE RATE: 18.00%, CAL'':;,jlATlor.,; METHOD & MINIMUM CHARGE i 0 . 50 ,H -..-- 4DDrIOhl.:",-- I~~~:)~,"~A 'lor, ~--SlfBURBANENERGY SERVICE-S I' 530 E NORTH ST 11/17/05 CAR LIS L E. P A 17013 .: . -EJutlGET CL:'-'TOI.~ERSONL ,: r~A:h.A['NT or, _~ _.J?..JH1NI---..llL..2.. 4 3_=- 5 8..5..8 _ _._~_.. _.. 0 2 8 ~2_~ L~~Q_ _ ~_~~~~~ ~..~ ~~~~; ;i~ E;~~)~~,~~~~~~~~~~J:~~11\ 11 ~ INVOICE TOTAL 143.00 , - -~-~:- 1 of 1 RET AIN FOR YOUR TAX RECORDS SUBURBAN ENERGY SERVICES INVOICE - TERMS: NET 30 DAYS ROBERT C SHOEMAKER EST OF ROBERT SHOEMAKER 1690 LONGS GAP RD CARLISLE ... - 12/14 01 1937094 Order No324608.00Bill Of Lading 000000074 #2 FUEL OIL 63.90 2.58900 PA SALES TAX EXEMPT 0.00000% ON 165.44 TAX AMOUNTS OTHER TAX FEDERAL STATE SALES CODE SEEBEWW :I':tC1:1~IIJlfJl:I::I: l~(~Ll____ _________ . PA 17013-8609 ~ ~ 165.44 .00 - - SUBTOTAL PAYMENT DUE DATE: 01/14/6 . ) 1,'_"J.-i/t/ I 1 /.' ~ ... , -tl " -; ) ,,[/1 165.44 - - " : ~ J" , l" .., I ...f It j 7 ..1/, '/ ./ ;' /'i,,,~__ - - .j ILL-' - - -)HCdrJ1l I C:. 1 ~\ \1 () I [: ,f J i\ : ! ___ ~,=-'fi!J~\i'-J-Ef(~1 AH'GE f3.A~';~~l ~ T r-le) r. " 2~=_ _ __ ____~= _~_~===__~_u__.________ _____n_ FINANCE CHARGE RATES I' TO S : MONTHL Y PERIODIC RATE 1 . 50% ' , ANNUAL PERCENTAGE RATEI 18. oooo~____~ MINIMUM CHARGE 0 . 50 i i -SUBURB-~rf\fENERGY SERVICES 530 E NORTH ST 12/15/05 CARLISLE. PA 17013 ..: . FiECEIPTOFTHISSTATEM['J: ACCOUNTSPAS,DUEAfll P HilliE_ZlL__u2A:.3_-__58 5 H___ ____ 02809678 0 SUBJEC~ TO RE}~l.9'y~~M Tr1:' BljQQf.TY_R,QQHA/;1 INVOICE TOTAL 165.44 i of 1 RETAIN FOR YOUR TAX RECORDS SUBURBAN ENERGY SERVICES I11111111111111111111111111111111111111111111111I1 11 i , C"\ o . 1..0 . CO co C) L.!') C) 1..0 L.!') CV) <( a... '0 l.J...J .-l VI .-l a:: <: u o a:: Vl C!:l Z o .-l o C"\ 1..0 r-I a::. w. :::.! <( ::E l.J...J o :I: Vl f- a:: l.J...J eo o a::: ::z: go 0'l0'l~ CI..OO 1..00 "0 0 CONO -l 0 4- 0 00 1..0 CV) CV) eo..-l o o CO o L.!') r--.. f- CV) a.. CV) ~ o w :z: >< l.J...J !"... Q) >< "0 .-l <( !"....-..f- 00 Vl q- -l W 1..0 W .-l -.:::t=><: N l.J.. Vl L.!') 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Diversified Appraisal Services Real Estate Appraisers and Consultants 35 East High Street Sui te 1 0 1 Carlisle, Pennsylvania 17013-3052 Tel: 717.249.2758 Fax: 717.258.4701 INVOICE DATE: March 24,2005 TO: The Estate of Robert C. Shoemaker FOR: Appraisal Report of Farm 1690 Longs Gap Road Carlisle, Pennsylvania TERMS: Due upon receipt AMOUNT: $350.00 \ \ '\ -. -... . ._... .._...~_..._ _...._~r__ Thank You, /~~~' Larry E. Foote Certified General Appraiser GA-000014-L Tax ill Number!206-36-6731 I ,( Ll )' r. J'> ;) '1 ft 1 O~ ij 0 ~ ,V'UW 'K1 .r - llPl - CAR LI S L E 1.1 PO CARLISLE. Pennsylvani~ 170132935 4134870013-0098 03/30/2005 (800)275-8777 03:40:06 PM ~laM P t'oduc t Oescripricn Sa 1 e~ R(.ce i pt ~------------ Sdl~ Unit Final Qty p l'i ce Pri ce CARLISLf PA 17013 ~irst-CldSS $0.37 -------- -------- Issue PVI: $0.37 u\RLISLC P,,,", 17013 $0.37 First-Class - ---.---- -------- Issue ~)V I : $0.17 LOUISVILLE 1< I,' 40290 $0.37 F;r~t-Ciass -----.--- -------- I~sue ?\/I: $0.37 CARLISLE F / UlJ $0.37 F; rs t - l~ 1 a" =...~===::;.:;: i :s ~~, t: Ii I : $0.37 PITTSBURGH PA 15274 $0.37 First-Class ==-==;;::::;=-= IssLe rVI: $0.37 H.A.RRIS6UHC, PA. 17129 to.60 Fi r'st-Cl"ss -------- -------- Issue ~\n . $0.60 PHILA.UlLPHI,A, P,I\ 'i.92 S 5 $0.37 First-Class -------- -----_._- IssLJe f.-\/I : $0.37 rlARkIS5URC, P .4. 17129 $0.37 first-ClnSs ----.._---- -------- Issu2 P 'J ~ : $0.3/ -.-- Total: $3.13 Paid t/: Cash $3.19 8111#: 1000202039243 C 1 e rk : 13 fl.1; <; f\ t': S f 1 q d 1 or' ::- t d !', P S d n U ;J (} S tag e . 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U'I ..... ...:I ~ ~ \0 ~6 ...:I ...:1* IV ..... ..... \O.....w..... ;...o~o CIO*~* ..... \0 ~ ~ o OJ \0 == ..,:~~ a.....~ro 0""'00 'I ~ a ?< .. ~ r;; {fl - ~TI '-I 8l> T1X mm m(/) TI)> o:D :Dm )>m o(/) 00 -:D ::jO o~ Zm l>o r- :DTI mO o:D m~ ~::D (/)0 '-1 o 3: o :D -I G> l> G> m o 9 i ~ I ~ ." )> -< m :0 o o ." -< ! ~ ~ ~ i\) 8 01 ~ PPL Electric Utilities Electric Service For: ROLH SHOEMAKER-ESTATE 1690 LONGS GAP RD CARLlSLEPA 17013 Questions about this bill? PI~as~ contnct liS by Feb 6 at 1-800-342-5775 or 484-6~,1-4~900 ur write to: Customer Ser\'ice 827 Hausman Rd. AlI~ntown, P A 18104-9392 www.ppldectric.com ppl r vC 1 /' J ct~ C! { ~:i1 rJ.r Pa g.c 1 455()()-740()9 Y(l~lr L1ill /\\'"'~olUlI Nurnh~r lisi.;~ wh<.'n c.dlilll!. ~lr writing $ 0.00 S ().t}-;7 S 64. X 7 $ _~~~2 Electric U,se This graph shows your ~kctric lIS~ ov~r the last 13 months. Typcs of l\'fctcr Rcadings: Actual - D D Estimakd Customer Summary P~lge Balance as uf Jan 13, 2U06 Charges: TotarPPL ELECTRIC UTILITIES Charges Total Charges Pay TbisAnloulltNo Latcl'tban Fcb6~ 2006 Accollnt Balance 36 KWH - Av~rage Per Day 30 -- - - ----~ - - ~--- --~..- - - - - - - - - - - - - - - - - - - - - 24 18 12 6 (l J F NIAt\1 J J AS 0 N D J 2()(J5 ~,'Ionths 2006 l\letcr Reading Information ~ )~ Actual Actu,d K\VII Hilkd A vc."age - .J an T~n1J)~ratllrc K \VII PCI' Iby 2UOS 351-' 31 2 1 149 '1()-=i(I, - . (,4(, 2U06 34F 21 A )'cranc l\'lolltIt1y 75B 575 Ofhl),r imnilt"'o:ln' inf"t4n1o..H.... ,... 1",..1. ~ \'c~'rly Usc: Total Use ~) 10(1 ()903 F~b 2004 - .rail 20(1) r~b 2005 - .Inn 200() PPL Electric Utilities Electric Service For: ROUT SIIUEMAKER-ESTATE ] (WO LO\"CiS GAP RD CARLlSL.E PA 17n 13 Qucstiuus ahout this bill? Pkase contact liS by Jan J ~,t 1-800-342-5775 010 484-634-4900 or write to: ('lIslullIer Scn'icc K27 Ilausnwn Rd. Alkntown. PA IXI04-9392 ww\V.ppkl~ctnc.c(){n ppl Summary Page Bulunc~ us of D~c IJ, lUUS Page I 4~~()(\-74()()() Your Bill i\t.....Olllll )\lIJnbcr [':;<;, n-h('1l ..'at I ill2- Ill' wrilil1~ $ 0.00 Charees: TotalPPL ELECTRIC UTII JIll ~S Charges Tutul Cha..g~s P&lyThis Amount No Lalcrlhan .Jau 3,2006 Account 13a lance s ~().( )4 S :' () . 04 ).) ~ l > ~ ~ J- ,i ) I I /' r " .~ r: 1- . I .J.-r ,o.J' /. 1.' I of' 'I l l,. $ 59.04 S ~().()4 Electric Use This graph shows your ckctnc USe oVer the la~t 13 months. Tvpcs uf 1\tclclo UC4HlillgS: AclU<ll _ Estimat~d 0 Cllstom~1" [=:J 36 K\VH - AVerage P'-'r Day -~() ,-... -, - - - -- - - - - . .. ---_.- - - - - - - - - - . .---- -- - - - 24 18 12 6 o D J F!vl A!vI J J A SON ]) 2004 ~vlol1ths 2()(),5 ]\'lc' cr nC41 d i IJ g III furllw HUH A "cragc - Dce T\.' 111]1'-' ra III 1'1..' K \VH P'-'I" Day Yearly IJsc: Jan 2004 - D~c 2004 Jan 2005 - D~c 200~ 2fHl4 -l5F 24 Tolal (jsc \)217 7217 20503 ll)tJ 1 1 ~ 2fWS 37F 19 ..\ \'eragc :\']OIJ' hly 7b}.; Gill () the r i 01 Jl 0 r tan tin fo r nUl t i 0 II 0 II hac k -+ PPL EletCtric Utilities Electric Service For: ROB,), SI10EMAKER-ESTATE 1690 LONGS (JAP RD CAR1.lSLE PA 1701J Qucstions ahout this hill'! Pleas~ (.;onli.lctlls by D~c 5 at l-XOO-342-5775 or 4S4-634-.4900 or w.-ile to: ('us'olller Scryice X27 Hausman Rd. Allentown. 1>A 18104-9392 \V\V\v. P pie Il..'c t I.j C. cOin ppl Pag.~ I Summary Page Balance as of No" II, 2005 Charl!cs: TOlalPPL ELECTRIC lJTII.ITIES Charges Total Charg<.\s Pay This Anlouut Nu Later than nee 5~ 2005 Accollnt Ba lance tit" I / ~ / 6 - i',j ~C/'L ~~ 'J c ; YOUf Bill A,:~:Olll1l Numh.:!' 4)50()-74lH)l.J li5l~ \\'11<.."11 c;dlillQ II!' wrilill~ $ n.oo S 4(L44 $ 4(),44 $ 46.44 S 46.44 / 1.....-- Electric Use This graph shows your electric lISe oVer the last 13 months. Types of ;\/teler Readings: Actual _ Estllnal~d D Custol1l~r D 36 K\VH - Avcragl..' Per Day 30 - - -- - - ~ -- ~-- - - _. ---- - -- -- - -- - .- - - -- .H -- - - ,- -- - - -- -- 1---- 24 19 12 6 o N D J F i\1AM J J AS O!\ 2004 IVlonths 2005 l\le'cr Reading In fHrmation )~ 4 Actual Actual K\VII Bilkd Average - ",ov 'J'emjJL.'n1 tll rc K \VII Per Day Ycarly Use; DeC 2()()] - Nov 2004 DeL: 2()()4 - Nov 2005 2un~ 51F )) Tofal Lse 9373 73~3 10911 10471 --;no 2005 531.' 15 .\ \' eloa (Ie ')ollll{]" 7~'1 (>I :\ Other itnpurtant illforrnation 011 hack .. PPL Electric Utilities Electric Service For: I{( >IH SIIOFl\lAKEK.-I:SlATL: l()')() L< )~CiS CiAP K.D CARl.1SLL:PA 17(113 Queslions ..houl this bill? Please (ontad LIS hy (kt 4 at 1-~UO-342-5 775 or 484-634-49UU or wrHe Co: Cuslomer Service ~27 Ilallsman Rd. AlknloWll. PA lX104-93l)2 www.ppk.kctric.colll ppl Summar'v Paoe ..1 b BuhllH:l' as ofSq) 13.2005 P"~I..' I \\\Ilr !{iIJ .'\~'~'j)lI111 Nlllllb~'r 4..~..~()()-74()()() CharQc~: TutaiPPL [~LECTRI(' l JlII -ITII;S ('lwrg~s Total Chargl's l)~lY This Arnuullt Nu L~lter th:Ul ()et 4~ 2005 Accollnt Ba lallC~ / \ . I t r I.r l :"", wlkli "'.dlili~ i)f \niljll~ $ 0.00 S~7.-+-+ S -+ 7 .4-+ '. '. , j . $ 47.44 S -+ 7.44 " Electric Use This graph shows your ....'kdnc liS....' over th...: last 13 !lll Hllhs. ']\pes or ,teter Readings: ACllI,11 _ Estimllkd D Custum..:r D K\VII - Av..:ra~",~ P....'t' Day .,() - -. -- ---- - - -- - - . - 30 24 1 ~ 12 () (I S 0 l\ D J F ~L\ I'vr J J A S 2004 ~Ironlhs 2ll()5 'IdeI' l{ead ill g I JI format io II An.'rage - Sep '1'... IllJ1\..' Calli!.....: K \V'I1 I\'t' Day Ye~lrly Ls~: (kt 2003 - S..:p 20()-l Oct 2004 - S...p 2()(J) 20U-t ilF 17 19(1l)7 I K().:t~ ~'5 2U05 741-' l-l Total l'se t)(l.f 5 7i79 .'\. Ycnlgt." \Ioulllh 804 ().f S ( ) lite r i In p 0 r tall till fo nll a Ii 0 II 0 11 h ark ~ PPL Electric Utilities Electric Service For: ROBT SHOEMAKER-ESTATE 1690 LONGS GAP RD CARLISLE PA 17013 Questions about this bill? Please contact liS by Nov 3 at 1-800-342-5775 or 484-634-4900 or wlite to: Customer Service 827 Hausman Rd. Allentown, P A 18104-9392 \V\vw.ppldcctric.com ppl Summary Page Balance as of Oct 13, 2005 ",-- Page 1 Usewhcll calliiH!.ofwritino "YourBitl Acc,ollntNuml~r 45500-74009 $ 0.00 Charg~s: TotafPPL ELECTRIC UTILITIES Charges S 40.96 Total Charges $ 40,96 "P~y.Tljjs".~rnoU'rltN(J~"aterthatl1N".}~~:3,2 005" 36 KWH - Average Per Day Account Balance . ... "~$4{}.96 $ 40.96 ~, lJ ') [)'-v'" I I () "_;z, " f &,l .1 -~1 /rJ ,1 t} ~iL I, &" Electric Use This graph .shows your eJectnc use over th~ last 13 months. Tvpes of l\1eter Readings: Actuu 1 _ Estimated E:J Customer D 30 ~-- - - .. - - -- - - .- - - - 24 18 12 6 o ON 0 J FMAtvI J J AS 0 2004 Months 2005 Meter Reading Information 6~ Actua I Actual KWH Billed 1947] 1909~ ---:r/.2 A"erage - Od Temperature KWH Per Day Yearly Use: Nov 2003 - Oct 2004 Nov 2004 - Oct 2005 2004 63F 19 2005 6~F 12 Total Use 9529 7574 Avera: ~'lont h 7( 6.. Other inlportant information on back -+ PPL Electric Utilities Electric Service For: RUUT SHOEM AKER-ESTATE 1690 LONGS GAP RD CARLISLE PA 17013 Questions about this bill? Please contact liS by Oct 4 at 1-800-342-5775 or 484-634-4900 or wrHe to: Customer Service 827 Hausman Rd. Alkntown, PA 18104-9392 W\vw.pplelectric.com ppl Pag.~ I Y uur Bill A\.'((lllllt N umh.:r 4))()()-74()(),) [;St;~ \\,11":'11 cdlill" or \\'!-iting Summary Page Balance as of Srp 13, 2005 Chnrges: TntnrpPL ELECTRIC UTILITIES ClIarg~s Total Chargrs llayTbisL\JucruntNo La{crthan ()ct 4, 2005 Accollnt Ba lance $ 0.00 $ 47.44 $ 47.44 L L}'. -- / l' } .,) 7 ~) ~l .- I r ;A ~ ," j I I i(.. $ 47.44 $ 47.44 Electric Use This graph shows your dectnc use over the last 13 months. Tvpes of ~'tcaer Readings: Actu<l 1 _ EstImated c=J Customer D 36 K \VH - Average Per Day 30 -"----- -- --- - - -- ~-.._..- --_.- - .- - -- -- .- --. - -- - - '- ----- - - .. -- -- .- -- - - -- , - - - -- - - 24 18 12 6 () SOND J FMAwlJ J AS 2004 Ylollths 200:' l\1etcr Reading luformation Average - Sep T~mperatlll.'e K\\lII P~r Day Yearly USf: (>Ct 2(103 - Sep 2()(J4 Oct 20()4 - S~p 20(l5 Total t:sc l)()45 7779 19097 1~645 452 2005 74F 14 A "crage 'Jonahl" 804 64k ()f her ilnportant illforlna lion () 11 bac k ~ 2004 71F 17 PPL Electric Utilities Electric Service For: ROBT SHOEMAKER-ESTATE 1690 LONGS GAP RD CARLISLE PA 17U13 Questions about this bill? Pl~ase contact us by S~Q 6 at 1-800-342-5775 or 484-634-4900 or write to: Customer Service 827 Hausman Rd. AIl~ntown, PA ) 8104-9392 W\vw.ppld~ctric.com Summary Page Balance as of Aug 12~ 2005 Charges: TotatPPL ELECTRIC UTILITIES Chargcs Total Charges Pay This Amuullt No Later than Sell 6, 2005 Account Balancc ppl Page 1 .. Your Bill ACI.:OlUll Number 45500-7400<J Use Wlle'll calling or \Vritill~ $ 0.00 $ 46,()(} $ 46.60 $ 46.60 $ 46.60 Electric Use This gmph shows your d~ctric use over the last 13 months. Types of l\'teter Readings: Actual - o o l:slimal~d Customer 36 KWH - Avemg~ Per nay 30 --- --- - -~ ------ - ---~~ -- -- - -'- --- -- --~----- -- - ~.__._--- -- -- -- -- -- -- -- -- -- 24 18 12 6 o AS OND J FivlAivl J J A 2004 Months 2005 lVletcr Reading InfonlHlliull 18645 1~S203 ~ Avcrage - Aug 'l'empera.lure K WH P~r nay Yearly (J se: S~p 2003 - Aug 2004 Sep ~OO--t - Aug ~ljn5 2004 72F )(.) 2()()5 7gF 15 Tutal Use 9~42 7XX) A "crage ~'Iouthly X2() 657 Other important inforlnation Oil hack ... Bond Company LtC and which tlfat company uscs to ~~n'lcc dcl)t IllClllTcd to recuver a portion of 1>P1. Flectric Utilitlcs' strandcd custs. lhe t!fOSS reccil)ts tax, whi~h is C~)!lected ll)f the CUlnll1on\Vc~dth ur Pennsyl\'ania, is equa to 5. 9(~o of the I1 C . For YOU!.' cnnv.enience, YOll can now ray. your bill using yuur Visa, rvlaslerCard. Discover. or ATM Carl. ('a 11 Bill~la lrix at I-XUO-6 72-2413. Bi.lIl\'latrix \-vill charg~ yt)ur credit and ATM card a service tee ll)r making thiS payment. Now you can receive and pay your PPL Electric Utilitics' billl)nlinc. ChecK. our web, sik fl)f lllure int<Jl'I11ation and to sign lip -- W\vw. pp lclectnc .C0111 No charge COll\'el11Cnt Secure " .. ... 71 -, '" .I /. '. ": r, ---." , PPL Electric Utilities Electric Service For: ROI3T SHOEMAKER-ESTATE 1690 LONGS GAP RD CARLISLE PA 17013 Questions about this bill? Please contact us by Aug 4 at 1-800-342-5775 or 484-634-4900 or writc to: Customcr SCl-vicc 827 Hausman Rd. Allentown, P A 18104-9392 www.pplelectric.com ppl Pag~ I Summary Page Balance as of .Iu114, 2005 Char~es: TotafPPL ELECTRIC UTILITIES Charges Total Charges PayTbist\01ountN,) Luter thanAug 4, 2005 Account Balance 1.: rL ! ~, -; - 'J. I Your Bill Ac,count Number 4~~O()-74()()9 (Jse whcoll catli!1{! or writil1!:!. $ o.on $ 49.l)t) $ 49.9t) $ 49.99 $ 49.99 Electric Use This graph shows your electric use over the last 13 months. Typcs of Mcter Readings: Actual _ Estimated CJ Customer CJ .;;i J ~) 6 tj\~ .,.I 36 K WI-! - Average Per Day l\lctcr l~cadillg Infurmation }~ 7, Actual Actual KWH Btlkd 2004 72F ")' ~., A \'cragc -.J 111 TemreratUl,'e KWH P~r Day Yearly Use: Aug 2003 - Jul 2004 Aug 2004 - Jul 2005 Total Use l0005 gUlO 1 ~S2n3 17720 ~ 2005 7('F 1(, .-\. "crage l\1ont Itly g34 66g ()thcr important information on back -+ ---- - ---------------------... -- --- -----... ----- ------------~. ---... - -------... -- ---... ---..... -- ---- -- - -- ------- ----- - -- - - - - - - - -...... -- - --- --- --... -... - - - -... -........."'''' -...- 30 - --- --- -- - ------- ------ - - - ------- - -, - -- - - - - - -- - - - - - - 24 18 12 6 o J ASOND J FMAMJ J 2004 Months 2005 PPL Electric Utilities Electric Service For: R08T SHOEMAKER-ESTATE 1690 LONGS GAP RD CARLlSLEPA 17013 Questions about this bill? Pleas~ contuct us by Jul 5 at 1-800-342-5775 or 484-634-4900 or write to: Customer Service 827 Hausman Rd. Allentown, P A 18104-9392 \V\vw.pplelechic.com ppl Page I YO\lf Bill Account Numher 45500-74009 ..... Use ''''hen call il1 I.! or writinrr Summary Page Balance as of Jun 14, 2005 Char~s: TotarpPL ELECTRIC UTILITIES Charges Total Charges PaYHThisA.JnounfNo. Latcrthan.Jul St2005: Account 13alance $ o.on $ 47.44 $ 47.44 !) , r~L (/) J~ , ~ /[/ 1-. - , CJ f/ J/& {/\; ~ Electric Use This graph,shows your electnc use over the last 13 lnonths. Tvpes or Meter Ucadings: Actual _ Estimated r .., Customer D 36 KWH - Average Per Day 30 ---_.- - - - - - ~ -- - - - - - - - - - - - - .- - - - - - - - - - .- - 24 18 12 6 o JJASONDJFMAMJ 2004 Months 2005 l\1eter Reading Information Adual Actual K\VH Billed A yeragc - .J UIl TCIn.Reratllrc KWH Per Day Ycarly Usc: lul 2003 - lun 2004 JlIl 2004 - llln 2005 2004 69F 30 Total {he 10528 8275 17720 17268 --m 2005 66F 14 A "crage MUllthlv 877 690 Other important information 011 back .. PPL Electric Utilities Electric Service POl': ROHT SHOEMAKER-ESTATE 1690 LON(jS GAP R.D CAR.LISLE PA 17013 Questions about this bill? Please contact us by Jun 6 at 1-800-342-5775 or 484-634-4900 or write to: Customer Service 827 Hausman Rd. Allentown, P A 18104-9392 \vVvw.ppld~ctric.com ~ \ ;f pptji:,. Page 1 YOl.lrBill ACCOl1l1t NU/Tlber 45500-74009 Use "....hcl1 callin or wdful':":. . Summary Page Balance as of May 13, 2005 Charges: TotarPPL ELECTRIC UTILITIES Charges Total Charges Pay This.Aruc) utltN.)La"tcr.dlan..~Ju JI....6~..2.005 .:...... Account Balance $ o.on $ 53.23 $ 53.23 f (,t !;---:2 J t.> yA.p: )/ ( Electric Use This graph shows your dectric use over the last 13 months. Types of ~lleter Readings: Actual _ Estimated 1:1 Customer D 36 KWH - Avemge Per Day 30 .. - - - - - - ~ - - - .. u .. - .. - - - .. -- _. .. - 24 18 12 6 o MJ JASONDlFMAM 2004 Months 2005 ~IIeter Reading Information . )~ I Actua I Actual K\VII Billed Average -1\1a)' T em~enlture K WII Per Day Yearly Use: lun 2003 - May 2004 Jun 2004 - May 2005 2004 59F 26 Total Use 9809 8719 Other irnportaut illfornlatioll 011 back -+ 17268 16746 ~ 2005 56F 18 A \'erage l\rlOIl' Itl\' 817 727 PPL Electric Utilities Electric Service For: ROST SHOEMAKER-ESTATE 1690 LONGS GAP RD CARLISLE PA 17013 QuesHons abou' this bill? Please contact liS by May 5 ;1' 1-800-342-5775 or' 484-634-4900 or' write to: ('us'olller Service 827 Hausman Rd. AIl~ntown, PA 18104-9392 www.pplwcb.com Summary Page Balance as of Apr 14, 2005 Charges: TotarPPL ELECTRIC UTILITIES Charges Total Charges Pay This AmuuntNo Latcr tharrl\lay' 5,2005 Account Balance p~r~~~: Pag~ 1 .< Y Ollr Bill AI.~COUllt Number 4::; 5 O()-7 4()()9 Use wh~1l call ill" Of writill<T $ 82.05 5) 64.79 $ 146.84 $ 146.84- eV f vL 'I- 'J.:J 4# P $- .Jv ~Ji) 7 Electric Use This gmph shows your d~dric llse over the last 13 months. Types of 1\1e'cr Readings: Actual - CJ CJ Estim.lkd Custom~r ." ...) ..., 36 KWH - Avemgc Pcr Day 30 - 1-. - .- - - - -- - -- -- -- - - I- _ - h - -- -- -. -- 24 18 12 6 o AMJ JASONDJFMA 2004 Months 2005 i\1eter Reading In formation ~ Actual Actua I K\VH BJlkd 16746 16097 ~ Avcnlge - Ap.. T~mJ)~ratllr~ K\VII P~r Day Yearly Use: i\1ay 2003 - Apr 2004 May 2004 - Apr 2005 2004 44F 2() 2005 471-' 22 Total Use 9857 X938 Average 1\'lont hlv 82.1 745 ()(hcr ilnllortant infornliltio 11 () It hack -+ PPL Electric Utilities uses ahout $9.88 of this bill to pay state taxes. In addition, about $8.66 of this bill pays the P A Gross Receipts Tax. The Transition Charge includes an Intangible Transition Char{!.e (ITe) and the applicable gross receipts tax which tl)gether aIllOULlt to $6.'58. The lIe is a per usage cl1arge app.roved by the Pu61ic Utility COlllll1ission \\'hich PPL Electnc UtilitIes collects as aoent 1l1r PPL Electric Utilities Transition Bond Conlpany LLC and which tl-wt C0111pany uses to service debt incurred to re.cover a poqion. of PPL Elec,tric UtilitIes' stranded co~ts. lhe gro~s . receIpts tax. whIch 15 collected tor the (onul1onwealth 01 Pennsylvanw, IS equal to 5.91X> of the ITC. For your convenience. you can now pay your bill using your Visa. MasterCard, DiscoVCI;. or A TM Card. Call BillMntrix at 1-800-672-2413. BillMatrix \viU charge vour credit and A TM cr-Jrd H s~,.viCt~ ff~~ fnrll1~kjno NORTH MIDDLETON TOWNSHIP 2051 Spring Road, Carlisle, PA 17013-1059 OFFICE (717) 243-8550 · FAX (717) 243-1135 · POLICE (717) 243-7910 Invoice Date: Terms: October 6, 2005 Net 30 days Robert C. Shoemaker Estate 2100 Longs Gap Road Carlisle, PA 17013 Account No.: 01.248.9186 Description: Robert C. Shoemaker Estate Subdivision Township Engineering Site Observation & Plan Review Fees Date Description Debit Credit Balance 07/12/05 Deposit to Escrow $ 325.00 $ 325.00 08/18/05 Brehm-Lebo Invoice 11912 $ 56.00 $ 269.00 09/15/05 Bogar Invoice 090205 $ 50.00 $ 219.00 10/06/05 Brehm-Lebo Invoice 11970 $ 360.00 $ (141.00) Total amount due to North Middleton Township this billing: $ 141.00 Thank you. ~-\\ ~~'" Dana A. Billet Township Clerk NORTH MIDDLETON TOWNSHIP 2051 Spring Road, Carlisle, PA 17013-1059 OFFICE (717) 243-8550 · FAX (717) 243-1135 · POLICE (717) 243-7910 Invoice Date: Terms: February 10, 2006 Net 30 days Robert C. Shoemaker Estate 2100 Longs Gap Road Carlisle, PA 17013 Account No.: 01.248.9186 Description: Robert C. Shoemaker Estate Subdivision Township Engineering Site Observation & Plan Review Fees Date Description Debit Credit Balance 10/06/05 Previous Balance 02/10/06 Brehm-Lebo Invoice 12198 $ 56.00 $ $ (141.00) (197.00) Totol amount due to North Middleton Township this billing: $ 197.00 Thank you. ~-l\.~i- Dana A. Billet Township Clerk ~.-i ('1~ V\N ~0-.J'\ ~ ~ ""f" J:IloO" :::0 :I:l> 0 .. ?:).,D 00 O;C, :J: tP 0 r-O r""\1l 'Z l fOI04...... 0" . ~ 'XO r""..... r- z V\r:'" ~O tJ"tr- ..,., r-O "-:'VJ ".-r- ':F.. rn ~:z ~UJ ....tm m C')' :K;JCO ..... 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(/) .,:)(/) ~ .-m O~ OJ uJ? \,oIltr' 0).% "'1,,9 Westfield Group Invoice For Questions Call Your Independent Agent: r HUNTER INS ASSOCIATES INC ] L CARLISLE PA 17013 (717)243-0625 FOR BILLING QUESTIONS CALL: 1-800-552-9134 MON - FRI 7:00 AM - 5:30 PM EST WESTFIELD GROUP 1 PARK CIRCLE PO BOX 5001 WESTFIELD CENTER OH 44251-5001 POLICY NUMBER Please see reverse side for Account Billing Guidelines. Invoice Date' 09-08-05 DESCRIPTION INST CURRENT PLAN INSTALLMENT DUE PREV BILLED BUT UNPAID TOTAL AMOUNT DUE 1672468 FARM POLICY AN 1211.00 1211.00 ESTATE OF ROBERT C SHOEMAKER , , 0) n -- J L/ _ b' , ,-1J-J/J 1"1,- .JV ********~******************************************************* PAY BY PI--ONE. 1.800.766.9133. THE USER 10 IS YOUR ACtOUNT NUMBER. THE ACCESS CODE IS YOUR 5-DIGIl ZIP CODE. E~CH TRANSACTION HAS A $1000 LIMIT AND A $5.95 -EE. ********~********************************************~********** ACCOUNT # MAKE CHECK PAYABLE TO: Westfield Group Mail check in the enclosed envelope DO NOT SEND CASH 3770030854 001 00001 ( 1211.00 \ \ TO=r.AL AMOUNT DUE ). - - .' - .- - - - - - Retain upper portion for your records. Please return lower portion with your payment. -. - - - -. - - - - . '( Filing Instructions Form P A-40 - P A Individual Income Tax Return Taxable Year Ended December 31,2004 Name: ROBERT C SHOEMAKER Date Due: April 15, 2005 Remittance: A check in the an10unt of $508 should be made payable to the Pennsylvania Departrnent of Revenue. Write "S.S.N. 208-28-6517, 2004 Form P A-40" and your daytime phone number on the check. Mail To: Include Fonn P A 40- V with your check. P A Dept of Revenue/Payment Enclosed 1 Revenue Place Harrisburg, P A 17129-0001 Signature: Sign and date the return on Page 2. Other: Initial and date the copy of Forn1 PA-40, and retain it for your records. \ /'\ ,(' l../ " r;) 1.-( Vi ) 1\ rj i-1f J ' I.- I ,\, 11 " ,,) ,v I' . ~ I '--' 'i SL1xY PINKER & ASSOCIATES PODIATRIC MEDICINE AND FOOT SURGERY MARK E. PINKER, D.P.M., F.A.C.F.A.S. MARK S. GOLEC, D.P.M. 47 BROOKWOOD AVENUE CARLISLE, PA 17013 (717) 243-2236 STATEMENT DATE 03/:6/05 ROBERT C SHOEMAKER 1690 LONGS GAP RD CARLISLE PA 17013 ACCOUNT NUMBER 17614 (1) DATE DESCRIPTION . - CHARGE CREDIT ROBERT C SHOEMAKER (17614.0) 01/13/05 DEBRIDEMENT, SUBCUTANEOUS 130.00 02/02/05 Ins Pmt-MEDICARE 0.00 $80.09 was applied to your deductible 02/02/05 Adjustment 49.91 02/15/05 Ins Pmt-GE LIFE & ANNUITY ASSUR. 0.00 $80.09 was applied to your deductible 01/13/05 DEBRIDE MYCOTIC NAILS 60.00 02/02/05 Ins Pmt-MEDICARE 6~38 $29.91 was applied to your deductible 02/02/05 Adjustment 22.12 02/15/05 Ins pmt-GE LIFE & ANNUITY ASSUR. 1.59 TOTAL FOR ROBERT C SHOEMAKER (yet ~ \d-~l~~ ()O~~ BALANCE DUE BEFORE 04/15/05** IF NO PAYMENT RECEIVED A $5.00 PROCESSING FEE WILL BE ADDED TO BALANCE IF YOU H \ QUESTIONS REGARDING YOUR STATEMENT PLEASE CALL THE OPPle TOTAL DUE 110.00 31-60 DAYS 0.00 61-90 DAYS 91 -120 DAYS OVER 120 DAYS 0.00 0.00 0.00 ~ Sprint~. Monthly statement: April 25, 2005 1 of 5 Customer service 1-800-829-8009 Internet address sprint.com!local Customer number 717-243-8086-905 Summary of Current Charges Loca I Long Distance Total Other Charges and Usage .00 22.67 22.67 Taxes and Surcharges .00 2.04 2.04 T otaf . Current Charges S24~71 )tepkljV Ja C f/I/ eJ ()f) /lrY.V , I. , Ii If JJ () U-t t)l; -':? ,)j!lr)'A/ J -+ J J h.e./' . f I h .e '" I//J 8l . I 81f( I tf. -p cfhe/3 1 h ;.J W /'b eNd' b=- If/sf- IJ I" 1/ Total Due:' 40.13 -40.13 .00 : ...~.i/';$24..7t .' .............../. ,..---' . May 18.20.05 Previous cha rges Payment April 8 - Thank you! Balance Date Due: /J~ @ Please recycle NNNNNNNY Please return this portion with payment. ...... .... Sprint~ Customer service 1-800-829-8009 Internet address sprint.com/local Customer number 717 -243-8086-905 Date due: T ota I a mount due: May 18, 20m 524.7' 1,"11111.111"....11..11.1..1..11..11...1.1..1.1..11....11..1 AUTOCR**R-003 Amount enclosed: r1~ , 1/ Wllte your 13-dlgit customer nlJmber on check. Make checks payable to: iiiiiiiiiiiiiii ~ !!!!!!!!!!!! + 011659 ROBERT C SHOEMAKER 1690 LONGS GP RD CARLISLE PA 17013-8609 Sprint PO Box 740463 Cincinnati OH 45274-0463 1.1..1.1.1...1.11, ..1,1..111,..,1..1.11." .11..1.1, I iiiiiiiiiiiiiii !!!!!!!!!!!! ~ ~ Sprint. Monthly statement: March 25, 2005 3 of 5 Customer number 717-243-8086-905 Integretel, Inc. charges Call 1-800-736-7500 for billing inquiries Sprint provides billing on behalf of Integretel, Inc. There is no connection between Sprint and Integretel, Inc. Please review all charges appearing in this section. Any question regarding these charges should be referred to the nurnber provided for billing inquiries. Summary of Integretel, Inc. charges Charges billed on behalf of HORIZON Call 1-800-736-7500 for billing inquiries ~ret~ Miscellaneous charges UnivSvcFund: Mar 15 PICC Presub Charge: Mar 15 717-243-8086 717-243-8086 1.33 4.35 Total HORIZON charges $5.68 Charges billed on behalf of LDC Telecommunications Call 1-800-736-7500 for billing inquiries Long Distance services Direct dial charges Miscellaneous charges 717 -243-8086 5- /v ,..- b .. ~~ ~'-1 \Dj Jf PRESUB CHRGE: Jan 31 LDMonthlyFee: Jan 31 : Jan 31 Total LDC Telecommunications charges Taxes Federal tax State tax ......'........ .,.. ....... ..........". ...... ..'.'.......... ".'. .., - ,,' .,....... ....... ,-.. - . .-.'-_. . .-.,. ... . .-,".. . . - ' - - , . .-- . ....,. .,.. ". ,'" . . . - - . .. .., ... .,... - ." ,- - . . . .. -. ..........'.,.. ..... ................ .... ...... ..... ........ ........, ... ...........'. . ....- ..... ..... ...........-. .......... ...-.-.,. ............... ...., ':r~t~...IWt.u..~~li..~~..~h~r~::.:..::...... LDC Telecommunications itemized calls Direct dial itemized calls Period Date Time :ha to( ~.,:I I r;r. ~mm'I~..,;..m 1 :2.'. .3 ... 5 6 7 $: 9 <10.. 11. .:12 13 14 15 16 17 :1$ ...... .... . Nig~t/'J\Ieekend. ." ......:':.:N....h. .AA}'.: k... ....d...:........: . ::::::>>.... Ig.'!.If..~~...en...':..::...: ...........Day.................. . · :::::::'.:.: ::.' :D~y:: ::.:: . Night/Weekend : Night,'Weekend . N ighYYV~~kend O~v.::.:.......... ....[)CiV................ .... :...: .:...... Nigllfi\lV~iJk~l1rl:'::: ..:.::..:.:;:~6~tm'0~e~el1d............ . .. ".Ni9htJW~ekend. . . ..:.:Night/VVeekencf. Night,IWeeke.,d . .:.>t.Ji9f1t1Week~nd: ..... . Nig.hvweekend :'::':/:Ni~~~eltkEtI1~"'.: .:.:.:::: Feb 4 .. .6:46 p. ... .LA,.Rq~~,. ~)\.......... .?24~5~2-0510. :. :F~b::~:..: .::.<:EJ~41:.~Jn;A'rn()~;~.:p.J\.:.:.:::<.:...:::724~532.;()S10... . . Feb"i ... . ...1~: ~ lP.:. .t\1~~8ANc:~B(;, .P,t\71f697-2845 .. . ::Feb::7.>.. /:12~53J:1:::.::HAR'*J:$$iJj.Rq~::-RJ\:: .:7.17~8'7:7,;1S03:.'" :.FF..e..ebb.....g8. ....... ........:........1:.::0S.....~ ..~...1....83..........pP...:................:.......:.,....L.......:AA. ..:.. ~"..:',......R.:.. ..oO....:..:.aB.....Ee....:..t....:...Pp......, I.A..A:,......:.................:..::.: 724-532-0510 _.3 u~nn .. ~ ../.:J~A..$~2..051():.:::.<. ::~.~4H1~~:::.;~~~:~;,~~~n.....~~::~~~~~~ ....:~~~;. ..........~.~.~:.;;;~~~~~#A!.P/t;....~~~~~~...;;........ Feh17 .. ...6.:~~:~:.. ..LAI~9~~;.pA..:. ... .}24-532~()510..... ..:F:~b.:~.a "'T\\l~~S::rr;>::M~pf}AN:c.Sa~~:.J=tA.n.7..17..~9,!~Z84S......:.... .Feh19 .10:29A...LATROSE,PA...... ...724-532-0510....... :. FebJ~ <::1.Q~3(f*...:4A~(J.:B.~~;.PA:< :..<..:,2.4..S32"PE)1 0;::: Feb 19 . 11:()2 .A. .LATRc:JS~~ fA... .724-532-0510 .:.:Fet;:20..:.;: :11:04.::A.U..:4A'fflq~~;.:.PA:.::>......j::?~~5~~..()510..:. ::~~~..ji~~.:.....~~~~~~:~~..,.~~~~~~::< 717-243-8086 717-243-8086 717-243-8086 17.46 4.03 4.95 4.70 $31. 14 1.10 2.21 .....~......... . - . . . . ." . . . ,,'.' . - . . . . . .. .'..,' .. ...... ...... . . . .. .. ... ..... . ... ...:........:........................$...............:....:............ ...... :><.... 4()/1 . .... .............. ... .. . . .... .. . .... .. . . ........ .. . . . . .. . .. . ~'jnilIH+ 1.0 1mO/: 1.() ....4.0:. 1.0 :>1.0.. 1.0 ..... . .... . :.>1~O:.: . 5.0 .: .'1.():::.:....::. .. ,... - .... .,.. . 1.0 :1~O .:: 1.0 :1.0 1.0 .a~tO"" 1.0 :5~~(t> -,..111111'. .15 :..:::<....Yl:49 .15 :...15 .15 .:15 . .15 . . ..:::A5 .75 >\15 .15 .....::<<~JS .15 ..:.15 .15 ~~07 .15 <7;75 Integretel, Inc. charges continued next page t - see page 2 for explanation ATE, 'DR# 0/18/04 2 I 1"/20/04 1/03/04 ' 28 1/05/04 28 * Insurance Pending CURRENT '. ADJUSTMENT 26.41 /1/)-1) t ; /' . O---t-{ V ftfl- ... ' fJa..fJ -. :~ ** Statement Due Upon Receipt * Thank You ** OVER 30 DAYS TOTAL ACCOUNT BALANCE ;, \'~n',.:~.... " . RECEI PTS:'::o~CE 42.8 7':~ '. '..:J.9~:?2: :.i;~,".~. 4' -:,~t.,I,-.~'. ; 41 ,42.87"" :'ilO'~\72;' , ';'~,',~'~,,-;,.,-', ;Clj-'.." ,.00 ' 9.11 OVER 60 DAYS 90 DAYS OVER 120 DAYS .00 9.11 70.: 89- * 70.89 INSURANCE PENDING :;LOSING ACCOUNT DATE NUMBER 09/29/05 34912 INTERNISTS OF CENTRAL PAc · 108 LOWTHER ST. · P.O. BOX 107 · LEMOYNE, PA 17043-0107 . (717) 774-1366 FAX (717) 774-4232 STATEMENT