HomeMy WebLinkAbout11-14-06
LAW OFFICES OF
GATES, HALBRUNER ~HATCH, P.C.
1013 MUMMA ROAD. SUITE 100 . LEMOYNE, PENNSYLVANIA 17043
(717) 731-9600 . FAX: (717) 731-9627
~~ 1001,
LOWELL R. GATES. LL M.
LL M. In Taxation
Also AdmiIled 10 Massachusells Bar
MARK E. HALBRUNER
CRAIG A. HATCH, CELA
CertIfied as an Elder Law AIIOmlIy by
the National Elder Law Foundallon
MATTHEW J. ESHELMAN
Board CertIfied In Creditors' Rlghls
Representallon by the American
Board of Ceftification
CUFTON R. GUISE
Also Adml\ted 10 practice before the
U.S. Palent & Trademark 0IIIce
November 13, 2006
BRANCH OFFICE:
3 WEST MONUMENT SQUARE. SUI11! 304
LEWISTOWN, PA 17044
(717) 24Hl109
WEB SI11!:
www.GatesLawFirm.com
CORRESPONDENCE ADDRESS:
Lemoyne Office
STACEY L MACE
~ Mlnager
TRACI L SEPKOYlC
Par8Ieg8l
VALERIE LONG
Per&leg8I
Cumberland County Courthouse
Office of the Register of Wills
One Courthouse Square
Carlisle, P A 17013
RE: Elmer W. Blumanstock, deceased
Date of Death: October 28, 2005
Social Security No.: 717-09-3998
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Dear Register of Wills:
Enclosed for filing (in duplicate) is the Pennsylvania inheritance tax return for Elmer W.
Blumanstock. Mr. Blumanstock did not own any probate property in Pennsylvania; therefore, an
estate has not been opened. A check in the amount of $1 0,762.54 is enclosed as payment of the
inheritance tax, and a second check in the amount of$15.00 is enclosed as the filing fee for the
inheritance tax return. Please time-stamp the additional photocopy of the inheritance tax return
and return it to our office in the enclosed envelope.
Please contact Attorney Lowell R. Gates or myself with any questions regarding the
enclosed. Thank you for your assistance in this matter.
Sincerely,
utJu A'.4IUvZv
Traci L. Sepkovic
Paralegal
Enclosures
cc: Larry A. Blumanstock, Trustee
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COlMY CODE YEAR NJ!lBER
SOC~LSECURITYNUMBER
717-09-3998
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGJSTER OF WILLS
SOCIAL SECURITY NUMBER
REV-1500 EX (6-00)
.
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COMMONWEALTH OF
PENNSYLVANIA
IEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL)
~ Blumenstock Blmer
~ DATE OF DEATH (MM-DO-YEAR) DATE OF BIRTH (MM-DD-YEAR)
~ 10/28/2005 9/22/1916
W (IF APPLICABLE) SURVIVING SPOUSES NAME (LAS}, FIRST, AND MIDDLE INITIAL)
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OFFICIAL USE ONLY
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[i] 1. Original Retum D 2. Supplemental Retum D 3. Remainder Retum (date of deeth prior to 12-13-82)
D 4. Limited Estate D 4a. Future Interest Compromise (date of death after 12-12-82) D 5. Fedlll3l Estate Tax Retum Required
[i] 6. Decedent Died Testate (Attach copy of Will) [j] 7. Decedent Maintained a Living Trust (Attach copy of Trust) L 8. Total Number of Safe Deposit Boxes
D 9. Litigation Proceeds Reeelved D 10. Spousal powrty Credit (dolO of death betwaen 12-31-91 and 1-1-115) D 11. Election to tax under Sec. 9113(A)(AlIechSchO)
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NAME
FILE NUMBER
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1013 Mumma Road, Suite 100
Lowell R. Gates, Bs ire
FIRM NAME (If Applicable)
Gates, Halbruner & Hatch, P.C.
TELEPHONE NUMBER
717-731-9600
Lemoyne, PA 17043
1. Real Estate (Schedule A)
(1)
2. Stocks and Bonds (Schedule B)
(2)
3. Closely Held Corporation, Partnership or SoIe-Proprietorship (3)
4. Mortgages & Notes Receivable (Schedule D) (4)
5. Cash, Bank Deposits & Misoellaneous Personal Property
(Schedule E) (5)
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6. J~ Owned Property (Schedule F)
U Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
(Schedule G or L)
(6)
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
OFFICIAL USE ONLY
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$300,305.00
9. Funeral Expenses & Administratiw Costs (Schedule H) (9)
(8)
$56,696.82
$8,414.50
8. Total Gross Assets (total Lines 1-7)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCnONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax $0.00 x.O L(15)
z rate, or transfers under See. 9116 (a)(1.2)
0
i= 16. Amount of Line 14 taxable at tineal rate $235,193.67 X.O 45 (16)
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0. 17. Amount of Line 14 taxable at sibling rate x .12 (17)
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0 $0.00
0 18. Amount of Line 14 taxable at collateral rate x.15 (18)
)(
C 19. Tax Due (19)
....
20. 0
CHECK HERE IF you ARE REQUESTING A REFUND OF AN OVERPAYMENT
3W4645 1.000
(11 )
(12)
(13)
(14)
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$300,305.00
$235,193.68
$0.00
$10,583.72
$0.00
$0.00
$10,583.72
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Decedent's Com lete Address:
STREET ADDRESS
6506 Hawaiian Drive
Manatee
CI'TY
Bradenton
STATE
PL
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
$0.00
$0.00
$0.00
Total Credits (A + B + C) (2)
3. Interest/Penalty if applicable
D. Interest
E. Penalty
$0.00
$0.00
Total Interest/Penalty (0 + E) (3)
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
(4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
(5)
A. Enter the interest on the tax due.
(5A)
ZIP
34207-
$10,583.72
$0.00
$0.00
$0.00
$10,583.72
$178.82
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) $10,762.54
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
Yes
OCJ
[U
D
D
without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . .. D
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? D
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D [j
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 perjury, I declare that I have examined this return, Including accompanylng schedules and statements. and to the best of my knowledge and belief. ij Is true, correct and complete.
Declaration of preparer other than the personal representatlve Is based on all infoImatlon 01 which prepare< has any knowledge.
SlGNAnJRE OF PERSON RESPONSIBLE FOR FILING RETURN
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
Lar A. Blumanstook, Trustee
ADDRESS
6034 Bdward Drive
SIGNA'TURE OF PREP R O'Tl-lER 1HAN REPRESENTA 1lVE
Lowell R. Gates, Bs
ADDRESS
1013 Mumma Road, Suite 100
Lemoyne, PA 17043
No
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DATE
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For dates of death on or after July 1, 1994 and before Jan ary 1. 1995. the tax rate Imposed on the net value of transfers to or for the use of the surviving spouse Is 3%
[72 P.S. ~ 9916 (a) (1.1) (I)].
For dates of death on or after January 1, 1995, the tax rate Imposed on the net value oftransfars to or for the use of the surviving spouse Is 0% [72 P.S. S 9116 (a) (1.1) (lIll
The statute does not exempt a transfer to a surviving spouse from tax. and the statutory requirements for dlsclosuns of assets and filing a tax nstum ans stili applicable even If
the su rviving spouse Is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate Imposed on the net value of transfers from a deceased child '-nty-one years of age or younger at death to or for the use of a natural pansnt an adoptive pansnt.
or a stepparent of the chUd is 0% [72 P.S. ~ 9116(a)(1.2)].
The tax rate imposed on the net value oftransfers to or for the use of the decedenfs lineal beneficiaries Is 4.5%. except as noted In 72 P.S. !l9116(1.2) [72 P.S. !l9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings Is 12% (72 P.S. !l9116(a)(1.3)]. A sibling is defined. under Section 9102. as an
individual who has at least one pansnt in common with the decedent. whether by blood or adoption.
3W4646 1.000
REV-1510 EX + (6-98)
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SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
B~er W. Blumanstock
FILE NUMBER
ITEM
NUMBEF
1.
3W46AF 1.000
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
DESCRlPTlON OF PROPERTY
INCLLllE 1l-E NAME OF 1l-E TRANSFEREE. THEIR RElA T10NSHlP TO DECEDENT All)
1l-E DATE OF TRANSFER ATTACHACOPV OF 1l-E DEED FOR REAl ESTATE.
EXCLUSION
(IF APPLICABLE'
TAXABLE
VALUE
DATE OF DEATH
VALUE OF ASSET
% OF DECD'S
INTEREST
One and a half story,
single-family dwelling; located
at 2209 Orchard Road, Camp
Kill. Cumberland County.
Pennsylvania; being Tax Parcel
No. 13-23-0549-163; transferred
to Larry A. Blumanstock.
Trustee of the B1mer W.
Blumanstock Family Irrevocable
Trust dated August 25, 1999, by
deed dated August 25. 1995. and
recorded on September 5, 1995.
in the Recorder of Deeds Office
in and for Cumberland County,
Pennsylvania, at Deed Book 127,
Page 873. Value is gross sales
price.
$146,000.00 100.0000
$0.00
$146,000.00
2
Rent receivable by The Blmer W.
B1umanstock Irrevocable Trust
on 2209 Orchard Road and 2213
Orchard Road at date of death.
$305.00 100.0000
$0.00
$305.00
3
Two-story, multi-family
dwelling; located at 2213
Orchard Road, Camp Kill.
Cumberland County,
Pennsylvania; being Tax Parcel
No. 13-23-0549-164; transferred
to Larry A. Blumanstock,
Trustee of the Blmer W.
B1umanstock pami1y Irrevocable
Trust dated August 25. 1999, by
deed dated August 25, 1995. and
recorded on September 5. 1995,
in the Recorder of Deeds Office
in and for Cumberland County,
Pennsylvania, at Deed Book 127,
Page 882. Value is gross sales
price.
$154,000.00 100.0000
$0.00
$154.000.00
TOTAL (Also enter on line 7, Recapitulation) $
S300.305.00
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX + (12-99)
COMMONWEAL Tl-I OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
B1mer W. B1n........stock
e SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
Debts of decedent must be reported on Schedule I.
FILE NUMBER
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Clergy $125.00
Total from continuation schedules . . . . . . . . . $6,292.67
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s) I EIN Number of Personal Representative(s) - -
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees $6,000.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
1 Allstate Insurance
fire insurance premium for 2213
Orchard Road $696.00
Total from continuation schedules . . . . . . . . . $43,583.15
TOTAL (Also enter on line 9, Recapitulation) $ S56,696.82
3W46AG 1.000
(If more space is needed, insert additional sheets of the same size)
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Estate of: Elmer W. Blumanstock
Item
No.
2
3
4
5
6
Schedule B Part 1 (Page 2)
Description
Kanasota Memorial Park & Funeral
Bome
funeral goods & services (Plorida)
Oneco Florist
flowers for funeral service
Patriot-News
Obituary/death notice
Rohland Puneral Bome, Inc.
funeral services (Pennsylvania)
Rolling Green Cemetery
interment & casket fees
Total (Carry forward to main schedule)
e
717-09-3998
Amount
$3,312.81
$177.86
$108.00
$233.00
$2,461.00
$6,292.67
e
Estate of: Elmer W. Blumanstoct
Schedule B Part 7 (Page 2)
2
Allstate Insurance
landlord insurance premium for
2213 Orchard Road
3
Allstate Insurance
landlords insurance premium for
2209 Orchard Road
4
Allstate Insurance
personal liability insurance
premium for 2209 Orchard Road
5
Allstate Insurance
personal liability insurance
premium for 2213 Orchard Road
6
Bonnie K. Miller, Tax Collector
2006 West Shore School District
real estate taxes paid for 2209
Orchard Road and 2213 Orchard Road
7
Bonnie K. Miller, Treasurer
2006 County Real Estate taxes for
2209 Orchard Road and 2213 Orchard
Road properties
8
Clean Sweep Cleaning Service
carpet cleaning for 2209 Orchard
Road
9
Cleaning and maintenance supplies
for 2209 Orchard Road and 2213
Orchard Road
10
Comcast Cable
cable service paid for 2213
Orchard Road
11
District Justice Charles A.
Clement, Jr.
fees for eviction of tenant at
2213 Orchard Road, Apartment 1
12
Freedman Real Estate
real estate appraisals for
properties reported on Schedule G
Total (Carry forward to main schedule)
e
717-09-3998
$203.00
$346.00
$143.00
$143.00
$2,494.29
$1,122.60
$254.40
$295.34
$462.62
$306.00
$800.00
$6,570.25
e
Estate of: Elaer W. Blumenstock
Schedule B Part 7 (Page 3)
13
Johnson Duffie
legal fees for landlord/tenant
aatter reI 2213 Orchard Road
property
14
Keystone Oil
fuel oil service for 2213 Orchard
Road
15
Keystone Oil
service calls to 2213 Orchard Road
16
Larry A. B1uaanstock, Trustee's
Fees
17
Lower Allen Township
sewer and trash reaoval for 2209
Orchard Road and 2213 Orchard Road
properties (paid quarterly January
- July, 2006)
18
Hiscellaneous expenses for
aaintenance, cleaning and repairs
at 2209 Orchard Road and 2213
Orchard Road.
19
PA Aaerican Water
water bill paid for 2209 Orchard
Road for August 2006
20
PA Aaerican Water
water bill paid for 2213 Orchard
Road for period January - August,
2006
21
PPL Electric Utilities
utility bill paid for 2209 Orchard
Road for period January - August,
2006
22
PPL Electric Utilities
utility bills paid for 2213
Orchard Road for period January -
August, 2006
23
Roto Rooter
plUJDbing repair
Total (Carry forward to aain schedule)
e
717-09-3998
$1,335.00
$2,010.36
$219.37
$6,000.00
$513.00
$3,173.16
$37.14
$831.01
$1,459.63
$1,263.30
$217.00
$17,058.97
e
Estate of: E1mer W. Blumenstock
Schedule B Part 7 (Page 4)
24
Settlement charges on sale of 2209
Orchard Road.
(Amount is gross reductions in
amount due seller, less amount of
prorated taxes reimbursed to
seller at closing.)
25
Settlement charges on sale of 2213
Orchard Road.
(Amount is gross reductions in
amount due seller, less amount of
prorated taxes reimbursed to
seller at closing.)
26
The Patriot-News Co.
ads for rent of real estate
(published April - August 2006)
Total (Carry forward to main schedule)
e
717-09-3998
$10,225.59
$9,444 .16
$284.18
$19,953.93
REV-1512 EX + (12-03)
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RE11JRN
RESIDENT DECEDENT
ESTATE OF
Elmer W. Blum-nstock
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
FILE NUMBER
Report debts Incurred by the decedent prior to death which remained unpaid as of the date of death, Including unreimbursed medical expenses.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
Bonnie K. Miller, Tax Collector
2005 delinquent county and school
real estate taxes for 2209 Orchard
Road and 2213 Orchard Roa~
$3,915.38
2 Comcast Cable
cable service paid for 2213
Orchard Road
$176.44
3 Keystone Oil
fuel oil service for 2213 Orchard
Road
$318.66
4 PPL Electric Utilities
utility bills paid for 2213
Orchard Road for period January -
August, 2006
$127.68
5 Sovereign Bank
personal loan of decedent
Loan No. 00-5167050-8
$3,876.34
3W46AH 2.000
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed. insert additional sheets of the same size)
$8,414.50
REV-1513 EX+ (9-00)
It
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Elmer W. Blumanstock
NUMBER
I
1
NAME AND ADDRESS OF PERSON(S) RECEMNG PROPERlY
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers
under Sec. 9116 (a) (1.2)]
Larry A. Blumanstock
6034 Edward Drive
Mechanisburg, PA 17055
33.333333\ Residue: $78,397.89
2 Loretta L. Trout
142 Dorchester Drive
Sellersville, PA 18960
33.333333\ Residue: $78,397.89
3 Ruth Ann Westhead
1811 38th Avenue West
Bradenton, PL 34205
33.333333\ Residue: $78,397.89
RELATIONSHIP TO DEceDENT
Do Not List Trustee(s)
Son
Daughter
Daughter
FILE NUMBER
AMOUNT OR SHARE
OF ESTATE
$78,397.89
$78,397.89
$78,397.89
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
3W46AI 1.000
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II . ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
(If more space is needed, insert additional sheets of the same size)
$
so.oo
.
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DEATH CERTIFICATE
,-
OFFICE of .L S1 ~;I~TICS
CERTIFIED COpy
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FLORIDA CERTIFICATE OF DEATH
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Man.tee
6506 Hawaiian Drive
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'CERTIFICATION OF VITAL RECORD_
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THE ELMER W. BLUMANSTOCK
FAMILY IRREVOCABLE TRUST
dated August 25, 1995
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THE
ELMER W. BLUMANSTOCX FAMILY
IRREVOCABLE TRUST
THI.S TRUST' EEMENT is executed in triplicate on this 2~SIt.
day of Lb..,c, ';.' , 1995, by and between ELMER W. BLUMANSTOCX,
now of 22' 9 Orchard Road, Camp Hill, Cumberland County,
Pennsylvania 17011 (herein called "Settlor"), and LARRY A.
BLUMANSTOCX, now of 6034 Edward Drive, Mechanicsburg, Cumberland
County, Pennsylvania 17055 (herein called "Trustee").
ARTICLE I. TRUST ESTATE
1.01. Initial Principal. Settlor, desiring to establish
an irrevocable trust, does hereby irrevocably transfer, assign and
deliver to the Trustee, and his successors and assigns, the assets
listed on Schedule "A" attached hereto and made a part hereof. As
further evidence of such assignment, Settlor has executed or will
execute or cause to be executed such other instruments as may be
required for the purpose of completing the assignment or transfer
of title to such property to the Trustee. The TrUstee accepts such
transfer and assignment to himself as Trustee, and the Trustee
undertakes to hold, manage, invest and reinvest the assets of this
Trust and to distribute the income and principal of the Trust in
accordance with the provisions of this Agreement.
1.02. Additional Principal. The Settlor and any other
person (s), with the consent of the Trustee, shall have the right at
any time to make additions to the corpus of this Trust or any share
thereof hereby established. All such additions shall be held,
governed and distributed by the Trustee in accordance with the
terms and conditions of this Agreement.
ARTICLE II. IRREVOCABILITY OF TRUST
2.01. Irrevocabili ty. Settlor has been advised of t'he
consequences of an irrevocable trust and hereby declares that this
Trust shall be irrevocable and shall not be altered, amended,
revoked or terminated by Settlor or any other person(s) .
ARTICLE III. TRUST DISTRIBUTIONS
3.01. Trust Principal. The entire corpus of this Trust,
inCluding the assets initially transferred to this Trust,
subsequent additions to this Trust and the proceeds of any sale,
exchange or investment of such Trust assets, shall be used for the
purposes herein contained.
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3.02. Distributions Durinq the Settlor's Lifetime. During
the Settlor's lifetime, the Trustee shall distribute all of the net
income of the Trus t to, or for the benef i t of, the Settlor,
provided that if the Settlor should reside in a long-term care
facility for a period greater than thirty (30) days, then the
Trustee shall discontinue all distributions of income to the
Settlor and shall thereafter accumulate the Trust net income and
add the net income to the Trust principal. The Trustee shall make
no distributions of principal to, or for the benefit of, the
Settlor. The Trustee shall make no distributions of income or
principal to, or for the benefit of, the Settlor's spouse,
GENEVIEVE N. BLUMANSTOCK.
3.03. Termination and Distribution. The Trust shall
terminate upon the death of the survivor of Settlor and Settlor's
spouse, GENEVIEVE N. BLUMANSTOCK. Upon termination, the remaining
trust estate shall be distributed in equal shares to Settlor's
children, LARRY A. BLUMANSTOCK, RUTH ANN WESTHEAD and LORETTA L.
TROUT, per stirpes.
3.04. General Power of ADDointment. Settlor's children,
LARRY A. BLUMANSTOCK, RUTH ANN WESTHEAD and LORETTA L. TROUT fare
hereby granted the general power to appoint some or all of the
principal of this trust to themselves, their estates, their
creditors, the creditors of their estates, in such proportions and
upon such terms (in trust, outright gifts or in any other manner)
as they unanimously deem advisable. This general power of
appointment shall not be exercisable under their wills. If
Settlor's children fail, either in whole or in part, to exercise
the general power of appointment herein granted, the unappointed
principal shall continue in trust and shall be administered
according to the terms of this trust. FOllowing the death of any
of Settlor's children, the general power of appointment herein
granted may be exercised unanimously by Settlor's surviving
children.
ARTICLE IV. POWERS OF TRUSTEE
4.01. General Powers. In addition to such other powers
and duties as may have been granted elsewhere in this Trust# but
subject to any limitations contained elsewhere in this Trust, the
Trustee shall have the following powers and duties:
(A) In the management, care and disposition of this Trust,
the Trustee shall have the power to do all things and to execute
such deeds, instruments, and .other documents as maybe deemed
necessary and proper, inCluding the following powers, all of which
may be exercised without order of or report to any court:
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(1) To sell, exchange, or otherwise dispose of any
property, real, personal or mixed, wheresoever located,
at any time held or acquired hereunder, at public or
private sale, for cash or on terms as may be determined
by the Trustee, without advertisement, including the
right to lease for any term notwithstanding the period of
the Trust, and to grant options, including an option for
a period beyond the duration of the Trust.
(2) To invest all monies in such stocks, bonds,
securities, investment companies or trust shares,
mortgages, notes, choses in action, real estate,
improvements thereon, and other property as the Trustee
may deem best, without regard to any law now or hereafter
in force limiting investments of fiduciaries.
(3) TO retain for investment any property deposited
with the Trustee hereunder.
(4) To vote in person or by proxy any corporate
stock or other securi ty and to agree to or take any other
action in regard to any r~organization, merger,
consolidation, liquidation, bankruptcy or other procedure
or proceedings affecting any stock, bond, note or other
security held by this Trust.
(5) To use lawyers, real estate brokers,
accountants and any other agents, if such emploYment is
deemed necessary or desirable, and to pay reasonable
compensation for their services.
(6) To compromise, settle or adjust any claim or
demand by or against the Trust and to agree to any
rescission or modification of any contact or agreement
affecting the Trust.
(7) To renew any indebtedness, as well as to borrow
money, and to secure the same by mortgaging, pledging or
conveying any property of the Trust, including the power
to borrow from the Trustee (in the Trustee's individual
capacity) at a reasonable rate of interest.
(8) TO retain and carry on any business in which
the Trust may acquire any interest, to acquire additional
interests in any such business, to agree to the
liquidation in kind of any corporation in which the Trust
may have any interest and to carry on the business
thereof, to join with other owners in adopting any form
of management for any business or property in which the
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Trust may have an interest, to become or remain a
partner, general or limited, in regard to any such
business or property and to hold the stock or other
securities as an investment, and to employ agents, . and
confer on them authority to manage and operate the
business, property or corporation, without liability for
the acts of any such agent of or for any loss, liability
or indebtedness of such business if the management is
selected or retained with reasonable care.
(9) To register any stock, bond or other security
in the name of a nominee, without the addition of words
indicating that such security is held in a fiduciary
capacity, but accurate records shall be maintained
showing that the stock, bond or other security is a trust
asset and the Trustee shall be responsible for the acts
of the nominee.
(B) Whenever the Trustee is directed to distribute any trust
principal in fee simple to a person who is then under twenty-one
(21) years of age, the Trustee shall be authorized to hold such
property in trust for such person until he becomes twenty-one (21)
years of age, and in t.he meantime shall use such part of the income
and the principal of the trust as the Trustee may deem necessary to
provide for the proper support and education of such person in the
standard of living to which he has become accustomed. If such
person should die before becoming twenty-one (21) years of age, the
property then remaining in trust shall be distributed to the
personal representative of such person's estate.
(C) In making distributions from the Trust to or for the
benefit of any minor or other person under a legal disability, the
Trustee need not require the appointment of a guardian, but shall
be authorized to payor deliver the distribution to the custodian
of such person, to payor deliver the distribution to such person
without the intervention of a guardian, to payor deliver the
distribution to the legal guardian of such person if a guardian has
already been appointed, or to use the distribution for the benefit
of such person.
(D) In the distribution of the Trust and any division into
separate trusts and shares, the Trustee shall be authorized to make
the distribution and division in money or in kind or in both,
regardless of the basis for income tax purposes of any property
distributed or divided in kind, and the distribution and division
made and the values established by the Trustee shall be binding and
conclusive on all persons taking hereunder. The Trustee may in
making such distribution or division allot undivided interests in
the same property to several trusts or shares.
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(E) If at any time after Settlor's death the total fair
market value of the assets of any trust established or to be
established hereunder is so small that the Trustee's annual fee for
administering the trust would be equal to or less than the minimum
annual fee set forth in the Trustee's regularly published fee
schedule, then the Trustee in his discretion shall be authorized to
terminate such trust or to decide not to establish such trust, and
in such event the property then held in or to be distributed to
such trust shall be distributed to the persons who are then or
would be entitled to the income of such trust. If the amount of
income to be received by such persons is to be determined in the
discretion of the Trustee, then the Trustee shall distribute the
property among such of the persons to whom the Trustee is
authorized to distribute income, and in such proportions, as the
Trustee in his discretion shall determine.
(F) The Trustee shall have discretion to determine whether
i terns should be charged or credi ted to income or principal or
allocated between income and principal as the Trustee may deem
equi table and fair under all the circumstances, including the power
to amortize or fail to amortize any part or all of any premium or
discount, to treat any part or all of the profit resulting from the
maturity or sale of any asset, whether purchased at a premium or at
a discount, as income or principal or apportion the same between
income and .principal, to apportion the sales price of any asset
between income and principal, to treat any dividend or other
distribution on any investment as income or principal or to
apportion the same between income or principal, to charge any
expense against income or principal or apportion the same, and to
provide or fail to provide a reasonable reserve against
depreciation or obsolescence on any asset subject to depreciation
or obsolescence, all as the Trustee may reasonably deem equitable
and just under all of the circumstances.
ARTICLE V. SPENDTHRIFT PROVISION
5.01. General Provision. No beneficiary shall have the
power to anticipate, encumber or transfer his interest in the Trust
Estate in any manner other than by the valid exercise of a power of
appointment. No part of the trust estate shall be liable for or
charged with any debts, contracts, liabilities or torts of a
beneficiary or subject to seizure or other process by any creditor
of a beneficiary.
ARTICLE VI. CONSTRUCTION OF TRUST
6.01. Choice of Law. This Trust shall be administered and
interpreted in accordance wi th the laws of the Commonwealth of
Pennsylvania.
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6.02. Code. Unless otherwise stated, all references in
this Trust to section and chapter numbers are to those of the
Internal Revenue Code of 1986, as amended, or corresponding
provisions of any subsequent federal tax laws applicable to this
Trus t .
6.03. Other Terms. Unless the context otherwise requires,
the use of one or more genders in the text includes all other
genders, and the use of either the singular or the plural in the
text includes both the singular and the plural.
6.04. Captions. The captions set forth in this Agreement
at the beginning of the various divisions hereof are for
convenience of reference only and shall not be deemed to define or
limit the provisions hereof or to affect in any way their
construction and application.
6.05. Situs of Trust. The Trust shall have its legal
situs in Cumberland County, Pennsylvania.
ARTICLE VII.
_ COMPENSATION OF TRUSTEE AND
APPOINTMENT OF SUCCESSOR TRUSTEE
7.01. Compensation. The Trustee shall receive as his
compensation for the services performed hereunder that sum of
money, based on an hourly charge or percentage rate, which the
Trustee normally and customarily charges for performing similar
services during the time in which he performs these services.
7 . 02 . Removal or Resignation of Trus tee. Set tlor may
remove the Trustee at any time or times, with or without cause,
upon thirty (30) days written notice given to the Trustee. After
the Settlor's death, a majority of the current beneficiaries may
remove the Trustee at any time or times, with or without cause,
upon thirty (30) days written notice given to the Trustee. The
Trustee may resign at any time upon thirty (30) days written notice
given to the Settlor if Settlor is living, or after the Settlor's
death, upon thirty (30) days written notice given to the current
beneficiaries. Upon the removal or resignation of the Trustee, a
successor trustee shall be appointed in accordance with the terms
set forth in Paragraph 7.03, below.
7.03. Appointment of Successor Trustee. Upon the death,
resignation, removal or incapacity of the Trustee, the Settlor's
daughter, RUTH ANN WESTHEAD, is hereby appointed Successor Trustee.
Upon the death, resignation, removal or incapacity of the Trustee
and Successor Trustee, a successor trustee shall be appointed by
the Settlor during Settlor's lifetime, or after Settlor's death, by
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a majority of the current beneficiaries. Any successor trustee
thus appointed shall be a financially sound and competent corporate
trustee. The Successor Trustee and any further successor trustee
shall succeed to all the duties and powers, including discretionary
powers, herein granted to the Trustee.
ARTICLE VIII. PERPETUITIES CLAUSE
8.01. General Provision. Notwithstanding anything to the
contrary in this Trust, each disposition Settlor has made herein,
legal or equitable, to the extent it can be referred in its
postponement of becoming a vested interest to a duration measured
by some life or lives in being at the time of Settlor's death, is
definitely to vest in interest, although not necessarily in
possession, not later than twenty-one (21) years after such lives
(and any period of gestation involved); or to the extent it cannot
be referred in any such postponement to such lives, is to so vest
not later than twenty-one (21) years from the time of Settlor's
death.
ARTICLE IX.
ACQUISITION OF UNITED STATES TREASURY BONDS
ELIGIBLE FOR TAX PAYMENT; PAYMENT OP TAXES, FUNERAL
EXPENSES AND EXPENSES OF ADMINISTRATION
9.01. Acquisition of Bonds. The Trustee may, at any time,
without the prior approval or direction of the Settlor and whether
or not the Settlor is able to manage Settlor's own affairs, acquire
United States Treasury Bonds selling at a discount, which bonds are
redeemable at their par value plus accrued interest thereon for the
purposes of applying the proceeds to the payment of the United
States estate tax on the Settlor's estate; and the Trustee may
borrow from any lender, including himself, with or without
security, to so acquire these bonds. ~
9.02. Payment of United States Estate Tax by Bond
RedemDtion. The Settlor directs that any United States Treasury
Bonds which may be redeemed at their par value plus accrued
interest thereon for the purpose of applying the proceeds to the
payment of the United States estate tax imposed on the Settlor's
estate, and which are held by the Trustee, shall, to the extent of
the amount determined to be required for payment of the estate tax,
be distributed to the legal representative of the Settlor's estate
to be used by the legal representative ahead of any other assets
and to the fullest extent possible to pay the estate tax.
9.03. Payment of Death Taxes and Other Estate Settlement
Costs. After the Trustee has complied with paragraph 9.02, above,
and has asc.ertained from the legal representative that all such
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bonds have been redeemed in payment of the United States estate
tax, the Trustee shall also ascertain from the legal representative
whether the legal representative has sufficient assets to pay the
remaining legacy, succession, inheritance, transfer, estate and
other death taxes or duties (except the additional estate tax
imposed by ~2032(c), or corresponding provisions of the Internal
Revenue Code of 1986 applicable to the Settlor's estate and
imposing the tax) levied or assessed against the Settlor's estate
(including all interest and penalties thereon), all of which taxes,
interest and penalties are hereafter referred to as the death
taxes, interest and penalties. If the legal representative advises
the Trustee that insufficient funds exist to pay all the death
taxes, interest and penalties, the Trustee shall then pay to the
legal representative from the trust property, an amount equal to
all the death taxes, interest and penalties in excess of the funds
available to the legal representative for this purposes, which
payments are to be made without apportionment. In making the
payments, the Trustee shall use only those assets or their proceeds
which are includable in the Settlor's gross estate for purposes of
the United States estate tax and shall not impair the marital
portion without first exhausting the entire non-marital portion.
If the Executor of the Settlor's estate, in such Executor's
sole discretion, shall determine that appropriate assets of
Settlor's estate are not available in sufficient amount to pay (1)
the Settlor's funeral expenses, and (2) expenses of administering
the Settlor's estate, the Trustee shall, upon the request of the
Executor of the Settlor's estate, contribute from the principal of
the trust estate the amount of such deficiency; and in connection
with any such action the Trustee shall rely upon the written
statement of the Executor of the Settlor's estate as to the
validity and correctness of the amounts of any such expenses, and
shall furnish funds to such Executor so as to enable such Executor
to discharge the same, or to discharge any part of all thereof
himself by making payment directly to the person entitled or
claiming to be entitled to receive payment thereof. No
consideration need be required by the Trustee from the Executor of
Settlor's estate for any disbursement made by the Trustee pursuant
hereto, nor shall there be any obligation upon such Executor to
repay to the Trustee any of the funds disbursed by him hereunder,
and all amounts disbursed by the Trustee pursuant to the authority
hereby conferred upon him shall be disbursed without any right in
or duty upon the Trustee to seek or obtain contribution or
reimbursement from any person or property on account of such
payment. The Trustee shall not be responsible for the application
of any funds delivered by him to the Executor of the Settlor's
estate pursuant to the authority herein granted, nor shall the
Trustee be subject to liability to any beneficiary hereunder on
account of any payment made by him pursuant to the provisions
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hereof.
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IN WITNESS WHEREOF, the Settlor and Trustee have hereunto set
their hands a 'Beals as of the day and year first written above.
/-/
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/ COMMONWEALTH OF PENNSYLVANIA
I /~i _ i'.."" (a-f--.i
COUNTY OF l U 1) L,L. L-' L- ,
On this, the d5 0 day of ('l{'U1Lwt , 1995, before me, a
Notary Public, the undersigned officet, personally appeared ELMER
W. BLUMANSTOCK, known to me (or satisfactorily proven) to be the
person whose name is subscribed to the within Trust Agreement, and
acknowledged that he executed the same for the purposes therein
contained.
\,"""---
/
WITNESS:
,/'
't!Jdw) kVituuc/lM/,;t;;} (BEAL)
ELMER W. BL~STOCK
SS:
IN WITNESS WHEREOF, I have set my hand and official Seal.
The foregoi g Trust Agreement was delivered, and is hereby
accepted, at Pennsyl vania, on
f/:- .q s- ./'
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WITNESS ;/'/
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My Commission Expires:
Natalial Seal
Undo. Lee Gates. Notal)' fubli~ 1
Shiremanstown BolO, ~mbenctr1C! ,.;ounly
My Commission EY.pIres Oct. 9, 1995
, ^ ~Mcia1ion 0' Nola'ies
Member, Pennsyt~anla ,-,;:;",.P I
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.SCHEDULE "A"
SCHEDULE
REFERRED TO IN THE ANNEXED
TRUST AGREEMENT
DATBD: a~Mvt J("; 1995
FROM ELMER . BLOMANSTOCK,
SETTLOR
LARRY A. BLOMANSTOCK,
TRUSTEE
Property Description:
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PA REV-1500
SCHEDULE G
INTER-VIVOS TRANSFERS and
MISCELLANEOUS NON-PROBATE
PROPERTY
Settlement Statement
A. u.s. Department of HOijsing and Urban Developm
B. Type of Loan OMB Approval No. 2502-0265 (expires 9130120
1. DFHA 2. OFmHA 3. !!iCon.,. Unins. I 6. File Nijmber I 7. Loan Number I 8. Mortgage Insurance Ca mber
4. nVA 5. nronv Ins. 2006123 653954235
C. Note: 118m. marked -(p.o.c.). were paid outside the dOling; Ihey..., shown h~Jtt for inlormltlon purposes and are not InCluded in the Mills. 1 T"IeExpress Se"lement System
:~::~~~~l~n~~:~ ~n~n=~~~:,~~~ :~~=~tI':~III.~~~~~~~~:~ ~or-~s::~rm'I~~r;cI(;.a upun Pnnted 09/2912006 at 11 :57 CrD
D. NAME OF BORROWER: Marshall Kill Colson and Meda G. Colson
ADDRESS: 186 South Chenv Lane D1l1sburn PA 17019
E. NAME OF SELLER: Larry A. Blumal1ltock, Trustee of the Elmer W. Blumenstock Family Irrevocable Trust
ADDRESS:
F. NAME OF LENDER: ABN AMRO Mortg. Group, Inc.
ADDRESS: 2600 W. BIa Beaver Roed Trov M148084
G. PROPERTY ADDRESS: 2209 Orchard Road, Cemp Hili, PA 17011
Lower Allen TOWIlIhlD
H. SETILEMENT AGENT Absolute Abstract, LLC, Telephone: 717-432.7102 FIX: 717-432.1535
PLACE OF SETTLEMENT: 125 West Harrl.b . ~ -~ DlIIsbum PA 17019
I. SETTLEMENT DATE: 0912912006
J. SUMMARY OF BORROWER'S TRANSACnOll: K. Y OF SELTE"""R's TRANsACTION:
100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER
101. Contract sales on"" ''',000.00 401. Contract salas nnca ,.. 000.00
102. Parsonal Pro-;;;;';; 402. Peoonal Pro""rtv
1 03. Se"lemant charnes to borrower IIine 140m 4 950.54 403.
104. 404.
105. 405.
Adjustments for Items paid by seller In advance Adjustments for Items paid by seller In advance
106. C~hown taxes 406. Cijvllown taxes
107. Count" laxes 011I29I06 to 12131106 120.70 407. Countv laxes 09I29IG6 \0 12/31106 120.70
108. School taxes 09129106100&130I07 794.00 408. Schoollaxes 091291081006130I07 794.00
109. SawerlTrash 0912910610 09130I06 1.85 409. SswerlTrash 091291061009130106 1.85
110. 410.
111. 411.
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER 151.887.09 GO. GROSS AMOUNT DUE TO SELLER 1.. 916.55
200. AMOUNTS PAID BY OR ON BEHALF OF BORROWER 500. REDUCTIONS IN AMOUNT DUE TO SELLER
201. DAnnsit or eamesl money 2JIIIO.00 501. Excess Deoosi1lsee instructions)
202. Prineinal amount of new loans 116800.00 502. Ss",ement charoes 10 sellar Ilina 1400\ 10123.66
203. Exislina Ioan/sl laken subiect to 503. Exislina loanls\ takan subiect 10
204. 504. PaYoff of First Mertn""" Loan 1 018.28
Soverllln BlInk
205. 505.
206. 506.
207. 507.
208. 508.
209. SW.
AdluMrrloonm for Itema IIIIII8Id b~ IIIler Adluetmenta for ltema unllllld hv IIIler
210. Citvhown taxes 510. CiIVllown laxes
211. Count" taxes 511. Counlv laxes
212. SchOOlaxes 512. Schoollaxes
213. 513.
214. 514.
215. 515.
216. 516.
217. 517.
218. 518.
219. 519.
220. TOTAL PAID BYIFOR BORROWER 119300.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 11142.14
300. CASH AT SmLEMENT FROM OR TO BORROWER 600. CASH AT SETTLEMENT TO OR FROM SELLER
301. Gross 8II1O\Jnl dua from borrowerlline 1201 151 867.09 601. Gross amount due to sellar !hne 4201 146,1116.55
302. Less amounts "aid huhor borTower moo 220\ 119300.00 602. Lass reduction amount due seller IlIna 520' 11142.14
303. CASH FROM BORROWER 32 587.09 603. CASH TO SELLER 13577U1
SUBSl1n1TE FORM 10811 SELlER STATBENT: The lnfonnallol'l contained herein Is lmportanll8X Information and" being fumlahtld to'" In''m.1 R.....nue SeMce. II you (Ire leq\lired to me a return,
=n~,.~r;=-:c':'2:::;:~= Pr=' ~d~~~ IWtIIs ~ed \0 be ,.poned 100 the tRS determine. IIlaI II hu not been reported. The Contract Sales Price described on
:~=,~~':r.'=::i~tt;=~=~t~:I:~ ~~:r1;::~~~::::'~:=':.r:~~~r:~~:~'f:~~~~:J=~~~~er.
11N:_'_'---,,--I_,_,_ SEllER{S)SIGHIo1\lllE(S,
SELLER(S) NEW '-"LING ADDRESS:
SELlER\S) PtlOIlE flUMBERS, (HI
IW)
u.s. DEPARTMENT OF HOUSING ANC URBAN DEVELJPMENT
SETTLEMENT STATEMENT
File Number: 2006119
PAGE 2
TitleExDress Settlement S\slem Printed 09129/2006 a112:11 TO
L SETTLEMENT CHARGES PAID FROM FROM
700. TOTAL SALES/BROKER'S COMMISSION based on pr1ce $1 .00 8 5.000 = 7 700.00 BORROWER'S ER'S
Division of commlssioo (lioe 700\ as follows: FUNDS AT FUNDS AT
701. $ 3 060.00 to RE/MAX A-1 RealtY. Inc. SETTLEMENT SETTLEMENT
702. $ 3 875.00 10 RElMAX Realty Associates
$ 765.00 to McGinn RealtY
703. Commission Daid at Selllemenl 7.700.00
800. ITEMS PAYABLE IN CONNECTION WITH LOAN
801 Loan OnolOation Fee %
802 Loan Discount %
803. Aonraisal Fee
804. Credit Reoort
805. Lender's Insoeclion Fee
806. Mortoaoe Aoolication Fee
807. Assumotion Fee
806.
809.
810.
811.
900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901. Interest From to @S /day
902. Mortoaoe Insurance Premium for 10
903. Hazard Insurance Premium lor 10
904.
905.
1000. RESERVES DEPOSITED WITH LENDER FOR
1001. Hazard Insurance mo.(ii)S /mo
1002. Mortoaoe Insurance mo.@S Imn
1003. Cilv Pro""rtv Tax mo.ill>S /mo
1004. County Prooerty Tax mo.ill>S 55.57 Imo
1005. School taxes mo.liilS 124.28 lmo
1009, Aooreoate Analvsis Adiustment 0.00 0.00
1100. TITLE CHARGES
1101, SaUternent or closino fee
1102. Abstract ortitie search
1103. Tille examination
1104. Title Insurance binder
1105.
1106. Notarv Fees \0 Chrill Dsmron 5.00 10.00
1107. A"ornev's fees
(includes above i1ems No: I
1108. Tille Insurance to Abtolute AbItract. LLC 1128.75
(includes above items No: BASIC RATE )
1109. Lende(s Policy
1110, Owne(s PoIicv 154 000.00 . 1 128.75
1111.
1112.
1113.
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Recordina Fees Deed S 38.50 . MortoaM $ . Release $ 38.50
1202 CitvlCountv tax/stamos Deed $1 540.00 . Mortoaoe S 1.stO.00
1203. State Tax/stamos Deed S1 540.00 . Mortoaoe S 1.540.00
1204
1205.
1300. ADDITIONAL SETTLEMENT CHARGES
130 1. SewerlT rash to Lower Allen T OWlIIhID 85.50
1302. 201J6.07 School Tax to Bonnie K. Miller TIX Collector 1491.34
1400. TOTAL SETTLEMENT CHARGES (enler on fines 103 Section J and 502 Seelion Kl 2 797.75 10741.34
HUO CERWK:AT1ON OF euYER AND SELLER
I hilVl!l C8feb.i1ty nlWlwBd the HUO.'\ SettkMnent Sta\8menlanj to the bell 01 my knowledQl and bllfef,lt is a lrut and ICCUr..tatempt of all receiplB and disbursemeots mad. on RlY account
or by me in this tr.n.~ction. I further certify that I ~., rfJf:lMve,1. copy of the HUD-1 Sedlemen1 51_men!.
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1....,.... ,~e.-"l..I>Oi...<;; iJfon,'iitf;ib~._ T,_.
WARN"~ IT IS A CRIME TO KNOWINGLY IoIAKE FA1.SE SrATEloENTS TO THE
UNITED STATES ON THIS OR NlY SIULAR FORM. PENALTlES UPON CONVICTION
CAN tNCWDE A FINE AWD IMPRISONMENT. fOR oeTHL3 SEE TITLE 18:
U.S. COOE SECTION 1001 AND SECllON 1010
----' , .,/'
The HUD-1 Settlemenl S1818. .,.,..,1 whic:tll.~.~'~~ .. a true .ncl aceurale ,~nl ollhi.
Iranuclion. I ha.... CilU$1<1 ~.;dU cau~ fU~9& to be disbu".d m accordance with lhi. Il:8lamen!. / /
.. ~:? ..:?'~'f/~
SETIlEMENT AGENTt _ .. . 1....!- DATE: ;./ ..... (,I' vV
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D B B D
'95 SEt' .5 Art 11 3~
THIS DBED is made the ~~ day of ~in the year
nineteen hundred and ninety-five (1995).
BETWEEN LARRY A. BLUMANSTOCK, a married man, now of 6034 Edward
Drive, Mechanicsburg, Cumberland County, pennsylvania 17055, with
the joinder of his wife, BETTY A. BLOMANSTOCK, party of the first
part, GRANTOR,
AND
LARRY A. BLUMANSTOClt, now of 6034 Edward Drive, Mechanicsburg,
CUmb, erland, Pennsylvania 17055, Trcpt' stee 0 thELBLMER W. BLUMANSTOClt
FAMILY IRREVOCABLE TRUST, dated _ b'L, 1995, party of the
second part, GRANTEE.'
WITNESSETH, that said party of the first part, for and in
consideration of the sum of One ($1.00) DOllar, lawful money of the
United States of. America, well and truly paid by the said party of
the second part to the said party of the first part, at or before
the sealing and delivery of these presents, the receipt whereof is
hereby acknowledged, has hereby granted, bargained, sold, aliened,
enfeoff ed, released, conveyed and confirmed, and by these presents
does grant, bargain, sell, alien, enfeoff, release, convey and
confirm unto the said party of the second part, his heirs,
successors and assigns, in fee simple,
ALL THAT CERTAIN lot or tract of land situate in the TownShip of
Lower Allen, Cumberland County, Pennsylvania, being known and
designated as Lot No. 25 on a Plan of Lots hereinafter mentioned,
and more particularly bounded and described as follows, to wit:
BEGINNING at a point on the southwestern side of Orchard Road as
shown on a Plan of Lots hereinafter mentioned, said point being at
the northeastern corner of Lot No. 24 on said Plan; thence in a
northeastwardly direction along the southwestern side of Orchard
Road twenty-eight and five-tenths (28.5) feet to a point at a bend
in said road; thence eastwardly along the southern side of said
road fifty-nine (59) feet to a point at the western line of a tract
of land, now or late of Johnathan R. Shipe; thence southwardly and
at right angles to said Orchard Road and along the western line of
said Shipe land one hundred seventy-nine and 'eight-tenths (179.8)
feet to a point; thence in a northwestwardly direction along the
eastern line of Lot No. 24 one hundred eighty-seven (187) feet to
a point, the place of BEGINNING.
BEING Lot No. 25 as shown on a Plan of Lots laid out by the
Backenstoss Realty Company known as Spring Lake Colony, which Plan
is ~ecorded in the Cumberland County Recorder'S Office in Plan Book
,'';
...
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2, Page
BEING the same premises which Elmer W. Bluma tack n G nevieve N.
Blumanstock, his wife, by their deed dated , 1995, and
recorded simultaneously herewith in the Record of Deeds Office of
Cumberland County in Record Book , Page , granted and
conveyed unto Larry A. Blumanstock, grantor herein. Betty A.
Blumanstock joins in this deed solely to release her marital
interest in the within premises.
""
THE GRANTOR HERBIN received title to the premises by way of a
transfer from his parents within one (1) year prior to the date
hereof. This is a transfer for nominal consideration to the
trustee of an ordinary trust where the transfer of the same
property would be exempt if the transfer was made directly from the
grantors of the prior transfer to all of the possible beneficiaries
of the trust, whether or not such beneficiaries are contingent or
specifically named. Beneficiaries under the trust are the grantors
of the prior transfer and their children.
TOGETHER with all and singular the buildings and improvements,
ways, streets, alleys, driveways, passages, waters, watercourses,
rights, liberties, privileges, hereditaments and appurtenances,
whatsoever unto the hereby granted premises belonging, or in any
wise appertaining, and the reversions and remainders, rents, issues
and profits thereof; and all the estate, right, title, interest,
property, claim and demand whatsoever of the said Grantor, as well
at law as in equity, of, in and to the same.
TO HAVE AND TO HOLD the said lot or piece of ground above-
described, with all and singular the buildings and improvements
thereon erected, hereditaments and premises hereby granted, or
mentioned and intended so.to be, with the appurtenances, unto the
said Grantee, his heirs and assigns, to and for the only proper use
and behoof of the said Grantee, his heirs and assigns forever.
AND the said Grantor, for himself, his heirs, executors and
administrators, does covenant, promise and agree, to and with the
said Grantee, his heirs and assigns, by these presents, that they,
the said Grantor and his heirs, all and singular the hereditaments
and premises hereby granted or mentioned and intended so to be,
with the appurtenances, unto the said Grantee, his heirs and
assigns, against them, the said Grantor and his heirs, and against
all and every person and persons whomsoever lawfUlly Claiming or to
claim the same or any part thereof, by, from or under him, her,
them or any of them, shall and will, subject as aforesaid,
. SPECIALLY WARRANT AND FOREVER DEFEND.
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IN WITNESS WHE~EOF, the said party of the first part has hereunto
set his han a d seal the day and year first written above.
~
~ 4'aI~g~(SEALI
LARR A. BL STO
~~~d
'BETTY A. BLUMANSTOCI:
(SEAL)
S8:
C Y OF CUMBERLAND
On this, the ~~day ofLh(lU~, 1995, before me, a Notary
Public, the undersigned Offi~sonallY appeared LARRY A.
BLUMANSTOCI: and BETTY A. BLUMANSTOCI:, known to me (or
satisfactorily proven) to be the persons whose names are subscribed
to the within instrument, and acknowledged that they executed the
same for the purposes therein contained.
IN WITNESS WHEREOF, I have set my hand and notarial seal.
Not~:1tc (! .)(rtmNO
My Commission Expires:
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
Notarial Seal
Janet C. Naclerio, Notary Public
lemoyne Bora. Cumberland County
My Commission Expires April 19. 1999
Mentler, f'emsylyaniaAssodalion of Notaries
SS:
RECORDED in the Office for Recording of Deeds, etc., in and
for said County, in Record Book No. , Page
WITNESS my hand and official seal this
, 1995.
day of
Recorder of Deeds
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CERTIFICATE OF RESIDENCE
I hereby certify that the present residence of the Grantee herein
is as follows:
Elmer W. Blumanstock Family Irrevocable Trust
c/o Larry A. Blumanstack, Trustee
6034 Edward Drive
Mechanicsburg, PA 17055
RETURN DEED TO:
Elmer W. Blumanstock Family Irrevocable Trust
c/o Larry A. Blumanstack, Trustee
6034 Edward Drive
Mechanicsburg, PA 17055
Settlement Statement
A. 1I.S. Department of Housing and Urban Developme
B. Type of Loan OME Aj:proval Ho. :;5020265 (oxpirDs 913012006)
1. DFHA 2. DFmHA 3 oCon,. Lnins. 16. File Number I 7. Loan Number \8. Mortgage Insurance Case beT
4. nVA 5 nr.onv. Ins. 2006119
C. Note: n~~.!1 mMkArl ~u.; I') l:; l.'..rl!l pail] OlJ'S~ th4! closing; \tIty are soo-n ~ tOT Intorm.mon pul'POO8io and.... 00\ intlude::! m lhe 1~a15 I TitieExpress Sallle",""l System
:::~::~lin~I=~ ~~n~=~=~~~e t~:=:'~IsI:'~~II~~~.S~~I~~ r~~.~M'11h::~::o'~';o'1~~lltllle$ upon Printed 09/29/2006 at 1211 eTD
:> flAME OF BORROWER: Marshall K. Colaon and Mecla G. Colson
ADDRESS:
<:. NAME OF SELLER Larry A. Blumanstock, Trust.. of the ElmerW. Blumanstock ':amlly Irrevocable Trust
ADDRESS:
1'. NAME OF LENDER: CASH
ADDRESS:
G. PRCJPERTY ADDRESS: 2213 Orcllard Lane, Camp Hill, PA 11011
L_ Allen Townahlo
H. SETTLEMENT AGENT: Absolute Abstract, LLC, Telephone: 717-432.7102 Fax: 717-432-1535
PLACE OF SETTLEMENT. 125 Welt Hartlabum Strtet Dlllsbunl. PA 11019
I. SETTLEMENT DATE: 0912912006
J. SUMMARY OF 80 TRAN~"'l..llun: K. SUMMARY OF SELLER's TRANSACTION:
100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER
101. Contract saies orice 154 000.00 401. Contract sa es nrice 154.000.00
102. Fersonal ProDertv 402. Personal ProllArw
103. Setilernent charaes 10 borrower lIire 1400\ 2.797.15 403.
104. 404.
105. 405.
Adjustments for items paid by seller in advance Adjustments for items paid by seller In advance
106. Citv/town taxes 406. C~ynown laxes
107. County taxes 09l29I06 to 12/31106 171.72 407. Counly tax( 5 09/2910610 12/31106 171.72
108. School taxes 09l29I06 to 06130107 1.123.61 408. Schoollaxes 09l29I061006130107 1123.61
109. Sewer.IT rash 09129106 to 091301D6 1.85 409. SewerlTras, 091291061009130/06 1.85
110. 410.
111. 411.
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER 1580903 420. GROSS AMOUNT DUE TO SELLER 155.291.18
200. AMOUNTS PAlO BY OR ON BEHALF OF BORROWER 500. REDUCTIC'NS IN AMOUNT DUE TO SELLER
201. Deoosi! or earnest monev 2.500.00 501. Excess n..r ooil (sea instruct on;\'
202. PrinciDal amount of new loans 502 Setilement .:harn..s to seller 'hne 14001 10141.34
203. Existlna ioanlsllaken subiecl to 503 Existinn 10a,lsI laken subiect 10
204. 504. Payoff of Fi'5l Mortaaae Loa~
205. 505.
206. 506.
207. 507
208. 508.
209. 509
AdJUstments for Items unolld bv HIler AdJustments for lteml unpaid bv Ieller
210. C~vltown taxes 510. Cilvnown taxes
211. County taxes 511, County taxes
212. School taxes 512. Schoollaxes
213. 513.
214. 514.
215. 515.
216. 516
217. 517.
218. 518.
219. 519.
220. TOTAL PAlO BY/FOR BORROWER 2.500.00 520. TOTAL RE'UCTION AMOUNT DUE SELLER 10.141.34
300. CASH AT SmLEMENT FROM OR TO BORROWER 800. CASH AT SmLEMENT TO OR FROM SELLER
301. Gross amount due from boITowar (line 1211' 158 094.93 601. Gross amal'nt due to saller (line 420) 155291.18
302. Less amounts oaid bylfor borrower (line 220\ 2500.00 602. Less reduct on amount due seller (line 5201 10741.34
303. CASH FROM BORROWER 155 594.93 603. CASH TO SELLER 144 555.84
SUBs1llUTE fORM W99 SElLER STATEMENT: The irformalion COOl8in.d herein is important 1Ix information end 1$ belnglumhhecr to thllntemal Revenue Service If you ar. required to f~. a return,
~n~e1c,'rar::=~:t:~r:e S~=~:':'Im~~ Ir:::ul::" Item Is required to be reported and the IRS determines INIl it hilS nel been reported. The Contract Sales Price described on
~~~~~~.r:o~~~~I:~:~~;~~lt~ :~~I~~~~(rn,~,~~:::~ ~~:'1~:J:n:,~~~:rJ::=~=~~:':b~. ~1~~ta~':~~~~C:~~;~~;~:~:C~,~~.
TJN:_~_-_I_._._ SELLERfS)SIGNATIJRE(S):
SElLERCSl NEW t.AAlllNG ACORe.SS.
SELLERIS) PHONE NUMBERS. (H)
IWj
'J:iJ\i! 'e. I1d"\Jl."..~'~. ~-'V~'':'
us DEPARTMErJTOF HOUSII'J(; MJD LJRBMJ Di:I'ELOPMENT
8m EMENT TATE ENT
File NumJer: 2006123
PP,GE 2
r-=--= L 8 M . TilleExpmss Selllement S'islem Prinled 09/25/2J06 at 1~
L. SETTLEMENT CHARGES PAID FROM FROM
700. TOTAL SALESIBROKER'S COMMISSION based on price $1 . 0.00 eD 5.000" 7.300.011 BORROWER'S LLER'S
Division of commission (line 7001 as iol/Jws: FUNDS AT FUNDS AT
7(11 $ 2900.00 Ie RElMAX. A-1 Realtv. Inc. SETTLEMENT SETTLEMENT
702. $ 3,675.00 IC REIMAX Realtv Alsociates
$ 725.00 Ie McGinn Realtv
703 Commission paid ,t Settlement 7 300.00
704 Transaction Fee to RE/MAX A.1 R8IItv.lnc. 195.00
BOO. ITEMS PAYABLE IN CONNECTION WITH LOAN
801 Loan ')riainatron Fee ,
" -
802 Loan D,scounl '~'o
803 ~,ooraisal Fee 10 Mortaaaes Unlimited 50.00
804 Credit ReoM
805 Processina "ee 10 Mortaaaes Unlimited Inc. 570.00
8(6 Lender Administration Fee \0 ABN .o.MRO Mortaaae GrouP. Inc. LR 550.00
8('7 Deferred Premium od bv Lender to Mortaaaes Unlimited Inc. $2.6211.00 POC by Lender
8(<8 Overniahl Fee to Mortaaaes Unlimited Inc. 14.50
8(<9
810
811
900. ITEMS REQUIRED BY LENDER TO BE PAlO IN ADVANCE
901 Interesl From 0912912006 10 10/01/2006 ,5)$ 21.0900 Idav 2Davs LR 42.18
902. Monaace Insurance Premium lor to
903. Hazard Insurance Premium for 1 Yesr 10 Ohio Cllualtv Ins. Co. (P.O.C.\ 510.85 BlNer
904
905
1000. RESERVES DEPOSITED WITH LENDER FOR
1001. Hazarj Insurance 3 'Ii" (j) $ 42.58 ImJ LR 127.74
1002. Mortaaae Insurance mo.@$ Inm
1003. Citv P'Ol1Artv rax mo.@~ ImJ
1004. Count, Procertv rax 9 mo (ijl $ 39.82 ImJ LR 358.38
1005. School taxes 4 mo. (a)$ 87.83 11110 LR 351.32
1009. Aaareaate Analvsis Adjustment 10 ASN AMRO Martaaas Groua.lnc. LR .326.83 0.00
1100. T1TLEtHARGES
1101 Settlement or closina fee
1102. A,bstract or "'Ie search
I 1103 Tille 9xaminalion
1104. Tille Insurance Dlnder
1105.
1106. Nota", Fees to Chris Damron 25.00 10.00
1107. Marney's fees I
I
!includes above items No: \
110S. Hie rsurance to Absolute Abstract LLC 1 088.75
(includes above lIems No: BASIC RATE \
1109 Lend9~s PoIic_ 118,800.00 .
11 D Owner's POlicy 146 000.00 . 1.088.75
1111 End 100 End 300 End 900 to Absolute Abstl'lCt. LLC 150.00
1112 Wira Fee to Absolute Abstract LLC 25.00
1113 GloshaSvcLlr to Absolute Abltrac:t. LLC 35.00
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1201 '<ecardino Fees Deed $38.50 . Mortoane $ 60.50 . Release $ 99.00
1202 GilvlCountv taX/stamos Deed 51 460.00 . Mortaaae $ 1 460.00
12[;3 State Taxlstamas Oiled 51 460.00 . Mortaaae $ 1,460.00
12(-1
12C5
1300. ADDITIONAL SmLEMENT CHARGES
1301. Overninht Fee ta Absolute Abltract. LLC 15.00 15.00
1302. E-Docs Fee to Absolute Abltract. LLC 35.00
1303. 2000-e'1 School r ax to Bonnie K. Miller 1 053.86
1304. Sewer/Trash 141h Quarter) to Lower Allen Townlhlp 85.50
1305. Transaction Fee la REIMAX Realty Alloclatas 250.00
1300. Tax Certification \0 RElMAX Realty Alloci1te1 20.00
1307, Deed Copies to TrI.County Abstract 15.00
1400. TOTAL SETTLEMENT CHARGES (enter on lines 103, Section J and 502, Section K) 4 950.54 10 123.86
HUD CERTIFICATION OF BUYER AND SELLER
I ha\~ C2refull) reviewej lhe HUD.1 Senlemenl Statement anj 10 Il1e best of 111) knowledge and belief, II is a lrt./ft and aceurate stalfmenl of all reeeipls ."Id dlst....:r5emenIS madll on ""yaccoun'
c r by me In lhl! Iransact'on_ I flJi1her c:entfy th.~ I ha.... reCfl vej a coPy of the HUD-l Sertlement $t,lenenl
'-1^';.J,-~::, /~/' 0;'~:'>~ "../ . ~)~ _I ~r ,/'I~ /~
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L~:f::.,~i~.; ~1/~j,~:~~::,:f-==u~T'U"
WARNING: IT IS A CRIME TO KNOWINGLY MI\tI'.E' FALSE STATEMENTS TO THE
UNITE!:) STATES ON THIS OR ANY SI....llAR FORM. PENAlTlES LPON CONVICTlON
CAN tNCLUDE A FINE "NO IMDRtsONMENT. FOR OET,IJLS SEETt1l..E 1&'.
U,S. corr- ~ECTlON ~)01 ANe SECllON 1010
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DEE D
'951ft 5 Af'111 3~
THIS DEED is made the ~daY of. /J..,...~ '- in the year
nineteen hundred and ninety-five (1995) ~~
...
BETWEEN LARRY A. BLUMANSTOClt, a married man, now of 6034 Edward
Drive, Mechanicsburg, Cumberland County, Pennsylvania 17055, with
the joinder of his wife, BETTY A. BLOMANSTOClt, party of the first
part, GRANTOR,
AND
",",
...~
LARRY A. BLUMANSTOCK, now of 6034 Edward Drive, Mechanicsburg,
Cumberland, pennsylvania 17055, ~stee 0 =h.cJ~LMER W. BLOMANSTOClt
FAMILY IRREVOCABLE TROST, dated ___________~, 1995, party of the
second part, GRANTEE.
WITNESSETH, that said party of the first part, for and in
consideration of the sum of One ($1.00) Dollar, lawful money of the
United States of America, well and truly paid by the said party of
the second part to the said party of the first part, at or before
the sealing and delivery of these presents, the receipt whereof is
hereby acknowledged, has hereby granted, bargained, sold, aliened,
enfeoff ed, released, conveyed and confirmed, and by these presents
does grant, bargain, sell, alien, enfeoff, release, convey and
confirm unto the said party of the second part, his heirs,
successors and assigns, in fee simple,
ALL THAT CERTAIN pi ece or parcel of land s i tua te in the Township of
Lower Allen, County of Cumberland and State of Pennsylvania,
bounded and described as follows, to wit:
BEGINNING at a point on the line of lot of Jonathan P. Shipe, which
point is one hundred seventy-nine and eight-tenths (179.8) feet,
more or less, southwardly from the southern side of Orchard Road,
as shown on the Plan of Spring Lake Colony hereinafter mentioned;
thence, northwestwardly along the line of Lot No. 25 on said Plan
of Lots, and at right angles with the said Orchard Road, one
hundred eighty-seven (187) feet to the southern side of Orchard
Road; thence southwestwardly, along the southern side of said
Orchard Road, seventy-five (75) feet to a point on the line of Lot
No. 23, on said Plan; thence southeastwardly at right angles with
said Orchard Road, one hundred sixty-nine and five-tenths (169.5)
feet to a point; thence northeastwardly seventy-seven (77) feet to
the place of BEGINNING.
BEING Lot No. 24 on Plan of Lots known as Spring Lake Colony, as
laid out, by c.o. Backenstoss; and having thereon erected a two
story dwelling house.
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BEING the same premises which Elmer W. Bluma(1tOCk /-nd Genevieve N.
Blumanstock, his wife, by their deed dated ~ ~ 1995, and
recorded simultaneously herewith in the Record of Deeds Office of
CUmberland County in Record Book ,_ page , granted and
conveyed unto Larry A. Blumanstock, grantor herein. Betty A.
Blumans tock joins in this deed solely to release her marital
interest in the within premises.
THE GRANTOR HEREIN received ti tIe to the premises by way of a
transfer from his parents within one (1) year prior to the date
hereof. This is a transfer for nominal consideration to the
trustee of an ordinary trust where the transfer of the same
property would be exempt if the transfer was made directly from the
grantors of the prior transfer to all of the possible beneficiaries
of the trust, whether or not such beneficiaries are contingent or
specifically named. Beneficiaries under the trust are the grantors
of the prior transfer and their children.
TOGETHER with all and singular the buildings and improvements,
ways, streets, alleys, driveways, passages, waters, watercourses,
rights, liberties , privileges, heredi taments and appurtenances,
whatsoever unto the hereby granted premises belonging, or in any
wise appertaining, and the reversions and remainders, rents, issues
and profits thereof; and all the estate, right, title, interest,
property, claim and demand whatsoever of the said Grantor, as well
at law as in equity, of, in and to the same.
TO HAVE AND TO HOLD the said lot or piece of ground above-
described, with all and singular the buildings and improvements
thereon erected, hereditaments and premises hereby granted, or
mentioned and intended so to be, with the appurtenances, Ulito the
said Grantee, his heirs and assigns, to and for the only proper use
and behoof of the said Grantee, his heirs and assigns forever.
AND the said Grantor, for himself, his heirs, executors' and
administrators, does covenant, promise and agree, to and with the
said Grantee, his heirs and assigns, by these presents, that they,
the said Grantor and his heirs, all and singular the hereditaments
and premises hereby granted or mentioned and intended so to be,
wi th the appurtenances, unto the said Grantee, his heirs and
assigns, against them, the said Grantor and his heirs, and against
all and every person and persons whomsoever lawfully Claiming or to
claim the same or any part thereof, by, from or under him, her,
them or any of them, shall and will, subject as aforesaid,
SPECIALLY WARRANT AND FOREVER DEFEND.
e
e
IN WITNESS WHEREOF, the said party of the first part has hereunto
set his hand nd seal the day and year first written above.
AND DELIVERED
CE OF
....
---
.-
{/--
.-'"
..~.........
(SEAL)'
ss:
OUNTY OF CUMBERLAND :
On this, the~day of /Jtl8u.d 1995, before me, a Notary
Public, the undersigned officer, personally appeared LARRY A.
BLUMANSTOCX and BETTY A. BLUMANSTOCX, known to me (or
satisfactorily proven) to be the persons whose names are subscribed
to the within instrument, and acknowledged that they executed the
same for the purposes therein contained.
IN WITNESS WHEREOF, I have set my hand and notarial seal.
Expires:
Notarial Seal I i
Janet C. Naclerio, NotaJy PublIc !
lemoyne Boro, Cumberlaild County
My Commission expires April 19.1999
Member. PemsyMnaAsscc:ialion 01 Notaries
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF CUMBERLAND
RECORDED in the Office for Recording of Deeds, etc., in and
for said County, in Record Book No. , Page
WITNESS my hand and official seal this
, 1995.
day of
Recorder of Deeds
e
e
CERTIFICATE OF RESIDENCE
I hereby certify that the present residence of the Grantee herein
is as follows:
-
Elmer_W. Blumanstock Family Irrevocable Trust
c/o Larry A. Blumanstock, Trustee
6034 Edward Drive
Mechanicsburg, PA 17055
RETURN DEED TO:
Elmer W. Blumanstock Family Irrevocable st
c/o Larry A. Blumanstock, Trustee
6034 Edward Drive
Mechanicsburg, PA
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PA REV-1500
SCHEDULE H
FUNERAL EXPENSES and
ADMINISTRATIVE COSTS
!\lUllaSm:1 M~morHlI t'nrli: <!Ild run~ral Home
12.21 53rd Avetlu~ East
Bradenwl1. FL 34203
\Q41 \ 755-2688
Yvene Rt:d..1ing FE428J
Business License Number 17.23
Statement of Funeral Goods and Services Selected/Purchase Agreement
Date of Service 10/29/2005
e
late of Death
,me of De<,,,,d ELMER W BLUMANSTOCK
Contract. #.447401000085
case.#.~
Pan Oll~ uf T1ua: Parts
Date of Birth 09/22/1916
Jeeea,ed', Last Address 6506 Hawaiian Drive
,,,chas,,'s Nam, Ruth Westhead
Cit)' BRADENTON
Slale -IL Zip Code 34203
Cily Bradenton
Phone Nomber (941) 751-6132
Slal'--..EL Zip Code 34203
urehuser', Jlom. Address 4514 Windsor Ct. East
ll-Purcho5er's Name
Phone Number
(I-Purchaser'!; Horne Address City Slate Zip Code
1 thi~ I\gre~ment the words you anel your rcler to the Purchaser and the Co-Purchaser, iran)'. signing tl\15 A~emenl. The WC>Tds \\e. us and our refer to the Funeral Provider or
cller whose name and address appear above. Fur good and valuable consideration. which each part~' acknowledges receiving. you agree to buy lhe goods Bnd services described
clll\\". You authorize us to prelJare and care ror the body of the decedent nanlCd;n th;s Agreemenl and lo conduct the funeral and services Dnd incur the charges listed in said
grt'~mt'lIt We hl'we Ihe righllo Cllllecr the total :IIl'f.lunls ..tue llndf"r this Agreement limn any ~rsl!i1 who sig'ls this Agreen1enl as Purch:lser (IT Co-Purchaser. IN/A indictlf('s
~m$ ofseno;ce and or merchandise t/lat are not vro\'ided.J
har~es are onl)' (or thOSt ittms that ~.nu stltc:ted or that art required. Ih\'t arC' rrquirrd by law or b). I ttmduy or crem8to~. '0 use an)' ittms~ we will uplain the
l'a~..,n5 in writing below. U}'OU selected. fURual that III.~. rcquin: embatming. such as a funeral with viewing. )'OU may hlll\'e to fiR)' for tmbalmlng. \'ou do not ban to
al for cnlhalming you did not approve if )'OU sel<<ted arnngements such a5 H direct cremation or immediate burial. Ir we (hargrd for embalming. we ",ill explain why
dow.
ECTlON I . SERVICES AND MERCHANDISE
UNERAL DIRECTOR AND STAFF SERVICES
Bask Professional Service Fee. . . S nJa
Oirect CremDtion .. S nla
lmmediate Burial S nla
f(1fwarding Remains S 700.00
Receiving Remains S nla
S ilia
ARE AND PREPARATION OF REMAINS
Embalming 1.050.110
Refngcraljon_ dllY!\ @ ola
:JlheT Preparation (sp~cifl)
Dressing Dnd Casketillg of Deceased 300.00
nla
nla
nla
ilIa
SE OF FACILITIES AND RELATED SERVICES
visitll.tiun S 395.00
: uneral Ceremony -.... S nla
\/Iemorial Service S nla
-'rave-side Service S nla
.)thcr (specify);
nla
nla
nJa
IANSPORTATION
l'ransterring Remains to Funeral Home nla
'..__~_. .. _1_' _I. ". ...
uln..... ...IU\.IL,IILIlI:O'
:ttmily VehkleLimousine_li]! nla
:Iower Vehicle_:t!' nla
iervice Vchicle_(~) nla
Hher ts~dl\ t.
Trallsl.C:r 10 llr Froln Airp,,lft t25.00
nla
nln
nla
fHER GOODS AND SERVICES
.teO'loria' Booklet S 35.00
:ervice Folders, Prayer Curds. S 25.00
\dnowleJg:emenl Cards S 15.00
Aemorial Package S nla
S n/a
S nla
S nI.
S .va
$ ola
S ilIa
$ nla
$ nla
S nla
S nla
$ nla
$ nI.
$ - n/a _
$ .va
$ nla
MERCHANDISE
Ca."ket or Alternative Container:
Manufacturer/Supplier
Model NamelNumber
Material
Species o[Wood
Type of Melal_._
Weight/Gaug_
Interior
Exterior Color
Outer Burial Container:
ManufacturerlSupplier
Model NamelNumbet
Malenal
Urn:
Manufacturer/Supplier
Model Name/Number
Material
Ajrnqy.
L--~
.$
nla
.$
. .... S
S
$
TOTAL SECTION I $
SECTION II - CHARGES TO BE INCURRED BY US ON
YOUR BEHALF (C.rtaln ch.rg.. may". ..tJmllted ...... mee".
..IIm.Ied.) W. charge you for our services In obtaining lhos. Il.ms
marked with an "X".
rJa
150.00
nla
nla
2.795.00
C~m~!ery h
Cre.malory .
C.lergy
Musicians or ~ingers
Certified Copies
Newspaper Norices
Ne.wspaper Noti.~e
.. S nla
$ Iva
S nI.
. J1Ia
L-_'htJ!!9~
$ nla
$ 110.00
$ n/a
S nla
S .va
l ni.
. 347.81
$ nla
S ilIa
L-1!!!-f-
$ nla
$ nla
$ nla
$ nla
i nla
$ nlu
l nla
Public Transportalion..
TOTAL SECTION II.
517.&1
TOTAL SECTION I CHARGES
TOTAL SECTION II CHARGES
TOTAL SECTION I AND SECTION II CHARGES
2.795.00
517.81
3312.81
---
\(,J--'.'/UI:,
PU1lCH"SER'S \NITl.o\lS AND 0.0\ 'TE
;.' /-;, I,' >
1\.1/:>
WITNESS' IHITI,.\LS AND DAn
Charges art ODI)' for those items that Ire used. If the typt of funeral seleded requi~! extra ittm$. aft r~pl."ation ",ill be ghcn.
Part Two of Three Parts
lam. of D.ceas.d ELMER Vi BLUM/INSTOCK Contract # - 4474t\IOO(~)85
Statement of Funeral GOOde Services Selected/Purchase Agreem~
OTALSECTlONIANDSECTIONIICHARGES. ... $ 331181
ECTION III . ALLOWANCES
:ss Cash Received
:ss Assignments of PH Jr~~t Maturity.
npald balance due by: 1012\l120Q5
~ YMENT TERMS: You understand that no extension of credit hy liS. suhject to federal or state credit disclosure. installment sales, or other consumer credit statutes. is
'l\\1:mt'tatcd by this Agreement You ha\'e 110 right to defer payment of any amount due under this Agreement You agree that you are personally liable tor pnyment(lftht':
'plicable hnlall~e due shmvn olllhe Statement of Funeral Goods and Ser\'ices Selected l\y Ihe due dale indicated on the Statement, SUdl payment will be made III us OIl (he
'dress ~t 1'0111\ in \hi'S A.gJeemellt. Where the fun amount due will not be pnid prior to the perfonlling of the services caned for hy this Agreell1ent YOll nu(horiz~ us 10 inquire
ill your ..:n::dil hIstory
$ nla
$ Ilia
$ l'tiil
$ ilia
$ n/n
$ Iva
$ Ilia
$ lVa
$ "fa
~ 0,00
.. $ nit!
$ nla
~ O.\M\
3.312.81
$ ,/ n/a
S \) 1.907.61
$ 1.4n52U
OTAL ALLOWANCES
ECTION IV - TAXES
TaxlIble Items Sc:ction I + (lr. Section m
Less Deductibles
OTALTAXES %
OTAL CHARGES: Section (II + (Ill + or - (1111 + (IV)=
'ENTIFICA TION AND DESCRIPTION OF MANDA TORY ITEMS AND EXPLANATION OF EMBALMING CHARGE: We have identilied and d<scribed bduw any
!nl. cemetery or crematory requirC:l11cnts thai compellhe pur..:hase or any Items listed in Part One and we have explained why we I;harg~\1 for embalming. You ackno\\Iedgt: am.I
ree thar emhahlling and/or pr~aration of the remains may he pertonned lit the facility of the above-reterem;ed timeml home or a: anolher facility lhill i~ rlllly licensed and
uipped tn proVide sm:h services,
nballllinlZl.lr Rctii!ernuoll Reard 2..j Hrs ~.O~!:.P~!lth
~u l,;ontinn that )'OU have examined the service and merchandise items listed in Part One and found them 10 be correct and according 10 the arrangell1ents selected and that prior
SIgning this Stalement. you reviewed Wld approved a compleled copy of this Stalell1enl, You also l.:onfiml that you have been illt'flmled C'f your right to select only such ser\'ices
U m~n:hnndisc a.-; you des,re. and lha1. you haw 1he iegal right to arrange thc= fum:ral services for the decensell named ..b<.l"~.
Acknowledgement of DisclosuresfDisclaimer
Ie Felh:ml Tratlc: C(ll1unission Trnde Regulation Rule on "Funeral Industry Practices" requires certain disclosures and prohibits misrepresentatinns. The fDllo",ing is a ched:list
, ask 1.hose we sm'e h.1 read and sign to \'erify that the t"unernl arrnngement conference was conducted in compliance with the Rule. You, who made: the Drrangements for the
leral and final dispoSition of Ihe abo'ie-nml1ed decedent. do hereby attest to the following:
You "ere given 11 Genenll Price List etIeclive 011 08/01/2004 prior to discussing funeral arrangements or Ihe selectiull of any funeral goods or services
You ,,,ere shown aC.\Sket Pr\ce List dfech\'e \.""08/01/2004 prior to discussillg. caskclS.
You were shown an Outet Burial Container Price List eftcctive 011 08/01/2004 prior to discussing 1111rer buriall:ontuin,=,rs
Y~ll1 were adv\$Cd lhi.\\ the law docs not require embalming except in o.:crtaln special cases.
You were !lIlt ad\"i~('d 111m t'mbalmillg is required for dirt'ct cremation. immediate burial or a closed casket funeral without \'iewing Of ,'isit311(1fi ifrethgemtinl1ls available'.
t~r..: !'tat~ \'f 1\\1.:011 h\\\" dl.l('s not require emtmhning in s\1ch Cl.1SClj
You were not advised that any law requires a caliket for direct cremation or that a casket. other than an nllemative canlainer, i~. required thr direct crenuuion
\' \',i.i ."':'i~ '-u1", ~ilI.J il I<li :!Ii..tle iJn Ul,A;~ Illlt IClIlIilt: Lile I'UU.:i1il:'iC or all oUI!:r huriai cOlllainer or any of Ule funeral goods or sef\'lces you selected. except as set forlh on \'our
Ih:ment of Funeral Gr.:H.lds and Se....ices Selected.
No claims wcre made to }011 as to the merchandIse or services I.embalming. casket. outer burial container) to the effect that elllbnlming nr the use of any merchandise 3'llililhJe
mlls would delay tht' decomposition of the remains for n long term or indefinite time. or that any such merchandise would proleCllhe body from gra'tesite substances. No
lreselllatlollS or warmntles WtIC made \0 you about the protecthe features of caskets or outer burial conlainers olher Ihan those l11ade ~~- the manufacturer.
You ,,,'ere adVIsed that the funeral tinn's cost lor the items listed in Part One. Section II. may be different based on volume m I;l.L..h discounts or other prC'fessional/trade cuSloms
lere pemlincd hy slate or Incallaw.
NOTICES TO PURCHASER/CO-PURCHASER
,E PART THREE FOP. TERMS AN::! CONDITIONS YH...T ARE PART OF THIS AGREEMENT. DO NOT SIGN THIS AGREEMENT BEFORE YOU READ
OR IF IT CONTAINS ANY BLANK SPACES. YOU ACKNOWLEDGE RECEIPT OF AN EXACT COPY OF THIS AGREEMENT.
'SIGNING THIS AGREEMENT. YOU AREAGREEIHG THAT ANY CLAIM YOU MAY HAVE AGAINST THE SELLER SHALL BE RESOLVED BY
tBITRA TION AND YOU ARE GIVING UP YOUR RIGHT TO A COURT OR JURY TRIAL AS WELL AS YOUR RIGHT OF APPEAL.
Executed this ----1L- da~ of October 2005
,,/
':0
/l;~J '> r;
U<:ense Numher
Purchaser's Nanle
rurd\3Sel'S SlgnalUtc:
Social Security #
Co-Purchaser's Name
Co-Purchaser's Signature
Co~Purchaser's Social Securily It
Ruth Westhead
/1 (;~>(~/,<
.. l ',,',4 il..I/ I j L
TYpt'/,N7' <~/
/l.J.---'l' '-
SignaJJte
nt Name:
I attest that I have completed/reviewed this document as required by the Company's SOX Key Control Check/1st:
Tille:
Jnature:
Date:
10:31 Ill' 17.413b
e
e
THIS AGREEMENT PROVIDES FOR ENDOWI.'fIENT CARE
CEMETERY INTERMENT RIGHTS, MERCHANDISE AND SERVICES PURCHASE/SECURITY AGREEMENT
Dale: '
i,:/';, No.
The undorsigned, referred 10 as "Purchaser". herel,,' agrees 10 purchase Ihe Interment Righls, Merchandise and Services described
herein. subjeclto IIcceptance and approval of Ihe ahove named cemelery, hereinafter referred to as "Seller".
';
TELEPHONE:
, f i
PURCHASER
ADDRESS
Sir",'
('II,
Sf.1e
lJp
Name nf Deceased
Description of Iuterment Rights:
Issue Certificate of Interment Righl~ to:
Address
Sll'ft't
UI"
Slat"
Zip
INTERMENT RIGHTS, MERCHANDISE AND SERVICES
Inlerment Rlghls (including Endowmenl Care ofS
Intermenl Fees ........................................
Mellloriallzallon - Type
Size
l\lelllorial Base - Type
Size
Menu..inl Endowmenl Care of ...
Memoriallnslallationllnspecllon Fee
Outer Burlal Conlainer- Malerial
Mt~lel
$
Design
Color
Supplier
Cremation Charge ...............
Urn - Ty'pe
Flower Vase-Type
Namelllate ..........................
Letlering
Other
Other
Sales Tax
Size
. !
'.("Ii ,I
,
'.
TOTAL CASH PRICE .......
LESS:
t', .'
I.' !
Do\vn Payment Cash .................................................................................... S f .
Olher Credit ................................................... ............... ...... ......... ...............
Total Down Payment ............... :..\ ..I.~..:..~.: ..::.:..:. :::... ..!.'. .!. ~~:.... ............ .....................
UNPAID BALANCE OF CASH PRICE
$<
$
t,
>
I ~M'~',
,! -\
,. .
'\._."' " I
, .
TERMS -l:ASH SALE
The Tntal Cash Price is due and IllIyahle as of the date of this Agreement. A delinquency charge of percent wiII be
assessed monthly on any balance not paid within 30 days of the date of this Allreement. If less than full payment is received, Seller
shall deduclthe accrued delinquency' charge from the amount received, and credit the remainder of the payment received to the
Unpaid Balance.
SECURITY INTEREST: Seller (or its assignsl will have a security interest in the Interment Rights and Merchandise being
purchased us described ubm'e. Seller ",ill retain tille to said Intermeut Rights aud Merchandise until the Total Cash Price,
together with any delinquency charges thereon have been paid b)' Purchaser to Seller.
Purchase'r allrces that all rights conveyed under this Agreement are subject to. and Purchaser agrees to at all times comply with,
the present land as may be hereafter adopted amended or altered) Rules, Regulations and Bylaws of Seller. which are available
for examination in Seller's office.
NOnCE: BY SIGNING THIS AGREEMENT. PURCHASER IS AGREEING THAT ANY CLAIM PURCHASER MAY HAVE
AGAINST THE SELLER SHALL BE RESOLVED BY ARBITRATION AND PURCHASER IS GI\lNG UP HISIHER RIGHT TO A
COURT OR JURY TRIAL AS WELL AS HlSIHER RIGHT OF APPEAL.
,
Signed this --'--- da) of
,2f1~
."urt'baser
. f ".~'
Accepted by:
....Uoalddp
ADthod~ ..........tau..
Pun:haser Relatlon.lltp Counselor: No. l
NOTICE: SEE OTHER SIDE FOR ADDITIONAL TERMS AND CONDITIONS WHICH ARE PART OF THIS AGREEMENT . /'1
._ow.n_..'.n.....m..v ~.... ....=u....nnltl
FORM ~~'I>'-\ RF\' tllJ.IllJI
J!Wand Funeral Hole,
Larry Blumanstock
6034 Edward Dr.
Mechanicsburg, PA 17050
1~'n4")'
;I","",..
Services for Elmer W. BJumanstock
Service Contract: 201704
Date of Service November 3,2005
SECTION I SERVICES AND MERCHANDISE
FUNERAL DIRECTOR AND STAFF SERVICES
Minimum Professional ServIce
$ 1,595.00
SEcnON II CHARGES MADE ON YOUR BEHALF
CARE AND PREPARATION OF REMAINS
Certirl8d Copies of Death Certificate
Obitualy Notice
ClergylMusician Honorarium
Cemetery
Monument Completion
Military Honorarium
Embalming
Other Preparation ( Casket. dress, cosmetic )
$
$
USE OF FAClunES & RELATED STAFF CHARGES TOTAL SECTION II
Visitation $
Funeral Ceremony $ SECTION III OTHER
Memorial Service $
Graveside Service $ 675.00
Dignity Allowance
TRANSPORTATION Trust Allowance
SCI Employee Discount
Transferring Remains to Funeral Home $
Funeral Vehicle $ 250.00
Family Umousine $ TOTAL SECTION III
Service VehiI:Ie $ 145.00
Additional Transportation $ 200.00
SECnON IV TAX
MERCHANDISE
Gasket $ TOTAL SECTION IV
Outside Container $
Alternative Container $
Urns $
Clothing $
TOTAL CHARGES
OTHER GOODS AND SERVICES
LESS CASH RECEIVED
Memorial Package $ LESS TRUST
Service Folders/AeknowIedgements $ BAlANCE DUE
Flowers $ Pd. 11/11/05 0< #1854
Crematory $
Balance
TOTAL SECTION I $ 2,865.00
50R Cumberland St
$
$ 108.00
$ 125.00
$
$
$
$ 233.00
$
$
$ (2,865.00)
$ (2,865.oo)
$
$ 233.00
$ 233.00
233 .CO
R&1and Funeral Ho., Inc~
Larry Blumanstock
6034 Edward Dr.
Mechanicsburg, PA 17050
SECTION I SERVICES AND MERCHANDISE
FUNERAL DIRECTOR AND STAFF SERVICES
Minimum Professlonal ServIce
CARE AND PREPARATION Of REMAINS
Embalming
Other Preparation ( Casket, dress, cosmetic)
$ 1,595.00
$
$
USE OF FACILITIES & RELATED STAFF CHARGES
Visitation
Funeral Ceremony
Memorial Service
Graveside Service
TRANSPORTATION
Transfening Remains to Funeral Home
Funeral Vehicle
Family Umousine
Service Vehicle
Additional Transportation
MERCHANDISE
Casket
Outside Container
Alternative Container
Urns
Clothing
OTHER GOODS AND SERVICES
Memorial Package
Service Folders/Acknowledgements
Flowers
Crematory
TOTAL SECTION I
$
$
$
$ 675.00
$
$ 250.00
$
$ 145.00
$ 200.00.
$
$
$
$
$
$
$
$
$
$ 2.865.00
Services for Elmer W. Blumanstock
Service Contract: 201704
Date of Service November 3, 2005
SECTION II CHARGES MADE ON YOUR BEHALF
Cef1ified CopIes of Death Certificate
ObItuary Nab
ClergyfMusIclan Honorarium
Cemetery
Monumenl Completion
Military Honorarium
TOTAL SECTION II
SECTION III OTHER
Dignity Allowance
Trust Allowance
SCI Employee Discounl
TOTAL SECTION III
SECTION IV TAX
TOTAL SECTION IV
TOTAL CHARGES
LESS CASH RECEIVED
LESS TRUST
8AL.~CE DUE
Pd. 11/11/05 Ck #1854
Palance
$
$ 108.00
$ 125.00
$
$
$
$ 233.00
$
$
$ (2,865.00) .
$ (2,865.00)
$
$ 233.00
$ 233.00
Oneeo Florist
5030 15th Street East
Bradenton FL 34203
{941 )756-1556
Ruth ..l\nn Westhead
Bradenton FL
Deliver To:
Elmer W. Blumanstock
Manasota Memorial Park
1221 53rd Ave E
Bradenton FL 34203
(941)755-2688
Description
Sympathy Mache Basket
196-1
Ribbon in loving memory,
your family
e
Method Of Payment
Credit Card
Amount
$177.86
Invoice Number: 0000017186
lnvoice Date: 10/31/2005
Customer ill:
Deliver on: Monday 10/31/2005
Elmer W. Blumanstock
Occasion: Miscellaneous
Card: Family
Qty
1
Amount
$155.00
1
$6.00
Merchandise
Delivery
Service
Tax
Sub Total
$155.00
$6.00
$161. 00
$6.00
$0.00
$10.86
T~~ii.t:);~~;~i~!f_I'6'.
/
e
Oneco Florist
5030 15th Street East
Bradenton FL 34203
(941)756-1556
Invoice Number: 0000017186
Invoice Date: 10/3] 12005
Customer ill:
Ruth Ann Westhead
Bradenton FL
Deliver on: Monday J 0/31/2005
Elmer W. Blumanstock
Deliver To:
Elmer W. Blumanstock
Manasota Memorial Park
1221 53rd Ave E
Bradenton FL 34203
(941 )755-2688
Occasion: Miscellaneous
Card: Family
Description
Sympathy Mache Basket
196-1
Ribbon in loving memory,
your family
Qty
1
Amount
$155.00
Sub Total
$155.00
$6.00
$6.00
Method Of Payment
Amount
Merchandise
Deli very
Service
Tax
$161. 00
$6.00
$0.00
$10.86
Credit Card
$177.86
i_fiiitf~lii.t~:~~~~::r:?:i~;fj~f~~_ftli~
e
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'!Qutre in good fIends.
Landlords Insurance Bin
. .".... ". ,".. ....- ..."..... ",... .... -."."" '"
. ," - - - " -. - . . ., . - -.. -. ... -.., -
DtJE.I)ArE: ".DeQ~ber28..'200S.."'.
. _' _ '_ ,. .,,',.- ',._.'.._ ,.,,:t._..,. ,'.
, at t2~()1A.M. '
To allow time for mail and processing, please send your payment no later t.han December 2:'3,2005.
Your Policy Number: 098778616
Your Agency:
Policy Issued To:
JANNENE MILLER AGY (717) 766-0951
LARRY A BLUMANSTOCK
6034 EDWARD DR
MECHANICSBURG PA 17050-6818
Policy Period:
Description:
December 28, 2005 to December 28, 2006
2209 ORCHARD RD
CAMP HILL
Ways To Pay
Phone
Call 1-(800) 901-1732 for automated intormation including balance. paymenls received, payments due. payment address or to pay your bill. No
additional tee is charged to pay your bill by phone.
Allstate Easy Pay Plan
Enjoy the convenience of having your insurance premiums automatically deducted from your checking or savings account. Contact your Allstate
agent or visit www.allstate.com to learn more!
Mail
Pay using a check or money order. Make sure to allow time tor mail and processing.
Allstate.com
You can pay your bill online through the Allstate Customer Care Center at www.allstate.com.
Online Bank or Bill pay .ervlce . .
Pay online by entering 0987786761228 as the account number on your online banking webslte. This is a ulllque number tor this policy only. Please
make sure that your bank has the correct address for online banking payments: 75 Executive Parkway, Hudson, OH 44237-0002. Th/s address may
be different /han the address noted below for mail payments. .
Agent
You may also pay at an agent's oHice.
(page 1 of 2)
. Please DO NOT include or write policy change requests on your payment notice. Contact your insurance representative.
. Please make ch...ck or money order pavable to ALLST ATE and include your policy number.
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. Detach here along perforation. Return below payment notice with your payment in the enclosed envelope.
, '''Yo~r Policy N~-;Q;;:'098 778 676 12/28 ..:::.U-:....A,<#..>'<>,.... -..... '." "7y'L'''L'.'" r '::I"N'I:lIUM.AM^ONT'OU'"
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To allow time for mail and processing, please send your payment no later than February 23. 2006.
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Your Policy Number: 098778676
Your Agency:
Policy Issued To:
JANNENE MILLER AGY (717) 766-0951
LARRY A BlUMANSTOCK
6034 EDWARD DR
MECHANICSBURG PA 17050-6818
Policy Period:
Description:
December 28,2005 to December 28,2006
2209 ORCHARD RD CAMP HilL
Ways To Pay
Phone
Call 1-(800) 901-1732 for automated informallon including balance, payments received, payments due, payment address or to pay your bill. No
additional fee is charged to pay your bill by phone.
Allstata Easy Pay Plan
EnJOY the convenience of having your insurance premiums automatically deducted from your checking or savings account. Contact your Allstate
agent or visit www.allstate.com to learn morel
Mall
Pay using a check or money order. Make sure to allow time for mail and processing.
Allstata.com
You can pay your bill online through the Allstate Customer Care Center at www.allstate.com.
Onllna Bank or Bill pay servlca
Pay online by entering 0987786761228 as the accouni number on your online banking website. This is a unique number for thiS policy only. Please
make sure that your bank has the correct address for online bankir>g payments: 75 Executive Parkway, Hudson. OH 44237-0002. This address may
be different than the address noted below for mail payments.
Agent
You may also pay at an agent's office.
(page 1 of 2)
$
Allstate Insurance Company
6415 CARLISLE PIKE MECHANICSBURG PA, 17050
18300409
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To allow time for mail and processing, please send your payment no later than December 23, 2005.
Your Policy Number: 098778 676
Your Agency:
Policy Issued To:
JANNENE MILLER AGY (717) 766-0951
LARRY A BLUMANSTOCK
6034 EDWARD DR
MECHANICSBURG PA 17050-6818
Policy Period:
Description:
December 28,2005 to December 28,2006
2209 ORCHARD RD
CAMP HILL
Ways To Pay
Phone
Call1-(800} 901-1732 tor automated information including balance. paymen!s received. payments due, payment address or to pay your bill. No
additional tee is charged to pay your bill by phone.
Allstate Easy Pay Plan
Enjoy 1he convenience of having your insurance premiums automatically deducted trom your checking or savings account. Contact your Allstate
agent or visit www.allstate.com to learn more!
Mail
Pay using a check or money order. Make sure to allow time for mail and processing.
Allstate.com
You can l='ay your bill online through the Allstate Customer Care Center at www.allstate.com.
Online Bank or Bill pay service . . -
Pay online by entering 0987786761228 as the account number on your online banking webslte. This is a unique number for this policy only. Please
make sure that your bank has the correct address for online banking payments: 75 Executive Parkway, Hudson, OH 44237-0002. ThiS address may
be different than the address noted below for mail payments.
Agent
You may aiso pay at an agent's oHice.
(page 1 of 2)
. Please DO NOT include or write policy change requests on your payment notice. Contac1 your Insurance representative.
. Please make check or monev order peyable to ALLST ATE and include your policy number.
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Policy Issued To:
JANNENE MILLER AGY (717) 766-0951
LARRY A BLUMANSTOCK
6034 EDWARD DR
MECHANICSBURG PA 17050-6818
Policy Period:
December 28, 2005 to December 28, 2006
2209 ORCHARD RD CAMP HILL
Description:
Ways To Pay
Phone
Call1-{800) 901-1732 tor automated intormallon including balance, payments received, payments due, payment address or to pay your bill. No
additional fee is charged to pay your bill by phone,
Allstate Easy Pay Plan
Enjoy the convenience of having your insurance premiums automatically deducted from your checking or savings account. Contact your Allstate
agent or visit www.allstate.com to learn morel
Mail
Pay using a check or money order. Make sure to allow time for mail and processmg,
Allstate.com
You can pay your bill online through the Allstate Customer Care Center at www.allstate.com.
Online Bank or Bill pay service
Pay online by entering 098n86761228 as the account n,umber or' your online banking website, ThiS is a unique number for thiS policy only. Please
make sure that your bank has the correct address for online bank,,..gpayments: 75 Execullve Parkway, Hudson, OH 44237-0002. ThIs address may
be different than the address noted below for mail payments.
Agent
You may also pay at an agent's office,
(page 1 of 2)
$
Amount Enclosed:
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60115 L'ARLlSLE PIKE MECHANICSBURG P.4 17050
18300409
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Policy issued To; LARRY 8LUMANSTOCK
6034 EDWARD DR
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Poiicy Period:
February 28, 2006 to February 28, 2007
PLEASE REFER TO YOUR POLICY DECLARATION
Descrif.'tion:
Ways T 1) P.ay
Phone
Call 1.(800) 901 "f 732 lor automated Information IOcluding balance, payments received. payments due, payment address or to pay your bill I,ll)
additionalles I" charged to pay your bill by phone.
Allstate Easy PSV Plsn
Enjoy the convenience ot having your-insurance premiums automatically deducted from your checKing or savings account. Conlact YOU! Allstate
agent or visit www.allstate.com to learn more!
Mail
Pay using a check or money order. Make sure 10 allow time for mail and processing.
AlIstate.com
You can pay your bill online through the Allstate Customer Care Center at www.allstate.com.
Online 8ank or aill pay service
Pay online by entering 0019546940228 as the account number on your online ban~ng webSlle. This is ~ unique number jmlhi~ policy unly Please
make sure thaT 'lour banK has the correct address lor online banking payments: 75 !:xecutlve Parkway, Hudson, CH 44237..0002. ThiS address mal'
be rilffereni !han the address /Jo/ed below for !nail payments.
Agent
You may also pay al an agent's oiiice.
(pagel of 2)
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6034 EDWARD DR
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HUDSON OH 44237 -0001
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Policy Issued To:
JANNENE MILLER AGY (717) 766-0951
LARRY BLUMANSTOCK
6034 EDWARD DR
MECHAN1CSBURG PA 17050-6818
Policy Period:
Description:
February 28, 2006 to February 28. 2007
PLEASE REFER TO YOUR POLICY DECLARATION
Ways To Pay
Phone
Call 1-(800) 901 -1732 lor automated Inlormation including balance. payments received, payments due, payment address or to pay your bill, No
additional fee is charged to pay your bill by phone.
Allstate Easy Pay Plan
Enjoy the convenience 01 having your insurance premiums automatically deducted Irom your checking or savings account. Contact your Allstate
agent or visit www.allstate.com to learn morel
Mail
Pay using a check or money order. Make sure to allow time tor mail and processing.
Allatate.com
You can pay your bill online through the Allstate Customer Care Center at www.allstate.com.
Online Bank or Bill pay .ervlce
Pay online by entering 0019546940228 as the account number on your online banking website. This is a unique number for this pollci;' only, Please
make sure that your bank has the correct address lor online banking payments: 75 Executive Parkway, Hudson, OH 44237-0002. ThIs address may
be different /fIan /fie address noted below for mail payments.
Agant
You may also pay at an agent's office.
(page 1 of 2)
. Please DO NOT Include or write policy change requests on your payment notice. Contact your insurance representativG,
. ' , , , - . . , . . ., .... , , . . -... , ~ -- .....-0;)"..... -n -..-....
/28 DUE DATe: . '>,:> >TO.PAY'IN.FULt..: MINlMUMAMOONTDUE:
February 28, 2006 $ 143.00 $ 23.92
Amount Enclosed: $ .
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6415 CARLISLE PIKE MECllANICSBURG PA 17050
18358611
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To allow time for mail and processing, please send your payment no later thim Decambea- 23,2005.
Your Policy Number:
Your Agency:
Policy Issued To:
098 778 6n
JANNENE MILLER AGY (717) 766-0951
LARRY A BLUMANSTOCK
6034 EDWARD DR
MECHANICSBURG PA 17050-6818
Policy Period:
Description:
11
December 28,2005 to December 28,2006
2213 ORCHARD RD
CAMP HILL
Ways To Pay
Phone
Call 1-(800) 901-1732 for automated information Including balance, payments received, payments due, payment address or to pay your bill. No
additional fee is charged to pay your bill by phone,
Allstate Easy Pay Plan
Enjoy the convenience of having your insurance premiums automatically deducted from your checking or savings account. Contact your Allstate
agent or visit www.allstate.com to learn morel
Mall
Pay using a check or money order. Make sure to allow time for mail and processing.
Allstate.com
You can pay your bill online through the Allstate Customer Care Center at www.allstate.com.
Online Bank or Bill pay service
Pay online by entering 0987786771228 as the account number on your online banking website. This is a unique number for this policy only. Please
make sure that your bank has the correct address for online banking payments: 75 Executive Parkway, Hudson, OH 44237-0002. This address may
be different than the address noted below for mail payments.
Agent
You may also pay at an agent's office.
(page 1 of 2)
. PI.a.. DO NOT Include cr write PQiicy ".hangs reque8hl on your pd)'ment ootlGS. Contact your insurance representative.
· Please make check or money order payable to ALLSTATE and include your policy number.
· Detach here along perloration. Return below payment notice With your payment in the enclosed envelope.
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Your Agency: JANNENE MILLER AGY (717) 766-0951
Policy Issued To:
LARRY A 8LUMANSTOCK
6034 EDWARD DR
MECHANICSBURG PA .17050-6818
Policy Period:
Description:
December 28, 2005 to December 28, 2006
2213 ORCHARD RD
CAMP HILL
Ways To Pay
Phone
Call1-(800) 901-1732 lor automated "ltormation including balance, payments received, payments due, payment :iddress or to pay llour bfil. ['-Jo
additional fee IS charged to pay your bill by phone.
Allstate Euy Pay Plan
Enjoy the convenience of having 'lour insurance premiums aUlomalically deducted Irom your checking or savings account. Contact your Allstate
agenl or visit www.ailstate.com to learn morel
Mail
Pay using a check cr money order. Make sure to ailow time lor mall and proceSSing.
AlIstate.com
You can pay your bill online through 1he Allstate Customer Care Center at www.allstate.com.
OnUne Bank or 8li1 pay service
Pay online by entering 098778677122B as the account number on your online banking webslte. ThiS is a unique number for this POliCY only Please
make sure thai your bank has the correct address tor online banking payments: 75 Executive Parkway, Hudson, OH 44237-0002. ThIS address may
be dIfferent Itlan the address noted below for mail payments.
Agent
You may aiso pay at an agent's ottice.
(page 1 of 2)
6415 t:4RUSLE PiKE Mf:XHANiCSJJURG PA J lOW
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6034 EDWARD DR
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Your Policy Number: 098 178 671
Vour Agency:
Policy Issued To:
JANNENE MILLER AGY
(717) 766-0951
LARRY A BLUMANSTOCK
6034 EDWARD DR
MECHAI\lICSBURG PA 17050-6818
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Policy Period: December 28,2005 to December 28, .2006
Description:
2213 ORCHARD RD
CAMP HILL
Ways To Pay
Phone
Cal! 1-(800) 901-1732 tor automated Intormal!On Including balance, paymenls received. payments due, payment address or to pay your bill. No
additional tee is charged to pay your bill by phone. .
Allstate EasV Pay Plan
EnJoy the convenience of havln[J your insurance premiums automatically deductea trom your Cl18cl(lng or savings accounl. Contacl your Ailstale
agent or visit www.allstate.com to learn more! .
M'!!I .
Pay using a check or money order. Make sure 10 allow lime jor mail '-lnd processing.
Allstate.com
You can pay your bill online through the Allstate Customer Care Center at www.ailstale.com.
Online Bank or Bill pay service
Pay online by entering 0987786771228 as the account number on your online banking webslle. ThiS is a unique number tor Ihls poi icy only. Ple;lse
make sure that your bank has the correct address lor online banking paymenis: 75 Executive Parkway, Hudson, GH 4423/-0002. ThiS address may
be different than the address noted below for maJi paymenf.9_
AgQnt
You may also pay at an agent's oltice.
(page 1 of 2)
. PI<illut' on NOT il1clulJe cr wrl1e !)oii(';y r.hango reqlle-ste; on ';':)~r payment nolic9. Contact your :f1f,;wanCG roprcccr\!!;,tlve.
. Please make check or money order payable to ALLS TAT E and Include your poiicV number.
It Di)1Gch h6n~ along perforation. Return below payrnent notIce wlth 'lour paYTnenl in the enclosed envelope
((~ AUstate,
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:0 j'ft: in I}f.'>{i iHlf'{!)'i
Fire h1SlUranv,ce SUI
.......1"OP:AYiNFU.i.~j~......
To allow lime for mail and proc!&!Ssing. please send your ;oayment no ~ater ~han f"loiUlill',/ 23,
Your Policy Number: 0I91S 778 617
Your Agency:
JANNENE MILLER AGY (717) 766-0951
.~-.,._-_.~~--
LARRY A BlUMANSTOCK
6034 EDWARD DR
MECHANICSBURG PA 17050-6818
Policy Issued To:
PoCicy Period:
-.----
Description:
December 28,2005 to December 28,2006
2213 ORCHARD RD
CAMP HILL
Ways To Pay
Phone
Call 1-(800) 901 .1732 for automated Information Including balance, payments received, payments due, paymen1 fH.hlress or to pay your bnL No
additional fee is charged to pay your bill by phone.
Allstate Easy Pay Plan
EnlOY the convenience of having your insurance prernium6 automatically deducted from your checking or savings account. Conlact your Alistate
agent or visit www.ailstate.com to learn more!
Mail
Pay using a check or money ordeL Make sure to allow time tor mail and processIng.
Allstate.com
You can pay your bl!l online through the Allstate Customer Care Center at www.aIl8tate.com.
Online Bank Qr sm pay service
Pay onlIne by entering 0987786771228 as the account number on your online banking website. ThiS is a unique number tOrIhis pr.>licy only Please
make sure that your bank has the correct address for online banking payments: 75 Executive Parkway, Hudson, OH 44237-0002. This address may
be differen/lhan the address noted below far maJi payments.
Agant
{au may also pay at an agent's office.
(page 1 r.A 2)
. Please DO NOT include or write policy change requeste on your paymen1 notice, Contact your insurance representatlve_
· Please make check or money order payable to ALLSTATE and include your policy number.
· Detach here alonQ perforation, r~eturn below payment notice with your payment in the enclosed envelope.
Your Policy Number: 098 778 677
Fire Insurance Bill
12i28
J~:ru~~~~, 200' FIJLU ~~N~-; A;;;;r~:r
Am:~i'~nc!O$ed: ! $ I
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Allstate Insurance Company
64 i.5 CARLISLE PIKE ME:CfJA.NICSBURG PA 17050
18214403
Return Payment 10:
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ALLSTATE
75 EXECUTIVE PKWY
HUDSON OH 44237..0001
1IIIi II... III 1I"lli I 11"'111. .1..1", ,111.,1".11..1..11. ..II
LARFj'( A BlUMANSTOCK
6034 EDWARD DR
MECHANICSBURG PA 17050-6818
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1993 HUMMEL AVENUE
CAMP HILl.., PA 17()11-5!~3fJ
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MAP NO: 13-23-()549-164
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1993 HUMMEL ?,VENUE
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Invoice #
'On /2006
294
Bill To
BETTY. BLlJMEi.JSTOCK
6034 EDWOOOD,PR IVE,
MECHANICSBURG PA. 17050
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P.O. No. Terms Project
Quantity Description Rate Amount
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I i THIS IS AN INVOICE FOR CARPET CLEANING - THE RENTAL PROPERTY IN 240.00 240.00T
CAMPHILL PA.
Sales Tax 6.00% 14.40
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ACCOUNT
NUMBER
.~
TOTAL
AMOUNT DUE
Visit us on the web at www.comcastcom
09547219389-01-6
02/01/06
$88.22
BETTY BLUMANSTOCK
How to reach us...
How to reach us:
4830 Carlisle Pike, Suite 0-14
Mechanicsburg, Pa 17055
(117)540-8900
Telephone Customer Service
24 hours a day, seven days a week
For se rvice at:
2213 ORCHARD RD
CAMP HILL PA 17011-7442
Summery of Charges
Statement Prepared 01/05106
..
Previous Balance
Payments (includes payments received by01105/0~i
Cabl~JY.ideo) S~lVices
Q9m~st High Speed Internet
Taxe~t.~urch~~~_~_Eees
T olal Due
Billeclfrom 01/18/06 to 02/17/06
176.44
176.44cr
42.60
42.95
2.67
$88.22
Detail of Charges on back
News from Comcast
The Federal Communications Commission Public Inspection Ale for this system is
maintained at 4601 Smith Street, Harrisburg, Pa 17109.
Thank you for your prompt payment. For your convenience, we now accept regular
and automatic monthly credit card payments and direct debit.
r
@~[!~gst~
4008 N DUPONT HWY
NEW CASTLE DE 19720-632B
Please detach and endose this coupon with your payment.
Do not send cash. Make checks payable to:
COMCAST CABLE
Oat$ OU$
Totel Amoum OU$
ADDRESS SERVICE REQUESTED
02/01/06
$88.22
AMOUNT
ENCLOSED
$
~: .
AC 01 004725 56318B 14 D*.C022
BETTY BLUMANSTOCK
BETTY BLUMANSTOGI(
6034 EDWARD ST
MECHANICSBURG PA 17050-6818
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POBOX 3005
SOUTHEASTERN PA
19398-3005
09~47 2193B9 01 b
o OD8822
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ACCOUNT
NUMBER
-=
TOTAL
AMOUNT DUE
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09547219389-016
03101/06
$88.22
BErry BLUMANSTOCK
How to reach us...
How to reach us:
4830 Carlisle Pike, Suite 0-14
Mechanicsburg, Pa 17055
(717)540-8900
Telephone Customer Service
24 hours a day. seven days a week
For service at:
2213 ORCHARD RD
CAMP HILL PA 17011-7442
Summary of Charges
Statement Prepared 02/02/06
Silled from 02/18/06 to 03117106
~
Previous Balance _~ 8B.2L-
P~f!ll:!nts . (jnclude~_paY-l!1_eIJts_receiY~.Q.I?YJ!?1()21o.()L___ _ .__________.___~l?..:?g_~L
Ca!l.l~ (\fideoJ~e-rvice~ _ '.___ _ _____~_h.__________._______ ___.________________A~"j?Q____
Comeast Higil.?fJ.ee!l Intern~____ 4g,~5
Taxes, SLJrellargel>,&_E(3E;l~____...________.______._"__ __"__ ___________~?_&Z_.__
Total Due
$88.22
Detail of Charges on back
News from Corn east
Thank you tor your prompt payment. For your convenience. we now accept regular
and automatic monthly credit card payments and direct debit.
@~msgst,
Ple:ase detach and e:ndose: thiS coupon with your payment
Do nolsend cash. Make checks payable to.'
COMCAST CABLE
4008 N DUPONT HWY
NEVi CASTLE DE 19;2~Hi32c
<.it
11
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\
Date Due
Total Amount Due AMOUNT
ENCLOSED
$88.22 $
ADDRESS SERVICE REQUESTED
03/01/06
OOo.02-0e.c.c
Account Number 09547219389-01.G
AC 01 005716 008258 26 F**C022
BETTY BLUMANSTOCK
BETTY BLUMANSTOCK
6034 EDWARD ST
MECHANICSBURG PA 17050-6818
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COMCAST CABLE
POBOX 3005
SOUTHEASTERN PA
192.98 - 3005
095~7 219389 01 6
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008822
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ACCOUNT _DATE TOTAL I
NUMBER DUE AMOUNT DUE J
09547 219389-01-6 04/01/06 $90.76
\/isn U~, C,j\ !t1t' web at www,conlcasLcom
BETTY BLUMANSTOCK
How to reach us...
How to reach us:
4830 Carlisle Pike, Suite 0.14
Mechanicsburg, Pa 17055
(717)540-8900
Telephone Customer Service
24 hours a day, seven days a week
For service at:
2213 ORCHARD RD
CAMP HILL PA 17011-7442
Summary of Charges
Statement Prepared 03f02I06
P.r~~o_u.~.~lanc~:
PaY.!1l.~f!.~-1lIl_~!udes payments received by 03/02/06)
CaJ:lI~JYig!J..Q) Services
Go~castJ:!ighJ~p'~eiLl!!ternet
I,!x~?,.~_urcharg~~_Fees
Total Due
Billed from 03/18106 to 04/17/06
8822
88.22 cL
45.25
42.95
2.56
$90.76
Oetail of Charges on back
,
News from Comcast
Thank you for your prompt payment. For your convenience, we now accept regular
and automatic monthly credit card payments and direct debit.
, ,
Your franchise fees have been changed to match the amount paid to your local
franchise authority.
(~~rr!~gst~
400e N DUPONT HWY
NEW CASTLE. DE 19720.6328
Please detach and enclose (his coupon with your payment.
Do not send cash. Make checks payable to:
COMCAST CABLE
Date Due
Total Amount Due
ADDRESS SERVICE REQUESTED
04/01106
$90.76
AMOUNT
ENCLOSED
$
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,
000-03-06-C-C
Account Number 09547219389-01-6
AC 01 004963 11611B 16 Ek*C022
BETTY BlUMANSTOCK
BETTY BLUMANS10CK
60:\4 EDWARD ST
MEGHANICSBURG PA 17050.6818
1..,111.1,", i 1,1,1"1,.1,,,11,11. ,.11... .1. f .11. ...1,1.1...11
COMCAST CABLE
POBOX 3005
SOUTHEASTERN PA
19398-3005
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09547 219389 01 6
2
009076
@omcast.,
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ACCOUNT
NUMBER
.e
TOT Al
AMOUNT DUE
Visit us on the web at www.comcast.com
09547219389-01-6
05/01/06
$2,09
BETTY BlUMANSTOCK
How to reach us,.,
How to reach us:
4830 Carlisle Pike, Suite D-14
Mechanicsburg, Pa 17055
(717)540-8900
Telephone Customer Service
24 hours a day, seven days a week
For$&rvlce at:
2213 ORCHARD RD
CAMP HILL PA 17011-7442
Total Due
Bllledfron1 04/18106 to 05/17/06
90.76
90.76 cr .
45,25
45.72 cr
2.56
$2.09
Detail of Charges on back
Summary of Charges
Statement Prepared 04/06/06 .
Previous Balance
Payments (includes payments received by 04/06106)
Cable (Video) Services
Comcas! High Speed Internet
Taxes. Surcharges, & Fees
I-
@9OMrnEgst~
4008 N DUPONT HWY
NEW CASTLE DE 19720-6328
Please detach and enclose this coupon with yourpayment
Do not send cash. Make checks payable to:
COMCAST CABLE
ADDRESS SERVICE REQUESTED
05/01/06
$2.09
AMOUNT
ENCLOSED
$
Date Due
Total Amount Due
000-04-06-C.C
Account Number 09547219389-01-6
AC 01 005171 277776 17 D~~C022
BETTY BLUMANSTOCK
BETTY BLUMANSTOCK
6034 EDWARD ST
MECHANICSBURG PA 17050-6818
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POBOX 3005
SOUTHEASTERN PA
19398-3005
09547 219389 01 6
8
000209
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$49.90
BETTYBLUMANSTOCK
How to reach us...
How to reach us:
4830 CarlislE! PikE!, SuitE! 0-14
Mechanicsburg, Pa 17055
(717)540-8900
Telephone Customer Service
24 hours a day, seven days a week
II A
VU/ ~
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For service at:
2213 ORCHARD RD
CAMP HILL PA 17011-7442
SUmmary of Charges
Statement Prepared 05/04106
Total Due
Billed from 05/18/06 to 06117106
2,09
0.00
45.25
2.56~
$4fMJO
Detail of Charges onbeok
Previous Balance
Payments (inetudes payments received by05104/OG)
G~le (Video) Services
T_~El~ Surcharge_~L&_ Fees
News from Comeast
Thank you for your prompt payment. For your convenience, we now accept regular
and automatic monthly credit card payments and direct debit.
~ -
@9OMI!!,SgSt~
4008 N DUPONT HWY
NEW CASTLE DE 19720-6328
Please detach and enclose this coupon with your payment.
Do not send cash. Make checks payable to:
COMCAST CABLE
Dllte Due
Tota. Amoum Due
ADDRESS SERVICE REQUESTED
UbJU1 IUb
~4Y.YU
AMOUNT
ENCLOSED
"
000-06-0&-C-C
Accoum Number 09547219389-01-6
AC 01 006278 387018 32 D*.C022
BETTY BLUMAN5TOCK
BETTY BLUMAN5TOCK
6034 EDWARD 5T
MECHANICSBURG P,A, 17050-6818
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COMCAST CABLE
POBOX 3005
SOUTHEASTERN PA
19398-3005
09547 219389 01 6
9
004990
@omcast. .
ACCOUNT
NUMBER
_ATE
.UE
TOTAL
AMOUNT DUE
Visit us on the web at
www.comcast.com
----."."..--------
0954"1 219389-01-6
07/01/06
$47.81
BETTY BLUMii.NSTOCK
How to reach us...
How to reach us:
4830 Carlisle Pike, Suite D-14
Mechanicsburg, Pa 17056
(117)540-8900
Telephone Customer Service
24 hours a day, seven days a week
For service at
2213 ORCHARD RD
CAMP HILL PA 17011-7442
Total Due
Billed from 06118/06 to 07/17/06
49.90
49.90 cr
45.25
2.56
$47.81
Detail of Charges on back
Summary of Charges
Statement Prepared 06/01106
Previous Balance
Paymel'!ts (includes payments received by 06101/06)
Cable (Video) Services
Taxes, Surcharaes, & Fees
News from Com east
Thank you for your prompt payment. For your convenience, we now accept regular
and automatic monthly credit card payments and direct debit
@~[lEgst@
4008 N DUPONT HWY
NEW CASTLE DE 19720-S328
Please detach and enclose this coupon with your payment.
Do not send cash. Make checks payable to:
COMCAST CABLE
ADDRESS SERVICE REQUESTED
07/01/06
$47.81
AMOUNT
ENCLOSED
$
Date DU6
Total Amount DUll
OOO-OG-06-C-C
Account Number 09547219389-01-6
AC 01 001926 454148 12 E~*C022
BETTY BLUMANSTOCK
BETTY BLUMANSTOCK
6034 EDWARD 8T
MECHANICSBURG PA 17050-6818
1...111. ..III... ,I. I, 11....11.,1111....111..1,"11..1,,","11
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COMCAST CABLE
POBOX 3005
SOUTHEASTERN PA
19398-3005
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09547 219389 01 6
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004781
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ACCOUNT
NUMBER
.E
TOTAL
AMOUNT DUE
Visit us on the web at
wwW.comCBst.com
09547219389016
08/01/06
$47.81
BETTY BLUMANSTOCK
How to reach us...
How to reach us:
4830 Carlisle Pike, Suite 0-14
Mechanicsburg, Pa 17055
(717)540.8900
Telephone Customer Service
24 hours a day, seven days a week
For service at:
2213 ORCHARD RD
CAMP HILL PA 17011-7442
Summary of Charges
Statement Prepared 07/06106
Preyious B.~lance
Payme'::!~_Q.ncludes payments received by 07/06106)
Cabl~_ (Video) Services
Ta!<~s~,=!!.char~s,_~f~~l?__.________
Tota! Due
Billed from 07/18106 to 08/17/06
47.81
47.81 cr
45.25
2.56
$47.81
Detail of Charges on back
News from Corneas!
Thank you for your prompt payment. For your convenience, we now accept regular
and automatic monthly credit card payments and direcl debit.
@9!!!E9st.
4008 N DUPONT HWY
NEW CASTLE DE 19120-6328
Please detach and enclose this coupon with your payment.
Do not send cash. Make checks payable to:
COMCAST CABLE
Oat" DUll
Total Amp\Jnt Dull
ADDRESS SERVICE REQUESTED
08/01/06
. $47.81 ,:
AMOUNT
ENCLOSED
$
000-07.06.C-C
Account Number 09547219389-01.6
AC 01 005191 60215B 1& E**C022
BETTY BLUMANSlOCK
BETTY BLUMANSTOCK
6034 EDWARD 8T
MECHANICSBURG PAI7050 6818
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POBOX 3005
SOUTHEASTERN
19398 3005
PA. -,,\
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095~7 219389 01 6
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004781
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ACCOUNT
NUMBER
tiE
TOTAL
AMOUNT DUE
Visit us on the web at
lI\I~_lI\I~comcast.c~!!!
09547219389-01-6
09/01/06
$47.81
BETTVBlUMANSTOCK
How to reach us...
How to reach us:
4830 Carlisle Pike, Suite D-14
Mechanicsburg, Pa 17055
(717)540-8900
Telephone Customer Service
24 hours a ctay, sevencJaysa,week
Forservlce at:
2213 ORCHARD RD
C~MPHILL PA 17011-7442
Previous Balance
Payments (includes payments received bv08/0W6)
Cable (Video) Services .
Taxes, Surcharges, & Fees
IoJaLDue .
-Bftled:lrDln08lt8fD6to 09/17106
41~81
. 47.81cr
..45.25
'2~. .
.... ... -:." .-.. _ . "4~~;"';"'"
:lietdet OhargR:enti_
$UJnlftary of Charges
Statement Prepared08lO~
I
News from Corneast
Thank you for your prompt payrnent.FotYOlJroonvenienee,wetict.i.~'reg"'"
and automatic monthly credit card payments flrtddirect debit. .
@~[!Egst~
400a N DUPONT HWY
NEW CASTLE DE 19720-8328
Please detach and enclose this coupon with your payment.
Do not send cash. Make checks payable to:
COMCAST CABLE
Date Due
Total Amount Due
ADDRESS SERVICE REQUESTED
09/01/06
$47.81
AMOUNT
ENCLOSED
$
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Account Number 09547219389-01-6
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6034 EDWARD ST
MECHANICSBURG PA 17050-6816
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POBOX 3005
SOUTHEASTERN PA
19398.3005
09547 219389 01 6
2
004781
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JUdgmem wac; entered agEunst SCBLESSIUJl:', JrYLE _ ______~.______ in c.
Landiorej/"Tenan1 action in the amount of $ 777.50. on _~L151 O!._ (Date 01 Judgment)
Tr!e 9J110L~n' G' (en: per month, as established by the Magisteria! District Judge is $__.____~~.!t. OQ..
I n~:~' tc:t21 arnoun'( :)~ H'iE' ~3ecur~t~/ C)eposit is $ ._~_~._ ..__.__._,_.,_~~_..
r-~----------~-'-l:;l~I!-\rnount Established b~ !\IiDJ Less Secunty Deposi1 APPi;~;(I-';':~-- Adi~~j~;ate(j"}'n:\oul}1,
: Fi ,O'" in i\ ne E:: " ;), .. ill> 8 () . {I (I - <;; . .. .... . .. . ,(fi ft< =: $ ~_~_____.!4 f:h:..,,-!!_~'
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[)elen{fc:.r<l 5) ____JJl. ;t___ ....,J10 ,,,.
Less Am! Due Defendant from Cross Complain! ..-- $_________._ - ('fi
Interest (if provided by lease.! <to
LIT ,Judgrrlent ,AnlGUnt $ _._____.____.___6Blt._~~JLQ
judgrrH~nt C:,Qsts ct-. ~"i" ~~'JJ
Attorney Fees S _____._~O..O
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2213 ORCHARD ROAD ARTISTE 1
c.AMP BILL, PA 11011
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lEt,\ Gp.,!:, ~',FTH;"-HE On.TI:' 0::: ENTRY OF JUDGMENT BY FILlNG4 NOT!CE OF APPEAL W!TH THE PROTHONOTt\RYIGLFRK OF CCJ1JRTS
0;: THt GOOfr, Of': COMMON PLEf~::"G!Vtl... DIVISION. THIS APPEAL WILL INCLUDE AN APPEAL OF THE MONEY JUDGMENT, 11' ANY. IN
ORDER: TO OBT.AIN t SUPERSEDEAS. THE APPELLANT MUST DEPOSIT WiTH THE PBOTHONOTARY/CLERK OF COURTS THE:..ESSEp: OF
: HREE MONTHS nEt,! OF; THE RENT ACTUALLY IN ARREARS ON THE DATE THE APPEAL IS F!LED.
?fl.RT\' WiSHES -1'0 tH'OEAL ON!. Y THS MONEY PORllON OF P. ,HJDGMENT INVOLVING A RESIDENTIAL LEP;SE. THE PAFlH ;..j'!\f,
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THE; ~~_~rn'Y;~L,J'~'\\{; t~j\:; .4PPLAL l\'HJ~~T INCLlH)E A COP'l OF THIS NOT;GE OF \HJDG:\iU::NT/1TiANSCFHPT FIOHr~ VvrfH~ THE NOTICE G'F Pi,p~Jf::Jl.t
~:::{CE:::n' ~';~:~:~ ~)THFP\(~j~~!=: ~~~1C:;~",'EDE:: !~\~ TH~~ HU~..E.::; OF CIV1L 9H(>:EDURE. F<Jf~ ~'\>'^G.~:rTEHj,n.L D~~>TR'i:~T J'LU':':~GE:B, ,r- .'ft.-~E JUDG~\!~~EN7
:-7Di.D~;;Fi E;~,f'CT~;> T{> iE.;TfEF'; -rHE ,,,~';,;';JCH~nEr;.fT ~f\i Tk-iE CCJURT OF CC~;~(1MOr'r~ PLE)\'S~. t,LL r;jFrrHiEP, PROCESS r:,~UST GCir.,,'1E. FRCHdt Tt-"n;:,~ (:(}J}rr{
~,rr (:C)\i'n~11\)f'! FLEt~.,E, ,ft.:\J\iC', r,1~:,~:, r~t.H1THFP. ?lROCES5 N~t;.V BE ~SSUED D~;t' THE r0i1A~G~ST.::HU\!:.- D~fTrnCr JUDGE.
{):}~_C~~(:::. 'THE ;;U~'H~:r~~t~~r',r":'- t~~. Lf\rt:--CHt]) H"~ THE CO.VRT DF COt\itr..11{)~j PLEJ'<jSj t\NYtll",!E thfiERE:STEL) ~f.\;- THE,;'UD(,,~'v~Er'.,rr f'lj";.ii.,>.~,~~tE
.~i~~<<:dJ:7.S::~-O:< :~ ::,~i,~'HS~"'/\(' n(}f'-.j VVrrH T~1~'i h,~AG!STEf..;~/\L D~STR~C,T .JUD'GE 'fr:. ~HJD(~r\l1EN,T DL~;~rrGf'~ ;-".'tVS ~N FUL,L
j i OF O'T;'-'~F"~;\i'Jlr;t: -;':;:'l'Ji\:'iJ:'LJE,2; \iV1TH THE JUDGMENT.
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:"'J~.;;E7r>_Lsrv, 2if~:S, SEk'~L
Judgrnem: PO:&. PUUR'l'Il"I' _____
~1 Jucigment was entered for: (Name) BLtJ'.WUfSTOCX.. BETTY
.---, Judgment was entered against BBRDBiU, JEFF
l xj Landlordrfenant aclian In the amount of $ 2.491.00 on ~L151 06 (Date of Judgrlien1)
Tt.\( t'l:,10um of rent per rnonlf1. as established by 1\""18 Magisterial Distnct Judge. is $_ 3~4n. 00
ThE-: to<:s'- arnoun' o11he ~;ec:ur\ty Deposit IS $_ .00 . ___.____..___..__
r.--.- .--..---....----..-T01al .Amount Established b~ MDJ Le'ss--Sec~rity Deposit Applied. =: . Adluclica}.8d,,/\rTJ,OL11L,
$ 2. 80.00 - $._.______.._~~::: :~._....__.~~.i:!!.!!.r'-~.g
LeaseholO ;:::'ronertv $___.__.__......_.____._&Q -- $________._.___"'JH!.c :!,._..___._._.______"'J,it,
Detention " $ . (>> 0 - s . --,,-..fJJJ:= s: ___.,__. .. ~~ G
-' Less ,A,ml Due Defendan1trorn Cross Comp!ain~ :j, _____. ,(~(i
Interest {if provided by lease \ $ _~_,,__-,,_,__,~
liT ,Judgment ;\rnount $ ___..2..J.s.fr. UO
Judgment Costs S _______J..l.1.........!HI
Attorney Fees $ ___._.___~Jill
F'ost Judgm(-:;nt C:osts ~~ ___.._____...____"'""_____._.....
i Certified Judgment Total \: J
I .. .__".,_"'~-==~.__~:==~==~_=-.J
j' nGnev iLldgrnent isfi5TsaEStleoDyliTn-e of e\7iCtT6T\-"-'--~'-'"''
L --I Defendants are Joint\y and !ia\)!e
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!-lEW CtfDElUaAlliD!! PA
17', 114-5989
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BETTY BL~8TOCK
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PL' AI',I",'IFF. R_OENTtlllL LE,ASE
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~LUHARSTOCK5 BETT~
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imCD.:N'ICSBURGk FA. rFOt;~;
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.DEFENDANT !i.<.M!, d'iU :"r.8C.';"
fiZRDIUJi I JEFF
2213 ORCHARD ROAD APT/STE 2
CAMP BILLr PA 17011
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r Docket No,: LT-0000409-06 I
1 Date Filed: 8/02/06 1
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1N P N .4CTfON INVOLVING t< RE.SiDENTiAl LEt~SE, ANY PARTY HAS THE RIGHT TO APPEAL FROM A .JUDGMENT FOP POSSESSiON wmm,i
lEr,i; [l,;,V: i=-FTER TtiE DinT OF ENTRY OF JUDGMENT BY FlUNG A NOTICE OF APPEAL WITH THE PROTHONOTARY/CLERK OF COURTS
Of fHE counT OF COMMON PLEAS CIViL DIVISION, THIS APPE.AL WilL INCLUDE AN APPEAL OF THE MONEY JUDGMENT, If AWl ii\l
~)nDEf.!; TOOBTA!N k SUPEf-lSEDEAS, THE APPELLANT MUST DEPOSIT W!TH THE PROTHONOTARY/CLERK or THE U:::SS[M'ClF
TdF1EE MOr-,iTHS REHT 0;:; THE BENT t\CTUAlLY IN ARREARS ON THE DATE THE APPEAL IS FILED.
/' p, ;:'ARTY WiSHES TC APPEAL ONLY THE MONEY PORTiON or A JUDGMENT Il'JVOL\!!NGt'> RES!CJENTli>.L LEASE, THE PARTV Hi:';:>
3(j ru, 'f'; f;,t='lER THE;:I,,;n: CF E;!TRY OF JUDGMENT IN WI-IICl-! TO FILE A NOTICE OF M'PEJ.U \VITH THE PROTHONOTARyICU:fM:, OF
cc>ur(5'~:-.~ fpF THC: CCiUF1-r :or GOrv'!MO~j PLEAS. CP/IL DiVtSiON~
-q-H:: ~)J~JlTV F~LH"JG JU'\ p;,0PE;.:'\L l\!tJST tNCLUDE A. COpy OF THlS NOTICE OF JUDGMENT/TR,i\NSCRiPT :;:'.Otii\:; vvrrH TriE NOTiCE: 'OF APt::-;:;t\L.
; c.iU~f}::"'" ~~~:.:.., (JTH,E,RV/tSC, P'H':::r,/(D~D IN THE. RULES OF CIVIL PROCEDURE FOR rJiAGiSTEHiAL D~S.TRICT JUDGES. iF 'THE ,JUDGr~n:r.,fT
NGUJER [:~_:SC;TS TO ENTEF\ THE JUDGMENT IN THE COURT OF COMMON ?LEAS, ALL FURTHER PROCESf; i..'lU:n :,;mJir; r:!,I,OM THE ':':;;UFT
Df CGh~';f\jiCji,; ;-~:"[AS /H";[;~ i\fG FUFTHER PROCESS: MA ~{ BE ISSUED 8Y THE i\f;AG~STERU~L DiSTR!CT \HJDGE
'~._H'\:.L,r.;~~~:~ TH:'::, "HJDG't1ilEN1" i~~-t:NJER'ED IN THE COURT OF COi\.1MON PLEAS, ANYONF:: INTERESTED H\i THE ~JLH)G~1=}<T f~'J)i,V l=H..E
", m::.C;UEST fOH 2f,JTHY OF SATISfACTiON WITH THE MAGISTERIAL DISTRICT .IUDGE it' THE ,jUDGMENT OE1,,10R Ft\YS \\-, FULL,
i;FTn i,'S:. OB CTHEPi'i\/lSE COMPLIES WiTH THE ,W!)GMENT,
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1013 MUMMA ROAD' SUITE 100 . LEMOYNE, PENNSYLVANIA 17043
(717) 731-9600 . FAX: (717) 731-9627
LOWELL R. GATES, LL. M. '
lL M. In Taxation
Also Admilled to Massachusetts Bar
MARK E. HALsRUNER
CRAIG A. HATCH. CEU
Certlfiad as an Elder law Allomay by
the National Elder Law Foundation
MATTHEW J. ESHELMAN
Board Certllied In Creditors' Rights
Representation by the American
Board 01 Certification
CLIFTON R. GUISE
Also Admitted to practice belo,e tile
U.S. Patent & Tredemark Office
CLIENT COpy
April 4, 2006
Freeman Real Estate
Attn: Terry Freeman
4076 Market Street
Camp Hill, P A 17011-4200
RE: The Blumanstock Family Trust
2209 Orchard Road, Camp Hill, P A
2213 Orchard Road, Camp Hill, PA
Dear Mr. Freeman:
BRANCH OFFICE:
3 WEST MONUMENT SQUARE, SUITE 304
lEWlSTOWN, PA 17044
(717) 248-8909
WEB SITE:
www.GatesLawFirm.com
CORRESPONDENCE ADDRESS:
Lemoyne OffiCe
STACEY L NACE
ParaiegallOlllce Managar
TIlACI L SEPKOVIC
Paralegal
VALERIE LONG
Paralegal
Enclosed is a check in the amount of $800.00 as payment in full for the real estate
appraisals you prepared for the above-referenced properties.
q
Thank you for your service in this matter.
Sincerely,
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Traci L. Sepkovic
Paralegal
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Enclosure
cc: Larry Blumanstock, Trustee
301 MARKET STREET
P.O. BOX 109
LEMOYNE, PA 17043~0109
717.761.4540
EIN: 25~1802360
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LAW Of-FiCES
JOHNSON
DUFFIE
April 7, 2006
Billed through 03/31/06
Statement No.
o 14003 ~OOOO 1
-44012
Mr. and Mrs. Larry Blumanstock
6034 Edward Drive
Mechanicsburg, P A 17050-6818
RE: Landlord/Tenant / MIM Donald Bender
FOR PROFESSIONAL SERVICES RENDERED
03/06/06
Letter to client re: case settlement/closure; Draft Praecipe to Settle &
Discontinue the case
Total Services
BILLING SUMMARY
Total Services
Total Disbursements
T atal Services and Disbursements
Total Amount Due
7 --z Q /7'
G.-/-r,v
;pd 12- (:..,G, 0::
~-:{ 3- 2~ - o~
'7-' ,
{....-' .:, ,} J/n
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$96.00
$96.00
$0.00
$96.00
$96.00
U*U****PLEASE INCLUDE THE ABOVE STATEMENT NUMBER ON YOUR CHECK
AND RETURN A COPY OF THIS STATEMENT WITH YOUR REMITTANCE, THANK
YOU*********
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P.O. BOX 109
LEMOYNE, PA 17043-0109
i 717.761.4540
II ~IN; 25-1802360
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March 6, 2006
Billed through 02/28/06
Statement No.
014003-00001
-43222
MCD
Mr. and Mrs. Larry Blumanstock
15034 Edward Drive
tvrechanicsburg, P A 17050-6818
! RE: Landlord/Tenant / M/M Donald Bender
FOR PROFESSIONAL SERVICES RENDERED
P2/0 1/06
02/13/06
02/15/06
02/20/06
Telephone conference with client re: meeting
Telephone conference with client re: preparation for 2/21/06 arbitration
Review file and pleadings in preparation for 2/21/06 arbitration
Legal research re: condemnation eviction and holdover lease terms;
Telephone conference with client re: preparation of evidence; Telephone
conference with C. Petrie re: hearing; Assemble exhibits; Draft damage
assessment
Arbitration and preparation therefor
Total Services
$776.00
. iBILLING SUMMARY
Total Services
Total Disbursements
$776.00
$0.00
Total Services and Disbursements
Balance Carried Forward
ot(
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$776.00
$176.00
Total Amount Due
*********PLEASE INCLUDE THE ABOVE STA TEMENT NUMBER ON YOUR CHECK
AND RETlJRJ.l\.~ A COPY OF THIS STATEMENT WITH YOUR REMITT ANCE. THANK
YOU*********
/--~----
( $952.00'-)
1
301l\IARKET STREET
P.O. BOX 109
LEMOYNE, PA i7043~OI09
717.761.4540
EIN: 25-1802360
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.OHNSON
DUFFIE
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February 6,2006
Billed through 01131/06
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Statement No.
014003 -00001
-42547
MeD
Mr. and Mrs. Larry Blumanstock
6034 Edward Drive
. Mechanicsburg, P A 17050-6818
Landlord/Tenant / M/M Donald Bender
I'
j'FOR PROFESSIONAL SERVICES RENDERED
',01/04/06
Letter to C. Petrie, Esquire re: arbitration; Letter to client re: same; Draft
Request for Production of Documents
Total Services
$176.00
:1'BILLlNG SUMMARY
. Total Services
Total Disbursements
Total Services and Disbursements
$176.00
$0.00
$176.00
Total Amount Due
$176.00
***"'*****PLEASE INCLUDE THE ABOVE STATEMENT NUMBER ON YOUR CHECK
AND RETURJ>l A COpy OF THIS STATEMENT WITH YOURREMlTTANCE. THANK
YOU*********
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e LAW OFFIC.8S e
l?l-INSON
"DUFflE
301 MARKET STREET
P,O. BOX 109
LEMOYNE. PA 17043-0109
717.761.4540
EIN: 25-1802360
December 5, 2005
Billed through 11/30/05
Statement No.
014003-00001
-41638
Mr. and Mrs. Larry Blumanstock
6034 Edward Drive
Mechanicsburg, P A 17050-6818
RE: Landlord/Tenant / M!M Donald Bender
FOR PROFESSIONAL SERVICES RENDERED
11114/05
11/15/05
Telephone conference with client re: arbitration - Motion and List
Draft Petition to List Case for Arbitration; Letter to C. Petrie re: same
Letter to Prothonotary to file same
Total Services
~Tr"T"'\T T~ n...-.... "'r'" T~rt
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Vendor Prothonotary - Cumberland County; Filing
Fee
Total Disbursements
BILLING SUMMARY
Total Services
Total Disbursements
Total Services and Disbursements
Balance Carried Forward
T otaI Amount Due
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$176.00
15.00
$15.00
$176.00
$15.00
$191.00
$48.00
$239.00
*................*PLEASE INCLUDE THE ABOVE ST A TEtv1.ENT NUl'vtBER ON YOUR CHECK
AI.m RETI1RL~ A COpy OF TIIIS STATEMENT \VITH YOUR REMITTANCE, THANK
YOU****"'****
JOHN!N, DUFFIE, STEWART &~IDNER
301 MARKET STREET
P.O. BOX 109
LEMOYNE, PENNSYLVANIA 17043-0109
TELEPHONE 717-761-4540 FACSIMILE 717-761-3015 LD. NO. 251802360
September 14,2005
Billed through 08/31/05
Statement No:
014003 - 00001 - 40168
MCD
Mr. and Mrs. Larry Blumanstock
6034 Edward Drive
Mechanicsburg, P A 17050-6818
RE: Landlord/Tenant / M/M Donald Bender
FOR PROFESSIONAL SERVICES RENDERED
08/30/05 Letter to Charles E. Petrie, Esquire re: status of case
Total Services
BILLING SUMMARY
Total Services
Total Disbursements
Current Balance
Total Amount Due
$48.00
$48.00
$0.00
$48.00
$48.00
24 HOUR
EMERGENCY
SERVICE
STATEMENT
CLOSING DATE
06/30/2006
1177
aUNT NO..
PAGE
1
J..
STATEMENT
E. W. BLUMANSTOCK
LARRY BLUMANSTOCK EXECUTOR
6034 EDWARD DRIVE
MECHANICSBURG PA 17050
PI...e detach end melt with your remittance.
REFERENCE
500893
Acct#
Kl177
STATEMENT DATE
06/30/06
DATE
06/08/2006
PERCENTAGE RATES
PERlOblC ANNUAL
1.5018.00
CURRENT
318.66
KEYSTONE OIL. P. O. BOX 157. CAMP HILL. PA 17011
PHONE (717) 737-3451
KEYSTONE OIL
P. O. Box 157. Camp Hill, PA 17011
Phone: (717) 737-3451
· Heating Oil · Air Conditioning
· Oil Burners · Heat Pumps
· Water Heaters · Service Contracts
ESTATE OF E.W. BLUMANSTOCK
2213 ORCHARD ROAD
CAMP HILL PA 17011
WHAT'S CIRCULATING IN YOUR
HOME'S AIR DUCTS? CALL US $
TODAY FOR DETAILS. AMOUNT ENCLOSED
oeSCRfPffON
Prior Balance
Fuel Oil Invoice
FINANei:SCHARGe
IS~.ON.
THIS AMOUNT
"DAYS
0.00
FINANCE
CHARGE
tOAVOfDAIXlITlONAL
~NAtfc:E.~GE
. FWtBAI.ANCI BEFClRE
0.00 07/31/2006
ft.DAVB
0.00
90 DAYS
0.00
AMOUNT
0.00
318.66
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24 HOUR
:MERGENCY
SERVICE
STATEMENT
CLOSING DATE
l03/Jl/2006 ~1177 I
STATEMENT
Ij
KEYSTONE OIL
P. O. Box 157. Camp Hill, PA 17011
Phone: (717) 737-3451
· Heating Oil · Air Conditioning
· Oil Burners · Heat Pumps
· Water Heaters · Service Contracts
ESTATE OF E.W. BLUMANSTOCK
2213 ORCHARD ROAD
CAMP HILL PA 17011
E. W. BLUMANSTOCK
LARRY BLUMANSTOCK EXECUTOR
6034 EDWARD DRIVE
MECHANICSBURG PA 17050
P/NS8 detach and mall with your remittance.
PLEASE BE SURE THE ICE & SNOW
IS CLEARED AWAY FROM YOUR F~$L
FOR YOUR WINTER DELIVERIES. AMOUNT ENCLOSED
REFERENCE
DATE
DeSCRIPtION
AMOUNT
416.72
421.40
-416.72
492347
03/23/2006
03/27/2006
Prior Balance
Fuel Oil Invoice
Payment - Thank You
J
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Acct#
K1177
PERCENTAGE RATES
PERIODIC ANNUAL
FINANCE CHARGE
ISCOMPUTEDOlif
THIS AMOUNT
FINANCE
CHARGE
TOAVOIDADDITIONAL
FlNANCEC~
PAYBAI.AIiICe
03/31/06
CURRENT
30 DAYS
8&DAVS
90 DAYS
421.40
"47.SU
~ I &. '? 0
1. 50
STATEMENT DATE
8.00
0.00 04/30/2006
421.40 0.00 0.00 0.00 I
KEYSTONE OIL. P. O. BOX 157. CAMP HILL, PA 17011 PHONE (717) 737-3451
24 HOUR
EMERGENCY
SERVICE
STATEMENT
CLOSING DATE
E. W. 8LUMANSTOCK
LARRY 8LUMANSTOCK EXECUTOR
6034 EDWARD DRIVE
MECHANICSBURG PA 17050
,i
1.-
KEYSTONE OIL
P. o. Box 157 · Camp Hill, PA 17011
Phone: (717) 137.3451
· Heating Oil · Air Conditioning
· Oil Burners · Heat Pumps
· Water Heaters · Service Contracts
ESTATE OF E. Iv. 8LUYIANSTOCK
2213 ORCHARD ROAD
CAMP HILL PA 17011
02/28/2006
STATEMENT
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Plea.e detach and mall wtth your remittance.
PLEASE BE SURE THE ICE & SNOW
IS CLEARED AWAY FP.OM YOUR Ft:lL
FOR YOUR WINTER DELIVERIES. AMOUNT ENCLOSED
REFERENCE
DATE
DESCRIPTION
AMOUNT
485202
02/20/2006
02/21/2006
Prior Balance
Fuel Oil Invoice
Payment - Thank You
386.80
416.72
-386.80
1.:~
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Acct#
KI177
PERCENTAGE RATES
PERIODIC ANNUAL
RHAMeE CHARG'
IS COMPUTED ON
THIS AMOUNT
FINANce,
CHARGE
TOAVOIOADDITIONAL
FINAHCECI1ARG~
PAY BALANCE BEFORE
0.00
100AYS
0.00
90 DAYS
1. 50
8.00
0.00 03/31/2006
02/28/06
CURRENT
30 DAYS
STATEMENT DATI
416.72
0.00
KEYSTONE OIL. P. O. BOX 157. CAMP HilL. PA 17011
PHONF (717\ 7~7_'.4!\1
24 HOUR
EMERGENCY
SERVICE
STATEMENT
CLOSING DATE
COUNT NO.
PAGE
01/31/2006
1177
1
KE STONE OIL
P. o. Box 157' Camp Hill, PA 17011
Phone: (717) 737-3451
. Heating Oil · Air Conditioning
· Oil Burners · Heat Pumps
. Water Heaters · Service Contracts
ESTATE OF E.W. BLUMANSTOCK
2213 ORCHARD ROAD
CAMP HILL PA 17011
STATEMENT
E. W. BLUMANSTOCK
LARRY BLUMANSTOCK EXECUTOR
6034 EDWARD DRIVE
MECHANICSBURG PA 17050
PINse detach and mallwtth your remittance.
PLEASE BE SURE THE ICE & SNOW
IS CLEARED AWAY FF.OM YOUR Fffi.T.
FOR YOUR WINTEF. DELIVERIES. AMOUNT ENCLOSED
REFERENCE
DATE
DESCRIPTION
AMOUNT
476577
01/24/2006
01/24/2006
Prior Balance
Payment - Thank You
Fuel Oil Invoice
403.42
-403.42
386.80
vO
~. 1./1;
,\(}.
Acct#
K1177
PERCENTAGE RATES
PERIODIC ANNUAL
FINANCE CHARGE
IS COMPUTED ON
THIS AMOUNT
flNAHCE
CHARGE
TO AVOID ADDITIONAL
FlNANCE.CHARGE
PMSALANeE Bf!FOfIIE
01/31/06
0.00
to DAYS
0.00
90 DAYS
STATeMENfDATE
0.00 02/28/2006
CURReNT
30 DAYS
386.80
0.00
KEYSTONE OIL. P. O. BOX 157. CAMP HILL. PA 17011
PHONE (717\ 737 -3451
24 HOUR
EMERGENCY
SERVICE
STATEMENT
CLOSING DATE
12/31/2005
CCOUNT NO.
PAGE
1
STATEMENT
E. W. BLUMANSTOCK
LARRY BLUMANSTOCK EXECUTOR
6034 EDWARD DRIVE
MECHANICSBURG PA 17050
PI...e detach and mall wtth your remittance.
REFERENCE
464532
467739
470475
Acct#
Kl177
1. 50
STATEMENT DATE
12/31/05
DATE
12/06/2005
12/12/2005
12/20/2005
12/28/2005
PERCI!NTAGE RATES
PERIODIC ANNUAL
8.00
CURRENT
403.42
KEYSTONE OIL
P. O. Box 157 . Camp Hill, PA 17011
Phone: (717) 737-3451
· Heating Oil · Air Conditioning
· Oil Burners · Heat Pumps
· Water Heaters · Service Contracts
ESTATE OF E.W. BLUMANSTOCK
2213 ORCHARD ROAD
CAMP HILL PA 17011
PLEASE BE SURE THE ICE & SNOW
IS CLEARED AWAY FROM YOUR F~L
FOR YOUR WINTER DELIVERIES. AMOUNT ENCLOSED
DESCAJPll0N
Prior Balance
Fuel Oil Invoice
Service Invoice
Payment - Thank You
Fuel Oil Invoice
FINANCE. CHARGE
IS-COMPUTeD ON
THlS'AIIOUNT
30 DAYS
0.00
FINANCe
CHARd!
TOAVOIDADDI'I1ONAL
FINANCE CHARGE
MfBAL.ANeEBIf'OAE
0.00 01/31/2006
80 DAYs
0.00
to DAYS
0.00
KEYSTONE Oil. P. O. BOX 157. CAMP HilL PA 17011
PHONE (717\ 737-3451
AMOUNT
0.00
382.02
121.88
-503.89
403.41
403.42
e
DATE TICKET NO.
12/06/2005 464532
GALLONS: 153.10
PRICE: 2.3540
AMOUNT: 360.40
TAX: 21.62
PLEASE PAY: 382.02
ACCOUNT NO. Kl177
e
e
KEYSTONE OIL
P. O. Box 157. Camp Hill, PA 17011 . Phone: (117) 73i -3451
Return Postage
Guaranteed
ESTATE OF E.W. BLUMANSTOCK
2213 ORCHARD ROAD
CAMP HILL PA 17011
Eo W. BLUMANSTOCK
6034 EDWARD DRIVE
MECHANICSBURG PA 17050
24 HOUR
:MERGENCY
SERVICE
STATEMENT
CLOSING DATE
10/31/2005
STATEMENT
E. W. BLUMANSTOCK
6506 HAWAIIAN DRIVE
BRADENTON FL 34207
PlealJe deUlch and mall wtth your ramlttllnce.
REFERENCE
457977
Acct#
K1177
DATE
10/31/2005
PEIICEHTAGERA1'I8
PEIUODIC ANNUAL
1. 50
STA'I'EMENT~TE
10/31/05
PAGE
1
KEYSTONE OIL
P. O. Box 157. Camp Hill, PA 17011
Phone: (717) 737-3451
· Heating Oil · Air Conditioning
. Oil Burners · Heat Pumps
. Water Heaters · Service Contracts
E. W. BLUMANSTOCK
2213 ORCHARD ROAD
CAMP HILL PA 17011
GOBBLE, GOBBLE, GOBBLE
HAPPY THANKSGIVING FROM YO(~
FRIENDS AT KEYSTONE OIL AMOUNT ENCLOSED
DESCRIPTION
AMOUNT
~~~
ISCOIIPU'I'ID:ON
THIS;AMQUN'T
Prior Balance
Fuel Oil Invoice
0.00
385.47
CUfUUlNT
385.47
300AY$
0.00
pJ
{)0
'"7 I'
J I. v j
/11 U
o S?L-.
i
fINANCE
CHARGE
'tO~AOOmoNA1.
FtNAHCE.CHARGE
""1IALANCI!1f!I'OM
0.00 11/30/2005
10 DAYS
0.00
to DAYS
0.00
KEYSTONE OIL. P. O. BOX 157 · CAMP HILL PA 17011
PHONE (717l737.3451
I
lKll 7 7
IJ
KfYST~m OIL
P. o. Box 157eCamp Hill, PA 17011
Phone: (717) 737-3451
· Heating Oil e Air Conditioning
. Oil Burners e Heat Pumps
. Water Heaters · Service Contracts
-tEN CALLING FOR OIL ( INVOICE DATE
~ SERVICE. PLEASE I
WE YOUR ACCOUNT I ,_,: ., "
IMBER AVAILABLE. I ., U li..:;:J
\ 1:2/ L.2 !~Z(j05
SERVICE INVOICE
"J LLU/]/,i.,L3TO"::l-\:
1>. \' I3 I,[J :'-1,:'1 L:; T (; C :<
6034 EDWARD DRIVE
Y1ECHFJ'HCSSURG Pt:'"
EXECU'r(,p
ES'I'ATS. OF, ~.,,~. BLUL,jiU!~)T<) ..f<.
2213 ORCHA~D ~OAD
CAMP HI~L FA 1 011
170SU
AMOUNT ENCLOSED $
- - - - - - - - - - - - - - - - - ~- - -- - - - - - - - ----- - - - - - - - - - - - - - - - --
Please detach and mail with your remittance.
aTY
PART NUMBER
ITEM
AMOUNT
SERVICE C;;LL
1 SOLUTION
30LUTI()N
NO HEAT - OVERTIME CALL
FOUD ELECTRODES OUT OF
ADJUSTMENT & NEEDED FILED
O.UU
D.OO
I
~-
'~ "J
~\, I .'~' .....
~1..I....lu",'...i
)'~,y q,'
1') ,
'I.) j ,
~.-\ ,q L
. 11.1
I
~ ~.
pi- \(' "
. 'lo,021
" I
I
I
I
I
c.
(',
'J
l
1.:2500
97.4)6)
I "" '-r
o REGULAR D OVERTIME
KS'l
HOURS AT
PER HOUR
iERVICEMAN:
~ATURE
)F CALL
MilEAGE AT
PER MILE
1:21.8'--/
lAY SERVICE RATES: APPLY TO ALL SERVICE BETWEEN 7:30 AM - 4:00 PM DAILY
liGHT SERVICE RATES: APPLY AFTER 4:00 PM DAILY - ALL SATURDAY, SUNDAY AND HOLIDAYS
KEYSTONE OIL
P. O. BOX 157' CAMP HILL, PA 17011 737-345~
PAGE
1
Ij
~.~~~;~ :~:A~~ ( . '.VO~CE DA':.---"u~1
: YOUR ACCOUNT r ~
BER AVAILABLE. I ij fJ 7' !_~ 'J I I
l,l2 / 1.2 /2005 1<: 11 7 7
KEYSTONE OIL
P. O. Box 157 - Camp Hill, PA 17011
Phone: (717) 737-3451
· Heating Oil · Air Conditioning
· Oil Burners · Heat Pumps
- Water Heaters · Service Contracts
SERVICE INVOICE
'..1. loL .1:.1j:..!,I::3TO~'::[~
Ll.l' L \ BLU!1,;j'13TCJC~<: ,:::r:ECUTC;F
6(i34 ELWLAR!))IUVE
MECHANICSBURG PA 17050
ESTATE OF S.W. BLUMANSTOCK
2213 ORCHARD ROAD
CAMP HILL PA 17011
Please detach and mail with your remittance.
AMOUNT ENCLOSED $
- - - - - - - - - - - - - - - - - - -. - - - - - - - .-- - - - - - - - - - - - - - - - --
,TV
PART NUMBER
ITEM
AMOUNT
1
SERVICE CALL
SOLUTION
SOLUTION
NO HEAT - OVERTIME CALL
FOUD ELECTRODES OUT OF
ADJUSTMENT & NEEDED FILED
0.00
0.00
O.OD
'1"1
I i' ~\
i;(~'~i;'
/ ./' '1, , [101
~'--D--" I ILl'
4") ( ~ '(...
0.0<'
o REGU.LAR D OVERTIME
1.:250C
97.496)
12J
U ~.1
. :J ,.
. HOURS AT
PER HOUR
1(5 <I
IVICEMAN:
rURE
CALL
MILEAGE AT
PER MILE
121.87
. SERVICE RATES: APPLY TO ALL SERVICE BETWEEN 7:30 AM - 4:00 PM DAILY
HT SERVICE RATES: APPLY AFTER 4:00 PM DAILY - ALL SATURDAY, SUNDAY AND HOLIDAYS
KEYSTONE OIL
P. O. BOX 157- CAMP HILL, PA 17011 737-3451
-fEN CALLING FOR OIL
f SERVICE, PLEASE
WE YOUR ACCOUNT
IMBER AVAILABLE.
INVOICE DATE
ceOUNT NO.
PAGE
.. e
KEYSTONE OIL
495578
04/11/2006
1177
1
P. O. Box 157. Camp Hill, PA 17011
Phone: (717) 737-3451
· Heating 011 · Air Conditioning
· 011 Burners · Heat Pumps
· Water Heaters · Service Contracts
SERVICE INVOICE
E. W. BLUMANSTOCK
LARRY BLUMANSTOCK EXECUTOR
6034 EDWARD DRIVE
MECHANICSBURG PA 17050
ESTATE OF. E.W, BLUMANSTOCK
2213 ORCHARD ROAD
CAMP HILL PA 17011
Please detach and mall with your remittance.
AMOUNT ENCLOSED $
---------------------------------------------
aTY
PART NUMBER
ITEM
AMOUNT
0.00
0.00
0.00
1
1
1
SERVICE CALL
SOLUTION
SOLUTION
NO HEAT - OVERTIME CALL
SYSTEM IS WORKING PROPERLY.
ALL RADIATORS ARE HOT
oCt \)11
\ 1..,
o REGULAR EJ OVER~ME
1.0000
97.5000
97.50
HOURS AT
PER HOUR
K22
;ERVICEMAN:
~ATURE
)F CALL
MILEAGE AT
PER MILE
97.50
lAY SERVICE RATES: APPLY TO ALL SERVICE BETWEEN 7:30 AM - 4:00 PM DAILY
liGHT SERVICE RATES: APPLY AFTER 4:00 PM DAILY - ALL SATURDAY, SUNDAY AND HOLIDAYS
KEYSTONE OIL
P. O. BOX 157. CAMP HILL, PA 17011 737-3451
/
~ -,,'
I
N CALLING FOR OIL
)ERVICE, PLEASE
= YOUR ACCOUNT
BER AVAILABLE.
INVOICE DATE
PAGE
495578
04/11/2006
1
KEYSTONE OIL
P. O. Box 157 · Camp Hill, PA 17011
Phone: (717) 737-3451
· Heating Oil · Air Conditioning
· 011 Burners · Heat Pumps
· Water Heaters · Service Contracts
SERVICE INVOICE
E. W. BLUMANSTOCK
LARRY ELUMANSTOCK EXECUTOR
6034 EDWARD DRIVE
MECHANICSBURG PA 17050
~STATE OF E.W. BLUMANSTOCK
2213 ORCHARD ROAD
CAMP HILL PA 17011
Please detach and malt with your remittance.
AMOUNT ENCLOSED $
--------------------------------------------
ITV PART NUMBER ITEM AMOUNT
1 SERVICE CALL NO HEAT - OVERTIME CALL 0.00
1 SOLUTION SYSTEM IS WORKING PROPERLY. 0.00
1 SOLUTION ALL RADIATORS ARE HOT 0.00
~ 1}>
~ IJ\J
o REGUI:AR D OVERTIME 1.0000 97.5000 97.50'
HOURS AT PER HOUR
HEN CALLING FOR OIL (' INVOICE DATE
R SERVICE, PLEASE _
"VE YOUR ACCOUNT I
JMBER AVAILABLE. 4 6 7 7 3 9
I '1 ,) / 1 ') I? C' 0 <;
"- -L 4_ ..l.. ''-0 . "- I ___
I ACCOUNTNo.I~-J
I I j
I~-=-l__~
SERVICE INVOICE
~
KEysrrONE uIL
P. O. Box 157 · Camp Hill, PA 17011
Phone: (717) 737-3451
· Heating Oil · Air Conditioning
· Oil Burners · Heat Pumps
· Water Heaters · Service Contracts
IJ. bLU,1j::'I~:3TG~l<:
Lid<L Y BLUIvL".I-J::3TC,C;'C SZECUTOR
6034 EDWARD DRIVE
MECHANICSBURG PA 17050
ESTATE OF E.W. BLUMANSTOCK
2213 ORCHARD ROAD
CAMP HILL FA 17011
Please detach and malt with your remittance.
AMOUNT ENCLOSED $
- - - - - _.- -- - - - - - - - - - - - - _.- - - - - - - - -..,;. - - - _.- - - - - - - - - _.
QTY
PART NUMBER
ITEM
AMOUNT
1
1
1
SERVICE CALL
SOLUTION
SULUTION
NO HEAT - OVERTIME CALL
FOUD ELECTRODES OUT OF
ADJUSTMENT & NEEDED FILED
,;'1
I
I
1
II. (~ o~.
.. .\ '
,~ \.,
'(Xl' i
I
0.00
0.00
O.UU
I
, i'
j .1
! '" 1','1'. ,!
),'/, !', ,
:"",,-
I r". 1 /
.L i
06
; /
/_.J .'! 4 -} (J-U
=':" I)'') OP,CHAED FD
01/01/C)6
() 3_,=~"~:~~~:'y~~::::"::=~
55.50\
I
i
30.00
'~-, ,
r ()t;~i ,;~, ~-,'
:Slf~\t\H1:' 30 . 0 0 ~,:~{f~Ljse 5 5 ~ 50 I
'--DUE O,j\'flE ~~
02/01/06
85.50\
:l[i'
Pei');;ir~. :!i; '("';Ij~':.r AH.iJ i~\~n{-iltv r)rl r1efu;.~~e
,':c1Ur.::,!j ,1 d! N(;;-T 'rl;:Hi'? 'Nltt-!!n ~,o Days ut
Hin FHBing Ddte.
i:1Cl'_l;,"_!C"
'"
l,J i '
1':~.SF cJ~arges etc.tI'J'
/~) /1/. 0-0 I- 2'1- tJ& j..fI /2 ~vy
e
pJ . _ . i .-..1 ~t.J .~ /?
It \.uo '1-?'f-vv c/\.' - -
fa! 1'7/.ot,) 7- I ~-Q(,. c;.* 7 I it> '7
5/3,.:';6
tit
lO'-J'1.'-1S0"_~(i
'.}t",i
(ll/01/0fi
/ / - 03/31/06
o -~;: ~/ 0 1 / 0 6
30~OtJ
r:: c
./:::>.50
30.00
q~~l~'
i:::ic.
. /', L/
/
1/
LU41tj'}O--;)
C~1./01/06
lOWE.LEN TOWNSHIP
1993 HUMMEL /\VENUE Telephone
CAMP HILL. PAI/Oll 717.975-7575
ACCOUNT NO. - BILLING 9~~--~
I
I
__ __ c! L:J 'c' \
Uii.l-q.::>u-
--_._~
SERVICE ADDRESS --I
..> ..:' -I? () p. c: \~ ;-'.\"e. L) ~~,'. 0 \
LOWER ALLEN TOWNS~
1993 HUMMEL AVENUE Telephone
CAMP HILL, PA 17011 - 717 -975-7575
ACCOUNT NO. BILLING DATE
SERVICE ADDRESS
):209 ()RC::tIAR D
PD
~
I
BILL'N~ .PERI?~ ,
O. L-4 / ()l / () ':") ~ I) ,... .1 L ' '('~
BILLING PERI 0
/DE - 06/30/06
EW
R.. (,..,_~~1
"..;. () ~ ,~~. LUr~HF:Nl \
\ AHREM'" \
I PFllALf Y \
\ 1:'1 il '; 1,;!~,IJ..Ni~ \
\ .". .
\ \
I \
\ Total :)'.:. 'co U \
j 0 . i) 0 \ Refuse .
REF BE
ClJRA~NT
ARREARS
PENAL TY
ArWSTMEN!S
30,00
CURREN!
ARREARS
PENAL fY
ADJlISTMr:NTS
5').50
CURRENT
ARAEAllS
PENAL 1'Y
ADJUS""EN'rS
Total
Sewer
30.00
Total
Refuse
55~50
Total
Sewer
DUE DATE
OUE DATE
os/Ul' L-~
AND 'OO! Penalty on Refuse
A 10% Penalty on Sewer. a '0 ' . oDa s 01
are added 11 full payment IS NOT made wltflln 3 Y 1\.,\ -\ .
!'U \
the Billing Date.. NSF charges ete ~ If
Ad\ustments Include lien Fees. . .
O~5/01/U6
85.50 I
A 10% Penalty on Sewer AND a 10"1 ------'
are added if full payment IS NOT'" Penalty on Refuse ,
the Billing Date. made within 30 Days 01 ...."
Adjustments include Uen Fees. NSF charges, etc. ~~~\ ?>'f1y
,^ t=
J
LOWER ALLEN TOVVNSHI'
1993 HUMMEL AVENUE T
CAMP HILL, PA 17011 - 7 elephone _
r- 17-975-7575
!~CCOY-~'2__=F=J?ILLlNG DATE ---1
Ii 1041470-0 ,I i,'
07/Ul./06
----. L I
j-- SERVICE ADDRESS --1
I 2?09 ORCHARD RD
(
r---:-' B.'LLlNG PERIOD
lJ7/01/06 - 09/?O/o~
ri SEWER
REFUS.
CURRENT 30.00
ARRFARS CURREN I 5 5 - 5 0
( PFNAlT'/ A8RE.I\HS
I Pr-:~~AL f\'
Al~ltJSTMfNT<;
I A',!u\i>Jf)"'i
LOWER eEN TOVVNSH!F'
1993 HUMMEL AVENUE relf3phonfl
CAMP HILL, PA, 1 717-975-7575
ACCOUNT NO.
BILLING OATE~
--'~-----_._----.....,
1
1041i,150-U
i~'.l ! (.> !:".)
SERVICE. ADDRESS
l
I
i
I
I
I
-J
o ~ / OE~ () 6 - ,) (~ i " c, ~~~~'E 1
30 . GO I CUHHFN f S 5. \
I ~:'~:,^:~:; '/
I ,"f)",:,IMf'-",~ I
: i
! i
I T ola' ; Tota' !
ISewe~:B~~:~O:O~
L ~,____, ___J
A 1 DO;{) Penalty on Sewer AND a 10";:, Penaltv on Refuse
are added if full payment is NOT made within 30 Days of
the Billing Date. iyi
Adjustments include Lien Fees. NSF charges. etc. r'
BILi..INGPERIOQ_
.2213
C..-'\RCHA,j=<- L~' 1:~
CURRFNT
ARREARS
PENALTY
ADjUSTMtNT~-
Total
Sewer
30.CO
Total
Refuse
c, '-"- f~
~':J. :::,0
r-- DUE DATE
i 88,/01/06 j
L__ -L
--~
A lory;, Penalty on Sew~r ANO----a. '1 O-~.~. P
~ ,- /n enalty A f
are added illuJ/ payment IS NOT _ _ on e use
the Billing Date. made wIthin 30 Days 01 q,
Adjustments include Lien Fees NSF h ^ ) -1/ I '
- c arges, etc. r ,'- ( 11';1
cJl1 4J
p?fv
85.50
I:)
,.
:~-nl-;
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LOWE"S
MECHANICSBURG, PA
(717)610-9230
-SALE -
SALES I: S2223KM3 802728 01-08-06
23247 112" COUPLING 5.92
2i 2.96
22620 1I2"CXC COUPLING 0.72
2i 0.36
2037 112"X24" TVPE l C 5.64
68465 112 "X5 'PEX PIPE 1.66
SUBTOTAL: 13.94
TAX ,38550 : 0.84
INUOICE 10167 TOTAL: 14.78
BALANCE DUE: 14.78
CASH: 20.00
,. CHANGE : 5.22
2223 TERMINAL: 10 01/08/06 14:04:32
; -~ "
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11111111111111111111101111
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THANK VOU FOR SHOPPING LOWE'S
RECEIPT REQUIRED FOR CASH REFUND.
CHECK PURCHASE REFUNDS REQUIRE
15 DAV WAIT PERIOD FOR CASH BACK;
STORE MOR: JIM DUNKELBERGER
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THE HOME DEPOT 4120
6000 CARLISLE PIKE, M[I~11 F'A 17((j~)
STORE MANAGEr< HAnK (JU(ll:1i 1717)1')~i~J(,U~'
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5 Ii 1.35
73G511500G84 6e~;Ct'LAGEK[Y
736511561673 67 KEY CP .
3 If 1. 59
:-;UBTOTAL
SALE~:; TAX
rOTAL
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AUTH CODE 013071/00941IlB
~\'~\\\'\\\~'\\IIJ~\\I\\'
05,'Ul/(JE
01 :oe PM
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6.75
1.:35
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4120 09 55740 05/01/2006 8206
NOW HIRINC SPRING SEASON AS~;OCIA TES
PT/FT APPL Y HlIJAV IN ';WF:E or: DNLINE
THE HOME DEPOT 4~20
6000 CARLISLE PIKE, MECH PA 17055
STORE M,;tJAGER MARK ULRICH <717> 795-9602
4120 00002 64382 08/22/06
61 ~UN7G7 04.27 PM
. I ) '>' .. y ON ALL C1A"IILIr-IE
NEVI ',101lAV \~I;U\.N IUU.L". "I.nil6
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'k'~XX**w*~~~~*'kAA~~<<.
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TO W.LN A '.,
434~;'0b4i~' '
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736511500660 66KWIKSETKEV
SALES TAX
TOTAL
CASH
j
0.1)9
$1.'14
1.44
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4120 02 64382 08/22/2006 8708
CARPET CLEANING BV CHEM-DRV IS NOW
AVAILABLE THROUGH HOME DEPOT.
CALL TODAY: 1-800-HOMEDEPOT
Iotal :
$
I
lJ..;t1
*~~*~~XXK~*~*~~~~X~WK~KX~X~X~~X~~~~~~**
",,,toJller Lor,y
I HANK \'131 J I
ENTER FOR A CHANCE
TO WIN A $5,000
HOME DEPOT GIFT
rADn.
e
e
.
DoLLAR TREE STORES, INC.""
BOSCOV'S
021946 07/28/2006 19:55 REG SALE
DESCRIPTION
OTY PRICE
TOTAL
6457 1919873 CURTAINS/DRAPE
UPC 0540-0630-1166
REGULARLY 7.99 T 3.97
6457 1919873 CURTAINS/DRAPE
UPC 0540-0630-1166
REGULARLY 7.99 T. 3.97
6457 1919954 CURTAINS/DRAPE
UPG 0540-0630-0695
REGULARLY 7.99 T 3.97
6457 1919954 CURTAINS/DRAPE
UPC 0540-0630-0695
REGULARLY 7.99 T 3.97
6457 1919954 CURTAINS/DRAPE
upe 0540-0630-0695
REGULARLY 7.99 T 3.97
6457 1919954 CURTAINS/DRAPE
UPC 0540-0630-0695
REGULARLV 7.99 T 3.97
Store# 1716
17> 763-2071
===============;=============~==~========~==
COLORING BOOK
LANCE TOASTCHEE
LANCE TOASTCHEE
9YOLT SUPR HD-TRAV
9~LT sueR HD-TRAV
Sub Total
FOOD TAX
SALES TAX
Total
Cash
1
1
1
1
1
1.00
1.00
1.00
1.00
1.00
1. OOT
1. OON
1. OON
1.00L
-moT
$5.00
&0.00
$0.18
$5.18
$5.18
=================~============~=============
Thank You for Shopping
Dollar Tree Stores
Where Everything's $1.00
============================================
6.000%
SU13TOTAL
SALES TAX 23.82
TOT AL
~~~~~~~~~w~~~1531 S
VISA
23.82
1.43
25.25
007104 1716 03 00031 17566
Sales Associate: Nick
7/29/06 9:18
ACCT #
01/08
APPROVAL 01952300
BLUMAN~. _ L:lt. tlETTV
25.25
CUSTOMER COP V
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Visit us on the Internet
wWW.6illntFoodStor'l!S,:;:01l1
Thank You for ShOP!"lng
H~ 90al is to l!,.bur'e ..jOur !lah.Faction
ever~ tillle ~ou shop ,i III us _ U' ther'e
is anything ~ore I can do to I"prova
your experience please call or write.
Terr~ Gigeous, Store Manager
WEIS MARKETS #58 ,- MECHHN! C::;HURli, PA
Itu
FURN POLISH
**** TAX ' 06 HAL
Cast.
CHANGE
5/11/06 6:07 PH UUS81Ql 0128
Price
1 _ 00 1
1. 06
1. 06
.00
1 ~ (
Giani Food store 1331
5301 Si~pson Ferry Road
Mechanlcsburq PA 11050
Store Tei~phone: (71ll '6b,&5S0
PharJllacy Telephone: (717) ~91-9565
0"/OSJ06 4:0'/PH
ASK US HOW OUR WEE ';HOPFER':; CI.UB
CAN SAVE YOU it'S EVE~YnA\
WEIS CLUB MEHkERS
HAVE THE POWER TO ~A~[ MOPE
THANK YOU
POSTAGE STAMPS
TAX PA[D
un TOTAL
CASH
CHANGE
48001575240
NP '/ . 80 N
1)0
7.80
10.00
2.20'
TOTAL NUMBER OF JIEM~ SULD' 0
4/ljS/06 <1:07 PI1 OB, \2011111(,
t.H,U' l\ONUSCAHO
S"V1K"
kmart
l'i * :\: ": *
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5600 CARL ISLE pritt: 'i~ 'i
MECHANICShl.lRG. I''') : ,",i,',
(717 lti'l1 ,(U'lj
TI"i.!nk Y,," (....r <;!HJPI"llH
IteM
II/I.'fj i'IIL 1:.11
**** TAX 06 BAL
fl,- i Ll!
II WELCOME TO yo~~ ~,
II KMART SmRE ~~'/!) "".
CASHIER: RONALD
~ENiRAL J!~~C~Atrn!SE
73651150066 KWIKSET KEY
/';1
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NUMBER OF ITEMS " I
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Visit us on thl! Internet
www.GiantFoodStores.co"
H~ 90al is to ensure wour satisFaction
ever~ ti~e ~ou shop with us. If there
is anything ~ore I can do 10 i~prove
~our experience please call or write.
Terry Gigeous. Store Manager
Giant Food Store .331
5301 Si"pson Ferry Road
Hechanlcsbur9. PA 17050
Store Ie I ephone:
Phar"8CY Telephone:
(717) 766,,6550
(717) 591 .9565
03/30/06 3:01PH
THANK YOU
48001575240
2 @ 3.15
ANG SOr- 1 297SF
2 @ 1. 25
BONUSBUY SAVINGS
Price for 2
He SCANNED COUPON
Ill:
'( . ~j () !~
2.50-N
5.00
1 .OO-N
TOTAL BEFOR~ 5RVINGS
YOUR TOTAL SAVINGS
fOTAl RFfER SAVINGS
fAX PAID
****TOTAl
CASH
CHANGE
l. ';)(1
.~ 1'1 n
~
4.00
5.00
1. 00
TOTAL tJUMllLH OF lTEHS Sili[) ,
3130/0b 3.07 PM 0331 12 0013 111
~I*I~I BONUSCARO SAVINGS SUMMARY .&&..
BONUSCARD SAVINGS
MANUFACTURER COUPONS
TOTAL SAVINGS
2.50
1 .00
3.50
174.60
2006 BONUSCARD SAVINGS
....111 REWARDS PUINfS
* [d""
EHS TEl? HAM S
GAS 5
::.UMMARY 1.> H H ~
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Visit us on the Internet
www.GiantFoodStores.co~
My goal.is to ensure your satisFaction
every tl~e YOU shop with us. If there
is anything ~ore I can do to j~prove
your experience pleas~ call or write
Terry G1geous. Store Manager .
Giant Food Store '331
5301 SlRPson Ferry Road
Hechanicsburg. PA 17050
Store Telephone: (717) 766-6550
Phar~acY Telephone: (117) 591-9565
04/05/06 1:0'1PH
THANK YOU
2 r~ 1. <1:5
uNT BLEACH %OZ
2 @ .4't
BONUSBUV SAVINGS
P, ice for 2
1 '98
18('("575210
tlC
'2 36 T
TOTAL BEFORE SRVING~
YUU~ lUTAL SAVINGS'.
TOTAL aFTER SAVINGS
TA;: PAID
u**TOTAl
CASH
CHANGE
rOTAL NUMBER OF 11tHS SULO = 2
4/05/06 4:04 PI1 (1331 1:' 01 f)'! 11(1
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.~ KMAHT STORE 427S .*
CASHIER: fWBErn
~~~~R~L "~R~l:'-~N!n SE
0'1t,034884'B FLOOR t INH 'I 'I.!
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05/14/06 12:09 PM 4275 Ob 193U 0084
Merchandise Included in toddY'S
transaction ~ay be returned or
exchan~ed before 08/12/06 With
this ,-eceipt.
The co~plete return & eXChdny~ pol ICY
is available at the .@rvice Desk
***************************
SENIORS!
Get a dose of Healthy Rewards
Start savin!'! on ~wur' rleX!
preseT i p t ion
No enrallment Feel
Mus t be 50 ~ear:s 0 {d cw oJ d~r
Ask ~our K~art PharmacIst!
***************************
*~** THANK YOU FOR .***
iHH SlmpPING YOUR KMAHI HH
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24- 1675981-5
AMOUNT DUE $37.14
DUE DA TE~4ug 30, 2006
AMOUNT PAID
00031997 01 .AT 0.309 B 00119 39 l."A13C
I,. .111, ..111.... 1.1.11, :..11,. 1..1",,111.,1..,11..1..11., .11
Betty Blumanstock
6034 EDWARD DR
MECHAN1CSBURG, PA 17050-6818
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PO Box 371412
Pittsburgh, Pa. 15250-7412
1...11.1.1.. .1.'.1.1.11...111.1.1..1. u 11,.i .1'11 1.1
Initial Bill
O Please checA her810 acid H20-H8Ip 10 OthtlfS conUlbulJon to your montNy 0111
or to chang8 your addr8SS or t9l8phrm8 numb8r, and print mformation on reV8fse side.
Customer Account Information
For Service To: Betty Blumal1stock
,~. Orchard'Rd----)
Account Number: 24-1675981-5 -
Premise Number: 24-0375453
Billing Period & Meter Information
Billing Date: Aug 10,2006
Billing Period: Jul19 to Aug 03 (15 days)
Next reading on/about: Sap OB, 2006
Rate Type: Residential
Meter readings in current billing period:
Meter Number N000032699 is a 5/B-inch meter.
Present-actual 992900
Last-actual 992700
Gallons used 20Q
t
Billing SUmmary
-Prior Balanc......-..~ .
Balance from last bill
Payments prlorto AL1g 10,2006. Thanks!
Total prior balance, Aug 10,2006
-Adlustlnent.--
Service Activation Fee
Total adjustments, Aug 10, 2006
--Currel'ltWater Charg..-----.
Service Charge
Water Volume ($.005735 x 200)
STAS PAWC Wster -0.33%
OSJ - PAWC Charge 3.70%
Total water charges, Aug 10, 2006
$.00
.00
.00
30,00
30.00
5.75
1. 15
-.02
____-'- 26
7.14
---AMOUNT DUE ---.-
$37.141
Water Usage Comparison
Monthly usage in hundred gallons.
2
1
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2 ASONDJFMAMJJ
o uecoeabsar payunu1
Ogptvcn t
5
A 2
u 8
9 6
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E W lIJLUMANSTOCK
CiG LARRY BLUMANSTOCK
6034 EDWARD DRIVE
MECHANICSBURG, PA 17050-6818
~penn4YiV""<'.
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~ PO BOX 578
ALTON, IL 62002-0578
For Service To: 2213 Orchard Rd
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AliiiOUNT P-'4!D j
i
Please return this portJon 'Jlltll check
" Payable to the adcjJ ess IJelow "
Pennsylvania American Water
PC' Box 3714 "12
Pittsburgh. Pa. 15250-7412
! '111111,111.1. i, II U oJ 1"1'1 u, i ~ I. j I, u i L.I,; IIi i ,i
1-'--1 PlaaS9 cn8C~ IJBf'S(O add i-i20-Help /0 OtlilKS cVlliTfbu(Jon 10 your monthly bill
I--..J or /0 cnangi1 your address or t8lephona numbsr. and pnnt infOrmatIOn on r8VliJfS9 Side.
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fwstar Usage Comparison
rW. ,- 1-1 Monthly usage in hundred gallons.
r'.-'310
f4:,P-h 8
,~_I 5-;:..4
l"'" l'8b
St, .14 p,J 6-l-r24
54. 5'1 pc( 1- 3 \
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For Service To: E W BLUMANSTOCK
~fchard Rd
Account Number: 24-0635159-9
Premise Number: 24-0375454
Biliin,g Period & Meter Information
Billing Date: Jan 12,2006
Billing Period: Dee 09 to Jan 09 (31 days)
Next reading on/about: Fab 07, 2006
Rate Type: Residential
Meter reedings in current billing period:
Meter Number N000032695 is a 5/8-inch meter.
Present-actual 1707500
last-actual 1696800
Gallons used 10700
Blllilrg Summary J""""::'
---Prior Balance----------j I ,-la.l'6-~'.'-
Balance from last bilt r $ 1 7:::. 14
PaymentspriortoJan12t2006. Thanks!' -172.14-
Total prior balance, Jan 12,2006 00
---Current Water Charges---
Service Charge
Water Volume ($.005735 x 10,700)
STAS PAWC Water -0.29%
D51- PAWC Charge 3.45%
Totel water charges, Jan 12, 2006
11,50
61.36
-----.AMOUNT DUE ----------
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Messages to you from PennsylvfJnia American Water
4nv porrlon ul tile Water GhfiflJes wlllch is not p.aid us of 2/013/06 Wtf! be sub/t'-Ict k) d i ,5(J%~ pBl1tiiry
" Customers may use their credit card, debit card or pav by electromc checK only by calling to.il !ree i -266.27
Customers may also pavon-line atWI"/\I'l. water.paymybilf.ccm A service fee will ,'lpplV,
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C/O LARRY BLUMANSTOCK
6034 EDWARD DRIVE
MECHANICSBURG, PA 17050-6818
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PO BOX 578
ALTON, IL 62002-0578
For Ser/ice To; 2213 Orchard Rd
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AMOUNT Pti.\!O
Please return this por'lon WI!ll ctleck
.. Payable to the address !)elow ..
Pennsylvania American Water
PO 80x 371412
Pittsburgh, Pa.15250-14 j 2
1'1111.'.1.. .1. i: 1.1.11...1 !l11.1. .1. Ii 11,.1. 1..11.1
D Please ctlBCk hiKe to add H20-Help to Othsrs conl11butlon to your monthly WI
I or tD change your address or telephone number; and pont mformation on reverse side.
Customer Account Information
For Service To: E W BLUMANSTOCK
2213 Orchard Rd
Account Number: 24-0635159-9
Premise Number: 24-0375454
Billing Period &- Meter Information
Billing Date: Feb 09, 2006
Billing Period: Jan 09 to Feb 06 (28 days)
Next reading on/about: Mar 07, 2006
Rate Type: Residential
ii..
Meter readings in current billing period:
Meter Number N000032695 is a 5/8-inch meteL
Present-actual 1717400
Last-actual 1707500
Gallons used 9900
Water Usage Comparison
3 Monthly usage in hundred gallons.
HI
248
18b
124
b2
0
2 F M A M J J j\ S 0 N 0 J F
0 a a 0 il U U U 9 f 0 0 a a
0 b r r y n I 9 P V C n b
5
Billing Summary .
_...-Prior Balance--..-_.....-..-
Balance from last bill
Payments prior to Feb 09, 2006. Thanks!
Total prior balance, Feb 09. 2006
..-.--.Current Water Charges-..--
Service Charge
Water Volume ($.005735 x 9,900)
STAS PAWC Water -0_29%
DS/- PAWC Charge 3.45%
T atal water charges, Feb 09, 2006
$75. 16
-75.16
--
00
11.50
56.78
-.20
_._1-.:l.Q.
70.44
-..._.AMOUNT DUE .-...-.....-.--
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Messages to you from Pennsylvania American Water. ..
An~' portion 01' flit, WlitHf i;hl-lrgVS which is not pi:lhi .':l::i of ;1/06106 wi/I 1>8 sofl/eet 10 11 15U% pfm;liW
- CUSWH'E'/ ~ !1~$li use theii credit card, debit cdrd (){ oav bv electroniC check onlv bv callinG loil free.
Gustomers ma.v dlso pay on-;Ine at www.water.paVnl}ibill.rom. A service tee wi!(apply -
-'t Ant1f'n;:{Jrnrlll:~Jtld 7? nJ::-.r'-;:.)j',t I'" ~...:; '1~) 1'10; <"I~:t'''''' j,:,>v,l",.. ~.." :.........I,_..~....._.'.J ;..... ,...~...__ _~~. .___~~_. t. ;Ji
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Ame.!t.i.c.a.n wa;t(l/r.
PO BOX 578
At TON, IL 62002-0578
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AMOUNT DUE j$208 . 88
AMOUNT PAID I
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ACCOUNT NUMBER
For Servics To: 2213 Orchard Rd
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00031132 01 AT 0.308 B 00146 71 PAOCN
, i ,"111'11111. '111.1.11111111.,1111111.111. ,1'1111,.111 iill.1I
Il!. W Blullanstock
C/O LARRY BLUMANSTOCK
6034 EDWARD DR
MECHANICSBURG PA 17050-6818
Please return thiS pOI lion \ 11th check
... Payable to the address below ..
Pennsylvania American Water
PO Box 371412
Pittsburgh, Pa. 15250 -741 2
1...11.1.111.1. i,i. 1.11'11111 1I,I"il18ll~ il. i'll i I i
[I Please check /)er8 to acid H20.HB/p /0 Olners contf/bu8on to .l'vur monthly biO
_lor to chang9 your address or tB/epl1one number. and print mformation. on r&VerSe sldB.
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Customer Account Information Billing Summary
------Prior Balance------------------
Balance from last bill
Payments prior to Mar 14, 2006. Thanks!
Total prior balance, Mar 14, 2006
-------Current Water Charges--------
Service Charge
Water Volume ($.005735 x 33,300)
STAS PAWC Water -0.29%
OSI - PAWC Charge 3.45% .
Total water charges, Mar 14, 2006
For Service To: E 'IN Blumanslock
2213 Orchard Ad
Account Number: 24-0635159-9
Premise Number: 24-0375454
Billing Period & Meter Information
Billing Date: Mar 14,2006
Billing Period: Feb 06 to Mar 08 (30 days)
Next reading on/about: Apr 07. 2006
Rate Type: Residential
Meter readings in current billing period:
Meter Number N000032695 is a 5i8-inch meter.
Present-actual 1750700
Last-actual 17 17400
Gallons used 33300
._-------AMOUNT DUE ---------------
Water Usage Comparison
Monthly usage In hundred gallons.
335
2b8
2131
134
$ 7 0 .~-~;:)
. I
-70.44
--
00
:2
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5
MAMJJA50
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190.981
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208,88
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i~ny pertfan of the '/'/3t8( Cf1fJf!]8S \-\"171(;!1 :s not paId as of "1/10/06 111/11 be SlJbjt}()t to a ! _ bOr;t- j.Jf1:naity
'I . ClIs/omers may lJse their credit card, debit card or pay by electronic check only by calling toll tree. , .866 271 552.:t".
(;w:;mmF.f" mRl/ alsn nriil on-line At WlIVW water ofivl7lvbill com A servica fee wilt ..onlv
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~P~"".ytvan~
~ AmetUCa.11 Wa.:.te!l.
PO BOX 578
ALTON, IL 62002-0578
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ACCOUNT NUMBER
24-0635159-9
AMOUNT DUE
"nIl 63
For Service To: 2213 Orchard Rd
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DUE DATE
May 01, 2006
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AMOUNT PAID
00023730 01 AT 0.308 B 00119 34 FAOHO
111.111".111",.1,1.11"..11..1,.1",.111..1,..11..1,,11...11
E W B1Laanstock
C/O LARRY BLUMANSTOCK
6034 EDWARD DR
MECHJ.\NICSBURG PA 17050-6818
Ple,lse r'?tlJlll tillS pn" (,11" Itll ~1:E'r:k
y P3yatJlt~ to tI~1; adU'l"i 'JE' C\, Y
PennsYlvania American Water
PO Box 3714"12
Pittsburgh, Pa.! 5250-7.:112
I. i11i.1.1...1.I,I,li!lu aIm I,llllmlllll.lui Iii
O Please chGck hers fa add H20-H9Ip to O/hfHS conlTlbut/on to your monthly btll
or to change Y~~ddress or telephonG number, an<!l!:/nt/n!ormation o~ reverse S/d~.
Customer Account Information SIIlingSl1inritary
For Service To: E W Blumanstock
2213 Orchard Rd
Account Number: 24-0635159-9
Premise Number: 24-0375454
----Prior B8Ianc...-------
8alance from/astbill
Paymentsprior to Apr 11, 2006. Thanks!
TotaJprior balance, ApI' 11,2006
--Current Water Charges~-
Service Charge
WaterYolume ($.005735 x 20,200)
STAS PAWC Water -0.29%
DSI- PAWC Charge 3,65%
Total water charges,Apr 11, 2006
$208..88
-208.88
---
.00
~"
Billing Period & Meter Information
Billing Date: Apr 11 , 2006
Billing Period: Mar 08 to ;6.pr 07 (30 days)
Next reading on/about: May 08, 2006
Rate Type: Residential
11,50
115 85
- 37
4.65
~-,-~--
131. 63
Meter readings in current billing period:
Meter Number N000032695 is a 5lB-inch meter.
Present-actual 1770900
Last. actual 1750700
Gallons used
--AMOUNT DUE ---------
.,. :;-j--~
~ 1.)-.1. 'v.....!
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Water Usage Comparison
Monthly usage in hundred gallons.
335
134
2b8
201
AMJJASOND,J
pa!JUU~tv\l'''ce~.'
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Messages to you from Pennsylvania American Water . ~
AIiJi ponion of fhe watiH r.:hrtr{jes whiGll is not paid a:; iJ/ 5/005106 will be subject to l~ " 60~{, pEmJllty
C,~,,"""!S m"y "se ","" "",dit <.""it, d.'" ",,,it '" pey by .Iecuoni< che<x "n'y by calhng k,N ;,,,. '."'..271552"
Custorners may also pay online at www.water.paymyblil.c:om A service tee wifl apply.
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PO OX 578
ALTON, lL 62002-0578
24- 0635159-9
~iO P A \(IMFNT
AMOUNT DUE :~" ..,.. n~., ,.
For Sen:ica To: ~:213 Orchard f1d
DUE DATE
AMOUNT PAID,
CREtHT
Credit: 00 No1 Pay
n0003279 ill i1B \) > .;7.6 B 00020 20 PAI.ll,U
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if W BIU!lanstDc~
c/o LARRY BLUMANSTOCI<:
6034 EDWARD DR
MECHANlCS8URG PA 17050-6818
Please retum [IllS pOI t"Ji1 ,'fin, r;!leck
.. Pavable to ti'e address [JeIOW ..
Pennsylvania ,i.\meric3n Water
PO 80x 371412
Pittsburgh, Pa 15250-74 i 2
I! 1111.1.111.1,1.1.1,111111'1 .111'91. U 111.1. II ~1I u I
it Please ct,eck tJf){G 10 ",dd h20-Halp to ()lhINs ccnrrloUl/on to your mOlJlhlyblll
1--1 or to change your address or IB4GPhof1a number, and prmr mformatlon on reverse sIde
Billing Summary
_.-.-Prior 6a!ance-.------.....--
Balance from last bill
Payments prior to May 05, 2006. Thanks!
Total prior balance, May 05, 2006
--.-Adjustmenis----
Leak - Adj Has
Penna Surcharge - Adj Res
DSIC Charge - Adj Res
Total adjustments, tJiay 05. 2006
Customer Account Information
For Service To: E W Blumanstock
2213 Orchard Rd
Account Number: 24-0635159-9
Premise Number: 24-0375454
~131.63
-131:.63
.00
,- 47 , 60
,14
Billing Period & Meter Information
Billing Date: May 05, 2006
-164
--
-49,10
Rate Type: Residential
--.---AiViOUNT DUE ..--.-.-
I-~--------'
i -~4o 101
I .,..,~
Credit Amount: 00 Not Pay
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Water Usage Comparison
Monihiy usage in hundred gallons.
335
2b8
201
8
5
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COG a "
t v c n b
M A M 2
a p a 8
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Messages to you from Pennsvivania American Water
. CU5tomers may use their credit card, (je1l1t card or i;av byeiectror!ic check only by caNing to!! trCG.
c: ustorn,efs ,[nay also P~J'_ _0n..J;ne {a ~VV\lV'V'. ~lt'~1ter.pavmvbifl';_,,~om, /tt sfJrvice ffie 1tvllf aep1y,
of /\i~iPiO)'"inii;;iti:f(V 4. /2 Pod/Gdil{ ~t $:':".:J 7 ,of ~:;JdtH !ii...;Ui,i dH: i/u;/uded in your earTHn! bit/.
., F-lIm;/H/p .4niH J :J{JnR 1ftA' IJI.<;lrihlltinn 8vstem Imnrf1\'Rment Chame (DS/C; increases limn:; d.!;%
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PO BOX 578
ALTON, iL 62002.0578
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for Servic3 To; 221:3 Orchard Fid
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I AMOUNT DUE : ~[) , 26
I DUE DATE ! M,;,j"4 :;'~, 2~}{)6
~ I
I ,1l,MOUNT Pj~iD I
Please return lhis portion with check
.,. Payable to the address below .,.
,)0';03883 01 AB 1),,3.17 B 00025 25C'ldNS
!I' ,Ill j II i II"..I,I.II"'I! i ,.1.,1, 1 i .111..1'11 il, j I,I j L, i i I
E W31u;aanstock
c/o LARRY BlUMANSTOCi<
6034 EDWARD DR
MECHANICSBURG P A 17050-6818
PennsYlvania Ameri,can Water
PO Sox 371412
PlUsburgh, Pa. 15250~,'7 4 "12
l.ull,l. j llli~ l.l. i II II ~ ,I m ll!t ,I. i!iI, !l,~,,!i ,i
i-I PleaS9 check here to add H20-Help 10 Others contIlbutlon 10 your iTlO!lihly /)!II
U Dr 10 ctJange .vour address or telephone number. iiUld print /flfo(malion on rSVJilTS9 &Hi",
Customer,4ccount Information
Billing Summary
For Service To: E W Blumanstocl<
2213 Orchard Hd
Account Number: 24-0635159-9
Premise Number: 24-0375454
~-~--~Prjor Balance-----------..-.-...
Balance from last biH
Adjustments
Payments prior to May 11, 2006. Thanks!
Total prior balance, May 11, 2006
-_.....---Current Water Charges....-.-..
Service Charge
Water Volume ($.005735 x 10,200)
STAS PAWC Water -0.29%
DSI- PAWC Charge 3.65%
Total water charges, May 11, 2006
:$ 131 , 63
-49 10
-131 . 63
-49,10
Billing Period & Meter information
Billing Date: May 11, 2006
Billing Period: Apr 07 to May 08 (31 days)
Next reading on/about: ,lun 07, 2006
Rate Type: Residential
Meter readings in current billing period:
Meter Number N000032695 is a 5/B-inch meter.
Present-actual 1781100
Last-actuai 1770900
Gallons used 10200
11.50
58.50
~ ..20
"1 C::'"
.... .JO
72~36
_....---.-AMOUNT QUE -.--...-......-.
I <:~3 '>61
1___..~-.:J
Water Usage Comparison
Monthly usage In hundred gallons,
335
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Messages to you from Pennsylvani'aAmerican Water .. .
.Any' portion l:,{ the !l",';jt~~r- chaf{Jt/S whicl~ is nof paid .:~s 0.1 i3/05/06 wiil.bH svbjet:_:j in a i ,SO~; F~'f:n~,::f.tlv.-
" (:usivrr:DT5 inay use NUll! Dredit GiiHi, devlt ca.ra' ".Jt pd.}/ by electronic ChHCi{ uniy t),V c<;iiing (oti free
Customers may also pay on.line at www.water.paymylJi/I.com. A s8tVICe fee will apply.
t: i~nnrn)'irnRfAlv ,.J. -:~) nprr:pnt or :t,"'i' d 1 ()l.~hlt~ f~HfPf.Z rift:.) inrh Jr/J;.H/ ;n unItY rl trrDn; hIli
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00031812 01 AT 0.308 B 00129 ~7 FAOW4
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f. W 131umansttil:J<
c/o LARRY BLUMANSTOC1<:
6034 EDWARD DR
MECH,u.!\HCS8URG PPI 17050.6818
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;\L'TC:;f\J, iL 62002-057,3
f1)f S,-"r'i!ca r 0: ;~21 ~3 ()rchard Rd
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DUE DATE
AMOUNT
Please return t!lIS pOlllor ;'Itrl clleck
... Payable to the address below ...
,Jlt:l'llflsyivallil{i .Q;r/'le!'i<<;an Wah~r
PC) Box :37\ 4-~ 2
PittSburgh, Da. 1f5250.741::2
~U~Hil~2~U!~S
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:~j {>!G&.S9 t.;t)ecA tuana to aud /--i20..Halp fO Others GOftrnOullon (0 your month/}' 1)1/1
t._.J or to ct'lange y()ur address or il;.jgp!lvn9 nurnoor. and print mformaoon on revorsf.} ."Jujl;).
Customer Account !nforma.tion
For Sli!rvice To: E W Blumanslock
2213 Orchard Rd
Account Number: 24-0635159-9
Premise Number: 24-0375454
Billing Period &: differs,. Information
Billing Date: ,JLJoI2, 2006
Billing Period: May 0810 JUf! Of' (30 days)
Next n~adil1g ':>J1/about; ,Jul 10,2006
Rate Type: Residential
Meter readings 111 current billing period:
'Meter Number N000032695 is a 5/8-inch meier.
Pmsent-aclual 1788700
Last-actual 1731100
GallonsJ.JSi!M.L.,..,, ....._.1!:i;Il~
W;;n~er Us~ge Comparison
Monthlv usane in hundred gallons
335,-" '"
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Billing SummifJiy
.--.------ Prior Saianc &-------------..-.-------
Balance from last bill I
Pdyments prior to .Jun 12, 2006. Thanks! (
Total prior balance, JUil 12, 2006
------Cul'rent Water Charges--..------
Service ()harge
Water Volume ($.005735 x 7,600)
STAS PAWC VValer,O.2.9'H~
DS1, P/W....C Charge 3.65%
Total water ,;harg~s, Jun 12, ;20n6
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Please return thiS portion \'.'lth check
.. Payable to the address IJelow ...
:~ ~' ~1~J.~1J~rG~:5"tOi~~'~
BL L~ fv1l\f\! S 1~ (){:';.(
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(!! 10 change .~/otir ,a,tk1ras$ !)( 'f91PpilOOS nut7Ji"9(.- and ,Grm! Jf1torrnafJi)n on ft?verSfj suJ1:;I-
Customer AccC'!J,nt intormif!ficn
F"jf S~r!ic~ T~:::
,I:: \N 8iumamilt\D\
2213 Orchard Rd
Biiiing S<<.urimaiY
.......... Prior Balant~5'."'.'.._-'-'..."-" .--.
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.J:H;Cl.)WU Numb~r: 2<Hi635i59B
FI'f.'1ml$e Numb))!'; 24-0375454
Balanor? frDln }asl biN
Payments prior to ,jul j:;, 2006, TIH::i1i\sf
Total prior b~it.1l1c~, JM!] 3, 2006
,------G;Jrrali~ Wat'lJll' C;1<1l1'~~$--'._-'
emirgg Pedod ,3. f1l1e:er Infcrmaiti,on
Hilling Date: Jui13. 2006
mlling P;%Jf iOG; Jun 0 l 10 .jul I I]
N-i';li(t reading Gl'1/1i>i;,,::n.u: Aug Ge,
H~t'lil T'ji'p"'; . FlesidflJllial
days;
2006
S$fVic't3 (;harge
Wale; Volume ($.005735 x 7,200)
SillS PAWC Water.().29"1<>
DSI - ,0.4 we Charge 3.70%
7~)~aj',r"atar Chl'lfgillf., Jui13, 2006
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Mf)~ar madings in;::w'Y{lli:1~ hilling p~~ri()c:
~\f;.eter ~\!urnbHr ~\i00003i:B95 ~s a 5J8-~nch meter,
-_.__._--t\~JiOU NI j) U E .---..........--.--.-.
Presflnt-actuai
Lash'lGlual
1195900
1138700
'C~;:Hions usef..:}
7200
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Please return this portIOn with check
... Payable to the address below ..
H, LLH~;
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Customer i--\CCOI.4nl !nfr,-P!'ri!?a:tion
BU!ing Summaty
.-------- Pri or Balance-.---'..""'..-.."...--------
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E VIf 8lumans!ocK
2213 {)rchard Ftc
Account r,'Iltimbe.: 24.06~j51 ~J9-9
Pf(~ml$l"> Numb*w; 240375454
Balance flUfn /J3st biil
Payments prior 10 Aug 10. 2006. Thanks!
rot~i ;Qrior bai1\lrl\N&,AuglO, 20m3
._.._...--Currl;'lnt Wat<!lf Cl"n:irg$s.,--,,-"
Service Charge
),lIater Volume ($.00573,5 x (80D)
8TAS PAWC t4/aterfl33%
[)SI -. F~~~ ~1fC ("';hflrge ~1, 7{)?~;
T eta! wa'i,~rchnnl1ll6, Aug '~n. 2006
Billit!Jg -P!9riod ,!r inf.(},rm!;jti~}n
aWing D;(\J~w: ,~ugj(i. 2006
Bmil1t~. P~riQd: .Jui. 0 to<\wJ O~l (24 days)
Ne:d i'earli'.1q 'J'I,!i'abmlt: SHp GB, 2006
:Ha!t'; f-{-ss)denHai
~\Meier {aading::>>~n cu~'ren~ biHing padod;
:\jletet ~'~urrlbH.r {\!QODO'32695 ~E a 5/8~~nch meter.
Prasenl.'HGiuEiI 1600700
Las~.a.ct~ai 1795900
~..._~_"'_"'w.. ,Ait~{j Ui'-JfT 0 U E "M''';''_~~''''''~''_''~'''''~'_~'.'
(;.itHon~) US€l(i
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PPL Electric
Utilities
E !ectric
/'-" "
~erv~ce
For:
BETTY BLUMANSTOCK
~)RCHARD RD
~MP HILL PA 17011
Questions about
this bill? Please
contact us bl;: Aug 31
at 1-800-34...-5775
(l-800-DIAL-PPL)
or write to:
Customer Service
,Q7 Hausman Rd.
Allentown, Pl\.
18104-9392
www.pplelectnc.com
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S\Lunmary. Pao'f
,. e,
Buhmce as of Aug 10,2006 :s 9.%
(,hurg.;s:
T otatPPL ELECTRIC UTiLiTIES Clli:ifg~S S .:,g6')
-~--
~'" ! () ",f:;
.ll 00.0..'
Accmmt Balance
$ 6g.{)S
Electric
Use
ThiS part of your
bill hdos vnll
understand your
e1ednc use.
TVjH;S of
Meter Readings:
Actual ~J~
Estimated L2::S1
CustOtn~r L~
KWH - Aserage Per Day
Meter Reading InfonlHltiml
~1eter #83943440
i. Aug 10 Actual
Jul12 Actual
i 29 Days KWH Billed
The ~}:aph shows [h.e uv.eragc numb,:r
of KwH }'OU used each day. Y GU
used 515 KWH in 29 days, or an
average of 17 KWH .'1 day.
fhe average J:uly !empt:'ralme h:j
yom area Tast mOllth 'vas gOF
( ~ I 1
2005
Months
]1\
2006
Other ~mportallt information on back .-i>
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PPL Electric
Utilities
E: . V"o.4"t-r. i~"
11.1";,;.,,, ~ ......
......, ,.:J
3ervnCe
For:
BETTY BLUMANSTOCK
2209 ORCHARD RD
CAMP HILL 1'/\ nOll
PilL mectrk Utilities
Customer Service
827 Hausman Rd.
A1J~ntown, Pi\
18104-9392
1-800-342-5775
(J -SOO-DlAL-PPLl
wv;w.pplelectric.cG~n
P::ge.:_1 IJ-' '.......
. .... . '>'V:jJ.rr'B.in~\ctr;!tntN!~m\;;;~~
J
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1~~-.
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'/0 tal jl~onl Las: [jiU
S } ')6
BiUing DetaHs
A.mum'll Yon s~m Owe a~ uf AugiO, 2006
'5 oj i)6
Current Charges
Charoes for - .PPL ELECTRIC UTlLiTlES
Resi<.tential Rl11e: RS fix Jul 12 - AUll ! 0
Distribution Charge: -'
Customer Charoe
200 KWH at 2j9300000~ per KWH
3 is KWH at L98400000e oer KWH
PA Tax Ad.L' Surcnan!.e at'-(J.07527S0!Y1';;
Transmission t.'harge: ~
515 KWII at O.60500000~ ner KWH
rransition Cbarge: ' <
200 KWH atl.36100000y; ptlr KWH
315 KWH at L20600000~ pcr KWH
Gen.c.ratiGI1 C.harge:
Capacity and Energy
200 KWH at 5.6()300000~ per KWH
315 KWH al 4.9750000W per KWH
PA fax Adj Surcharge at -O.06030900~/6
P/--. Sales Tax
8.00
4,39
f;j~
v-_~
-O.O!
3,12
...." -:l.'~
.~. IL
3.8U
!i33
i5.67
-l),.i)2
1 "'j
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Total PPL ELECTRIC UTILITIES Charges
Other Charges for 1>PL E!ectric Utilities
Latc Paymcl1t Charge .
Tolal of Other Charges
.1; 58.57
O.i2
$(1.12
Account Balance
) 6K 65
General
Infornultion
Next md,,!'
reading
This hill includ~s a prevIous bal~mce. Ifyo!l have paid this amount please
accept our tha111(8 and pay only the elUTent charges.
Genl?ratlOll pnces i!pd c)lllrges ~re .set .~y the dectri..: gClltlratlOu sl,!ppi Ie:
you Have chosen. 1 he PublIc {JtJll1y C 01111111551Ol1 regulates dlstn out Ion
prices and services. 111e Federal Energy Regulatory commission wgulales
PPL Electric
Utilities
Electric
Service
For:
BErrY BLUMANSTOCK
2213 ORCHARD RD
CAMP HILL PA 17011
Questions about
this bill? Please
contact us by Aug 31
at 1-800-342-5775
(1-800-DIAL-PPL)
or write to:
Customer Service
827 Hausman Rd.
Allentown, P A
18104-9392
www.pplelectric.com
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e
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'.... -t" ~:~~J >/' .,.,/
pp"~' l'li::
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",. rM
Page 1
''',::,,:::::::::::::::Your:Blll:AC4::<;mit'NQmWi':''}::::::,:: .
04690-77030
Summa,ry Page
Balance as of Aug 10, 2006
Char~s:
TotafPPL ELECTRIC UTILITIES Charges
Total Charges
$ 0.00
$ 177.19
$ 177.19
Account Balance
$ 177.19
?
(i"':
Electric
Use
This part of your
bill helps )lOll
understana your
electric use.
Types or
Meter Readings:
Actual _
Estimated Efim'%1
Customer 0
Meter Reading Inrornlation
66 KWH - Average Per Day
55
44
33
22
11
0
I I I I
D 1 FMAM 1 1 A
2005 Months 2006
eter
Aug 10
1ul12
"9 Da s
Actual
Actual
KWH BIlled
51537
49669
--rs6B"
Tht: gl1!ph shows the average number
of KWH you used each day. Y Oll
used 1,868 KWH in 29 days, or an
average of64 KWH a day.
The average daily temperature for
your area last month was 80F.
Other important information on back ..
------------R~tl~~.;;-t.-t~)-~~id;~;;-r;I~~-~ith-~;~h;~k-;;;l~'~-;;-t~~-.'~~tri-~-Ut;,iti~~-C~IP~;<~ti~;;---------------------
"' .-1
PPL Electric
Utilities
Electric
Service
For:
BETTY BLUMANSTOCK
2213 ORCHARD RD
CAMP HILL PA 17011
Questions about
tJiis bill? Please
contact us by Aug 2
at 1-800-342-5775
(I-800-DIAlJ_PPL)
ppl
Page 1
"'/'<"<:':YQUr8ill,t\t~.QliiJ,(Nufuliei',:',"",-, .
04690-77030
~ 1,-?J'
Summary Page
Balance as of Ju112, 2006
Char,Res:
TotafPPL ELECTRIC UTILITIES Charges
Total Charges
$ 0.00
------------R~t~~--thi~p~-11-t~-~~id-;;;~-~I(~~-~itjl-~;~h;~ k;~~;bJ-;;t~-iJ-pi~-E-I~~t;i~ -lJ ti-iili~~- C~;I:~;~li;;~-- ----- - - --
I, . ..,.... ,'.. YOUr BiUACC(Jtiilt NuJ~ '-. ,-'..PIl,ia.~Pa., 8"11- " PRvThL~ Atri()ttnt . ." I
/
PPL Electric
Utilities
Electric
Service
For:
BETTY BLlJMANSTOCK
2213 ORCHARD RD
CAMP HILL PA 11011
Questious about
this bill? Please
contact us by JuJ 3
at J-800-342-5775 or
..ulLr.'l.t....oon
ppl
Page I
",YolJrBiIlACCQllnlNlliribet'" .
04690-77030
Summary Page
Balance as of .'un 12.2006
$ 0.00
I . F .'
,,-
Charges:
TolalPPL ELECTRIC UTILITIES Charges 3) 136.4R
Total Cbarges $ 136.48
'~ltY'l'bts .J\.rn.)U~l..l'JQ~~t~rtha~'~~~.-..~f~ij.~~,
Accounl Balance
$ 136.48
-----------i~t;.;-thi~-;~-rt-i~.;~-b~l;;~ith~~h;~k~~y~b~-t~-P-PL-Ei;~i.liti~~-C~;;~;~ti;;---------------------
I'.' .""""'. '"...",,,,..,,,... ". ;.:"';.:""'....1"...1;;;.;>.".",."..., ' 1..,.,.....,....:,.:...P.li!iilSifPa'i::8V...,...,:;..!:.:EE':1 1,:':,E.::.:P~v'ThiifArttotiilt,.:..,.',.:.l
PPLEIectric
Utilities
Electric
Service
For:
BETTY BLUMANSTOCK
2213 ORCHARD RD
CAMP HILL PA 17011
Questions about
tliis bill? Please
contact us by Iun 1
at 1-800-342-5775 or
484-634-4900
ppl 'H
Page 1
04690-77030
Hm.
....".-., .-.
"'w'" ..c'
-:w
Summary Page
Balance as of May 11,2006
Char~s:
TotarPPL ELECTRIC UTILITIES Charges
Total Charges
$117.74
,,;.) (.
\ 'OJ
$ 126.65
$ 244.39
Account Balance
$'244.39
l:i:;;~;;.:;:::::-:1:;i;"1I':Z.~:.D;!I1:;:&.;;,;~.i.:::.i..:'IlJ:.~;.;.;:.;.l:.:~i:i:i:i;:::~:;J
------------------------------------------------------------------------------------------------------------------------------------------------
PPL Electric
Utilities
Electric
Service
For:
BETIY BLUMANSTOCK
2213 ORCHARD RD
CAMP HILL PA 17011
Questions about
this bill? Please
contact us by May 2
at 1-800-342-5775 or
484-6J4-4900
Return this part to address below with a check payable to PPL Electric Utilities Corpomtion
1';:";:~:;:::::;:::'::n.:.::';:;~::'";,::::,:tIII;:::::':::::::;:::;:;::::::'II:::;:::;:::.;:_:::::::~:,,:;..,:&::;::::::::::::::\;:;:;:::::;::1
ppl
Page 1
'1\,
Summary Page \
Balance as of Apr 11, 2006
~gf:Ri~L ELECTRIC UTILITIES Charges'
Total Charges
:m:mmnH:!:!mm., 'QUI'!' .1' :!~(: . !.ltil"mm!:mWdW,.
04690-77030
';::::;;:::;:::m:n::;' T""nw ",,,,,,,,,,'
":::;:':::'::":,":'''',1''1\::::::-:::::;:::;:::;:::::
.. ......,...........
... .............'.....
$ 141.73
$ 119.85
$ 261.58
l'f
Account Balance
$ 261.58
.
.
----- ----..----------...------------------------------------- ---- ----------...--...-------------------------------------------- --- - -- -------..... ----- ---... .
Return this part to address below with a check payable to PPL Electric Utilities Corponltion
PPL Electric
Utilities
ppl
Page 1
::,j("';::",,;,'),: 'Q~'B.ll :AeWUritNumlil#,';;::;':: ..
04690-77030
.,w en,ca' . f.W
For:
BETTY BLUMANSTOCK
2213 ORCHARD RD
CAMP HILL PA I701l
Summary Page )J ,,/\
Balance as of Mar 13, 2006 ( "/1, " ,,'
f~H~L ELECTRIC UTILITIES ~~es
Total Charges
$ 114.82
Electric
Service
Account Balance
$ 258.34
Questions about
tfiis bill? Please
contact us by Apr 3
at 1-800-342-5775 or
484-634-4900
-- - - ----- ---i~t~~.~ih;;-p;,-,t't~-;dd;~~~.L1~i~~~~ith 'l;ih-;;~k p;'y,~I;I~ -t~;-PPL-EI-;;~t;i~-Uliliti~~-c~~I;~I~I~ti;)~ . ---------------- ----
Ie:., :Yn'iir RiIIA.,nni."f.N,;.rtIi.>r ,,'''' I
J', . ," ," ';Dla.~~"':'-D~~;rD';~:' .." - :1 1:- .... n...~~ 'r.r..::~.... .......;.,~..;""'...o. ...
I
.'
PPL Electric
Utilities
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Page I
i..Yilw: iUAci:.oDllt 'Numb~:>, ,':'
; ti
ifj
rill /.,t6
,..
04690-77030
vi
Electric
Service
Summary Page
Balance as of (.'(..1. 9, 2006
II :(1'
I
$ 138.92
For:
BEnv BLUMANSTOCK
2213 ORCHARD RD
CAMI> HILL PA (7011
CharRes: '
TolarpPL ELECTRIC UTILITIES Charges
Total Charges
~~~y~t'Jji~;~~~~,g"
Accnunl Balance
$ 11 :\.25
$ 257.17
l'
!.o,'
'.
"
t!I'
QllestiOlIS abollt
this bin? Please
contact liS by Mar 2
at 1-800-342-5775 or
484-634-4900
-----------i~t~~;-ti~i;-p!!~;d~it~~~~-b~i~~~~th~-~h~~kP;y;i~i~-t~-PPL.i~-Utiliti~~-c~~;p~~;.;ti~~----~---------------- -
I.'..'..,.,."..,....,... .....'se.: ...\( ......:..:-:,:-:..:-:..:-:-:..II:.:':-:-:-:..:Pi(::"hf'":AffiO'inf':::::::::'::1
f....... .\.n.BiUA'.'........Tt'f.b~'.""".....1 ........,."........,.P!l,'lpPn ..Bv,.......,:.....'.......,.... . v. .. s ....
"",',','j'"",:j", '..01';' "'CCC;lUD"!f1n ..,..:-""",,:- .. .. .........
PPL Electric
Utilities
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..... .. <yQilf.'BiltAC~,Q~ilitNumb'ei:<:::;j,::::::'
04690-77030
..:;. '):i;;;;-:\v"en"ciilll'l<;::",,'
Electric
Service
Summary Page
Balance as of .Jan 12, 2006
Char~s:
TotafPPL ELECTRIC UTILITIES Charges
Total Charges
$ 15.1.58
For:
BETIY BLUMANSTOCK
2213 ORCHARD RD
CAMP HILL PA 17011
$ 140.71
$ 292.29
Account Balance
il""
$ 292.29
Questions about
this bilI? Please
contact us by Feb 2
at 1-800-342-5775 or
dRd-61d-4()fUI
-----------i;t~~;-li~i;-~~~-rt-t~~-(l~il~~;~-i;~i~~~:~~:jti;~~h~~k-p;;~~i;i~-;(~-i;I~L-El;~t;;~-iTtiliti~~-c~;;~~;;~ti;)~;--------------------- -
PPL Electric
Utilities
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Page 1
'-:""""'..::".Yil'UiBm'A!iPQ\!rir,NUiiiwr'"
04690-77030
Electric
Service
Summary Page
Balance as ofDec 12,2005
Charges;
Totat'PPL ELECTRIC UTILITIES Charges
Total Charges
\
$ 0.00
For:
BETTY BLUMANSTOCK
2213 ORCHARD RD
CAMPHILLPA 17011
S 151.58
S 151.58
ACCOWlt Balance
S 151.58
Questions about
this bill'? Please
contact us by lan 3
at 1-800-342-5775 or
484-634-4900
8070-
'=.. Ol.1TER, ·
PlbMIIUNG &
. QRA~M SERVICE
:-~.~-=E ;::3;'NCF'\i(J -;-E:='~/2 ();\J C:'="'"r=?.s~
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'-lAR:R!SBURG
_.___n_._'_.__'__._____~
,:T\'
Roto-Rooter
PO 80x 4
Lemoyne PA 1704:3-0004
(717) 234-3332 East Shore
(717) 737-8494 West Shore
Fax (717) 727-0964
~1~E.rECHNICIAi;I';-; NAME--.--.
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u~~ -rtl~!1l-~-f:f~T/I ~At:
:{:1~3 >\i~)dRE,ss~'iiF-D IF-PERE-i:il:"Tf~'^N-8ILCINT;.AI56REs-s~.-,.
~'~Jf::>':f)(;'-~:;T/\L
You may cancel this trans<lction at any time prior to midnight of the third business day after the date of this transaction- See the
notice of Gance!lation on reverse side for an explanation of this right.
WORK. ORDER l;,UTHORIZATION " \NAIVER ! auttlorize the services below and agree to pay thG amounts :n(JI(;aled i h<-1\JP ,,,ad am.1 dqm;-;
tn the fern-I" DI' 1he rever5e side. including the limits on Roto-Rooter's responsibility_
l :F~\r(' l(,::stc~d Rot()~Rnorf::r to provide services n8EKI~=cl to meet a bona fide !ffUTi€jdiate personaJ f~merqencv descr~bed in ihf-;l Roto~.Fiuote(~~~
inV()[;"e 1 ,:~':(pnJ~~sjv u.cknovvledge and vtJaj\J{~ ~hA n~'jht 1:0 cancel this contract '1Vltri\n three business days
CODE
AND DESCRIPTiON OF
( :-.,iC;i-Jl\T~jl~E')
approx!lnate cmnplelion date IS
Neither dale IS guarantfled.
L/i..nC...iR .$
P/\f.lfS ~~
CHECK NO.
PRODUCT~; $
..CREDIT CARD
c,-n"'iEP
nH.;~;~
NET 10 DAYS S
OVER 30 OAYS = LATE CHARGE OF 1 1/2% PER MONTH L'\" S
* III the event check is returned, the COMPANY will charge
tile CUSTOMER A $25.00 processing fee_ iNVOICE "OfM
acknowledge completion !he above de&crihed work which has heen done to my complete satisfaction_
SIGNP.,TUHE.!
(PRiNT NAME)
E-MAIL ADDRESS)
. -_ _ ~~ PAV- FRO'MTHIS INVOICE-
,; .I~ " I; l(/-
COST
.~()U S.AVE
fODAY
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I From fix-its to plumbing emergencies, 'I
I call the experts at Rota-Rooter: !
i
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!
1-800-GET~ROT;O
~-)UGGESnONS ;~{)F~ r'~EP.".iH :' REPLACEMENT
ITEM
LUCAI ION
[ST!MATED
WATER HEATER
DISPOSER
TOILET
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I Check our Web site at
I discount coupons, helpful hints,
i fun trivia about piumbinq and mord
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for
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Harrisburg, PA 171 06-7013 (800) 237-7328 (Nationwide)
website .:/ /www.psecu.com
VISA~
P.AGE
1
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MEM8EH hiUM8Fl I :')WMENf DUE '-;'In;:
_+---. _____ _____H
B502XXXXXX. OS/25/06
I
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I
____._.. _____._..___ ._-'---._--1-
0.00
0.00
CURRENT AMOUNT DUE =:= MiNIMUM Pi\ YM. ENT I
-----------t---------.-.--.--j
0.00 I 0.00,
TOTAL
NEW BALANCE
AMOUNT PAST DUE
AMOUNT OF PAYMENT ENCLOSED
11~.llllljljll!I,I.IIII~IIIIIIII.IIII..IIII.I..III..I..1111.11
BET1V BlUHANSTOCK
6034ED\i./ARD DR
HECHANICSBURG PA 17050-6818
$
1000~85026002027428
QREPORT A LOST OR STOLEN CARD: CALL OUR BUSINESS NUMBERS LISTED AT THE TOP OF EACH STATEMENT PAGE
ROM 7 AM - 5 PM MONDAY TO FRIDAY AND 8 AM TO 12 PM SATURDAY, OTHERWISE CALL 800-556-5678
CREDIT LIMIT _ AL VISA _
- 1 00 0 0 --:0-0 t-----~I!-!'!~~.o-o---+--
. - . r . -.., --... -- -- ... -.-
MEMBER NUMBER I STATEMENT DATE L PAYMENT DUE DATE
.----.--..-m----...-.------r--.---...---..---..-----.-~...".--.-..--
8502XXXXXX L O~~30/06 i 0:/25/06
ID 09 VISA LOAN
REFERENCE
2461043FA03PMHXYl 5968
Z461043FW03PHROV7 -5968
2469216FYOOHG4823 5968
~.BEFORE .
DETACHING HERE ,
ALP W 'UN C E
BALANCE = AVAILABLE
.--- ----Ho~oo--t 1 00.0.0-.-0.0.
POST
0402
0419
0421
0424
TRAN
0331
0418
0420
DESCRIPTION
THE PATRIOT-NEWS MACTI 717-255-8237 PA
THE PATRIOT-NEWS MACTI 717-255-3237 PA
NFI~WWW.NETFlIX.COM/CC NETFlIX,COM CA
PAYMENT VIA HOME BANKING TRANSFER FROM
YTD FINANCE CHARGE; YEAR TO DATE
YTD FINANCE CHARGE: IN 2005
0.00
0.00
~_ v "2- 37.)'1
5-"Z1 :11. tf z.
t.-1I 37-'i19
7, Z"3. /1, X''I .~
r- 13 3 'J.C(2-
yv?.1 .5 L/. 72, ~
PUACI;ASES I
._,~~~~~~~s_l.
URCHASES
DVANCES
PREVIOUS BALANCE _ - PAYMENTS CREDITS + . ,PUR~=~~ASH. + DEBIT ADJUSTMENTS + TOTAL FINANCE CHAHGE =
153:-0-0 II 218.481 o. O~ 65.48T 0 :-lrcrT 0.00 r
0.00 0.001 0.00 I 0.001 0.001 0.00 I
... f~#~~~;~~r~~?i~,J~;~~=:..,;'~ 0 0 "NA~~:~?: r
i 30 I 12.900%[ 1.07500%1 0.00 I (LOP 0.00 L
NEW BAU\NCE
o . .0.0-
0.00
TOTAL
0.00
{),OO
U401 000 054 5 10
2276032
.j
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....1-'........'. lIe. ......1.....1;.."".'.'...'
ft, !1i' .... i~L';': ~,
r..J;f ,;.iJ"",Iti;
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;-~. '~!BI;:I!lDm' 1%1m" "zo..
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'~:,,' ~~. '.~ti) 1t.~ '+> ..'
111111,111111
Horrisburg, PI\ 17106,7013 rJ-!3~'H
w>ebsate .:/ /www.pse(RJ"c~::lm
TOTAL
NEW BALANCE
AMOUNT PAST DUE + CURRENT AMOUNT DuE -; MIN~MUM ooA:fMEr;l
.____,___,-L-...____ _,_____ .-.---'-'--' . ..J-,-., ,---- -,------- --~
0.00 20.00' 2u,nol
i
P r\BE
MEilBl::' NUMBE'
'.'1YME," DUE ')ATE
228,99
".- .._.~
3SJ&:'(XXX 'j(
06..'!S/]6
I\MOUNT OF FAYMENT 'ENCLO~ED
illl h ,mil" j .I.!! 1I1111111111amlHlIlmUu! 1111 m II
BETTY BLUMANSTOCK
60~h EDlIARD OR
MECHANISSBURG PA 17050-6813
$
1000985026002027428
TO REPORL8J.Ql;iLQ8.llLQl.ft:lJ~.L3Jb CALL OUR BUSINESS NUMBERS LISTED AT THE TOP OF EACH STATEMENT PAGE
FROM 7 AM. 5 PM MONDAY TO FRIDAY ANDe AM TO 12 PM SATURDAY. OTHERWISE CALL 80{}'556'5678
~o, 0_"0 <<....--_m_o'_..__r.o'..______o .__
! MEMBEI~ NUMBEFl 'STATEMEHT DATE PAYMENT DUE DATE . CREDIT UMlT. - ~LANCE -
i-aso2:ZxXX:XX1--0S/-31/0 06/25/06 1O-o-o-o~'ooi---228:-99-~r---'
:Ul 09 VISA LOAN
POST TRAN REFERENCE
0514 0512 2443565Gl615TAJFR 9399
0521 0520 2469216GW0067WKAO 5968
0521 0519 Z461043GW03PlK3VX 5968
0524 0523 2469Z16GZOODTX6YQ 5969
~8EFORE
DETACHING HERE
ALPLNW 'UNUE Dr
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0.00 I 9771.01
DESCRIPTION
PA DRIVER/VEHICLE SERV 800-932-4600 FA
NFI*WWW.NETFlIX.COM/CC NETFlIX.COM CA
THE PATRIOT-NEWS MACTI 717-255-8237 fA
DR *SYMANTEC COMPAQ WWW.MYORD.COM MN
AMOUNT
103.50
10.59 .
./'v~
LT4.9y~#.J
79.98 ()
YTD FINANCE CHARGE:. YEAR TO DATE
0.00
I
I--
PURCHASES Ii
\____~~v~~9~~~,o
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iPURCHASES
!ADVANCES
PREN10US BALANCE _ PAYMENTS CREDITS +' PuR~~~ASH +
O. 00 I Q:'OiYr- '--lr~I.fO--1 228. 9fl
0.001 O.OOi 0.00 I O.OO!
Ii' DAYS iN 1 ANNUAL ?ERCENT~Ei MONTHLY PERIODIC }' --l
ISUING CYCW;: RATE I RATE AVERAGE DAlLY BALANCE i-
:------r---"---J----- --- - ---- ------'-
I 31 9.900%1 0.82500%1 0.00
I
i 31 12.900%i 1.07500%'11 0.00
I i
._______._________, ________J, J ,_._o,j.
0401 300 &54 3 10
DEBIT ADJUSTMENTS ... ro rAt FiNAN0E GHAI1GE :::=
o.-inTi 0 .0 (l
o . 0 0 I? . 00 i,
FINANCE CHARGE
NEW BAlANCE
228.99
{I.OR:
"-PERioDic- .n_ -;' un -rRANSi~CTK.)N
u
TOTAL
0.00
0.00
0.00
0.00
G.oe
a.oc
2273460
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website - :/ !www.pse(u.com
PAGE
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AMOUNT P/~ST OtJE
+
CURREi'H AMOUiJT DUE
"Jlt'.E,i '-i"I' U3f
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AMOI.;NT OF PAYME!'n ENCLOSED
n m!l :: J w J I j I J: 1111 U 1IIIlIIlul!I,! Imllllllll!mH
BET y B_UHA~STOCK
603', Ei:2!"lAHD DR
~1ECHi.\N!:SBURG P.~ 17050-..6818
$
1000985D~b002D27428
U fi_cI:illiJ _~ ,LW,; L.QB;iE;;hJ;.~_i:U:\i1D: l>H OUR BUSINESS NUMBERS LISTED A r THE TOP OF EACH 5T A TEMENT PAGE
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i;,1EMBER NUMBEI STATE'MENT DATE PAYMENT DUE DATE fl CREDIT LIMIT :OT~;Ij;~~~EW
8502XXXX~X D6/30/06 07/25/06 10000.00 0.00
!
fOTA!. i'SL NEW
BALANCE
(:;J1EA~ BEFORE A
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UNUSED CREDIT
AVAILABLE
;::
0,0'0
10000,00
PO ~;T
0611
0621
0626
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TRAI>I Ri~FERENCE
060Q 2461043HG03S1FDVB
0620 2469216HVOOTR9DLl
5968
5968
DESCiUPTIDN
THE PATRIOT-NEWS MACTI 717-255-8237 PA
NFI~WWW.NETFlIX.COH/CC NETFLIX.CDM CA
PAYMENT VIA HOME BANKING TRANSFER FROM
'''11, aUNT f)
~ ~ ~.....
10.59 ~
SHARE 04 rM-.,J
277,4"7-
VTD FINANCE CHARGE, YEAR TO DATE
il.tlt!
30
30
,+ PUI1~rte~~~E~ASH +
T~----4'IJ~;-4 a ;-
, 0.00:
I i
i ,I
I AVERAGF. OI'Jl Y H!\lANI.;E i
I. !
0.82500%: 0.00
1.07500%! 0.00
i
OE8lT .l\DJU~TMENTS
,4. r'JTA.1 f'!NANCE C.ll>>Ji',l'. :;:
t\!EW !1.r.,L'::"I~r;.E
ADVANCES
PREVIOUS bAL:..Nt.;E - PAiMCNfS CREDITS
---------Z2 a-~-9 9-----27"r-:47-r----- ---"I)-~O 0
0,00 0.001 0,00
It DAYS IN . !ANNUAL PERCENTAGEl MONTHLY PERIODIC
tilLING CYCLE i AA TE I RATE
!-
':) , 9 Q l)~4,
l. 2 . ;H)(j~~ !
0;-00
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PURCHASES
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""NANCE CH}\RGE
PERiODIC
fRANSJ\CTlON
TO:AL
~URCHP.SES
\DVANCES
0,00
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PAGE
1
J.
'.~E;'JlBER ;'1U~;,\BER
P:\Yi;iEi-4T ~JUE D,.\TE
TOTJI.L
NEW 8ALANCE
AMOUNT PAST DUE
'!-
CURRENT AMOUNT DUE = MINIMUM PAYMENT I
._ '<"___ ._. ~_._~_ "' .__, .____J__.__~ ._--~~ .----...- ------1
20.00. 20.001
._.___ .__l_..
:3:5 [)ZXXXXXX
i)~3/'25/06
90.43
0.00
",MOUNT OF P.~YMENT ENCLOSED
I! I i III III! I!" 11.1.1.11, mil ..IIII....III~. h.! 11..1.. n 11.11
BETTY BlUMANSTOCK
6034 EDWARD DR
MECHANICSBURG PA 17050-6818
$
1000985026002027428
- - _.._---,.._---,-----_._....._._----,~-----_._-~_..~~-'_..._.~
8502XXXXXX
08/25/06
1-----
10000.001
90.43--1
07/31/06
0.00 9909.57
POST TRAN
0721 0720
0723 0721
ID 09 VISA LOAN
REFERENCE
2469216JTOOE9JPMG 5968
2461043JS03Tl3WN6 5968
DESCRIPTION
NFI*WWW.NETFl.IX.COM/CC NETFlIX.COH CA
THE PATRIOT-NEWS MACTI 717-255-8237 PA
AMOUNT
10.59 ,A
(j9. 84 => 4A.t1 -1.
;{~
r .4.>.,.
YTn FINANCE CHARGE: YEAR TO DATE
0.00
PREVIOUS BALANCE -
PAVMENTS
PURCHASES i CASH
CHEOHS 1"1- ADVANCES +
-O-:-oo----r--------ijiJ-.-lj"'3T
I i
0.00 j a.oo:
MONTHLY PERIODIC ' l
RATEiAVERAGE DAILY BALANCE
0.82500%1 0.00 .
1.07500%1 0.00
DEBIT AfJJUSTMENTS .f-
.-----().~(ro:
0.00
;-0: Al FlNAI'l{.;E Lli....AtiL =
NE:W BALANCE
URCHASES
DVANCES
PURCHASES- .------r..-:oo r---.. ----lr:-OOT-
ADVANCES o.ooi O.OO!
.1: nAYS IN II AN.N..L./A!. PERCENTAGE..J
IBILLlNG CYCLE ___ RATE I
! 31! 9.900%
I 31 12.900% i
I
I
10
0.00
0.00
90U:7i3-
0.00
PERIODIC
hNANCE CHARGE
TRANSACTION
TOTAL
0,00
0.00
l},OO
0.00
0,00
0.00
0501 000 '.>5(1 5
24Fl172
.
.
PA REV-1500
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES
and LIENS
ODS Lower Allen Township .
~~e checks Bonnie Miller, Tre rer
payable to: 1993 Hummel Ave
Camp Hill, PA 17011
Phone: (717) 975-7575
_ember 11, 2005
Hours: Monday, sday,Thursday: 9am to 4pm
No Personal Checks after Dee 8,2005
Bill Number: 439
Account Number: 13-23-0549-164
My records indicate that your County & Township Real Estate bill has not yet been paid.
please be advised that $699.57 is due by January 5, 2006. If the bill is not
paid by that date, the bill will be turned over to the Cumbo Co. Tax Claim Bureau, with
additional charges assessed. Thank you for your prompt attention to this matter.
BLUMANSTOCK, ELMER W TR
6034 EDWARD DRIVE
MECHANICSBURG, PA 17050
Property Description
2213 ORCHARD ROAD
SPRING LAKE COLONY
LOT 24
Residential Building
!
005/2006 West Shore School District
:~ke checks Bonnie Miller, Treasurer
payable to: 1993 Hummel Ave
~___ ~~!,~ _~ 1~^11
....alll!:J n............, r^ .I./V.l.J.
Phone: (717) 975-7575
November 11, 2005
Hours: Monday, Tuesday,Thursday: 9am to 4pm
No Personal Checks after Dee 8,2005
Bill Nuniller: 15885
Account Number: 13-23-0549-164
My records indicate that your School Real Estate bill has not yet been paid.
Please be advised that $1,590.75 is due by January 5, 2006. If the bill is not
paid by that date, the bill will be turned over to the Cumbo Co. Tax Claim Bureau, with
additional charges assessed. Thank you for your prompt attention to this matter.
BLUMANSTOCK, ELMER W TR
6034 EDWARD DRIVE
MECHANICSBURG, PA 17050
Property Description
2213 ORCHARD ROAD
SPRING LAKE COLONY
LOT 24
Residential Building
./ :? '-6
fl\'? /
1 ')V\ 0";;>
nO' 0'
'( l1-'? 11'1
'i\J
t/
~1q,5 7
I $~O. 75
5'Dv. q?,
I I 2'1. II
"3 'f IS. 3 <j'
22-13
2701
I
I
V
5'. Lower lU.len 'l'ownship .
a( checks Bonnie i-1iller, Trea r
~~ble to: 1993 Hummel Ave
Camp Hill, PA 17011
Phone: (717) 975-7575
~er 11, 2005
Hours: Monday,T~ay,Thursday: 9am ~c 4pm
No Personal Checks after Dec 8,2005
Bill Number: 438
Account Number: 13-23-0549-163
; My re=ords indicate that your County & Township Real Estate bill has not yet been paid.
J please be advised that $500.95 is due by January 5, 2006. If the bill is not
~ paid by that date, the bill will be turned over to the Cumbo Co. Tax Claim Bureau, with
~ additional charges assessed. Thank you for your prompt attention to this matter.
BLUMM~STOCK, ELMER W FAM TR
6034 EDWARD DRIVE
MECHANICSBURG, PA 17050
Property Description
2209 ORCHARD ROAD
SPRING LAKE COLONY
LOT 25
Residential Building
i
r
~
~
$/2006 West Shore school District
d checks Bonnie Miller, Treasurer
~
~able to: 1993 Hummel Ave
i ~___ u~" n~ ]~,011
~ -_U'.t'" ............-., ..&.~ - ---
I Phone: (717) 975-7575
~
i
i
ffi
~
.
ff
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~
~
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I.
~
~
~
!
~
~
[
November 11( 2005
Hours; Monday, Tuesday, Thursday: 9am
No Personal Checks after Do~
Bill Number; 1~RR4
Account Number: 13-23-0549-163
to 4pm
8,2005
My records indicate that your Sohool Real Estate bill has not yet been paid.
Please be advised that $1,124.11 is due by January 5, 2006. If the bill is not
paid by that date, the bill will be turned over to the Cumbo Co. Tax Claim Bureau, with
,additional charges assessed. Thank you for your prompt attention to this matter.
BLUMANSTOCK, ELMER W FAM TR
6034 EDWARD DRIVE
MECHANICSBURG, PA 17050
Property Description
2209 ORCHARD ROAD
SPRING LAKE COLONY
LOT 25
Residential Building
@omcastr.
.
ACCOUNT
NUMBER
1t
TOTAL
AMOUNT DUE
Visit us 011 the web at wwwcorncast.com
09547 219389-01-6
PAST DUE
$176.44
BETTY BLUMANSTOCK
How to reach liS...
How to l'8ach us:
4830 Carlisle Pike. Suite D-14
Mechanicsburg, Pa 17055
(717)540-8900
T stephone Customer Service
24 hours a day, seven days a week
For SElMce at:
2213 ORCHARD RD
CAMP HILL PA 17011-7442
Billed from 12118105 to 01/17/06
88.22
0.00
42.60
42.95
2.67
$176.44
Detail of Charges on back
Summary of Charges
Statement Prepared 12/01/05
Previous Balance
~ayments (inclu<!e.~2~ments received by 12/01/05.L.
Ca~I~.JYideo) S~rvices ___________.
QQ.l!lgast High ~eed Internet .___._.._.____
Ta~e!;,~l!rs:!!.~R~l>!_~ Fees ..___.,..
Total Due
~.
News from Corn east
Our office has not received payment for your previous balance as of this billing. If
payment has been made, thank you. If you have not made payment, you must remit
immediately in order to avoid late charges. If you would like an updated account
balance, please call the Customer Service Phpne number in the upper right corner
of your bill.
. .
@~[!Egst~
4008 N DUPONT HWY
NEW CASTLE DE 19720-6328
Please detach and enclose this coupon with your payment.
Do not send cash. Make checks payable to:
COMCAST CABLE
ADDRESS SERVICE REQUESTED
PAST DUE
$176.44
AMOUNT
ENCLOSED
$
Date -Due
TOlal Amount Due
030-12-0S-C-C
Account Number - 0954721938901-6
At 01 004855 198038 15 E**C022
BETTY BLUMANSTOCK
BETTY BlUMANSTOCK
6034 EDWARD 51
MECHANICSBURG PA 17050 6818
I. ..Iii. "Iii ..,,1.1.11... .11.,1..1.. ..III.. i.. .11..1..11...11
1...11 i, i". , Ii. I, I., I., 1...1i .11.. .11..., i. i .11", .1.1, I, ..11
COMGAST CABLE
POBOX 3005
SOUTHEf\STERN PA
19398..3005 .)~
" f.'
09547 219389 01 6
7
01 7b 4 4
.
.
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PPL Electric
Utilities
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Page 1
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Summary Page
04690-77021
.. .'\vheri;ca ' ..{w.....
For:
E W BLUMANSTOCK
2213 ORCHARD RD
CAMP HILL PA 17011
Balance as of Nov 9, 2005
Char~s:
TotafPPL ELECTRIC UTILITIES Charges
Total Charges
$ 0.00
$ 127.68
$ 127.68
Final BW
Account Balance
$ 127.68
Questions about
tfiis bill? Please
contact us by Nov30
at 1-800-342-5775 or
484-634-4900
~ \ ,
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" Sovereign BaA"
lV UNIt oasas
FICE 0850S-11
STOKER NUMBER 00-5167050-&
LOiN INTIlEST iNn PRINCIPAL BILL
nUl 11-21-05
PAGE 1
UANSACTION
DESCIIPTION
POST EFfECT NUKBIi
DATE DATi DAYS
OBLIGA'fION
ACTIVIt!
ACCIUAL
UTI
___R__________________________________________________-----------------------------------------------------------------
A!OUNT
DUE
____________________________________________________________________________________________5_______________------~---~
OBLIGATION HUlmE! 000-00-0001-8
PUNCIPAL 001 *,..
LAST BILLING DATE IS 10-Z3-05. LAST DUE DATI IS 11-03-05.
STARTING BALANCE
Cttll PIIM PI""! 112105 112105 208.33-
CHAaGES THIS PElIOD
RUNNING
snAKCE
3,876.34: -
3,668.01
TOTAl DUI:
1.0AN IMTDEST 100***15 ACCllUING ON COUNT PUNCIPll BAUNCI.
LAST BILLING DAtE IS 10-23-05. LAST DUI DAT! IS 11-03-05. LAST ACC1UAL DATI IS
PAID !EAR TO DAtE IS 333.43
STARTING BALlNCE
RATE CHANGE 110105 09Z005 8.00000
lATE CHANGE 110105 110105 8.25000
CURR INT PAYnNT 112105 112105 26.33
CUll PIIN PYHNT 112105 112105 Z08.33-
SYSTEn ADJVSTMEltT P~IO~ PEnIOD lATE ACTIVITX
CHARGES THIS PERIOD 000018 8.25000
CHaiGiS tHl5 ~IkIOD 00001Z 8.25000
LATE CHAlGE ns"'''''
LAST BIllING DATE IS 05-22-05. LAST DUE DATE IS 06-03-05.
PlID rEAl TO DATE IS 24.06
CHUGES THIS PDlot;
11-03-05
3,876.34-
3,876.34:
3,876.34-
3,"8.01
TOUL DUE
TOUL DUE
OBLIGATION TOTAL DUE
QUESTIONS? PLEASE CALL LOAN OPS AT 1-800-715-6833 01 YOUl LOAN OFfICER.
DOb bd,
208.33
208.33
,06
15.77
i.!I~
25.78
11.73
11.73
245.84
.
.
*** END OF ATTACHMENTS ***
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG. PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
LARRY A BLUMANSTOCK
6034 EDWARD DRIVE
MECHANICSBURG, PA 17050-6818
n__nn fold
ESTATE INFORMATION: SSN: 717-09-3998
FILE NUMBER: 2106-1002
DECEDENT NAME: BLUMANSTOCK ELMER W
DATE OF PAYMENT: 11/14/2006
POSTMARK DATE: 11/14/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 10/28/2006
NO. CD 007431
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $10,762.54
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$10,762.54
REMARKS:
CHECK# 334
SEAL
INITIALS: CJ
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
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