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Home My WebLink About12-01-06 (2) ~: Rf\L1SOO EX (6.00) . ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT .. I- Z W C W o w c w ... ~:$(I) ull:~ wCl.U :1:00 ull:..J Cl.1D Cl. -< FILE NUMBER 21 06 COUNTY CODE YEAR DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) Hays, Glenn, B. DATE OF DEATH (MM-DD-YEAR) 06/16/06 SOCIAL SECURITY NUMBER THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER DATE OF BIRTH (MM-DD-YEAR) 12/11/18 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) [!] 1. Original Retum o 4. Limited Estate o 6. Decedent Died Testate (Attach oopJ of WID) o 9. Litigation Proceeds Received o 2. Supplemental Retum o 4a. Future Interest Compromise (dale of death after 12-12-82) o 7. Decedent Maintained a Living Trust (Attach oopJofTrust) D 10. Spousal Poverty Credit (dale of death between 12-31-91 and 1-1-95) o 3. Remainder Retum (dale of death prior to 12-13-82) o 5. Federal Estate Tax Retum Required 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) 0567 NUMBER z o 5 ~ I- 0:: <C o w D:: z o ~ ... ::) ~ :Ii o o ~ ... z W Q Z o Cl. (I) W II: II: o U NAME Marvin Beshore FIRM NAME (If Applicable) Law Office of Marvin Beshore TELEPHONE NUMBER (717) 236-0781 COMPLETE MAILING ADDRESS 130 State Street P.O. Box 946 Harrisburg, PA 17108 ~ l" ;lC,;";fD~; t CD ~o GtJ~ ,-n ;:r Q ~fbm :'~Z:n f~05^ '. ~,.-.. ~i'-~O c. )O"TJ .OEij t-I '-lZ! ~ ~ c.n 0' tJ fir;:' ..~ r-i/ <' , ~ ~ t::J ~ , =0 ::0 ! Tl ITl(J I:l? 0 C"::> ::0 r;-:-; CJ ::0 23 c') -~i'l~ ;:~E; iJ5 f~ rn C/) C) "-".,r (1) (2) (3) (4) (5) 0.00 365,143.55 0.00 0.00 444,959.55 855,103.10 20,643.81 834,459.29 0.00 834,459.29 0.00 0.00 20,027.02 100.135.11 120,162.13 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (tolal Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Govemmental Bequests/See 9113 Trusts for which an election to lax has not been made (Schedule J) (6) 0.00 (7) 45,000.00 (8) 20,352.44 291.37 (11) (12) (13) (9) (10) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 0.00 x.O _ (15) 0.00 x.O _ (16) 166,891.86 x .12 (17) 667,567.43 x .15 (18) (19) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~. r Decedent's Complete Address: STREET ADDRESS . 520 N. Third Street CITY New Cumberland I STATEpA I ZIP 17070 Tax Payments and Credits: 1. Tax Due (Page 1 line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 120,162.1~ o~oo 110,000.00 5,,789.00 Total Credits ( A + B + C ) (2) 115.789.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + 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) 0.00 5. If Line 1 '" Line 3 is greater than line 2. enter the difference. This is the TAX DUE. (5) 4,373.13 A. Enter the interest on the tax due. (SA) B. Enter the total of line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 4,373.13 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; .......................................................................................... 0 [i] b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 [i] c. retain a reversionary interest; or.......................................................................................................................... 0 [iJ d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 Ii] 2. If death occurred after December 12. 1982. did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. ~ 0 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ 0 [i] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. DATE 11-"2 t -()(p oC, ADORES PO Box 946, 130 State Street, Harrisburg, Pa 17108-0946 For dates of death on or after July 1, 1994 and before January 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. ~9116 (a) (1.1) (in. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (iill. The staMe does not exemDt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving 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 twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 99116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(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. 99116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. ~ ~ r REV-' 503 EX+ (6-98* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF Hays, Glenn B. FILE NUMBER 21-06-0567 All property jolntly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. DXP Enterprises Inc. New 10,461.00 2. Itron Inc. 17,191.50 11,892.00 3. Nelnet Inc. Class A 4. Asta Funding Inc. 10,396.50 12,928.50 16,641.00 5. Ensco IntI. Inc. 6. Barrick Gold Corp. 7. St. Mary & Exploration Co. 11,217.00 8. Armor Holdings 16,248.00 9. Amdocs Limited Ord. 10,123.50 11,004.00 9,036.00 Anglo American PLC ADR Genesee & Wyoming Inc. A Angiodynamics Inc 8,243.70 11,709.00 Ansoft Corp. Citigroup Inc 14,553.00 7,152.00 13,449.90 5,683.50 Sterling Construction Grant Prideco Inc. Bronco Drilling Co. Inc. Helix Energy Solutions Group Inc. 18,789.00 10,623.00 42,650.00 12,147.75 Airgas Inc. Boeing Co. Intermagnetics General Lufkin Ind. 15,997.50 NS Group 14,284.50 15,109.50 Norfolk Southern Corp. CONTINUED ON PAGE 2 327,531.35 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) ~ . r REII-1503 EX+ (&-98* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF Hays, Glenn B. FILE NUMBER 21-06-0567 All property Jolntly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH CARRY OVER FROM PAGE 1 327,531.35 10,641.00 15,138.00 25. Rowan Companies Inc. 26. Trinity Industries Delaware 27. URS Corp. New 11,833.20 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 365,143.55 . r \0 REV-'508 EX+ (6-") .. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Hays, Glenn B. FILE NUMBER 21-06-0567 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jolntly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. Personal Property (see attached). 2. Morgan Stanley Account No. 410-017665-006 DESCRIPTION VAlUE AT DATE OF DEATH 987.00 3. Wachovia Bank NJA. Account No. 1639505641541 Adjusted Date of Death Balance 346,388.94 97,583.61 Checks written on account prior to death: Louann M. Rockey 100.00 dated 6/12/06 Hospice of Central PA 2,000.00 dated 6/12/06 United StatesTreasury 510.00 dated 6/12/06 PA Dept. of Revenue 280.00 dated 6/12/06 Marvin Beshore 300.00 dated 6/12/06 Joy Dougherty 12,000.00 dated 6/15/06 Jed Beshore 12,000.00 dated 6/15/06 Marvin Beshore 12,000.00 dated 6/15/06 Kriby Beshore 12,000.00 dated 6/15106 Athena Beshore 12,000.00 dated 6/15/06 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed. insert additional sheets of the same size) 444,959.55 . f " RBI'151. EX' 16-". COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF Hays, Glenn B. FILE NUMBER 21-06-0567 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV.1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY ITEM INClUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPlICABLE) VALUE 1. Cash gift, check June 12,2006, to Marvin Beshore, nephew, in 0.00 100% $3000.00 9000.0 the amount of $12,000.00. 2. Cash gift, check June 12,2006, to Kirby Beshore, nephew, in 0.00 100 3000.00 9000.0 the amount of $12,000.00. 3. Cash gift, check June 12,2006, to Jed Beshore, nephew, in the 0.00 100 3000.00 9000.0 amount of $12,000.00. 4. Cash gift, check June 12,2006, to Athena Beshore, sister, in 0.00 100 3000.00 9000.0 the amount of $12,000.00. 5. Cash gift, check June 12,2006, to Joy Dougherty, niece, in the 0.00 100 3000.00 9000.0 amount of $12,000.00. TOTAL (Also enter on line 7 Recapitulation) $ 45,000.0 o o o o o o (If more space is needed, insert additional sheets of the same size) , T REV-1511 EX. (12.... COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT leHIDULI H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Glenn B. Hays FILE NUMBER 21-06-0567 Debts of decedent must be reported on Schedule L ITEM NUMBER A. B. 1. DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: Parthemore Funeral Home Paddletown Cemetery - Grave Opening Joy Dougherty - funeral food and related items Jed Beshore - Pastor, Evelyn, servers, funeral cake Kirby Beshore - funeral food, drinks, ice Engraving of tombstone 8,234.57 650.00 365.64 345.00 103.20 400.00 ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Kirby Beshore Social Security Number(s)/EIN Number of Personal Representative(s) Street Address 1421 Potato Valley Road City Harrisburg 0.00 State PA Zip 17112 Year(s) Commission Paid: 2. Attorney Fees Marvin Beshore 0.00 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 625.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 500.00 7. Advertising - Patriot News Advertising - Cumberland Law Journal Rentzel's Auction Service - appraisal of personal property 71.10 75.00 75.00 Totals from page 2 8,907.93 20,352.44 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) - 1 SCHEDULE H CONTINUED ESTATE OF: FILE NUMBER: Glenn B. Hays 21-06-0567 TRANSACTION EXPENSES FOR SALE OF SECURITIES DXP Enterprises, Inc. New Itron, Inc. Nelnet Inc. Class A Asta Funding Inc. Ensco IntI. Inc. Barrick Gold Corp. St. Mary & Exploration Co. Armor Holdings Amdocs Limited Ord. Anglo American PLC ADR Genesee & Wyoming Inc. A Angiodynamics Inc. Ansoft Corp. Citigroup Inc. Sterling Construction Grant Prideco Inc. Bronco Drilling Co. Inc. Helix Energy Solutions Group Inc. Airgas Inc. Boeing Co. Intermagnetics General Lufkin Ind. NS Group Norfolk Southern Corp. Rowan Companies Inc. Trinity Industries Delaware URS Corp New TOTAL EXPENSE $255.72 $350.77 $309.61 $284.73 $322.93 $423.30 $291.14 $350.74 $284.36 $327.54 $276.39 $223.4 7 $339.45 $350.70 $231.82 $325.59 $188.81 $481.48 $285.45 $581.51 $354.01 $350.76 $350.72 $350.71 $275.98 $440.04 $300.20 TOTAL FOR THIS PAGE $8.907.93 - t RE1I-1512 EX- (12-03) .. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE UABlunES, & LIENS ESTATE OF FILE NUMBER Glenn B. Hays 21-06-0567 Report debts Incurred by the decedent prior to death which remained unpaid as of the date of death, Including unrelmbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 6/19 - Automated Debit - Verizon 26.14 2. 6/21 - Automated Debit - Dish Network 42.39 3. 6/26 - Automated Debit - Electric Bill 24.69 4. 6/27- Automated Debit - PAWC 17.82 5. 7/3 - Automated Debit - Walmart-Netscape 9.94 6. 7/6 - Automated Debit - Virgin Mobile USA 21.20 7. 7/12 - Automated Debit - UGI Utilities 31.92 8 Hospice of Central PA 100.00 9. Urology of Central PA 17.27 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 291.37 . 1 REV-1513 ""(000) .. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF Hays, Glenn B. FILE NUMBER 21-06-0567 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS pnclude outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. Joy B. Dougherty, 401 Gurtner Road, New Cumberland, neice 1/5 Pennsylvania 17070 2. Kirby Beshore, 1421 Potato Valley Road, Harrisburg, nephew 1/5 Pennsylvania 17112 3. Athena Hays Beshore, 389 Old York Road, New sister 1/5 Cumberland, Pennslylvania 17070 4. Marvin Beshore, 411 Gurtner Road, New Cumberland, nephew 1/5 Pennsylvania 17070 5. Jed Beshore, 396 Old York Road, New Cumberland, nephew 1/5 Pennsylvania 17070 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) . 1 LAST WILL AND TESTAMENT of GLENN B. HAYS I, GLENN B. HAYS, of the Borough of New Cumberland, County of Cumberland, and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at any time heretofore made. 1. I direct that the expenses of my burial and all my debts be paid as soon after my death as may be convenient to my Executor or Executrix hereinafter named. 2. I nominate, constitute and appoint my nephew KIRBY BESHORE to be the Executor of this, my Last Will and Testament. If any of my nephew does not survive me, or is unable or unwilling to serve for any reason, I nominate, constitute and appoint my niece JOY B. DOUGHERTY to be Executrix hereof. 3. I direct my Executor to divide all of my property, real, personal and mixed into five (5) equal shares and give one (1) share to each of the following persons: ATHENA HAYS BESHORE, MARVIN BESHORE, JOY B. DOUGHERTY, KIRBY BESHORE and JED BESHORE, per stirpes. 4. I give to my Executor or Executrix and Trustees the following powers which are to be construed in the broadest manner consistent with validity and their duties as fiduciaries. I give the powers stated herein, in addition to those granted by law, and I give them to Administrators and Trustees who succeed the fiduciaries I have appointed. a. To retain any or all of the assets of my estate, real or personal, without @H ~ . f regard to any principle of diversification or risk. b. To invest in all forms of property, including stocks, common trust funds and mortgage investment funds, as they deem proper without regard to any principle of diversification or risk. c. To sell at public or private sale, to exchange or to lease, for any period of time, any real or personal property and to give options for sale, exchanges or leases, for such prices and upon such terms or conditions as they deem proper. d. To allocate receipts and expenses to principal or income or partly to each as they from time to time think proper. e. To borrow money from any person or institution, and to mortgage or pledge any or all real or personal property as my Executors or Trustees, in their sole discretion shall choose, without regard for the dispositive provisions of this instrument. f. To register securities in street name or in the name of a nominee or in such manner that title shall pass by delivery and to vote, in person or by proxy, securities held hereunder and in such connection to delegate discretionary powers. g. To compromise any claim or controversy. h. To choose the optional valuation date for federal estate tax purposes. 1. To exercise any law-given option to treat administrative expenses either as income or as estate tax deductions, without regard to whether the expenses were paid from principal or income. j. To exercise any law-given option to pay death taxes in installments, the payment of interest due on such installments to be a charge against principal. - 2 - ~~~ . I k. To make distribution in cash or in kind, or partly in cash and in kind, and in such manner as they may determine, and at valuation finally to be fixed by them. 5. Death taxes: All federal, state and other death taxes payable on the property forming my gross estate for those purposes, whether or not it passes under this Will, shall be paid out of the principal of my probate estate just as if they were my debts, and none of those taxes shall be charged against any beneficiary. This provision shall not apply to any property over which I have a general power of appointment for federal estate tax purposes. 6. To the extent that such requirements can be legally waived, I direct that my Executrix or Executor shall not be required to post bond or give any security in connection with their duties hereunder, whether in the Commonwealth of Pennsylvania or any other jurisdiction. IN WITNESS WHEREOF, I, GLENN B. HAYS, have hereunto set my hand and seal to this, my Last Will and Testament which consists oQ typewritten pages, thi~~y of May, 2006. ~ nAb y or.; B. HAYS ~ Signed, sealed, published and declared by the above-named, Glenn B. Hays, as his Last Will and Testament in the presence of us, who at his request, in his presence and in the presence of each other have hereunto subscribed our names as witnesses. Witnes~ of ~ t \ ~u.f1't(r 'RD\. . Ji~ GJ~~~~ ~/'n.~ I of~ Cv~ U Jw {II~W(~ fJJ (7070 ~~ - 3 - . J ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF 'lark- ) ) SSe ) I, Glenn B. Hays, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed this instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. '14fl Sworn or affirmed to and acknowledged before me, by Glenn B. Hays, the Testator, this "'~dayofMay, 2006. tZA-{~ H F NNSY ~ NIA Notarial Seal Anne MarIe Beshore. Notary Public City of Harrisburg. Dauphin County My Commission Expires Apr. 5. 2008 Memb9r. Pennsylvania Association of Notaries - 4 - . J AFFIDAVIT COMMONWEALTH OF PENNSYL VANIA COUNTY OF yurt- We, "J 1t6~ 1+ ,J8-<.bAoY<.., and /;;'1) oft. y p. ~1OV~the witnesses whose names are signed to the attached and foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will; that he signed willingly and that he executed it as his free and voluntary act for the purpose therein expressed; that each ofus in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our lmowledge, the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn oj affirmed to and subscribed to before me by these witnesses, this ~y of May,2006. ~ WIJ~ WI SS . ) ) SSe ) Notary Public COMMONWEALTH F ENNSY 'M NI Notarial Seal Anne MarIe Beshore, Notary Public . City of Harrisburg, Dauphin County . My Commission Expires Apr. 5, 2008 Member Penn!'Jvlvania .4*,,sOOa\lon of Notaries - 5 - . I 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 BESHORE KIRBY 1421 POTATO VALLEY RD HARRISBURG, PA 17112 -------- fold ESTATE INFORMATION: SSN: 422-12-5165 FILE NUMBER: 2106-0567 DECEDENT NAME: HAYS GLENN B DATE OF PAYMENT: 09/18/2006 POSTMARK DATE: 09/1 8/2006 COUNTY: CUMBERLAND DA TE OF DEATH: 06/16/2006 NO. CD 007218 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $110,000.00 I I I I I I I I TOTAL AMOUNT PAID: $110,000.00 REMARKS: KIRBY BESHORE EXEC CHECK#108 SEAL INITIALS: AJW RECEIVED BY: TAXPAYER GLENDA FARNER STRASBAUGH REGISTER OF WILLS . J MorgahStanley 4th and Walnut Sueets p.o. Box 12053 Harrisburg, PA 17101 toll-free 800 676 0673 direct 717 255 6666 fux 7172556651 Glenn B. Hays 410-017665-006 Asset Valuation as of June 16, 2006 Account Open Date: April 26, 1978 Cash and Money Market Funds Bank Deposit Program Shares 346,388.94 Price 1.00 Value $346,388.94 $346,388.94 Total Cash and Money Market Funds Securities Shares High Low Average Value DXP Enterprises Inc. New 300 35.920 33.820 34.870 10,461.00 Itron Inc. 300 58.430 56.180 57.305 17,191.50 Nelnet Inc. Class A 300 39.930 39.350 39.640 11,892.00 Asta Funding Inc. 300 35.320 33.990 34.655 10,396.50 Ensco IntI. Inc. 300 43.700 42.490 43.095 12,928.50 Barrick Gold Corp. 600 27.950 27.520 27.735 16,641.00 St. Mary & Exploration Co. 300 38.160 36.620 37.390 11,217.00 Armor Holdings 300 54.830 53.490 54.160 16,248.00 Amdocs Limited Ord. 300 34.120 33.370 33.745 10,123.50 Anglo American PLC ADR 600 18.480 18.200 18.340 11,004.00 Genesee & Wyoming Inc. A 300 30.410 29.830 30.120 9,036.00 Angiodynamics Inc. 300 27.948 27.010 27.479 8,243.70 Ansoft Corp. 600 19.990 19.040 19.515 11,709.00 Citigroup Inc. 300 48.850 46.170 48.510 14,553.00 Sterling Construction 300 24.480 23.200 23.840 7,152.00 Grant Prideco Inc. 300 45.736 43.930 44.833 13,449.90 Bronco Drilling Co. Inc. 300 19.500 18.390 18.945 5,683.50 Helix Energy Solutions Group Inc. 600 32.100 30.530 31.315 18,789.00 Airgas Inc. 300 35.740 35.080 35.410 10,623.00 Boeing Co. 500 85.850 84.750 85.300 42,650.00 Intermagnetics General 450 27.070 26.920 26.995 12,147.75 Lufkin Ind. 300 54.530 52.120 53.325 15,997.50 NS Group 300 48.320 46.910 47.615 14,284.50 Norfolk Southern Corp. 300 50.840 49.890 50.365 15,109.50 Rowan Companies Inc. 300 36.030 34.910 35.470 10,641.00 Trinity Industries Delaware 450 34.010 33.270 33.640 15,138.00 URS Corp. New 300 40.100 38.788 39.444 11,833.20 Total Cash and Money Market Funds $365,143.55 Total Asset Valuation of May 31,2006 $711,532.49 . . ~ RDlr2fL'S AUCTION seRVICE BlAINE 1larrzEL AUClIONmUNCi AND APPRAISAL SflVICE SOX 222 fMI(iSV1LLE, fA 17318 PHONf I: (717) 764-6412 fAX #: (717) 764.5492 ~ APPRAISAL FOR: ADDRESS: Glen B. Hays Estate 520 3rd St., New Cumberland, PA EXECUTOR: Marvin Beshore ATTORNEY: ADDRESS: Marvin Beshore 130 State Street P.O. Box 946 Harrisburg, PA 17108 PHONE: 717-236-0781 DATE: 16th of June 2006 I have appraised this merchandise at a fair and marketable value to the best of my knowledge. ~ 1\\ ".11. y:!:~ www.rentzelsauctionservice.com . , ITEM DESCRIPTION AT PRICE TOTAL sofa nolvalue oak coffee table $ 5.00 side chair $ 10.00 4 Hitchcock chairs nolvalue end table $ 100.00 computer desk no/value dell computer $ 75.00 19" TV $ 20.00 VCR $ 5.00 chest of drawers $ 20.00 small TV $ 5.00 gun cabinet $ 25.00 Great Plains 50ca!. Flintlock rifle $ 175.00 Sturm Ruger M77 w/ scope $ 325.00 Winchester Model 120 12 G pump $ 175.00 drop-leaf kitchen table $ 5.00 single box spring & mattress & frame no/value card table $ 3.00 table & 2chairs $ 5.00 folding chairs $ 2.00 doctors bag $ 20.00 painting $ 5.00 microwave $ 5.00 card table $ 2.00 Total value of Estate $ 987.00 . ~~~-.. WACHOVIA Reference ID: 1678479 Wachovia Bank N.A. B~mceCorufumationS~c~ POBox 40028 Romoke, VA 24022-7313 July 7, 2006 MARVIN BESHORE ATIORNEY AT LAW 130 STATE STREET POBOX 946 HARRISBURG, PA 17108 SUBJECT: Verification / Confirmation of Account and Balance Information provided for: Customer: GLENN BIIAYS (SSN# 422-12-5165) Date of Death: June 16,2006 Deoosit Account Information Account Type Account Number Date of Death Balance Average Balance. Date Opened Maturity Interest Accroed YTD Date Date Rate Interest Interest Paid Closed CHECKING 1639505641541 LEGAL TITI...E: GLENN B HAYS JOY B DOUGHERTY POA $135,983.61 /,r/o/' 6/6/1988 $1.54 $3.63 . Due to system limitations, we can only provide a twelve month average balance on depository accounts. No Safe Deposit Box found for customer. · Date of death b~ance do~ not include accrued inter~t. · If date of death occurrs on a weekend or a holiday, date of death balance do~ not include any transactions that were ~ durin~ that time period. . ~#F~ Servicenter Associate Phone: (540)563-7323 abs; dm r;:'\ r-:-ll--- r, n r"l l";......~---.. lt~ -nJ.irlll"".KI", . r,~:j.__,__,.I'~,j.:~'.',:. ,:~:_} ",,1_: ,,' JUl10. uLLi0~LrtJ15C~) . dl:w -. ......._.. -_ww.....~w_.. .......... 0000 ~. J614 q- ~~~ ~2": -- WACHOVIA Benefit Checking 01 1639505641541 036 40 10 6 26,240 - - 1...11I'1111I...1. ..11I. '11.1.111"'11.11.1.1...1.11I....1.1.1 GLENN B HAYS JOY B DOUGHERTY POA 520 THIRD STREET FIRST fLOOR NEW CUMBERLAND PA 17070 - PI Benefit Checking 6/10/2006 thru 7/12/2006 Account number: Account owner(s): 1639505641541 GLENN B HAYS JOY B DOUGHERTY POA Account SUflllnary Opening balance 6.'10 Deposits and other credits Interest paid Checks Other withdrawals and service fees Closing balance 7/12 $10,773.61 150,009.94 + 5.13 + 63,190.00 - 174.10 - $97,424.58 Deposits and Other Credits Date Amount Description 6115 150,000.00 DEPOSIT 6/30 5.13 INTEREST FROM 06/01/2006 THROUGH 0613012006 7/05 9.94 REFUND WALMART*NETSCAPE I 07/04 4828533828788 T VA 801 0Z71 0000 Total $150,015.07 Interest Number of days this statement period Annual percentage yield earned Interest earned this statement period Interest paid this statement period Interest paid this year 31 0.10% $8.02 $5.13 $8.76 Checks Number Amount Date Number 2351 510.00 6/16 2355 2352 280.00 6/14 2356 2353 300.00 6/19 2357 2354 100.00 6/21 2358 Amount Date Number Amount Dale 2,000.00 6123 2359 12,000.00 6/27 12,000.00 6/16 2360 12,000.00 6/16 12.000.00 6/19 Total $63,190.00 12.000.00 6/22 W ACHOVIA BANK, N.A., HEITMAN page 1 of 3 "~l ~:-~ ~~, WAiC'HO'-'J-L-\- Benefit Checking 03 1639505641541 036 40 10 6 26,242 -- - Customer Service Information Checking & Savings Accounts, Check Card & A TM Card TOO (For the Hearing Impaired) En espanol para cuentas corrientes y de ahorros Phone number 800-WACHOVIA 800-922-4684 800-388-2234 800-326-8977 Address WACHOVIA BANK, NATIONAL ASSOCIATION NC8502 POBOX 563966 CHARLOTTE NC 28262-3966 Bank By Mail /Deposits Only) WACHOVIA BANK, NATIONAL ASSOCIATION FL8044 POBOX 522817 MIAMI FL 33152-2817 Consumer Loan Accounts 800-347 -1131 WACHOVIA BANK. NATIONAL ASSOCIATION V A0343 POBOX 13327 ROANOKE VA 24040-0343 To Balance Your Account 1. Compare your account re8ister to your account statement for List Outstanding Checks and Withdrawals unrecorded transactions such as ATM, Check Card, Interest earned, Ck. No. Amount Ck. No. Amount fees, etc.~ Your new account register total should match the adjusted a1ance in line 6 below. 2. Write in the closing balance shown on the front of account statement. 3. Write in any deposits you have made since the date of this statement. 4. Add together amounts listed above in steps 2 and 3. 5. In the section to the right, list and total all checks and withdrawals that you have made that are not reported on your account statement. Write in the total here. 6. Subtract the amount in line 5 from the amount in line 4. This is your a1usted balance and should match the balance in tep 1 above. Total In Case of Errors or Questions About Your Electronic Transfers: Telephone us at 800-WACHOVIA, 800-922-4684, or write to us at WACHOVIA BANK, NATIONAL ASSOCIATION, NC8502, POBOX 563966, CHARLOTTE NC 28262-3966, as soon as you can, if you think your statement or receipt is wrong or if you need more information about a transfer on the statement or receipt. We must hear from you no later than 60 days after we sent you the FIRST statement on which the error or problem appeared. 1. Tell us your name and account number (if any). 2. Describe the error or the transfer you are unsure about, and explain as clearly as you can why you believe there is an error or why you need more information. 3. Tell us the dollar amount of the suspected error. We will investigate your complaint and will correct any error promptly. If we take more than 10 business days to do this, we will credit your account for the amount you think is in error. You will have use of the money during the time it takes us to complete our investigation. WACHOVIA BANK. N.A. IS MEMBER FDIC WACHOVIA BANK, N.A., HEITMAN page 3 of 3 C <<-' (11-0::1' to ::1' c -' to....(II ;(11 0-' to ; ::1' (II 0.':-- ....~.,.r- -"SIl' rn fO<< ...(.Q ;<< 0 .,. SIlOCr- _COO O~SIlQ, ~ ~":I ..<. o _C 0 .,.0.': -- ....0. ""....0 b" ...... .... OJ CUb" OJulO ..........0 b"CUO ulOb" 00& .......... . ~ O 01 10( I; 'i '" (% ~ (l % >G\ .; t.1~tft ~ U\CA~Z ~~~)J% 5i ~a~$as );>wOGS~ ~ O~~ 1 '<5 "~ua :P~ i (') - '" 0' tr' ~ o o tP r UJ f'\J - -- ~. ~ a ~~ ~- 'iJII ~'GS %~ '" ~ 'P .... t03~OOOO~Ol Ob/c3/COOb 031&\.\bb\.\1a3 , \ \ \ \ . r tr' UJ .0 IJ"\ o IJ"\ tP r r IJ"\ r\ , -;~\"" f'\J : UJ' , __ \,i9' ~ g~ o"'~ .. ., -", r - .. o tP -'1 o o tr r ~ f\,J - .. Ei tP -a o o IS" r ~ ru - .- .... IP "" ..D U\ o U\ IP r r \S1 ~\ =i.l ~ \ ;" 3 ~i, I ~UliZ .0......'2 ~a.~$. ll'y: 0 asS ~ o=~ 1., ~ ':lis. \ ~ i '" 1ft '\ I \ \ t r ~ ~ fJ't '0 , "... ~ ~ (J I ) 0 ~ a> 0 ~ "" t \~ ~ t \\ 0 .... tP ~ .0 IJ"\ o IJ"\ tP r r IJ"\ r r :::;. ~ f \ f\,J ~ IJ"\ IJ"\ \ ~ \ , . 1 --. o o o o f\,J o o o o o .-. t!l \i S> t'~ \t\ \-" -' - -.--.--.---- -----.--- . . - GLENN B HAYS ITF ATHENA H BESHORE FIRST FLOOR 520 3rd St New Cumberland, PA 17070-2015 ::.::,U'" ~~A s\-..~ T""-~ F'~~~~~~ -~ WACHOVIA BANK, N.A. wachovia.com 2351 ~-\A- 63-6431670 2Ot:J ~ $ S\ o..o:~ DULLARS {?J ==--":' :; ~?;;;;~~~:-l~ ~;~~~l5 ~~~~~~, GLENN B HAYS ITF ATHENA H BESHORE FIRST FLOOR 520 3rd St New Cumberland, PA 17070-2015 ~~~:~:E ~~~\-o~~ 2352 63-643/670 ~ ~\. ~ 200\.0 I $""2... -go. cO '" ~ O\--.-J.-A t\ ~~ WACHOVIA BANK, .A. wachovia.com ~DOLLARS {lj ~ ~..'~~~ M" FOR ._~_~_..._.. _. ___._....__..0.. 1:0 b 1'00 b L, :I 21: 1 b :I q 50 5 b L, 1 5 L, 1"- 2:1 5 2 ~OO 28000." GLENN B HAYS ITF ATHENA H BESHORE FIRST FLOOR .520 3rd St New Cumberland, PA 17070-2015 -....... \ PAY TO THE .-....-.. . 0 I:~ \ _. OIllDIER OIF ,,\~ C>..;.....:.....5>....~=_ ,--~-_.~.y.-~ 2353 63-6431670 ~.-\~ 2O~\.::a. $ ~,~.('"\. ...:\~..~ '-=-r-~ \ (\ _ ~ \ ' ~. v......-. ~ . WACHOVIA BANK, N.A. wachovia.com r. . -~-~, '-(f{!$~ DOLLARS {O ==: :~?~~~:-:~7~50 5~~ l5~ ~.~::; .-..... C '<-1 III;O=r III C-' 11)...,111 ;1110-' II) 3 =rill OIl)~DJ ""~.....r -'01' m CC,< (i) -. -<)> ~~gr -COO O~DJO =ro~"'tJ IIlC -< o_co .....c.III- . II) IrO* I:-IlrO 1:-1,0- ~I:-II:-I tn.JIO Ir'O &NO ....01:-1 wc& &o-Ir * [031000040] 06/19/2006 0317519675 r - .. D [p ~ D D [p r ~ n.J - .. ~ ;g o 2J U1 ""\J o o rn r- U-l ru - ... - fP ...... .JJ IS1 o l.11 []":lI r - U1 r- ... ... [p ~ .[] U1 D U1 [p r ... L11 r ... .. n.J ~ L11 ~ D D o ... n.J D o o o o - - J n ::c ~o is t)t iillll g~ 32 ;C Z ~ A I: ~~ In Vt ~Q p,:3 ::!! .:t' ... l:1' ::Dmm i~cn22 &.~-f~2 ':u a. i!! :I: ca "'~Oal: ~ Om~ ~ :D.~ 9 :z: 'VII ~ C g; :II m-- W o ;1 r"" r- > lI'I '" l~ ~ I Cii en , . if ~ .1 ~ , t,;D ;; .' ~_.' ~ ~ ~ ". r ~ B , I ED 'IJ iI, ~ '" j!ij i , I I ~ L.-___.~ _.___.._._._________ ... [p U,J .[] U1 D U'1 (J"J r ... U'1 r ... .. n.J ~ U'1 (J"J - - D D D ... n.J D D o D D - - C_'<-1 :=r~=. lD-'1II ;1110-. lD ~ =rill OlD~1I) :.~.....r 11). m CC,< (i) -. -<)> ~~gr -coo O~II)O =ro=,"'tJ lDC -< o_Co .....c.:- 0-0* WII""O 1:-1......11"" ~I:-II:-I 1:-111""0 N'C ONO .01:-1 NO& &11""11"" * [031000040] 06/16/2006 0317414520 .r - .. D (J"J ~ D D [p r U,J n.J - .. '" .. 0 o :II frJ -d o Cl IP .r ...... ru - .. ... lP ..", ~ U1 o Ln [J'2 r ... Ul .r L_..___....__............__. ~ n a ~c gj; ~(fI I~ ~ 2 > o o {,9 g ., :: ~ III .. ~ 8 1'1 '1 jf, z =t ~ TI n ~Q 3 ::!! ~ ,.. CI" 2Imln !~ (1)22 &.~-f)llZ ;.a;D:aI )io~QmZ ~ Om:" S :11.< 9 Zfn ~ 0 - :II UI m i .- II) t ... 'r' N I&: ~ m ...:-\ c,..O~ lI)~c-' teal....1I) "'CI)()- ~. ~- al3_. oG()r- ....' ~ 7f( rn -.. G') 10...: -<)0- -'"" 0 r- ~ocO ~c()Q ()~~~ :sO teCco ()-II)_ 7f(O-te . ...00 tU...... ra.....ra ootUo ootUo "'.....0 ...tU~ wOs: ..DO... ",'" . ------- 01 \ ~~ ~ la :i II ~i lJ ( q o ~5 '0 5> t..... ~. as \.. g~ . 3~ Z P r - .. o tr' ....3 o o tr' r ~ rU :-. ~ Z ." i ~Ci) 1 (') .,,~~ 3 $i~ ~~C!!Z'2. iiio~'PGS ~~." $... -0.1"'" ... ~cpo,,~ .... 0 (1);( r\ "r ... tP u.J ..D \J'\ o \J'\ tP r ... 'If\ r ... =;. ... tr' ~ .D \.f\ o \J\ tr' r ... \J\ r ... =it rU ~ \J\ 03 ~ ~ \"~ ',J o '" --- o o o ... rU o o o o o --- \ \. ~ ~... '~\\L/~/ ~'L?\~~ ~ ~ ~ ~~~~.- PARTHEMORE Funeral H~ Cremation Services, Inc Mr. Kirby Beshore ~ '- .. ..... 611912006 1421 Potato Valley Ro . . " Harrisburg, P A 17112 _ A Family Tradition Of Caring For the service$ of GleIm B. Hays, MD 1303 Bridge Street P.O. Box 431 New Cumberland, PA 17070 (717) 774-77'21 We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact us if you have any questions in regard to this statement. The following is an itemized statement of the services, facilities, automotive equipment and merchandise that you selected when making the funeral arrangements. \\'W\v. parrhcIIl ore .:'0 111 r --- --------~ ---- ---~~---- .- - ---'---.","- 1._. ___!~~~ Due Date I Net 30 7/19/2006 _--L____. ._ ___4________._____.._..__ Account # -..----.. --. .--- 2006048.0 i 1 I _L i :=a.\! --:'-:I--55.:kJ Amount .....--- ------------.---.. .........----- _.. Description SERVICES & MERCHANDISE Traditional Funeral Service 20 Gauge Steel Olivetone Casket 12 Gauge Standard Steel Vault 5,405.00 1,204.00 989.00 Gilbert W. Parthemore, Founder Total Services and Merchandise 7,598.00 Gilbert 1. Parthemore, Supervisor CASH ADVANCE ITEMS Death Notice, Hanisburg Patriot Death Notice, Yark 5 Certified Copies of Death Certificates Tent & Cemetery Equipment Flowers, Casket Spray 264.88 183.15 30.00 125.00 185.50 Stephen K. Parthemore, CFSP Bruce R. Parthemore, Pre-Need Coordinator, CPC Total Cash Advances 788.53 Immediate P~y Discount - Thank youl -151.96 Professional Memberships: NFDA · PFDA DCFDA · CCFDA G~ The Rule You Know. The People You Trust ~ T atal Payments/Credits Balance Due $8,234.57 $-8,234.57 \ 'v\D>.'/'. ~ \.J DU, -- ~~ /' ~~ $0.00 ------------ - . . KUHNER ASSOCIATES 'Fulle-m( 'Directors, 'Inc. Albert l. Kuhner, Jr., Supv. 863 South George Street York, PA 17403 717 -854-0053 BAUME~STER n ORCUTI (# SMALL 'Mom un;! William E. Little, Supv. 471 Madison Avenue ~'F.A " ~ WILLIAM E. LITTLE FUNERAL HOMES 'Jllcoryomred- Walter H. Coppersmith, Supv. 60 South Main Street Manchester, PA 17345 717.266-1451 Adam F. Kraut, Supv. 2150 Carlisle Road York, PA 17404 717-767-5088 SAINT JOHN'S LEWISBERRY CEMETERY PADDLETOWN ~ CEMETERVW ?It 'l'Iew6emjtown P.O. Box 366 Manchester, PA 17345 717-266-1451 GRANITWERKS MEMORIALS S.P. P.O. Box 366 Manchester, PA 17345 717 -266-1451 Statement of Expense Services of Glenn B. Hays, MD June 21, 2006 Mr. Kirby Beshore 1421 Potato Valley Road Harrisburg, P A 17112 7-1t *{01 6 Cemetery Grave Opening Please make check payable to Paddletown Cemetery, and mall to PO Box 366, Manchester, PA 17345. Sincerely, P ADDLETOWN CEMETERY ALK/lkg ,~+ ~",... ",' .....~ -' ~-!-- =-,,:"".i 9 :{;~ , ' "..... ~...- ;' ""0: (,.,'" .~be patriot -News Now you know Order Confirmation Paver Paver Account Number 53450 Ad Order Number 0001531667 Sales Reo. kkline Order Taker kkline Order Source Phone Customer MARVIN BESHORE Orderer Account Number 53450 Soecial Pricina None MARVIN BESHORE ATTORNEY AT LAW,130 STATE STREET,P.O. BOX 946 Harrisburg PA 17108-0946 USA PO Number Ordered Bv Customer Fax Glenn B. Hays estate Marvin Customer EMail Customer Phone 717-236-0781 LAW OFFICES OF MARvIN BESHORE DATE : Jul 31/2006 CHE # : 19316 AMOUNT: $71.10 ACCOUNT: GENERAL PAID TO: Patriot 7017 -')~R_n7A1 019316 - 1 TWS 5010 Client Disbursement CLIENT: 4070 - Estate of Glenn B. Hays MATTER: 4070 $71.10 Amount Due Ad Number Ad Tvoe 0001531667-0' Legal Liners Ad Size :1.0X10Li Color <NONE> Production Method Production Notes Ad Booker Product Infonnation Classification # Inserts Run Dates PNCO: : Full Run 846-Estate Notices-West 3 7/12/2006, 7/19/2006, 7/26/2006 Run Schedule Invoice Text . NOTICE IS HEREBY GIVEN that Letters Testamentary in the Estate of Glenn J),JJt:t.;5 7/26/2006 8:35:07AM 1 " . -' Jl1 CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, P A 17013 July 21, 2006 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Marvin Beshore, ESQUIRE GlennB. Hays, ESTATE RE: Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement inserted on following dates: July 7, July 14, and July 21,2006 Advertising Cost 75.00 Second Proof Request $ 0.00 $ 0.00 Proof of Publication Payment received $ 75.00 Total Amount Due $ 00.00 --- --- Payment received 6/30/06 Becky H. Morgenthal, Executive Director - . PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEAL TH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly swonl, according to law, deposes and says that the Cwnberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, VlZ: July 7, July 14, and July 21,2006 Affiant further deposes that he is authorized to verify this statement by the Cwnberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. Ba,.., GleJUl B., dec'd. Late of New Cumberland Bor- ough. Executor: Kirby Beshore c/o Marvin Beshore, Esquire, 130 State Street, Harrisburg PA 17101. ' Attorney: Marvin Beshore, Es- quire, 130 State Street, Harris- burg, PA 17101. ~ AND SUBSCRIBED before me this day of Julv. 2006 Q"/~~J~ Notary NOTMIAL SEAl. DEBORAH A cou.ra Notary PublIc CARLISLE IORO. CUM8EIIt.AND COUNIV My CommlllOh ExpIMI /tip It. 2010 . . ~ ~ 'RBmEL's AUCTION SfR,VlCE 'BLAINE 'RarrzfL AUCTIONmuNCi AArD APPRAISAL SEflVICf SOX 222 fMIGSVILLE, PA 17318 PHt)M[ #: (717) 764.6412 fAX #: (717) 764.5492 ~ Statement Date: 10th of July 2006 APPRAISAL FOR: ADDRESS: Glenn B. Hays 520 3rd St., New Cumberland ATTORNEY: Marvin Beshore Appraisal of personal property: $75.00 Thank you ! III 11.1"11. www.rentzelsauctionservice.com M "l,_" . , 1<,., ~...J'3"- rA',Fi-, organ .--;, ,..1!tl!l!i1;'-'\! ~,j . .-:+~ ~ ~ II '...... ,.j This transaction is conji1'llJed ;n accordance lllith the explanations and conditions rtated on the reverse sitJ8. ~ Code: 1 Execution Code: 1 Your ACC01Ult Nwnber: 410-054574-0-006 Cash Account - Active Assets KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VALLEY ROAD HARRISBURG, PA 17112-9210 111I11I.111...11..1111.1111.111I.1.1.11111111I111.1..1111111.1 Your Financial Advisor JOY B H DOUGHERTY 4TII & WALNUT ST., STRAWBERRY SQ. HARRISBURG, P A 17101 (717) 255-6666 You Sold Trade nak 06/28/06 for Settlement on 07/03/06 35.65 Descriptio": AMDOCS LIMITED ORD UNSOUC11'ED TRADE Principal Commission Supplemental TrdOSaction Fee Processing Fee $10,695.Qf 278.7. 0.3: 5.2: Net Amount - --- $10,410.& Research Source Rating Overweight 5* Strong Buy RatUlgs Industry View In-Line Volatility Morgan Stanley S&P Independent, third-party research on equity securities of certain l:D:DlPanies covered bv Morgan StaoJey Equity Research is available to U.S. customers of Morgan St8il1ey at no cost. Customers can access this research by visiting www.morganstmley.com./ equityresearch, by calling 800-624-2063 or by contacting a Morgan Stanley representative to request tliat a copy of this research be sent to them. Resean:h does not provide individually tailored investment advice. Research reports are prq>ared without regaal to the individual fi11A11('1A1 circumstances and objectives of penoos who recewe them. The securities and other financial instruments discussed in any report may not be suitable for or available to all investors. .An investor's decision to buy or sen a stock should depend on individual cimDnstances (such as the investor's investment objectives, fina11na1 situation,minvestment horizon and aisting holdings) and other coosidemtions. Morgan Stanley rec()ft1t'nPf"is that investors independently evaluate ~cular investments md strategies, and encourages investors to seek t6e views of a fintlftl"f1l1 adviser. The appiOp.iateoesS of a pa.rt:ic1iliar investment or s~ will depend on an investor's individual circumstances and o=.es as well as market conditlODS at the time. For additional information, please contact a Stanley representative. Inves1ments and services are offered through Morgan Stanley DW Inc., member SIPC Security No. G02602103 Symbol DOX 1111111111_- #M~ . ""'! Morgan_~_ ~:: \l ",,: This tfrmsfJ&tioll is co11firmed ill accordance 1IIith the explandtiOIlS fJ1Id COllditions stotei/ 011 the mime sitle. B~h~nge Code: 1 Execution Code: 1 Your Account Nwnber: 410-054574-0-006 Cash Account - Active Assets KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VALLEY ROAD HARRISBURG, PA 17112-9210 111I11111.1'111111I11111.11.111111.1'111111"11I1.111.11..11.1 Your Financial Advisor TOY B H DOUGHERTY 4TIf & WALNUT ST., STRAWBERRY SQ. HARRISBURG, P A 17101 (117) 255-6666 You Sold Trade Date 06/28/06 for Settlement on 07/03/06 300 35.85 D~ AIRGAS INe UNSOLIcr.fm) TRADE Principal Commission Supplemen13l Transaction Fee Processing Fee $10,755.OC 279.8f 0.31 5.2!: Net Amount $10,469.55 Investments and services are oBered through Morgan Stanley DW Inc., member SIPc. Security No. 009363102 Symbol ARG .IIIUIIIIIIIIII ilUc:., . Morgan ,<'c. ':;':; J This tnmlactiOll is co1ljirmtd ill accortlance lllith tht txplanati01l1 and t:01Iditio1l1 ltl1ted 011 tht revme side. KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VALLEY ROAD HARRISBURG, PA 17112-9210 1,"111...1".1111111..1.11.1"..1.1".1111111"1.1,"11"11.1 ~ Code: 7 Execution Code: 5 Yom Account Number: 410-054574-0-006 Cash Account - Active Assets Yom Financial Advisor 10YBHDOUGHERTY 41H & WALNUT ST., STRAWBERRY SQ. HARRISBURG, PA 17101 (717) 255-6666 You Sold Trade Date 06/28/06 for Settlement on 07/03/06 24.69 DISCIiptUm: ANGIODYNAMICS INC TInS TRANSACTION RECEIVED AN AVERAGE PRICE, DETAILS AVAILABLE UPON REQUEST. UNSOLICITED TRADE Principal Commission Supplement"dl Transaction Fee Processing Fee $7,407.()( 217.9~ 0.2.: 5.2 Net Amount $7,183.5~ Investments and services are offered through Morgan Stanley DW Inc., ",PnI~ SIPC Security No. 03475VI01 Symbol ANGO IIIIIIIIIIIIII . "l Morgan ;:I"~I This transat:lion is co11flT'llled ;n t1&COf'fiance 1IIith the explemediOl1i IJ1Id conditions sttJteiJ on the reverse side. ~ Code: 7 Execution Code: 1 YOU! Account Nwnber: 410-054574-0-006 Cash Account - Active Assets KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VALLEY ROAD HARRISBURG, P A 17112-9210 1...111...1...11...11..1.11.1....1.1...1111.....1.1...11..11.1 YOU! Financial Advisor laY B H DOUGHERTY 4TH & WALNUT ST., STRAWBERRY SQ. HARRISBURG, PA 17101 (717) 255-6666 You Sold Trade Date 06/28/06 for Setdement on 07/03/06 Principal Commission Supplemental Transaction Fee Processing Fee $11,460.0< 321.92 DesaiptjtnI: ANGLO AMHlUCAN PLCADR UNSOLIaTED TRADE WE ACtED AS AGENT ON TIllS TRANSACI10N WHIaI WAS EXECUI'ED BY OUR AFF'II.M ACfING AS" PRINCIPAL AND MARKET MAKER. 0.3f 5.2~ Net Amount $11,132.4i Rnearch Source Rating Ratings 1Dcl.vy View V olatiJity Morgan Stanley S&P NC 3* Hold Independent, third-~ research on equity securities of certain companies covered by Morgan Stanley Equity Reseatch is available to li.S. customets of Morgan St8D1ey at no cost. Customers can access this reSeatch by visitingwww.morganstan1ey.com/equityresean:h,.!'Y calling 800-624-2063 or by contacting a Motgan Stanley representative to request that a copy of this research be sent to them. Research does not provide individually tailored invl:stment advice. Research reports are ~ without regard to tt.e i1Idividua1 Mannfl1 circumstances and objectives of persons who receiVe them. The securities and o1ber Mflftnfll instruments discussed in any report may: not be suitable for or available to aU i:nvestots. An investor's de("i~ to buy or sell a stock should depend OIl individual circumstances (such as the investor's invl:stment objectives, mAnnA1 situation., investment horizon and existing ~) and other roncUl,.~tions. Morgan Stanley recornfttPnd" that investors indepeodendy eValuate ~ investments and sttaregies, and encourages investors to seek ~ views of a Mannfll 8dviser. The .pptopriateness of a particular mves1ment or strategy will depend on an investor's individual cin:umstances and o:l:~es as well as :ow:ket conditlons at the time. For ~Clrttf'inn&l infQnnfltjon, please contact a Stanley representative. Investments and services are offi:red through Morgan Stanley DW Inc., member SIPc. Security No. 03485P102 Symbol AAUK - "'l Morgan ..'. ~.. ! This transacti01l is t:Onjirflled ;11 flCcordance lllith the explanations tJ1Id t:01Iditio1ls stated 011 the m;me sidt. KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VAllEY ROAD HARRISBURG, P A 17112-9210 1...111...111.1111111111.11.111111.111.1111.....1.1...11..11.1 ~ Code: 7 Execution Code: 1 Your Account Number: 410-054574-0-006 Cash Account - Active Assets Your Financial Advisor JOY B H DOUGHERTY 4TH & WALNUT ST., STRAWBERRY SQ. HARRISBURG, P A 17101 (717) 255-6666 You Sold Trade Date 06/28/06 for Settlement on 07/03/06 600 20.20 Principal CnmmiRSion Supplement2l Transaction Fee Processing Fee $12,120.Ot 333.8" DesaiptUm.. ANSOFI' CORP UNSOLIaTEDTRADE WE ACTED AS AGENT ON TInS TRANSACI10N WIDOI WAS EXECUfED BY OUR AFFILIA ACTING AS PRINCIPAL AND MARKET MAKER. 0.3: 5.2: Net Amount $11,780.5: Investments and services are offered through Morgan Stanley DW Inc., member SIPc. Security No. 036384105 Symbol ANST 11111111111111 .HU~'" . M 0 rga n"l ,.'" <'. .?' ..~ 'f"" ] ,'--J" .-~o!" ""j This tnz1Isaction is confirmed in accordance lIIith the explanations emd conditiolls stoted 011 the reverse side. KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VALLEY ROAD HARRISBURG~ P A 17112-9210 111111111,111,1111111111,11,1"111,1111111111,,,1,111111 II 11,1 Exchange Code: 1 Execution Code: 1 Your Account Number: 410-054574-0-006 Cash Account - Active Assets Your Financial Advisor JOY B H DOUGHERTY 41H & WALNUT ST.~ STRAWBERRY SQ. HARRISBURG~ PA 17101 (717) 255-6666 You Sold Trade Date 06/28/06 for Settlement on 07/03/06 DutriptiM: ARMOR HOlDINGS INe (DEL) UNSOLICITED TRADE Principal Commission Supplemental Transaction Fee Processing Fee $15~678.0 345.0 Net Amount 0.4 5.2 $15,327.2 Investments and services are offered through Morgan Stanley DW Inc., member SIPC. Security No. 042260109 Symbol AH II1IIIIIIII111 #MS, . M '1<'" organ ,(-~->~. jrl 0'.,.,.." ~....,) Ll. (...., ~...t ..~r This tnmsadion is conjirmed in accordance with the explanations and conditions stated on the mvme side. Exchange Code: 7 Execution Code: 5 Your Account Number: 410-054574-0-006 Cash Account - Active Assets KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 PafATO VALLEY ROAD HARRISBURG, PA 17112-9210 1",111",1,..11...11..1.11.1"..1.1.,.1111..."1,1,,,11,,11,1 Your Financial Advisor lOY B H DOUGHERTY 41H & WALNUT ST., STRAWBERRY SQ. HARRISBURG,PA 17101 (717) 255-6666 You Sold Trade Date 06/28/06 for Settlement on 07/03/06 35.7176 Dm:tiptitnt: ASrA FUNDING INC THIS TRANSACTION RECEIVED AN AVERAGE PRICE. DET.An.s AVAILABLE UPON REQUEST. UNSOUcrmn TRADE Principal Commission Supplemental Transaction Fee Processing Fee $10,715.2 279.1 0.3 5.2 Net AmOWlt - $10,430.5 Investments and services are ofreted through Morgan Stanley DW Inc.. member SIPc. Security No. 046220109 Symbol ASFI JIIIIIIIIIIIII M "I '., - , organ ' -1",,~ ,..,:,...; 6 ... . ' ,~ :, ' (t;'1f This transaction is C01ljirJ1led ;n accon/ance 1IIith the explanations and conditions stated on the m;me side. ~ Code: 1 Execution Code: 3 Your Acc01mt Nwnber: 410-054574-0-006 Cash Account - Active Assets KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VAllEY ROAD HARRISBURG, PA 17112-9210 111.11I11I111.1111I11111.11.1"111.1'111111.....1.1'11111111.1 Your Financial Advisor JOY B H DOUGHERTY 41H & WALNUT ST., STRAWBERRY SQ. HARRISBURG,PA 17101 (717) 255-6666 You Sold Trade Date 06/28/06 for Settlement on 07/03/06 D~: BARlUCK GOLD CORP TInS TRANSACl10N RECEIVED AN AVERAGE PRICE. DETAILS AVAILABLE UPON REQUEST. UNSOUCITED TRADE p~ Commission Supplemental Transaction Fee Processing Fee $16,764.0 417.5 0.5 5.2 Net Amount $16,340.7 Investments and services are offered through Morgan Stanley DW Inc." member SIPc. Security No. 067901108 Symbol ABX 1II1IIIIIIIII . . "l Morganc> ~~F; ,i"...: ~ This trrmsfJdion is confirmed ;n accortiance lllith the explanations and conditions stated on the mlme side. Exchange Code: 7 Execution Code: T Your AccoWlt Number: 410-054574-0-006 Cash AcCOWlt - Active Assets KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VALLEY ROAD HARRISBURG, PA 17112-9210 1...111...1...11...111.1.11.1....1.1...1111"'1.1.1...11..11.1 Your Financial Advisor JOY B H DOUGHERTY 4TII & WALNUT ST., STRAWBERRY SQ. HARRISBURG, PA 17101 (711) 255-6666 You Sold Trade Date 06/28/06 for Settlement on 07/03/06 81.7516 Dtsctiptin: BOEING CO UNSOUaTED TRADE Principal Commission Supplemental Transaction Fee Processing Fee $40,875.8 575.0 1.2 5.2 Net Amount $40,294.2 Research Source Rating Overweight 4* Buy RatUJgs Industry View Volatility Morgan Stanley S&P Attractive Independent, tbini-party research on equity securities of certain companies covered by Morgan Stanley Equity Resem:h is available to U.s. customers of Morgan Stanley at no cost. Customers can access this research by visiting www.morganstaoley.com/equityreseateh. !Jr calling 800-624-2063 or by contacting a Morgan Stanley representative to request tliat a copy of this research be sent to them. Research does not provide individually tailored investment advice. Reseatch reports are prepared without tegml to d.e iodividual finllt'lrtAl circumstances and objectives of penoos who recewe them. The securities and other finAftn.l instruments discussed in any report may not be suitable fur or available 10 aJI.m.e5ton. An investor's decision to buy or sell a stock should depend on individual cimJmstances (such as the investor's investment objectives, finllt'lnAl situation, investment horizon lIIId ez:istiug hn~) lIIId other cnftft,.JP"ll1ioos. Morgan StauJey tprnnunPlHlc that mvestolS iodepeodendy evaluate ~ investments and strategies, and eocourages invesmn to seek 1& views 'Of. fintlftClal adviser. The appropriateness of a particular investment or stra~ will depeod OIl an investor's iodividual circumstances and obiectives as well as market conditloDS at the time. For .I'Itfitinn.l infurmation, please contact a Morgan Stanley tepresentative. Investments and services are oflered through Morgan Stanley DW Inc., member SIPc. Security No. 097023105 Symbol BA 11111111111111 . . "'1 Morgan '" This transaction is confiT1Jled ;n fJ&C()rtiance with the explanlZlions and conditions stateiJ on the reverse side. Exchange Code: 7 Execution Code: 1 Your Account Number: 410-054574-0-006 Cash Account - Active Assets KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VALLEY ROAD HARRISBURG, PA 17112-9210 1...111111111.1111.11..1.11.111..1.1.111111111111.111.111111.1 Your Financial Advisor TOY B H DOUGHERTY 41H & WALNUT ST., STRAWBERRY SQ. HARRISBURG, P A 17101 (717) 255-6666 You Sold Trade Date 06/28/06 for Settlement on 07/03/06 D~: BRONCO DRllLING CO INC UNSOUaTED TRADE Principal Commission Supplemental Transaction Fee Processing Fee $5,727.Qo 183.3 0.1 5.2 Net Amonnt $5,538.1 Investments md services are offeted through Morgan Stanley OW Inc., ftlPnI~ SIPc. Security No. 112211107 Symbol BRNC 111111111111111 . . ~ Morgan '..J-". "r-'. -' KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VAllEY ROAD HARRISBURG, PA 17112-9210 111I11I",111,11'1111,,1,11,1"111.1...111111I111.1...111111,1 This transfJdiOIl is co11ftrmtd ill tlCCOrdance 1IIith tht explanotiOllS and collditiolls dated 011 the m;me side. Exchange Code: 7 Execution Code: T Your Account Number: 410-054574-0-006 Cash Account - Active Assets Yow: Financial Advisor TOY B H DOUGHER1Y 41H & WALNUT ST., STRAWBERRY SQ. HARRISBURG, P A 17101 (717) 255-6666 You Sold Trade Date 06/28/06 for Settlement on 07/03/06 Des&1iptiotI: ClTIGROUP INe UNSOUcrrnn TRADE Principal o,mm1!l:sion Supplemental Transaction Fee Processing Fee $14,370.6 345.0 0.4 5.2 Net Amount $14,019.9 Raeuch Source Rating Overweight 5* Strong Buy &dings Ind1l8try View Volatility Morgan Smnley S&P In-Line Independent, thUd-party a:seuch on equity securities of certain companies covered by Morgan Stanley ~ Rese8rch is available to D.S. customers of Morgm St8riJey at no cost. Customers can access this reSearch by v.isitingwww.morgmstanley.com/equityresearch. !'Y calling 800-624-2063 or by contacting a Morgan Stanley representative to request tliat a copy of this research be sent to them. Research does not provide individually tailon:d investment advice. Reseateh reports are prepared without regatd to dae iodividual finannal circumstances and objectives of persons who recelVe them. The securities and other financtfll1 instruments discussed in any report may DOt be suitable for or available to an investors. .An investor's dPri.nnn to buy or sell a stock should depend on individual cin:omstDIces (such as the investor's investment objectives, finttfll"illl situation, investment hori9Ufl and eDstiog hoImnW) and other cnn.trlP1"&tions. Morgan Stanley J'eC'W"ftlPnrlc that investors iodepeodently evaluatl: ~ investments and strategies, aod eocow:ages investors to seek die views of a finanrtal adviser. The appropriateness of a particuh1r investment or stratl:JV will depend on an investor's iDdividua1 circumstances and OZ~d as we1l as market comIitlOns at the time.. For additional infonnation, please contact a Stanley representative. Investments and services are offered through Mmgan Stanley DW Inc.. member SlPC. Security No. 172967101 Symbol C .1111111111 M "q !=~J organ lC'1\"'?f1: \."J l. '-,- .. ,j -~''(: f This transaction is co1ljirmed ;n fJCC()rrJance 1IIith the explanotions and conditions statiiJ on the rBVeT'Se side. ~ Code: 7 Execution Code: 5 Your Account Number: 410-054574-0-006 Cash Account - Active Assets KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POfATOVALLEYROAD HARRISBURG, P A 17112-9210 111.111"111111111111111.11.111111.11111111'11..1.1111111111.1 Your Financial Advisor TOY BH DOUGHERTY 4nI & WALNUT ST., STRAWBERRY SQ. HARRISBURG, PA 17101 (717) 255-6666 You Sold Trade Date 06/28/06 for Setdement on 07/03/06 29.90 1111I11111I11!_:!:::i~:;:~~I~'illlllllllll~1 ---------------....---- - Dut:tiptitnl." DXP ENTERPRISES INC NEW TInS TRANSAcnON RECEIVED AN AVERAGE PRICE, DETAILS AVAILABLE UPON REQUEST. UNSOUClTED TRADE Principal Commission Supplement2l Transaction Fee Processing Fee $8,970.01 250.1" 0.2. 5.2: Net Amount $8,714.2. Investments and services are offered through Morgan Stanley DW Inc., member SIPc. Sewrity No. 233377407 Symbol DXPE 1I11IIIIIIII11 "'l Morgan !,~=\ ""., l This transaction is conjimJed ;n accordance IIIith the expIt.motions tl1Id conditions sttJted on the reverse side. Exchange Code: 1 Execution Code: 1 Your Account Number: 410-054574-0-006 Cash Account - Active Assets KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VALLEY ROAD HARRISBURG, PA 17112-9210 1111111'111...11...11111.11.111..1.1...111111'111.1'11111111.1 Your Financial Advisor TOY B H DOUGHERlY 4TII & WALNUT ST., STRAWBERRY SQ. HARRISBURG, P A 17101 (717) 255-6666 You Sold Trade Date 06/28/06 for Settlement on 07/03/06 300 42.77 Desaiptitm: ENSCO INTI. INe UNSOUClTED TRADE Principal Commission Supplemental Transaction Fee Processing Fee $12,831.0 317.2 0.4 5.2 Net Amount -- $12,508.0 Research Source Rating Equal-weight 4* Buy Ra/zirgs Industry View Volatility Morgan Stanley S&P Attractive Independen~ third-party resem:ch an equity securities of certain companies covered bv Morgan Stanley Equity Research is available to D.S. customers of Morgan Stanley at no cost. Customers can access this reseuch by visitingwww.morganstanley.com/equityreseateh,!Jy calling 800-624-2063 or by contacting a Morgan Stanley representative to request that a copy of this reseateh be sent to them. Reseateh does not provide iDdividuaIly tailon:d investment lIdrice. Reseateh reports are prepared without regud to tLe individual mulftri.1 cin:umstances and objectives of persons who recewe them. The securities and other fin...,...1 instruments discussed in any report may not be suitable fur or available to all investors. An in.eslM's dPriston to buy or sell a stock should depend an individual cimJmstances (such as the investor's investment objectives, finan....1 situation, investment horizon and eJlisting hnlmy) and other ("Qft,id.....tions. Morgan Stanley rernrntnPnd!l that investors iodepeudently evaluate ~:investments and straregies, and encourages investors to seek me views of a fintlftrt.l adviser. 1be apptups.iateness of a particuhlr investment or strate~ will depend an an mvestors individual cittumstances and o=s as wen as market cOJJditJons at the time. For additional infumIation, please caotact a Stanley representative. Investments and services are offered through Morgan Stanley DW Inc., member SIPe. Security No. 26874Q1oo Symbol ESV IIIIIIIIIII1II . . M ~ <. organ'~'; ;-:j n This trr.msadion is co11jiT7lled ;n accordance with the explanations ad conditions stated on the reverse side. ~ Code: 1 Execution Code: 1 Your Account Number: 410-054574-0-006 Cash Account - Active Assets KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VALLEY ROAD HARRISBURG, PA 17112-9210 11111111111111111111111111111111111111111111111111111111111111 Your Financial Advisor TOY B H DOUGHERlY 4TIi & WALNUT ST., STRAWBERRY SQ. HARRISBURG, PA 17101 (717) 255-6666 You Sold Trade Date 06/28/06 for Settlement on 07/03/06 33.24 DesaiptjD.: GENESEE & WYOMING INe A UNSOLICITED TRADE Principal Corrnnt!l:sion Supplemental Transaction Fee Processing Fee $9,972.Ot 270.8: 0.3" 5.2 Net Amount $9,695.6" Inves1mcnts rmd serrices are offered through Morgan Stanley DW Inc., member SIPc. Security No. 371559105 Symbol GWR IIIIIIIIIUIII . . ~ Morgan This transactiOll is conjiT71led;lI accordance lllith the expltmatiollS and collditiolls stated 011 the reverse side. KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 parATO VAllEY ROAD HARRISBURG, PA 17112-9210 111.11111I1...11.1111..1.11.111I.1.1...1111..11.1.1.11111.11.1 Exchange Code: 1 Execution Code: 1 Your Account Number: 410-054574-0-006 Cash Account - Active Assets Your Financial Advisor JOy B H DOUGHERTY 41H & WALNUT ST., STRAWBERRY SQ. HARRISBURG, P A 17101 (717) 255-6666 You Sold Trade Date 06/28/06 for Settlement on 07/03/06 Duaiptitm: GRANT PRIDECO INC UNSOUClTED TRADE Principal Commission Supplemental Transaction Fee Processing Fee $12,978.( 319.9 0.4 5.2 Net Amount $12,652.4 Investments and services an: offered through Morgan StaoJey OW Inc., t'nPf'nhP1- SIPc. Security No. 38821GI01 Symbol GRP IIIIIIIIIIIIII1 ./fU4 . . "t Morgan ~~' :(\ i "=,~ ~~,/ This transtldiOll is conjimted in f.lCCOf'dtmce lllith the expfrmoti01lS ad conditiolls stoted 011 the reverse side. Exrh~nge Code: 7 Execution Code: 1 Your Account Number: 410-054574-0-006 Cash Account - Active Assets KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VALLEY ROAD HARRISBURG, P A 17112-9210 111.11111.1...11...11..1.1"'.11.'.'...1'"111..'.1...'1..11.' Your Financial Advisor IOY B H DOUGHER.1Y 4TII & WALNUT ST., STRAWBERRY SQ. HARRISBURG, P A 17101 (117) 255-6666 You Sold Trade Date 06/28/06 for Settlement on 07/03/06 D~ HBLIX. ENERGY SOLl1fIONS GRP INC UNSOLIClTED TRADE WE ACfED AS AGENT ON nus TRANSACI10N WHIai WAS EXE.CUfED BY OUR AFFILIA: ACI'lNG AS PRINCIPAL AND MARKET MAKER. Principal Commission Supplemental Transaction Fee Processing Fee $19,986.0 475.6 0.6 5.2: Net Amount $19,504.5: Investmen1s aud services are offered through Morgan Stanley DW Inc., member SIPc. Security No. 42330P107 Symbol HELX I1III1IIIIIIII ill,( ~ Morgan "1 I! 'u- KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VALLEY ROAD HARRISBURG, PA 17112-9210 111.11111.111.1111.11111.11.1111.1.1...1111111111.111.111111.1 This transaction is conjir1'lled in accordance IIIith the explanations and conditions stated on the reverse side. En-h~ngp Code: 7 Execution Code: 5 Your ACCOlU1t Number: 410-054574-0-006 Cash AcCOWlt - Active Assets Your Financial Advisor lOY B H DOUGHERTY 4TII & WALNUT ST., STRAWBERRY SQ. HARRISBURG, PA 17101 (717) 255-6666 You Sold Trade DaR 06/28/06 for Settlement on 07/03/06 Duaiptitm: INTERMAGNETICS GENERAL TIIIS TRANSACI10N RECEIVED AN AVERAGE PRICE, DETAILS A V.ATI..ABLE UPON REQUE5f. UNSOUClTED TRADE Principal Commission Supplemental Transaction Fee Processing Fee $12,123.0 348.3 0.3 5.2 Net AmOWlt $11,768.9 Investments aod services ate offered through Morgan Stanley DW me., member SIPG. Security No. 458771102 Symbol IMGC IIIIIIIIIIIIII -. 'q Morgan ,,;::.,\/ This transaction is confirmed in.l.lCCfJTI.Iance lllith the expltmtltiOllS and collditiolls stated 011 the reverse side. KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VALLEY ROAD HARRISBURG~ P A 17112-9210 111I11I11.111.1111I11..1.11.1.11I1.111I111I.11..1.1...111111.1 ~ Code: 7 Execution Code: 1 Your Account Nwnber: 410-054574-0-006 Cash Account - Active Assets Your Financial Advisor JOY B H DOUGHER1Y 41H & WALNUT ST.~ STRA WHERRY SQ. HARRISBURG~ P A 17101 (717) 255-6666 You Sold Trade DaR 06/2B/06 for Settlement on 07/03/06 D~ lI'RON lNe UNSOUctrED TRADE WE ACI'ED AS AGENT ON TInS TRANSACI10N WInCH WAS EXECUTED BY OUR.AFFILIA: ACIlNG AS PRINCIPAL AND MARKET MAKER. Principal Commission Supplemental Transaction Fee Processing Fee $16~761.G 345.0 0.5 5.2 Net Amount $16~410.2 Investments and services are offi:red through Mmgan Stanley DW Inc., member SIPc. Security No. 465741106 Symbol ITRI IIIIIIIIIII1II -. '1 Morgan 'c~ This transaction is confirmed in accordtJnce lllith the explanations and conditions stated on the reverse side. KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VALLEY ROAD HARRISBURG~ PA 17112-9210 1,"111'1111111111,11,,1,11,1111.1.1'111111111111.111.111111.1 Exchange Code: 7 Execution Code: 1 Your Account Number: 410-054574-0-006 Cash Account - Active Assets Your Financial Advisor .10YBHDOUGHERlY 41R & WALNUT ST., STRAWBERRY SQ. HARRISBURG, PA 17101 (717) 255-6666 You Sold Trade Date 06/28/06 for Settlement on 07/03/06 ~t~;;:~::::::::::l::::~::: 300 54.80 Principal C.()fYlm1~c;ion Supplement3l Taosaction Fee Processing Fee $16~440.0 345.0 Desaiptjtm: LUFKIN INn UNSOUaTIID TRADE WE ACI'ED AS AGENT ON 1HIS TRANSACI10N wmrn WAS EXECl1fED BY OUR AFFILIA: ACI'ING AS PRINCIPAL AND MARKET M.AKER. Net Amount 0.5 5.2 $16,089.2 Investments and services are offered through Morgan Stanley DW Inc., member SIPC Security No. 549764108 Symbol LUFK IIIIIIII1III1 ". ~ Morgan 1~i ; This traIIsadion is conjirmed in accordtznce IIIith the explanations and conditions dI1ted on the reverse side. KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VALLEY ROAD HARRISBURG, P A 17112-9210 1...111...1...11...11..1.11.1....1..1...1111.....1.1...11..11.1 Exchange Code: 1 Execution Code: 1 Your Account Number: 410-054574-0-006 Cash Account - Active Assets Your Financial Advisor TOY B H DOUGHERTY 4TII & WALNUT ST., STRAWBERRY SQ. HARRISBURG, PA 17101 (717) 255-6666 You Sold Trade Date 06/28/06 for Settlement on 07/03/06 De.raiptitm: NS GROUP UNSOUaTED TRADE Principal Commission Supplemental Transaction Fee Processing Fee $15,231.0 345.C 0.4 5.2 Net AmOWlt $14,880.2 Investments and seniccs are offered through Morgan Stanley DW Inc., member SIPC Security No. 628916108 Symbol NSS IIIIIIIIIIIII .. "l Morgan (~1 n This transaction is confi1'llled ;n accordance lllith the expltmations and conditions stated on the m;me side. IBWNJGXK SDDDDD276b D5 (41D DDDDDD ** Exrh~f1ge Code: 1 Execution Code: 1 Yaw: Account Nwnber: 410-054574-0-006 Cash Account - Active Assets Yow: Financial Advisor JOY B H DOUGHER1Y 41H & WALNUT ST., STRAWBERRY SQ. HARRISBURG,PA 17101 (117) 255-6666 KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VALLEY ROAD HARRISBURG, PA 17112-9210 1...111...1...11...11..1.11.1....1.1...1111.....1.1...11..11.1 You Sold Trade Date 06/1JJ/06 for Settlement on 07/03/06 40.31 Desmptitm: NELNETINCCLA UNSOUaTED TRADE Principal Commission Supplemental Transaction Fee Processing Fee $12,093.OC 303.9E 0.3f 5.25 Net Amount $11,783.39 Raearc:h Source Rating Equal-weight BUY Rmrirg.r Industry VIeW In-Line Volatility Morgan Stanley Argus Independent, thUd-party research on equity securities of certain companies covered bv Morgan Stanley Equity Reseatch is available to U.S. customers of Morgan Stanley at no cost. Customers can access this research by visitingwww.mmganstanJey.com/equityresearch, !'r calling 800-624-2063 or by qmtacting a Morgan Staoley representative to request tliat a copy of this research be sent to them. Research does not provide individually tailored investment advice. Research reports are prepared without regml to the individual ftrumd.l circumstances and objectives of persons who recenre them. The securities and other financial instruments discussed in any report may not be suitable for or available to all investors. An investor's decision to buy or sell a stock should depend on individual circumstances (such as the investor's investment objectives, 4fttannlll situation, investment horizon and aistmg hnldm8l') and other cnn,idPf"ttioos. Mmgan Stanley recnn,.n~d. that investors iodepeodently eValuate ~ investments and stmtegies, and encourages investors to seek tfie views of a 4fttltftoal adviser. The appropriateness of a particular investment or ~ will depeod 011 an investor's individual circumstances and objectives as well as market conditions at t1ie time. For additional information, please contact a Morgan stanley representative. Investments and services are otm:cd through Morgan stanley DW Inc., mPft"l~ SIPe. Security No. 64031Nl08 Symbol NNI .11111111111 '" ~ Morgan n This tnmsaction is conft1'1Jled in accortltmce lllith the fX/Jlanations and conditions stot8tl 011 the reverse side. Exchange Code: 1 Execution Code: 1 Your Account Nwnber: 410-054574-0-006 Cash Account - Active Assets KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VALLEY ROAD HARRISBURG, P A 17112-9210 1".11111.111.11...11..1.11.1'11I1.111I11I1'"111.111I11'111.1 Your Financial Advisor lOY B H DOUGHERTY 4TH & WALNUT ST., STRAWBERRY SQ. HARRISBURG, P A 17101 (717) 255-6666 You Sold Trade Date 06/28/06 for Settlement on 07/03/06 ~ DesaiptiIJII: NORFOLK SOUI'.HHRN CORP UNSOUClTED TRADE Principal Commission Supplemental Transaction Fee Processing Fee $14,961.0( 345.0f O.4r 5.2'::: Net Amount $14,610.2~ Raeuch Soun:e Rating Rattilgs Industry View Volatility Morgan Stanley S&P Cover2ge discontinued - 06/06/2006 3* Hold Independent, third-party research on equity securities of certain companies covered by Morgan Stanley Equity Resean:h is available to V.s. customers of Morgan Stanley at no cost. Customers can access this reseuch by visiting www.morganstanley.com/equityres~ !'Y calling 800-624-2063 or by contacting a Morgan Stanley representative to request that a copy of this research be sent to them. Research does not provide individually tailored investment advice. Research reports are prepared without regard..to tile individual m.M1n.l citcumstances and objectives of penons who receive them. The securities and other m.Rnngl instruments discussed in any report may not be suitable fur or 8VIilable to all mvestolS. An investor's dedlion to buy or sell a stock should depend on individual circumstances (such u the investor's investment objectives, finAnri.l situation, investment horizon and ez:istiog ~8') amI other rnn..iclPftltions. Morgan Stanley recOft"1'Pflrl!l. that investoa iodepeodently evaluate ~ investments and strategies, and encourages investors to seek die views of a finRnrlfll adviser. The appropriateness of a particular investment or stra~ will depend on an. investor's individual cin:umstances and o~es as well as market conditIOnS at die time. For additional infimnation, please contact a Stanley representative. Investments and services are offi:red through Morgan Stanley DW Inc., member SIPc. Security No. 655844108 Symbol NSC 11111111111111 ... 9 ~ Morgan ~ :. ~l :1 This transaction is conjirmed in accordance lIIith the explantltio1lS fJ7Id conditi01ls stt:rted on the revme side. KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VALLEY ROAD HARRISBURG, PA 17112-9210 111.111'111...1111.11..1.11.111..1.111.11I11111.1.1'1111..11.1 Exchange Code: 1 Execution Code: 1 Your Account Number: 410-054574-0-006 Cash Account - Active Assets Your Financial Advisor TOY B H DOUGHERTY 4TII & WALNUT ST., STRAWBERRY SQ. HARRISBURG, P A 17101 (717) 255-6666 You Sold Trade Date 06/28/06 for Settlement on 07/03/06 DISCI'iptitnI: ROWAN COMPANIES INe UNSOLIOTED TRADE Principal Commission Supplemental Transaction Fee Processing Fee $10,230.() 270.4 0.3' 5.22 Net Amount $9,954.0' Raeuch Sourc:e Rating Equal-weight 3* Hold Ratings Ind_try Vaew Attractive V olatili~ Morgan Smnley S&P Independent, third-party research on equity securities of certain companies covered by Morgm Stanley Equity Research is available to D.S. customers of Morgan St8mey at no cost. Customers can access this research by visiting \VWW .m.organstanley.comf equityresearch, !'f calling 800-624-2063 or by contacting a Morgan Stanley representative to request that a copy of this research be sent to them. Research does not provide individually tailored mvesttnent advice. Reseaa:h reports are prepared without regud to tire individual MAftcia1 circumstances and objectives of persons who reCetve them. The securities and other MAftngl instruments discussed in any report may not be suitable for or available to all investors. An investor's decision to buy or sell a stock: should depend on individual cim.unstances (such as the investor's investtnent objectives, mtmngl situation, invesbDent horizon and existing l"lnlm~) and other considerations. Mmgan Stanley recorn'l'nPnilc that investors indepeodently evaluate particular mves1ments aad strategies, and encourages investDD to seek die views of a MAftrtAl adviser. The appropriateness of a particular investment or stta~ will depend on an investor's individual circumstances and O~d as well as market conditions at the time. For additional infurmation., please contact a Stan1ey representative. Investments and services are offi:a:d through Morgan Stanley DW Inc., member SIPc. Security No. 779382100 Symbol RDC IIIIIIIIIIIIII .. . ~ Morgan -~ -il~! --;~j '! i This transaon is conjirmed in accon:ltmce 1IIith the explanations tlIId conditions sttJted on the reverse side. KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VAllEY ROAD FLAJURISBURG,PA'17112-9210 11111111111'1111'1111..1.11.1....1.1...1111'11111.1...11..11.1 ~ Code: 1 Execution Code: 1 Your Account Number: 410-054574-0-006 Cash Account - Active Assets Your Financial Advisor JOY B H DOUGHERTY 4TII & WALNUT ST., STRAWBERRY SQ. FLAJURISBURG, P A 17101 (717) 255-6666 You Sold Trade DaR 06/28/06 for Settlement on 07/03/06 !!I:~l~~:~:::::::::;::~~::::~~~: 300 Dest:tiptiD1I: ST. MARY & EXPLORATION COMPANY UNSOUCITED TRADE Principal Commission Supplemental Transaction Fee Processing Fee $11,070.0 285.5 0.3 5.2 Net Amount $10,778.8 Investments and services are offered through Morgan Stanley DW Inc., member SIPC Security No. 192228108 Symbol SM IIIIIIIIIII1II .. . . " Morgan This tnmsactioll is co1ljirmed in accordtmce lllith the expltmllliolls fl1Id conditiolls sttJUd 011 the mJef'Se side. Exchange Code: 7 Execution Code: 1 Your Account Number: 410-054574-0-006 Cash Account - Active Assets KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VALLEY ROAD HARRISBURG, PA 17112-9210 111.11I11.111.1111.11..1.11.1.11I1.1.11111111.111.1.11111111.1 Your Financial Advisor JOY B H DOUGIffiRTY 41H & WALNUT ST., STRAWBERRY SQ. HARRISBURG, PA 17101 (717) 255-6666 You Sold Trade Date 06/28/06 for Settlement on 07/03/06 Dest:1'iJ>Iin: STERLING CONSTRucnON COM UNSOUC1TED TRADE Principal Commission Supplemental Transaction Fee Processing Fee $7,812.0 226.3: 0.2- 5.2~ Net Amount -- -- $7,580.1; Investment! and services are offi:n:d through Mmgan Stanley DW Inc., member SIPc. Security No. 859241101 Symbol STRL I1III111III1II ~ . , ~., Morgan :~~ta~~J' KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VALLEY ROAD HARRISBURG, PA 17112-9210 1'11111...111.11...11..1.11.1....1.1...1111.....1.1...11..11.1 This transaction is confi17lled in accordance 1IIith the explantJtiOllS and conditiolls sttztiil 011 the reverse side. F.Tt"h~nge Code: 1 Execution Code: 1 Your Account Number: 410-054574-0-006 Cash Account - Active Assets Your Financial Advisor JOY B H DOUGHERTY 4TI-I & WALNUT ST., STRAWBERRY SQ. HARRISBURG, P A 17101 (717) 255-6666 You Sold Trade Date 06/28/06 for Settlement on 07/03/06 De.rctiptitm: TRINITY INn DELAWARE UNSOliCITED TRADE Principal Cormn1~sion Supplemental Transaction Fee Processing Fee $16,425.0( 434.2: 0.5 5.2.: Net Amount $15,984.9( Investments and services are offered through Morgan Stanley DW Inc., member SIPc. Security No. 896522109 Symbol TRN I1I111III111111 .. .. f . "q Morgan " ~(' '~,j '\ i '..~. '.: 'j This tnmst1dioll is conjirllled ill accordance lIIith the explanttJio1lS and C01lditio1lS stated 011 the reverse side. &change Code: 1 Execution Code: 3 Your Accooot Number: 410-054514-0-006 Cash Account - Active Assets KIRBY BESHORE EXECUTOR EST OF GLENN B HAYS 1421 POTATO VALLEY ROAD HARRISBURG, P A 17112-9210 1...111...1...11"111..1.11.1....1.1...1111.....1.1'1111..11.1 Your Financial Advisor JOY B H DOUGHERTY 41H & WALNUT ST., STRAWBERRY SQ. HARRISBURG, PA 17101 (717) 255-6666 You Sold Trade Date 06/28/06 for Settlement on 07/03/06 Desaiptitm: URS CORP NEW TInS TRANSACl'ION RECEIVED AN AVERAGE PRICE. DETAILS A V AlLABLE UPON REQUEST. UNSOLICITED TRADE Principal Comm1~sion Supplemental Transaction Fee Processing Fee $11,571.9( 294.5~ 0.3i 5.2 Net Amount $11,271.7~ Raearc:h Source Rating Equal-weight 4* Buy Ratings IndD8try VIeW Volatility Morgan Stanley S&P In-Line Independent, tbitd-party research on equity securities of certain companies covered bv Morgan Stanley Equity Research is available to D.S. customets of Morgan Stanley at DO cost. Customers can access this resean:h by visitingwww.morganstanley.com/equityresearch. !>r calling 800-624-2063 or by contacting a Morgan Stanley representative to request that a copy of this research be sent to tIiem. Research does not provide individually tailored investment advice. Research reports are prepared without regard to tLe individual h,ulndaJ circumstances and objectives of persons who recewe them. The securities and other finAft('i.l instruments discussed in any report may not be suitable fur or available to an investors. An investor's dP("'isiOl1 to buy or sen a stock should depend on i:ndividual cin:umstaoces (such u the investor's investment objectives, finAftc1ql situation, investment hnrit!()ft and existing hnJ~) and other considerations. Morgan Stanley tecnfllnlP'lllll that investms independently evaluate ~ investments and strategies, and encourages investors to seek die views of a hnAftI"IAl adviser. The appropriateness of a particular inves1ment or stra~ will depend CXl an investor's individual circumstances and objectives u wen u market conditions at the time. For additional infum1ation, p1eue contact a Morgan Stanley representative. Investments and services Il1'C ofli:red through Morgan Stanley DW Inc., member SlPe Security No. 903236107 Symbol URS III1IIIIIIIII1 '" " Hospice of Central Pennsylvania 98 South Enola Drive P.O. Box 266 Enola, PA 17025 Invoice Invoice Number: 157E Voice: Fax: 717-732-1000 717-732-5348 Invoice Date: 6/10/0E Page: 1 Resi dent: Glenn Hayes c/o Joy Dougherty 401 Gurtner Road New Cumberland, PA 17070 Customer ID: HayesGlenn r ---- - _.'- ..-.--. '. --r--- .- ,,' -~ I Payment Terms Due Date I I Net 15 Days 6/25/06 i Description Residential Care 06/10/06-06/30/06 Amount 6,300.00 Ab2J :) f}!J ro - "2-1, ". .f(~ 1f IO~ {-S-oIo Total Invoice Amount 6,300.0C Check/Credit Memo No: 2355 Payment/Credit Applied 2,000.00 TOTAL 4,300.OC Thank you for choosing Hospice of Central Pennsylvania. ... to- Urology Of Central PA PO BOX 7043 LANCASTER, PA 17604 .....:.. 'i.'L =1I'II:t n =U..J1.!.IL .tll.l.LtilHJ.atlt ~ 09/06/06 _ _J 49750 '1l'J[tllln. ::::I~[iIlI:t].."'lC L$ :l1II;m."'i...::a :I~'....;I I:Y.i'l'1lIlIJ ~ I 17.27* Address Service Requested MC VISA Disc Security Cardll-=- -=- _ _ Code Sign Exp __/__ *******AUTO**3-DIGIT 171 28621 GLENN B HAYS 1421 POTATO VALLEY RD HARRISBURG PA 17112-9210 1.11111...1...1111.11..1.11.1....1.111.1111'11111.1...11..11.1 264 85 Urology Of Central PA PO BOX 7043 LANCASTER, PA 17604 RETURN TOP PORTION. RETAIN LOWER ---M-eSSAG-eS EXPLAIN e-o---.-- -SELOW-------- ------------------------------------- -.-- -- - - ---- u_____ ---- - - --...--------- ----- ------------- ----- ------ ----- - ------ ... mllII. Iil!lmlIil!l!DIEml!mII.IIjg:Er:]ll: Service Description Cpt Ox *** FOR BILLING QUESTIONS1 PLEASE CALL (717) 724-4684 *** *** Y~~r A~c~~nt Baltnce 1S Overdue! PI~ti~ mtk~ Pt~ent Immediatell!! *** ****** *** * ****** ******************* ** * ** *************** ************* Insurance Charges ~ending to Prv: 65.00 Ins Pay/Adj agains Ins pending 24.57 -40.43 0.00 02/14/06 1 14 OFFICE VISIT EST LEVEL 2 99212 188.9 60.00 03/03/06 Medicare Payment 29.14 03/03/06 Accept Assifn Adj. -23.57 04/07/06 AARP Paymen 0.00 04/20106 Check-Personal Payment 7.29 0.00 05/15/06 1 14 E OFFICE VISIT EST LEVEL 2 99212 188.9 60.00 06/02/06 Medicare Payment 29.14 06/02/06 Accept ASsitn Adj. -23.57 06/14/06 AARP DEDUC Payment 0.00 7.29* 06/01/06 1 14 E OFFICE VISIT EST LEVEL 3 99213 188.9 75.00 06/22/06 Medicare Payment 39.91 06/22/06 Accept ASsitn Adj. -25.11 07/11/06 AARP DEDUC Payment 0.00 9.98* E-This bill applied against your deductible. You are responsible to pay us. ([)ATE ~ PA!~.L 04/20/06 II'i'Ilr:Ti1Iue1i.._ ~dIM' __m -O-~~~-] _ -- 17.-2" MAKE CHECK PAYABLE TO. Urology Of Central PA PO BOX 7043 LANCASTER, PA 17604 ~"f:l:l~'...:I~.!.'~I['lIJ~. --17.27* PATI I-GLENN B BAYS PRVU 14-WENGER, ALLEN S., M.D. [---- Ph: (717)-724-4684 Acctll: 49750 Date: 09/06/06 Page 1 of 1