HomeMy WebLinkAbout12-18-06
HJO~.80~ REV llO~
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
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WARNING: It is illegal to duplicate this copy by photostat or photograph.
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Fee for this certificate, $6.00
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIACA TE OF DEATH STATE AlE NlNIIEA I - 0 LP - 1115
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Ann M. Benner December 9, 2006
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April 3, 1921
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BonSecours Regional Hospital
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White
Blair
Altoona
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Homemaker
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, 47 LeAnn Court
Enola, PA 17025
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Cumberland
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Allen P.Sutton
Barbara Baughman
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100 River Road Dauphin, PA 17018
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Allen Eshelman
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Harrisburg, PA 17110
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MIchael J. Shalonls 206 Maple Avenue Marysvllle, PA 17053
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(see instructions aad exami:ileson reverse)
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Elias Rlskah
100 Chestnut Avenue Altoona, PA 16601
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Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true
and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent,
Petitioner(s) will well and truly administer the estate according to law. ~
Sworn to and affirmed and subscribed L{}l:;- "'P,
L/- H] Allen P. Sutton
before me this I day of 1\ ~
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_ _ Ll - - ~ani- Meer
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Estate of Ann M. Benner
DECREE OF REGISTER Cumberland County, Pennsylvanian
Deceased
No. ~ 1- (fu - II 15"
also known as
Social Security No: 165-38-2425 Date of Death: 12/9/2006
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AND NOW, 0 ~ \ c:r: 2006, in consideratio~e peti~ ,~~ ~3~J
on the reverse side hereon, satisfactory proof having been presented before me, "-g:g ("") f"T1 c;? t.;:;>
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(c.I.a., d.b.n.c.l.; pendente lite; duran~~ duranir minoritatej '---
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IT IS DECREED that Letters Ix. Testamentary 0 of Administration
are hereby granted to Allen P. Sutton and Nancy N. McCrea
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in the above estate and that the instrument(s), if any, dated 5/19/05
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters ....................................
Short Certificate(s) 5.@~~
$
$
$
$
$
$
Inventory & Tax Forms............. $
Other .~~~gm~~!~!1.f~~............. $
Renunciation ............... ...........
Affidavit (
) .......................
)..............
Extra Pages (
Codicil .................................
JCP Fee .................................
TOTAL .............................$
RW-7A
Harrisburg
5\0 .(,)0 l(1-'
~ Telephone: 717-541-5550
DATE FILED: _\ 2.., \ <6" ' {) LP
$
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20.00
10.00
5.00
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Attorney: Jacqueline A. Kelly
1.0. No: 91973
Address: 845 Sir Thomas Court, Suite 12
PA 17109