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HomeMy WebLinkAbout94-01385 II , ! " " , I " ji, ;'1 ." " , , " , 'lit 'I I , I I " ., I" 'I , 'I 'I',' ,!:t' \\ " " " I" , I, 'i' " " ifI "!)l' r.'_.}'. ;I!~ . " I I ., 'I I I " I " , , .1 , " ,I, '1 , 'I 1 , " , I , " t.i , , 1 I ., .. i Ii",' '''I " ",' 1'\ '.,1 Y 'I , ,I ,\ " " I, 1,1 , i( ii I 'II~ ! , ,.I ""I , ,r I' " '1: , ': .. " - ILLIH II. W. GIH8LD BRIHT A. IH THI COURT 0' COIOlOH PLIAS GIHSLIR, individually and a. CUNBIRLAHD COUNTY, 'IHHSYLVANIA p.rent. and natural qu.rdi.n. ot TABITHA GIH8LIR and JOSIAN GIH8LIR1 BRIHT A. OIHSLIR .. Adain1.trator ot the I.t.t. of GLORIA 8. GIH8LIR, d.c....d' TABITHA GINSLIR, .nd JOSIAH GIHSLIR, Plaintiff. v. CIVIL ACTIOH - LAW LION D. MYIRS, and GLORIA I. MYIRS, individually and t/d/b/a a. "My.n W.lding and supply servic.", and PAUL O. DYARNAN, JR., (i'/- (\\I,_L ~t"-""'- /-';J )" Def.ndant. NO. IHI ....01.1 .01 "IT o. aUMVnM' To the ProtbonotarYI Pl.a.e i..ue a Writ of Summon. in a civil action again.t Def.ndant., Leon D. Myer., Gloria E. My.r., individually and d/b/a "Myer. W.ldinq and supply Servic.", and PaulO. Dyarman, Jr. Th. addr..... and the id.ntity of coun.el for the r..p.ctiv. part i.. are ..t forth in the attachm.nt to By , , Attorney. for Plaintiff. " " i , IIII I I ,I I , , , , , , .. .. 1 ~ .-l ~ I ,ll n!il;j ~ ~ ~~ RI>< n! .-1'M 0 'M i~ I ~::: !2J~~ 'C ~/Jln! n! III Orl~p,. . ~ I': III III '0 rl rl . ~ k'O .I:: I/)OJ '0 ~ 1tJ'O'O 4),~ '0 OJ III ~ . I': ::3.-1 I': .. :J .... I':'M kill '0'0 4) III t1l .-1 ~'''Ill,Q'Mk 4) I': 'M :a ...:I .j ;1 '~ '0 III <1)<1).-110< III > . J I ~ I': fIl E-< .-1.1:: I/) 4) 'M fIl <I) I 'M ,,' OJ ~ OJ 1':.... - l/)'OIo<U U I': I>< ~ ~ fIl k I': <I) 'E a Il!d~ . .4)0 ~.... I: <I) 'M ~ 0 111 :J k k 0 ~ ~ I: ..... 00 <I) a I/) . J: .. 4) ~ .., 1'1 ,~ C . H (/) I/) III l) fJhf~ .... E~ III .0:0 IIlk . k III ..: I ~ 'M OJ Ill,ll <I) o <I).... ~Ill ., I: ~ '0 OJ III 'C OJ.... ~.a.-1 ;>. rl 0\ 4) k I: k ," I/) ~ ..... P<O .~ i~~ E rl 'On! <I)+,O.a~ g 'OP< . rl'l':6, &J1/).-11ll~ .........::J . .rl I>l.z: III 'M ~ E-< ..:IWOJIIlO U , , Amount To Sllltl') G"nlfler To TAbitha Gensler To JOSiAh Gensler To Brent and Ellen Gensler pur8uant to the Wrongful Death Act for the wrongful death of Gloria Gensler TQ the Estate of Gloria Gensler pursuant to the Survival Act ~ $ 50,000 10,QOO 7,500 $ 27,500 s $ 5.000 100,000 TOTAL 5. Brent and Ellen Gensler, as parents and natural guardians of Tabitha Gensler and Josiah Gensler with the joinder of Dennis Lebo as Guardian of the Estates of Tabitha and Josiah Gensler and Brent Gensler as Administrator of the Estate of Gloria Gensler are authorized to execute all required documents in order to obtain the payment of the under insured motorist benefits from Nationwide Insurance Company. 6. Brent and Ellen Gensler, as parents and natural guardians of Tabitha and Josiah Gensler and Dennis Lebo, the Guardian of the Estates of Tabitha and Josiah Gensler, are hereby authorized to pay legal fees and expenses out of the proceeds to be received on behalf of Tabitha Gensler in the amount of $2,350 and from the proceeds to be received on behalf of Josiah Gensler in the amount of $1,762. 7. Brent A. Gensler, as Administrator of the Estate of Gloria Gensler is hereby authorized to pay to McNees, Wallace & Nurick legal fees and expenses of $3,819 with respect to the wrongful death claim and $3,819 with respect to the survival action claim. B. Plaintiff, Brent A. Gensler is hereby authorized to pay the net wrongful death and survival action proceeds in a single sum payable jointly to Brent A. Gensler and Ellen M. W. Gensler. BY THE COURT! J. " , ,II 1"/ " " " , , , , 'I (' ~ I I , il I , j, , , " , I ,I , , , I" , ' , 1. Plaintiffs, Brent A. Gensler and Ellen M. W. Gensler, are hU8band and wife residing at 2267 Newville Road/ Carlisle, Pennsylvania 17013. 2. Said Plaintiff.s are the parents and natural guardians of Plaintiffs Tabitha Gensler and Josiah Gensler. They also were the parents of Gloria Gensler, deceased. Plaintiff, Brent A. Gensler, is the administrator of the estate of GloriQ Gensler, deceased. 3. Defendants, Leon D. Myers and Gloria E. Myers, are husband and wife with a place of business at 2817 Ritner Highway, Carlisle, Pennsylvania. One or both of the Defendants Myers were doing business as Myers Welding and Supply Service on May 27, 1992. I I ,I i I 4. Defendant, PaulO. Dyarman, Jr" is an adult individual residing at 30 Oaklawn Drive, Shippensburg, Pennsylvania 17257. On May 27, 1992/ he was employed and acting in the course and scope of his employment with Myers Welding and Supply Service. 5. The present action arises out of a tragic motor vehicle collision that occurred on May 27, 1992/ in the Borough of Carlisle at the intersection of the Ritner Highway (Route 11) and Allen Road (Route 465). Plaintiff, Ellen Gensler, was operating her 1976 AMC Hornet northbound on Allen Road and approaching the intersection with Route 11. Defendant, PaulO. Dyarman, was , I II - 2 - operating a 1985 Ford custom truck westerly on the Ritner Highway and Bpp~oaching the intersection with Allen Road. Tabitha, Josiah and Gloria Gensler wer.e passengers in the vehicle driven by Mrs. Gensler, Mrs. Gensler and her children were restrained in seatbelts and car seats. As Ellen Gensler was crossing the intersection, her auto was struck on the right side by the truck being d~iven by Defendant Dyarman. 6. As a rosult of the collision, Gloria Gensler suffered fatal injuries and was pronounced dead at the scene by the Cumberland County Coroner, Michael Norris. Ellen Gensler, who was several months pregnant at the time, duffered critical injuries and was life flighted to the Hershey Medical Center, together with her son, Josiah Gensler, who was also seriously injured. Her daughter, Tabitha Gensler, also suffered serious injuries and was originally taken to the Carlisle Hospital and then life flighted to the Hershey Medical Center. 7. Defendants, Leon D. Myers, Gloria E. Myers, and Myers Welding and Supply Service had a Pioneer Commercial Auto policy issued by Erie Insurance Exchange that provided liability coverage for the 1985 Ford truck involved in the collision. That policy provided liability protection limits for bodily injury of $500,000 per person with un overall maximum of $1,000,000 per accident. . '3 . 8. Defendants Myers and Myers Welding and Supply Company did not have any other insurance policies that would provide any other liability coverage for thia collision. 9. Defendant, PaulO. Dyarman, Jr., the driver of the vehicle at the time of the collision, had an auto policy with Nationwide Insurance Company covering his personal automobiles. That policy, however, had an eXGluoion which excluded coverage while he was operating a third party's vehicle that was used in a business or occupation. The Nationwide policy issued to Defendant Dyarman does not provide any coverage with respect to the collioion of May 27, 1992. 10. Without admitting liability, Erie Insurance Exchange has tendered the $1,000,000 policy limits available under its policy in exchange for a general release from Plaintiffs to Defendants and subject to court approval of the settlement. 11. Plaintiffs have agreed to accept a settlement based on payment of the policy limits and the allocation of proceeds as set forth below, subject to court approval of the settlement. 12. Plaintiffs' vehicle was also insured by Nationwide Insurance Company. Nationwide has consented to this settlement thereby preserving Plaintiffs' under insured claims under the Nationwide policy. Nationwide has also tendered the $50,000/$100,000 limits of underinsured motorists coverage under - 4 - the policy issued to the Genslers covering the 1976 AMC Hornet being driven by Mrs. Gensler at the time of the accident, 13. Plaintiff, Ellen Gensler, suffered severe multiph trauma. Sha suffered closed head injuries, a pelvic fracture, and a right femul" fracture. She had a large hematoma on the right front temporal region. She has several large hematomas in the left basal-ganglia reglon. She had diffuse multiple inter- parenchymal hemorrhage. She was eighteen to twenty weeks pregnant at admission. 14. Mrs. Gensler was unresponsive to verbal commands or stimuli for many weeks and was on a ventilator and had a tracheotomy and a feeding tube. She was on the ventilator for three weeks. She had the feeding tube and tracheotomy for seven months. She was discharged from the University Hospital to the University Rehab Center on June 22, 1992. She went from the Rehab Center back to the hospital on October 25, 1992, for induction of labor and the birth of her child who was born on that day. The child was named Lydia Gensler. She then returned tn the rehab unit with her new daughter. She was discharged from the rehab unit on December 18, 1992. 15. In the Rehab Center, Mrs. Gensler received speech therapy, physical therapy, occupational therapy, and rehab therapy. In rehab, she was unable initially to communicate - 5 - either orally or with gestures. Gradually, her ability to cO\l\l11unicate improved. At t.he time of discharge, she had Dub- stantial physical and neurological impairment. From discharge to the present, ahe has continued to make progress. She is mentally competent and capable of caring for herself and her children with the assistance of her husband, Brent Gensler. Despite her remarkable improvement, however, she has suffered permanent neurological and physical impairment as a result of the tragic collision. Although her claim is worth subatantially more, the maximum available under the Erie Insurance policy for her claim is $500,000. 16. Tabitha Gensler was two years old at the time of the collision, having been born on August 2, 1989. She was admitted on the day of the accident and remained hospitalized until June 8, 199~. She suffered a compound comminuted open left frontal skull fracture with dural and brain laceration. A left front craniotomy with debridement of necrotic brain, repair of dural laceration Elnd platl.ng of the comminuted akull fracture was performed on May 27, 1992. She also suffered a laceration near her right knee. She was given Dilantin to prevent seizures and wore a helmet to guard against the possibility of further damage due to falls for about two months after the injury. Fortunately, - 6 . Tabitha has progressed well and appears to be developing normally. Her m~dical bills totaled $~3,042.97. 17. Josiah Gensler was one year old at the time of the collision, having been born on January 16, 1991. Josiah also suffered serious injuries in the collision. He suffered closed head injuries, facial lacerations, fractures of both bones in the left lower forearm, fractures of both the fibula and tibia in the right lower leg and injury to his liver. He was hospitalized until June 4, 1992. His fractures appear to have healed in the normal course. As of September 22, 1992, he did not appear to have any clinical deformity and had full range of motion. The prognosis is that he will develop normally in both the upper and lower extremities. He otherwise appears to be normal. The medical bills for his care and treatment totaled $13,890.96. 18. Gloria Gensler was four years old at the time of the collision. She was pronounced dead at the scene. She was a bright, curious child. Her parents, Brent and Ellen Gensler, had a warm, loving relationship with her. They had a reasonable expectation of much future enjoyment of Gloria's development had she survived. They have suffered substantial damages within the meaning of the wrongful death act. Likewise, Gloria's estate has' suffer~d a substantial loss as a result of her death for purposes of a survival action. . 7 - ' 19. Lydia GenAler, who was born on October 25, 1992, seemingly was normal at birth and appeared to be developing normally. Tragically, ahe died on January 3, 1993. The autopsy I , , did not find any connection between her death and the collision of May 27, 1992. Pl~intiffs, Brent and Ellen Gensler, have not and do not intend to make any claims against Defendants as a result of the death of Lydia Gensler. 20. The combined value of the claims for Tabitha Gensler, 'I Josiah Gensler, the wrongful death claims of Brent and Ellen Gensler as a result of Gloria's death, and the survival action claim on behalf of the estate of Gloria Gensler are far in excess of the remaining $500,000 available under the Erie Insurance policy that provided insurance coverage to Defendants. 21. Plaintiffs, with the advice of counsel, have decided that the follawing apportionment of the $1,000,000 of total insurance coverage, subject to the $500,000 individual limit, is fair and equitabler Ellen AMOUNT 1. To Gensler $500,000 2. To Tabitha Gensler 100,000 3 . To Josiah Gensler 75,000 4. To Brent Gensler and Ellen Gensler pursuant to the Wrongful Death Act for the wrongful death of Gloria Gensler 275,OOc) - 8 - IS. To the Estate of Oloria Oen~ler pursuant to t,he Survival Act TOTAL ~OIOOO $1,000,000 I 22. Plaintiffs, Brent Gensler and Ellen Gen~ler, as the parents and natural guardians of Tabitha Gensler and Josiah Gensler, believe that the settlement of the claims of Josiah Gensler and Tabitha Gensler against the Defendants and the apportionment of the settlement proceeds as set forth above, less attorney's fees and expenses, 1s in the respoctive bost interests of Tabitha Gensler and Josiah Gensler. Brent and Ellen Gensler request the court to approve the settlement of the claims of Tabitha Gensler and Josiah Gensler against the nam~d Defendants with the allocation of $100,000 of the insurance proceeds to Tabitha Gensler and $75,000 to Josiah Gensler. 23. Plaintiff, Brent Gensler, as the Administrator of the Estate of Gloria Gensler, requests court approval of the settlement of the wrongful death and survival actions against Defendants with the total amount allocated to the wrongful death and survival actions from the settlement insurance proceeds to be $325,000. of that sum, Plaintiff, Brent Gensler, further requests approval of the allocation of $50,000 to the survival action and $275,000 to the wrongful death action. He further requests court approval of the payment of the wrongful death and " i , ! I I - 9 . 27. Plaintiff, Brent Gensler as Administrator of the Estate of Gloria Gensler, requests the Court to approve the allocation of Under insured Motorist Benefits with the total amount allocAted to the wrqngful death and survival claims being $3~,500. Of that sum, Plaintiff further requests approval of the allocation of $5,000 to the survival action and $27,500 to the wrongful death actions. He further requests approval of the payment of the wrongful death and survival action proceeds in a single sun: payable jointly to Brent and Ellen Gensler. 28. Plaintiffs have been represented in this matter by McNees, Wallace & Nurick. McNees, Wallace & Nurick has agreed to represent the Plaintiffs based primarily on the standard hourly billing rates for the personnel at the firm that are performing the legal services in this matter, together with reimbursement for expenses. The total legal fees incurred or estimated to be incurred through the approval of the Petition are $18,000. Total expenses incurred or to be incurred through the approval of tho Petition are estimated to be $5,500.00. Plaintiffs request approval of the payment of total legal fees and expenses of up to $23,500, with the legal fees and expenses allocated to each of the claims ss followsf ~ 11 . ~OUNT 1. :I. 3. 4. Kllen Gensler claim TAbitha Gensler claim Josiah Gensler claim Wrongful death claim Survival action $11,750.00 :1,350.00 1,762.00 3,819.00 5. 3.819.00 TOTAL $23,500.00 McNees, Wallace & Nurick will credit the amounts previously paid for lega). fees and expenses toward the above amount of $23,500. 29. With respect to the net insurance proceedB proposed to be paid on behalf of Tabitha and Josiah GenBler, Plaintiff.s are filing a Petition for the Appointment of Dennis Lebo as guardian of the pe1'9onal estates of Tabitha Gensler and Josiah Gensler, and are requesting that the guardian be authorized to receive the insurance proceeds directly from Erie Insurance Exchange and Nationwide Insuranoe Company, to pay the attorneys fees and expenses of McNees, Wallace & Nurick as to Buch claims and to invest the balance with Guardian Angel Financial Advisory aB set forth in said Petition. 30. Plaintif.fs further request thatl (al Brent A. Gensler, as AdminiBtrator of tqe Estate of Gloria Gensler be authorized to oxecute a . 12 . genlllral release that releases Defendants and their insurer Erie Insurance exchange, and (b) Brent A. and Ellen M. W. Gensler, as parents and natural guardians of Tabitha Gensler and Josiah Gensler, with the joinder of Dennis Lebo as guardiAn if appointed by the court, be authorized to execute general releases that release Defendants and their insurer, Erie Insurance Exchange. Brent and Ellen Gensler will also execute general releases with respect to their individual clams in favor of Defendants and Erie Insurance Exchange. 31. Plaintiffs further request authorization to execute any necessary and appropriate documents in order to obtain the Under- insured Motorists Benefits from Nationwide Insurance Company. WHEREFORE, Plaintiffs request the court to approve the settlement and distribution of the proceeds as set forth above. Respectfully submitted, MCNE2ES I (A}LA/, & NJRI~K By /"t '0t~ !~, De ano M. Lant1. I.D. No. 21401 100 Pine Street Po . 0 . Box 1166 Harrisburg, PA 17108-1166 (717) 232-8000 " " Attorneys for Plaintiffs , " - 13 - ! VERIFICATIOtl I verify that the statements made in the foregoing document are true and correct to the best of my knowledge, information And belief. I understand that false statements are made subject to the penalties of 18 Pa. C.S. 54904, x'elating to unsworn falsification to authorities. ~ ~r Datedc June 10 I 1994 \ . " , , I , " , " I. I i " " , ., " , " VIllRIFICATION I verify that the statements made in ths foregoing document are true and correct to the beat of my knowledge, information and belief. I understand that false statements are made subject to the penalties of 18 Pa, C.S. 54904, relating to unsworn falsification to authorities. F()O.JL Vv~ ~ U 1!1\~ ~L ~.. en.ler ' DAted, June~(), 1994 I II " ,I , I I' " , , ' ,; " , / , , ELLEN M.W. GENSLER, BRENT A, GENSLf!R, Individually and al parenti and natural guardlanl 01 TABITHA GENSLER and JOSIAH GENSLER; BRENT A. GENSLER al Admlnlltrator 01 the Eltal. 01 GLORIA S. GENSLER, dee.ald; TABITHA GENSLER. and JOSIAH GENSLER, PLAINTIFFS V. LEON D, MYERS, and GLORIA E, MYERS, Individually and t/d/b/a a 'My.rl Welding and Supply Servlc'I,' and PAUL 0, DVARMAN, JR" DEFENDANTS In Re: Eltat'l 01 TABITHA GENSLER and JOSIAH GENSLER; minor ohlldr.n 01 ELLEN M'w. GENSLER and BRENT A, GENSLER IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA . . : 84-1G88 CIVIL TERM 21.94.64G ORPHANS' COURT ~~ AND NOW, thll _ll_ day 01 Augult, 1894, upon con.'deraIJon of plalntilll' petition I lor approval 01 (1) IIttl.ment 01 two minor plaintiff,' clalm., (2) . wrongful d.ath and lurvlval clalm, (G) the payment 01 attorneY'1 fe.. and expenl" .. to thOIl clalml, and (4) Ih. lohlme 01 dlltrlbutlon of the clalml 01 all plalntllll from the proc..dl of the Erie Inlurance ElCchange, defendantl' liability Inlurer, and Natlonwld. Insuranc. Company, plalntlfll' und.rlnlurld motorllt Inlurlr, IT" OADIAID: 94.1385 CIVIL TERM 21.84.843 ORPHANS' COURT AM2U.tfi To Ellen Geneler . 150.000 To Tabitha Gen.ler . 10,000 To Jo.lah Geneler . 7,1500 To Brent and EII.n Gen.ler purlluant to the Wrongful Oeath Act lor the wrongful death of Gloria Genller . 27,1500 To the E.tate of Gloria Genller purluant to the Survival Act . 15.000 TOTAL $ 100,000 15, Brent and Ellen Genller, 88 parenti and natural guardian. of the minor., Tabitha Gen.ler and JOllah Gen.ler, and Brent Genller 88 Admlnlltrator of the E.tate of Gloria Genller, are authorized to execute all required document. to obtaln the payment of the underln.ured motorllt benefltl Irom Nationwide Ineurance Company. 6. Legal feel and expenlel 88 requelted are approved out of the proceed I to be received by the minor, Tabitha Genller, In the amount of $2,3150, and out of the proceed. to be received by the minor, JOllah Genller. In the amount of ".762, I I I I l' 7. Legal fe.. and e)Cpen... 88 reque.ted of $3,819 for the wrongful death clalm, and $3,819 for the .urvlval clalm, are approved. 8, Purluantto Pa, Rule of Civil Procedure 2OG9(b)(2), the petition to Invett the net proceeds payable to the minor. Tabitha Genller and JOllah Gen.ler In accordance with the recommendatlonl of Guardian Angel Financial Advl.ory, 18 .3. S4.1385 CIVIL TERM 21.S4.843 ORPHANS' COURT DENIED, The petition to appoint Dennll Lebo at the guardian of the eltat.. of Tabitha and JOllah aenller. 18 DENIED. 9, The proceede payable to Tabitha a.nller and JOllah aenller Ihlll be made by check requiring the endoreement of plllntlffl' counlel, Delano M. Lantz, Elqulre, Pureuant to Pa, Rule of Civil Procedure 2039(b)(2): (a) The total net eum of $107,850 payable to Tabitha G.nller Ihall b. Invelted BY PLAINTIFFS' COUNSEL In one or more laving accountl at the hlgh..t Interelt rate avallable IN THE NAME OF TABITHA QEN8LER, BORN AUQUIT I, 1888 In banks. building and loan 88soclatlons or savings and loan 81loclatlon. In which the deposits are Insured by a federal government agency, 81 chosen by her parents, provided that the amount deposited In anyone or such .avlng. Inltltutlon. .hall not exceed the amount to which the acoounts are thus Inlured. Every luoh aocountshall contaln a proVIsion that, NO WITHDRAWAL CAN BE MADE UNTIL THE MINOR ATTAINS HER MAJORITY EXCEPT AI AUTHORIZED BY A PRIOR ORDER OF COURT. (b) The total net sum of $80,738 payable to Josiah Gensler Ihall be Invested BY PLAINTIFFS' COUN8EL In one or more saving account. at the hlgh"t Inter..t rate avaltablelN THE NAME OF JOSIAH QEN8LER, BORN JANUARY 11, 1881 In banks, building and loan 8880clatlons or savings and loan association. In which the depollts are Insured by a federal government agency, 81 cholen by hi. parents. provided that the amount deposited In anyone or luch I8vlngl Inltltutlonl .4- . . , , 84.138& CIVIL TERM 21.(14.843 ORPHANS' COURT .hlll not .)(olld th. amount to which the account. art thuI Inlurtcf, Every luch account Ihall contain a provlllon that, NO WITHDRAWAL CAN 81 MADI UNTIL THE MINOR ATTAINS HIS MAJORITY EXCIPT AS AUTHORIZID IY A PRIOR ORDIR OF COURT. 10. Compliance with thl. order by PLAINTiffS' COUNSIL la required within till dlya after checka are received by coun..' for the net prooeed. payabl. to the minor plalntlffe, Upon opening the reltrlcted account.. PLAINTiffS' COUNSIL ahall Immtcflately flle In the office of the Prothonotary, and direct a copy to thl.judge, proof of laid depo.lta In compliance with thl. order, Delano M. Lantz, Eaqulr. For Plaintiff. Timothy I. Mark, Elqulre For Defendant. :... , I I I I I I , " ;, , ' ',:11 ..'1\ ' ,i !I' I' , I -e. ~ if: ,., .. t::I ""'" Ji " , " 'I 'I " " , " I , ,'I 'I , " J' ,1 , , , , I' , I ,I " " .. ",r' ., "It', ,,:., ~!,; ,,,. ",(,),,'.1 " it t ~l ~ , I~' I'/! , , ~' ,/,,1.'1 I .,l ~I/ I ~ ,\ 'I ;'.) ,;~ 1..\ '" , ,J I , " 'I " J' " ,II " , I " " , , Md~IUl'J. Wl\U..I\r.;L' Iii rjlllllCI{ 11)-11'''0',111111', " I,. 1\..1\ 114tH'f'dl"11':, 1'/\ I /lIJ'1 ~1NO, OI.~(J~~~ SAVINGS 'WoII .jot1f.h G'AlI!eIt, DEPOSIT . ~ I \c.~ rt\. W. 6f~'C. G,t,..t.... DATI!J .3() .''i rloll,~~~~O~f'Itl ZI~ZI;l ;" -.r ACCT HIli TIICD mE A"OUHT NEY IAL.AHCE 401520'1 6112 PI 55.000.00' 00.000.00 DISCI' CIl tl 1"6."'. r~1 OAIH CHlOKI CHICKI , , ' . LlSS CA H CK ..--.- .- _._.__.~ -~--... _ ..__.__..____-4 _ ___ ~~ 'O."lIl1,~,.",. 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