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HomeMy WebLinkAboutOC1968-0145 - ESTATE OF CECCHINE,. COPY OF INVENTORY Notary .Public J081f S<UIIOH Ba111e CeccbiPe Eaj.lle ceccbtne. uxxxxxxx . llth Is/ John Solomon July Is/. Helen Rizak HELEN RIZAK 67 Notary Pu11Jic. Wasbi~"t0n, · W3$hingtliri Co. · . My Co~missi:>n Expires August 26, 1970 . ., (' ;, . ' ·, . . . ' }, , .. I. "-·'' ·' 1 ' .. ·•. . . ·t J' •. ; . ' . "' • ., . ' ·\ ; •. t •· .. 4 ~ '( ' . . . ,( . 3Jnurntnr.y an~ Apprai~r~rnt ·of the ~oo~s and chauezs, ~ights a~d credits which were of .................................... ~.~,~.~.~ .... ~~-~~~-~.~~L ............................ : .... .)ate · of ................... !~.~.~-~ •. ~.~~ .......................... · .................................... , Washington County,Pa., tak~n and made in conformity with the above affidavit. ••lloo Na~tonal Bank, Wa•h1ncton,r pennsylvania, S•v1Dge Account No. 3580. · · . ' . " ·.• . I .• .. \:' DOLLARS CENTS 13,·678 3? .• .· r . ·~~ ·, STATE OF F·ENNSYLVANIA, WASHINGTON COUNTY, ~ SS: The· within named Accountant ·being duly sworn according to law, depose 4 and say"" that the above account as stac-edl is true and c01rect as .......... 4 ............ : .......... verily believe. . . . . Sworn ard subscribed before me this .. d.:J.~--- day of···;··"··············· ......................... 19.f.f. ... . . . /:~.,.:~. -· ·-----.. 1 · · GlADYS C. ;~~RSHAll., tiOTA~Y PUBliC . ·' , . ' . IVASil!:;:;r!.'~i, '.'1:\S!ii~jGTOtl Cv~;HY ii1Y COM~i!SSION EXPiRES APRil 12, 1971. \, Wash'ngtor. County, ss: 0 z •,--~ 6S I do certify that I have given legal notice to all persons concerned of the filing of the within account in the manner prescribed by Stotute and J3.}-'le of Court, ~evidence by proofs thereof filed to No ......... )..t!;.k.~ .... V.:t!. .... · Witness my hand and official seal this ... ~---············ dayof ... ~---·······························: ................ 19_?_!:_ __ · ····-~---21~ ............. · Register of Wills· > "_;~ X~ ...., ...., I '"' t::: ::I 0 "'· 0 ...., 0 t::: 0 ::I Q) 0 ..c::l .... t) ...., 0 t) 0 ~ :< ...., ~6 '"' "d Q) Q) 5 .... ...., ;:., -= Q) 0 Q) "' 'C) -= Q) 1/,. ~ '"' iE . :§ t\1 ~ 0 t ...., ~ < -= ::I ril 0 t) "d t) t::: "' "' d ... :a s:l Q) ...., ...., .9 "' ·~ ...., 'bh "' Q). s Q) ..c::l ... ~ ,.B ...., q:: " -= 0 ~. t) ... 0> 0 .-< ..... . ,.. / ·~ ">y '~:.> '!.• ... ..... .-; / j.r (•-, .. •. '-\_ ~-i.' ~-' ' '/' \,,~·ff~ ' I , , f. < ~ l o:;_~ I ' ' ~ ;~._..\ t \ '\ -( ,. "' The Court is respectfully requested to determine proper d;stdb~~e~ ounsel for Accountant "!; THE FIRST AND FINAL ACCOUNT of John Solomon, Esq., Executor of the Estate of Emille Cecchine, deceased, of Washingto , Washington County, Pennsylvania. As Per Inventory $ 13,678.37 TOTAL ASSETS OF ESTATE 13,678.37 TOTAL AMOUNT OF CREDITS CLAIMED BY ACCOUNTANT 2,355.50 E·ALANCE DUE 11,322.87 THE FIRST AND FINAL ACCOUNT of John Solomon, Esq., Execu~or of the Estate of Emille Cecchine, deceased, of Washington, Washington County, Pennsylvania. The Accountant claims credits out of the assets of said estate, to wit: PAYEE DESCRIPTION AMOUNT Regist€r of Wills Letters Testamentary 20.50 Register of Wills Filing Inventory 3.00 Abel Funeral Home Funeral Expenses 1,203.00 Observer Publishing Company Advertising 12.50 Washington County Reports Advertising 12.50 Kurtz Monument Company Grave Marker 105.00 Washinston Hospital Last Illness 25.00 Regist~r of Wills Filing Account 16.00 John Solomon, Esq. Attorney's Fee and Executor's Commission 958.00 $ 2,355.50 .. Observer -Reporter WASHINGTON, PENNSYLVANIA PROOF OF PUBLICATION In compliance with the Newspaper .Advertising Act of 16 May, 1929, P. L. 1784, 3JS amended. :::oMmonwealth of Pennsylvania, County of Washington, SS: ........... . Personally appear-ed before m>e, a Notary Public in and for said County ~nd State, ......... Ri.chard ... S ...... C.ow.an ............... , who being duly s'worn acccrding to law, deposes and says that he is the ... ~.e.(: .. ! .. Y ...... ~ ... T.r..e.a.s .~ ·' ~-· NOTICE o·: the Observer Publishing Company, a !'lennsylvania corporation, and its ' ESTAT~s6~TfMILLE CECCHINE agent in this behalf; that the said Company is the owner and publisher of • deceased late of washington .. tle Vbserver-Reporter, sucC'essor to The Washington Observer, established ' Letters Testamentary upon thel 3o.pte'l!llber 18 1871, and The Washington Reporter, established August 15 I above estat~ having b~en granted to; • ·1 ' f · · · . ' the undersigned, notice Is hereby, _008, a da1 y news,pap•er o general CirculatiOn, pnnted and published and given to those indebted ther2to to Jurving its place of busines•s at Washington,~ Washington County, Pennsyl· make immediate payment and to, Ta!lia. where it or· its predecessors have been established and published • t.hose having claims or demands to a>:JJtir:-uous•ly for more than six months' prior to the publication of the notice I present}~~~ ~<gL~~~ff~e~~q:· 1 l:Jeretc attached; tha;t the printed notice or advertisement hereto attached ' 421 washington Trust •E!ld~ iE .a. c·JPY of an official advertisement, official notice, legal notice or legal Washington, Pennsylvama 1 a•-.ertisement exactly as printed or published in the ObSJerver-Reporter in ~JOHN SOLOMON, Attorney · ' • 421· Washington Trust Bldg. it:: !:"eg!llar editions on the following date or dates; ............................................ Washington, Pennsylvania6763.Fri.-a; .............................................. ~Y.l.Y. ... J.4.,. .... ~J .. JlTI4 .... ~.S .. , .... J9..6.7.. ... ~ ........... .. th.tt neither th>e affiant nor the Observer Publishing Company is interested in tte subject matter of said notice or advertising and that all of the aUega- tio:t~ o:· this affidavit as to the time, ~1 and character~publication are true. p .................................. ·. -~ .. -:· .......... ~.:!L~ ...................... Y. .... . .Swo::-n to and subsceb~},ore me this .. 2..8 .... ~a~of.. .. J'jl.Y .... l9P.J .7K~ltf:r=iic···' w. ~'::-!52 MY COMMISSION EXPIRES MAY 6, 1961 ~ .. ~Ek~xk:M6~:RHX W asbington, Pennsylvania (i'UBLIEtfED 'EiY WASHINGTON C::lUNTY BAR ASSOCIATION) PROOF OF PU3LICATION In complicn:e ~th the Newspaper Advertising Act of May 16, 1929, P. L. 1784 Sec. 3, par:15ra!;hs (3) and (25). CouNTY •F WAs'3:~C"ON) SS STATR 01' PENNEY:.n.r:riA ( • PersonallJi ~p:,.,ared before me, a Nc·tary Public in and for said County and Commor.wcalth, CEfl.RLES C. KELLER. who, being duly sworn, deposes and says: that he ':s tLe Editor of the WAEHINGTON COUNTY REPORTS, the official l:!gal pe-icd-'.ca1 for said Washington County, publis'hed weekly having its place of business. at Washington, Washington County, Pennsylvania, and is act- ing as its agcrn ir t'his behalf; that the said WASHINGTON COUNTY REPORTS wa~ o:si<Dlished on March 31; 1920, and was designated as the official legal pc blicatiat f.,c Washington County. Pennsylvania, by order of the several courts d said •:::cu11ty', dated November 1., 1920; that the printed notice or adver- tisemenc attadeol 1ereto is a copy of a ootice or advertisement, exactly as printed or pubished, '1"-h.~L appeared in the said ·ega! periodical in its regular issues on the followirg datee:: · July 20,_27, 1967 At:.gust 3, 1967 t:1at be affiut cr the corporation in benalf of which he is acting is not interested in the subjec-mct·.er of said notice or dvertising and that all of the allegations of <hi• dido.i<' ~ ~~:&.:~~:ioo m<ruo ', . · . .;':•. ) .. Estate Notices The Register of Wills has granted letters, testamentary or of administration·,, in the -following estates. Notice is hereby given to all persons indebted thereto to make payment without delay and to thosa. hav- ing claims or demands to present t:hem for settlement to the Executors or Admin- istrators or their Attorneys. •••••••••••••••• 0 CECCHINE, EMILLE, Dec'd. I:..ate of Washington, Washington county, Penna. • 421 Executor: John ~o~ornon,_ Esq.;· ~Washington Trust Bldg., Washington, . ~~ro~~ey: John Solomon, .421 Wash-ington Trust Bldg., Washmgton, Jfa. PETITION SUR AUDIT Testate FormV IN THE ORPHANS' COURT OF WASHINGTON COUNTY ~-Estate ot ___ ·j;~·:··-··3MILLE. .. CECCHINE. ........................... . No ... ~1.Q .. .Qt.J~-~~---······----------.----······:·,------A A. . ., Fiduciary ........ JQtm ... ~.9.~Q~~-~.J: .. ~.l?.9.!.J ............ . · ... Ex.ec.ut.ar .•............................... , ........................ . Deceased ~~~ ~~~ Decedent's death ............... J.:~.Q-~--:~_, __ J .. ~~J ...................... Grant of Letters .... ------~~J..Y. .. J~.t ... J.~~.?. ....................... . This is the. __________ fir.s.:l ... and . .iina~--------------------------account filed in this esta-::e If there ,a,.e been former accourts filed in this estate, list file number or number and term ................................... . Election to take Date Election Place of; Under or Against will. (cress out one), Filed ----·----·················-······ Record ... : ......... : ............... . Name o.;; s:.~rv:iving spouse ... : ..... N.an.e .... :·································-················---················-···························-······················ List issua, where materiel: Did decede1t -na·ry after executi:m of will? (indicate) XX« No. Any children born Jfter execution of will? (indicate) Yes. No. If. ar,swer yes, name thern ...... _. .. .No ............................................................. : ........................ ~------······················ • ·~· ~ c ........................ _ ....................... _______________ , ____ ....... __ .. ____ ,,., ...................................................................................................................................................................................... ~---·--------------------· ·, Legatee's Relationship Interest Fiduciary, if deceased or not sui juris Gairy c~cchine Son 1/7 Sui Juris Fred Ce:::c!hine Son 1/7 Sui Juris Cindereil.la Mignogna Daughter 1/7 Sui Juris Lena Mis-nogna Daughter 1/7 Sui Juris Nancy Aul S-tavis:ty Daughter 1/7 Sui Juris Josep:1 Urso Step-Son 1/7 Sui Juris Robert Urso Step-Son 1/7 Sui Juris List, if ~xcep~iors to ab·Jve: Adeemed: Revoked: Lapsed: Abated: Give Cause: None If partie! intesta::y, give facts: None Notice t) ir.,teresled parti'~s. Ha.te all parties, having either vested or contingent :nterests and all crediors entitled to notice (Collt F!ule No. 9 para!;raph C: Section 6: Subdivision c) received written 1otice of the filing of the account and of cJII of audit? 'l'es. EEX If any e:xcept~on give cause: ............................................ .. File COp). oft N-Jtice and dot·:! cf mai ing ..... JJ.ar.ch.,-5., ... 1.9.68 .......................................... ~ .................. , ........ , .. ,.,,, .. ,.,, ......... ,,, ........... ,, .. , ---~./ Is estate subject to the filing of a Federal Estate Tax Return? _ _. __________ N_a ______________ ~.--~-----'------;""---~--,: ___ ,, ___ , ___ , ____ : __ ,_, __ ,, Actual payment made on Pennsylvania Transfer Inheritance Tax. Amount $ ........ None .. --------·----------~----·------------,-- If the Will makes any portion of estate subject to a life-estate, give name and birth date of life tenanL ... N9.ne _______ _ --------------·---------------------,;. _____________________________________________________________________________________________ ., __________________ : ______ ·------------------------------- .. Gjve Names c;md addresses of all unpaid creditors who are legally entitled to notice, together with· the amounts · of such claims; state whether they are admitted to be correct; and whether the claim is denied. None .. ;...:~. Give reference to such parts of the will as require interpretation by the Cou'rt; a reference to all questions re- quiring adjudication, and a statement of any other facts deemed necessary for the preparation of the adjudication: None "' Balance for distribution per account, Itemize any additiona'l debits not shown by account: $ ... .1.1 ... 3.~~-~-~-7. ......... . Total additional debits (Add) $ .... 2.42. .•. 9.7 .................. . Itemize any additional credits not shown by account: Interest on Mellon Bank Savings Account No. 3580 to November 1, 1967.· Total additional credits (Subtract) $------------··-·-··················· Balance for distribution $ .... 1.1.,.56.5. .... 8.4 ......... . If balance for distribution is not in cash, list each item held in kind, giving appraised Value (or distribution Value); -~- -..e ... ~ If Fam 1·, Exemption claimed by =>etition, give place of Record: ........ None .......... ---··················································· If Fam 1:' Exemption is claimed a1 audit, give name, relationship and basis for Claim: ............................................... . List Of¥ acva.1cement or distribUtion on account that has been made, and nature and amount of same: None Suggeste:::l distribution of balance shown, both as to principal and income, attaching signed and itemized elections to take· iin ll:.in·~ if balance .is not in cosh: residuary shares being stated in proportions: Gair~ C::!cchine 1/7 Fred Ce·::chine 1/7 Cinderella Mignogna 1/7 Lena ~ignogna 1/7 Nancy Aul Stavisky 1/7 Joseph ur~:;o 1/7 Robert Urso 1/7 COUNT'n' OF WASHING-ON, S~: COMMONWEALTH OF PENNSYlVANIA. The ab•)Ve -,amed Fiduciary or representative thereof, being du1y ____ JiiW.9..r.n. ...... _ ........... doth depose and say that the -=ac~s ~et fo~th in ihe fore£oing petition are true And your petitioner will ever pray, etc . . to the !:est ::>L ..... .his .... -........... l:.nowledge and belief . ........... ,., .. " . ...,.,.S.wo.r.n ............... to -and subscribed before t4- :·.,., .• )f :·:·, •. . . ;;r ·r--_/ me "~hl:s:~~---~4ib.!:9"".a.·y._,_: .of.·-~·-···-Ma;o.ch---·············19,.P.~. .............. · .. :. ~--··· . _ --~~---··········· . ;, "\~),.!,; .. ·'., ·, / . ~A',./_/ Signat~re or· vfJic;ei'·--"~/"t-. . . _ ~ .. -::./~~ .Ti'tl~ of O{fi~er~ .. -;_;1 ... : .......... ~~~~-~~-~--~-~~~~~~~---··········--· ··------------·········.-----------------------------···········--·-·····---------------- . r--~ J..:,. l '"<· _·Notar.· Public, W<;hington. Washington Co_, Office e>:pi res--~: ......... ~t~.'!l.'!l.i~_s_i~-~-=~~!~~-~~~-~~~~-!?!-.!?B ...... .. . •, ' . --.,.: ' . ·-' . ' .. . ..................................... -......... ~ ..................................................... . i . ~ No. --~~-~---~~---~~-~~----··-·······················A.A. Estate of ... EMILLE ... CEC.CHINE ................. . Deceased Fiduciary ...... J.QbD. .. S.ol.QIIlQit, ... EsQ .• _.,. _____ _ _________________________ .Ex.e.c.ut9r..: ......................... . PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following, in conformity with Court Rules adopted effective December 3, 1951, being rule No. 9: paragraph b-e; and divisions thereof: shown on pages 23-24. 1. Written praecipes of all Counsel in the case. 2. Copy of order appointing Guardian ad litem, if pertinent. 3. Copy of Order appointing Trustee ad litem, if pertinent. 4. Proof of service of above. 5. Letters Testamentary or Administration C. T. A. or an attest copy of Will. 6. Copy of inventory and appraisement. 7. Proof of advertisement of grant of letters if not filed with account. 8. Certificat~-~~~~{i~O~Il3'1!S.f'~f~ any _of. t~e funds for ~~~~f;gr,PHtrpl']Sc:tfW from JUdrcral sale of real estate. · : 9. Signed· and itemiz~· ., elec,tj'ons .. ,. if .any d. t ·l';:,(j!· ·f.:. ,,.\!d .... ;;-. Uvl'· tt'tl& rs rr~"t.\.roniOJrn lf()ln .-''-' " 10. Copy of Federal Est~t~· Tax return if es- tate is subject thereto. t ·. \ }; t1 .\ i o:l-1\;.l .. ···········--.~~~ ~ \~~,_1 t lf' I!!!)('.'.#~ ,., ... ''\'"" , (j, ~.! -v,._,'~j ,,.." t'\. t'o.,uli~oo"o f -'_, • _,_;' '-"\" • 0 •o C -:...! .-:.. ~ ~'i)V00o ~ (]" ··/~. 6" ~ !! ~ .... ;;: ·~:) · .. ~·~.;,t~~ ~ •. kq: "' [\ u ·-·:'::. ~ ~~-J~. v ~ }L,~.J- -;:;. <:'"> •• ~~ If) ;·~"'~.:;· :..= ...,;.. PJ< 00 0 "t~l e·~ ,.~ ~ ~ 0 o•ca o•• \• ~..., ...... rv••ooo•o ,, .,. .... .,.,., e ~,.... ,1!:,'-'-' ':t·· ·•\ •?JHMH~N'\\'' •' -~ ., ,• lfn tqr (@rpqanu' QJ:nurt nf llauqtngtntt QJ:nunty II:. tt-e natter of the Audit of Account in Esta·.e cf EMILLE CECCHINE No.1 45 :>f 19__6.8., A. A. T•) 1HE AUDITING JUDGE: EllteJ, ___ __.m....,.y ______ .appearance for ___ ____..A"'"""c._.c""o ....... u.._.n~t"'a .... n ........ t~---------------- N. B.-Jounsel shall, by separate paper, present· a concise statement· o:' each ~laim, with supporting calculation of any interest claimed. Objections · ·.o an account as filed, shall be concisely stated in a separate l(laper. •::ouncil suggesting proper distribution shall file a separate concise. state-. :nep.t in that regard. / ( I' ~ No. 145 , of , 19_fi8_, A. A. In re Audit of Account in Estate of EMILLE CECCHINE AUDIT Jrnrripr fnr .J\pprnrnutr FOR . ACCOUNTANT Sl11M .:lO ~31SI;J3CI ON!l:J\1~1 Tl3SSI1U : l 0 r • b-UIL_.r.:::?o H\1~·J PN%1 t. • JOHN -s L'OMO Attorney C13 -~r, :1--9 · 3ln t4e <@rp4nns' Q!nurt nf llns4ingtnn arnunty E~TATE OF ' No .. J.1~-----Of l9 __ g§ ______ , A.A. '~~g~_~ __ Q§'~-~h--~~§_L ___________________________________ _ \ ·In the matter of the ..... ~-~-:'-~~--~!:-~.!-~::~-~-------- ____ · ________________________________ D_ec:e.as.ed. _______________ _ Account of .... J.QhD..SQJQillQJ1~; __ EX~QJJ.tQr ..... ADJUDICATION AND DECREE ~ And ncw ............. :.M~:r.~h __________________________ _J __ z, 19 .. 6.8 .. , this matter came on for hearing, au:lit and distribution at this session and testimony"faken; and thereupon, upon due consideration th:reof the b:llance for distribution in the hands of the Accourtont is determined to be. $ll.,..5.65~.8.~: ___________________________________ and the account is accordingly confirmed; and it is ordered, a~udged and decreec that the said balance be paid out by the Accountant in accordance wilth the schedule of d'stribution hereto attached and made a part hereof, unless exceptions hereto be filed seiC. reg. or or appeal be taken herefrom sec. leg. ~-"~----~£ __ , __ e~ck(~~ SCHEDULE OF DISTRIBUTION Ba once per account .....• ----------------------------------'~------------------------------------------ Additional jebit c..sked at audit $11~~-~2 .... 8.7 t; 242.97 9;?....»17--'~ y;J.Q~~~ ~~cu~ 3a~<Jnce ______________________________________________________________________________________________________ _ $.:!-.L .. ~.f?.~! .. $.4 :>educt Clerk's Costs & Receipts·---------------------------------------------------------------29.50 Atbrney ... __ .... __ ........ ___ ... _ ~ ~-~ ~--~~ 1<?.!:t?:9.~-----_______________________ .. ________________ _ Rcssell Marino, ~;gent, transfer inheritance tax, $11 ;~36. 34 l. r.. ~/ >----/'f r:;___ ~~~-225.87 ~ ~~ $11,310.47 ~ 3c;iry Cecc-J.ine, son, 1/7 residue, 1615.79 ' . ?r€d Cecchi.ne, S·Jn, 1/7 residue, 1615.78 Cilderella IVIignogna, daughter, ·1;7 residue, 1615.78 ~ena.Migno;Jna, cE.ughter, 1/7 residue, 1615.78 1-Ja.1.cy Aul Etavisk-y, daughter, 1/7 residue, 1615.78 :oseph Ursc•, ster:-son, 1/7 residue, 1615.78 .·.·. Ro-Jert Ursc, ster-son, 1/7 residue; 1615.78 No balance /.' .:' :,..~ : '. ~ .. ,, . . : 0 ...._ 0 ~ > ITI n :J z VI n 0 ..... 0 ..... ~ t:Y O· c: :r ~ 1"1 ..... :J (I) v-+• (I) = ..... 3 ac 0 0 t:Y ...._ 0 . en U) ...._ .... Q_J -· ..... Z-l t"'\ (I) ~ .., :a: 0::3:: 0 0 ..:::::: ...... <(, -· ...._ ...._ :£ ..... = ..... . 0 :r m :jc:: = (I) . CJ. ww (/):--· ~ 0:: U)~ = <( ::;, (!;I :f!: o::w t:Y ·~ 0:: Q'.') s CtJ ~ f'l) t"'\ t-1 ' f'l) ~ f'l) ?> .. .. .. / v DEDUCTIONS ALLOWED IN OFFiCE OF THE REGIIST£• OF WIU..S 5T ATEMt=:NT OF DEBTS AND DEDUCTIONS ~ 3r~",~ THE SUM OF ..••.•...•.. $ ....... z-;:::7~·=-c'fr -t......-"1>0 "'6--X DATE APPROVED . • . . . . . • .. ................................................... . OF---------COUNTY AND .. GENT OF THE COM"otONWEALTH ~.& r .7~3 s-~c? ~¥~.J-..</: ~I~S'-tP ESTAT:: OF EMILLE CECCHINE LATE oF Washington. Washington County, Pennc.. t-i3-C?' DA.I'E O"' FILING APPRAISEMENT ,July 11 r 1967 DATE OP' DEATH _....,lJ!!.U~n~e:...._:9~, ~1~9:..!:6~7~------ DA-e: N~. OF NAME OF PAYEE REMARKS AMOUNT" VCI.JCMiiiilt Ei/1 !=\ 67 Ree:ister of Wills Letters Testamentary 20 7/11 Ei7 Register o.f _l'l.ills Filing Inventorv 3 7/11 Ei7 Abel Funeral Home Funeral ExDenses 1.203 7/11 Ei7 COhserver Publishing Comnanv Advertisine: 12 7/11 Ei7 Washington Countv RePorts Advertisin£: 12 Q/ h Ei7 lrurt7. Monument Companv Grave Marker 105 a/ a 'a.7 ll~.::::h;no-t:nn Hnsn;t:~1 T.~st: I'ilness 25 -,.., 1/2 :/68 Registe_r_ o_f_ Wills Filing _f\ccount ,. l 16 'f•J LTohn Solomon Esa. Attornev's Fee and '--ExecutoP ~,.s. • j l"nmmissi.nt" ,, -1-9fi~ ~---· -~~ (' n1 ~ I L-Jc-71:. .....,.., r . ., -?}? t/ ...:..: c l ,, p 0~:pt::u~ ~~:r£.; ' v, \.0 I ' i '~ COMMONWEALTH OF PENNSYLVANIA C:OUNTY OF WASHINGTON I, _______ _. . .J.:TQ~H~NII-OS::l.IOuT.LI•IiJQW!Mu.0.uN.1_ _____ ~-~-----JHEREBY cERTIFY. THAT. TO THE BEaT OF MY kNOW -EDGe: AND Bta.IEF, THE FOREGOING 18 A JUST AND TRUE SfATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSI!!!J opr AC.INISTitATICI'f SUBMfi'TED TO THE ESTATE OF JilMIJ.J.E CE~~ ~ECEA8ED, AS DEDUCTIONS FOR INJo.:ERITA,.CE 'lAX PURPD&ES. ~ (L..S.) SWORN .AND IIIUBSCRI !!I liD BEFORE ME THIS ;} ..3 ~ DAY 01' ~i~T''tr 18 ruL_ ~~-£~ \,':"·; ,"' rn:.· ... ,~.~'.''GTt')~: C''i' ,.,.'( t.l'f CO.I.~::~JOil ~x;-,,"S :.'.~ll i2, 1i71 50 00 00 E·O !:·0 co co co no ls-o ~~ r