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05-17-07
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ~unc,,",v or INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ROSENBERRY SANDRA E 10 HOWARD AVENUE SHIPPENSBURG, PA 17257 _n_____ fold ESTATE INFORMATION: SSN: 208-50-5883 FILE NUMBER: 2106-0871 DECEDENT NAME: ROSENBERRY RANDY LEE DA TE OF PAYMENT: 05/10/2007 POSTMARK DATE: 05/10/2007 COUNTY: CUMBERLAND DATE OF DEATH: 08/31/2006 NO. CD 008148 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $385.75 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: RECEIPT MAILED TO ATTY CHECK#1002 SEAL INITIALS: WZ RECEIVED BY: REGISTER OF WillS $385.75 GLENDA FARNER STRASBAUGH REGISTER OF WILLS ,~' ..../' / ; po R\ ,.... / l,r !jl ~. ~ ~ '~ "0 ~ . ~~~ fZ ~ 'rt. % 0 ~ t' C ~ ~, \ ~ fZ ~ 9 (\} 0 ~ "0 ~ "t. ~ \ ~ ~ ~ ~ ~ ~ t4 ~ ~ ~~~ '? ~ ~ ,.. ~ \J~ -J. ~ ~ ()()~ ~ % ceo ~'(1~ ~a>a> a>-- ... Ol 0 -o":)~ 'Yo...z. ...>""'~ -1'"' ~ O~ ~~ () ~ ~ ca ~ >..~\I\ 0;::51 p.. 1, ....E\p1 " '''''. " ; '; \. \. ',.. ~~:.\,,;. .,.__;i' IIJ'. !~;~~ '...., \ ~\ \' . . ~ ~;;.\- \ ,A\. Y' ~ " '-N .,....~s..1if\ Of REG\