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10-17-07
.. iiEV-1162 EX(11-96) - _. - :)c.iMONWEALTH OF PENNSYLVANII\ ~=PI'R,MENT OF REVENUE 'iUREAU OF I~JOIVIDUAL TAXES i~"F:~T 280601 ,"RISBURG. PA 17128-0601 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 008823 =.E\FCE!VED FROM: OBRIEN DONNA MARIE 1015 APACHE TRAIL MECHANICSBURG, PA 17055 ACN ASSESSMENT CONTROL NUMBER AMOUNT - 101 $1,702.21 -- - E(;TATE INFORMATION: SSN: 171-28-6217 - ~--~ 2106-0784 HECKERT CATHERINE M 1 0/1 7 /2007 10/15/2007 CUMBERLAND 08/30/2006 - - FiLE NUMBER: --I DECEDENT NAME: -i =1 _ ! r~IL".,TE OF PAYMENT: = \ P')STMARK DATE: = ~COUNTY' . .' I DATE OF DEATH: 1... ._______ TOTAL AMOUNT PAID: $1,702.21 REMARKS: CHECK# 965 INITIALS: CJ RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS SEAL REGISTER OF WILLS