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03-14-13
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX0 1-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. C© 017324 GRAY MICHAEL J 704 GREEN ACRES STREET MECHANICSBURG, PA 17055 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold ---------- 101 $7,279.89 ESTATE INFORMATION: SSN: 1 FILE NUMBER: 2112-1204 DECEDENT NAME: GRAY RICHARD R DATE OF PAYMENT: 03/14/2013 POSTMARK DATE: 03/14/2013 COUNTY: CUMBERLAND DATE OF DEATH: 09/30/2012 TOTAL AMOUNT PAID: $7,279.89 REMARKS: RECEIPT TO ATTY CHECK# 105 INITIALS: HMW SEAL RECEIVED BY: GLENDA FARMER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS