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04-16-13
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) C}EPARTMENT OF REVEtVUE BUREAU OF INDIVIDUAL TAXES DEPT.2$d6Q1 HARRISBURG,PA 1 7 1 28-0601 PENNSYLVANIA RECEIVED FR{3M: INNERITANCE AND ESTA7E TAX QFFICIAL REGEIPT N�J. �D 01 ��58 REICHARD TRACEY M 104 SARAH Ct�URT LEWlSBERRY, PA 17339 ACN ASSESSI�lIENT AMtJURIT CONTR(JL NUMBER -------- ��,� 101 � $384.�1 ESTATE INFQRMATICIN: ssrv: � � FILE NUMBER: 2113-a153 � DECEDENT NAME: SMITH SANDRA LEE ( QATE OF PAYMENT: 04/16/�013 � P4STMARK DATE: Q4/15/2013 � CoUNTY: CUMBERLAND � DATE OF DEATH: o��29/2a�3 � � TOTA� AMOUNT PAID: $38�-.�1 REMARKS: CHECK# 99� INlTIALS: HIVIW s�a� RECEIVED BY: G�ENDA FARNER �TRASBAUGH REGISTER {JF WIL�S REGISTER OF W1LLS � .... � ..... ; _..» � .... ,�.. � .�.. � �. �,,,,,_ � � .. � � .. � • . :.�, o o �Nrr�DSr .�.�.. 3 o N ,r,, '��� � rn°� � �» a -� ��, � ...M. -n � � � -�- 3,w � �' � ..... � �9p�i � -.. c��, �: � �,. �� m�'� a � w�� � �,.s .�•