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05-30-13
COMMONVJ�ALTH CF P8CJN5YLVAYtA REV-i 162 EX(1 1$Sj DEPARTMEN't OFREVENUt �UREAU OP INDiViDUAL TAXES DEPT.2SOb01 HARRISBUR(3.PA 1J128-o6oi PENNSYLVANIA RECENED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD Q17681 eooz �oaE�T N 56 BANTA LANE DURHAM, CT 06422 ACN ASSESSMENT AMOUNT CON7RQl NUMBER - t�,a ------ --- 141 � S20,900.00 ESTATE INFORMATiON: � FiLE NUMBER: 2113-0335 � DECEDENT NAME: BOOZ ELLEN H � OATE OF PAYMENT: 05f 30f 2C11 3 � POSTMARK DATE: 05/30/2013 � couNTY: CUMBERLAND ( DATE OFDEATH: 03/02J2013 � � TdTAL AMQUNT PAiD: $20,900.00 REMARKS: RECEIPT TO ATTY CHECK# 1006 INITIALS: HEA sent RECE{VED BY: GLENDA FARNER STRASBAUGH REGISTER C?F WILLS REGISTER OF WiLLS