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07-29-13
n��w�� COMM(JNWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) CtEPARTMEIUT OF REVEh1UE BUREAU OF INpIVIDUAL TAXES DEPT.28Q601 HARRISBURG,PA 1712$-0601 PENNSYLVANIA RECEIVED FRt�M: INNERITANCE AND ESTATE TAX C?FFIClAL RECEIPT NO. CD t�1 �95(J IRWIN ROGER B �0 W Pt�MFRET STREET CARLISLE, PA 17Q13 ACN AS�ESSMENT AMt�UNT CONTRC?L NUMBER --__�--- foid -----°--- ___--°- �o� � $30,000.00 ESTATE iNFC?RMATIt7N: SSN: � FILE NUMBER: 211�-t�554 � DECEDENT NAME: BARRY NANCY M � : DATE OF PRYMENT: (}7/�29/2013 � PQSTMARK DATE: Q7/2912Q 13 � cauNTY: CU1�IBERLAND � DATE OF DEATH: t35j03J2013 � � Tt�TA� AMOUNT PAID: $30,{�a�.{�0 REMARKS: RECEIPT TC� ATTY CHECK# 3�-313 INITIALS: HMW s�A� RECEIVED BY: G�E�IDA FARNER STRASBAUGH REGISTER {�F WIL�S REGISTER OF WILLS