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07-30-13
....... ��� COMMONWE4lTH QF PENNSYLVANIA REV-1182 EX{7 7-gg} DEPAPTMENT OF flEVENUE BUREAV OF INDIVIOUALTAXES DEpT,$80601 HAftRiSHURG,PA 17128-6$Ot PENNSYLVANIA RECEIVEp FROM: INHERITANCE ANd ESTATE TAX OFFICIAL RECEIPT NO. CD 017956 P{}NZANI �lCIA A 142 HOPE DRIVE BOILING SPRINGS, PA 17007 ACN ASSESSMENT AM{?UNT CONTROL NUMBER ---•--- �o�d ---.�. 101 1 5433.$5 ESTATE INFQRMAT�ON: ssN: � FILE NUMBER: 2113-0616 � dECEDENT NAME: PONZANI E�E�.NOR G i DATEOFPAYMENT: 07/30/2013 � POSTMARK DATE: 07/3C1J2413 � co�NTY: CUMBERLAND � DATE OF DEATH: 04J 1 1/201 3 � E TOTAL AMOUNT PAID: 5433.85 REMARKS: UCIA PONZANI CHECK# 3158 INITIAIS: pB1 seA� RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WI�LS REGISTER OF WILLS �