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08-01-13
���� COMMtlNWEALTH OF GENNSVLVANIA REV-1162 EXII 1-96) DEPARTMENP OF ftEVENUE 9UREqU OF IN�IVIDUAL TAXES 6FPT.28080f NARFISBURG,PA 1]128-0807 � PENNSYLVANIA RECENED FROM; INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 01 ?962 BENDER IORi A 931 HAMILTON STREET CARLISLE, PR 77413 ACN ASSESSMENT AM011hlT GL7NTROL NUMBER .."_" lae -'---_"-' 101 � $7,f}84.17 ESTATE INFORMATION: ssN: ( FII.E NUMBER: 2113-0568 � oECeQer��r n�aMe: BARRICK MARIE R � DATE OF PAYMENT: 08/L}1/2Q13 � POSTMARK DATE: {}F3I41I2C}13 � couN'rv: CUMBERLANd � DATE OF DEATH: 05/1f7j2013 � � TdTAI AMOUNT PAID: 57,484.17 REMARKS: LORI BENDER CHECK# 98 INlTlALS: DB1 sEa� REGEIVED BY: G�ENDA FARNER STFiASBAUGH REGISTER OF WILLS PEGISTER OF WILLS