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08-12-13 (2)
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES • DEPT.280601 HARRISBURG,PA 1 7 1 28-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 018013 MARTIN GALEN M 721 E LINCOLN AVE MYERSTOWN, PA 17067 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold ---------- -------- 101 � $563.82 ESTATE INFORMATION: sSrv: ( FILE NUMBER: 211 1 -1252 � DECEDENT NAME: FOX EVA S ( DATE OF PAYMENT: 08/13/2013 � POSTMARK DATE: 08/09/201 3 � ' CouNTY: CUMBERLAND � DATE OF DEATH: 05/17/2011 � � TOTAL AMOUNT PAID: $563.82 REMARKS: CHECK# 2822 INITIALS: HMW SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ���r.LS{�d c�ll � °� � o � N ,,. � � � � _ � Q o � �, � � ca � ��?S�H . , � . . ;� . . . � -= � s� � 0 L Q! #.+ H •.,, � al �' � � � � � � � � d � � N 0 '- -�G O 4��. � ,� ';t' r-1 �. ,�: � V � i. ;.� V +r-+ t� �j �..."►• `"��'�": � �� ••.. �. .'� � ..'^�..', "'�.,,. ;,�... .,,�,`"'^' .`.*•• "� "„�r•. . � :+• +�'. `w•,. '�,,.?'` � A ��'+w�