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10-10-13
i COMMONW ALTH OF PENNSVI.VANIA REV4182 EX{i"I-961 DEPARTM OF REVENt1E BUREAU OP N41Y4DUAl TAXE$ DEPT.2808 1 HAAfliSBV ,PAM1Ji2$�0965 PENNSYLVANIA RECEIVEp F OM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT No. co o� s2z� BAR HART CHARYL H 331 TEIN ROAD CHIC RA, PA 16025 ACN ASSESSMENT AMQUIVT CONTROL NUMBER -------- ,� -•--•---• ------ ---141 V ( $3,853.23 ESTATE NFORMATtON: ssru: � FiIE NU BeR: 2113-0480 � DECEDE 7 NAME: HEILMAN LI4iAN J � DATE 0 PAYMENT: 10f 1(3j2013 � POSTM RK DATE: 1 QI1 O/2Q 13 , CoUNT : CUMBERLAND � DATE O DEATH: 44/11j2073 � � TOTAL AMOUNT PAID: 53,853.23 REMA KS: RCPT TO A7TY CHECK# 141$ INITIALS: DB1 sea RECEIVED BY: GtENDA FARNER STRASBAUGH REGiSTER QF WfI.LS REGISTER OF WILIS