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02-20-14 (2)
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 018788 WEIGLE JERRY A WEIGLE & ASSOCIATES PC 126 E KING STREET SHIPPENSBURG, PA 17257 ACN ASSESSMENT AMOUNT CONTROL NUMBER ------ cola 101 $482.26 ESTATE INFORMATION: SSN: 161-60-0542 FILE NUMBER: 2114-0156 DECEDENT NAME: ROSENBERRY RICK E DATE OF PAYMENT: 02/20/2014 POSTMARK DATE: 02/19/2014 COUNTY: CUMBERLAND DATE OF DEATH: 06/17/2012 TOTAL AMOUNT PAID: $482.26 REMARKS: CHECK# 5623 INITIALS: DMB SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS � $ - / r \ \ � \ / § $ ® a & o . / a � n m / n p § ( E � 2 � { { o . - i \w C 2 / \\� - n 2« ® 2 © k ®~ 9 ft » C . * - 6- 2 q A :.