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COMMONWEALTH OF PENNSYLVANIA ?,-'
DEPARTMENT OF REVENUE PENNSYLVANIA ;
BUREAU OF INDIVIDUAL TAXES INHERITANCE AND ESTATE TAX ! : , ___ t4<'
DEPT.280601 '.'
HARRISBURG,PA 17128-0601 ,..":14: 4_-:)7N`a
OFFICIAL RECEIPT , ��.�;
No. NR018115
RECEIVED FROM: ACN
ASSESSMENT
MICHAEL L BANGS CONTROL AMOUNT
NUMBER
429 S 18TH ST •
CAMP HILL PA 17011-5902 101 1,914.35
ESTATE INFORMATION •
FILE NUMBER
99 14-0182
NAME OF DECEDENT (LAST) (FIRST) (MI)
FREEDMAN SALLY P
DATE OF PAYMENT
5/22/2014
POSTMARK DATE
5/5/2014
COUNTY
Non-Resident
DATE OF DEATH
3/20/2011 TOTAL AMOUNT PAID $1,914.35
REMARKS
RECEIVED BY
Elizabeth Bloom
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