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COMMONWEALTH OF PENNSYLVANIA PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES J iNH i ITA E AND ESTATE TAX
DEPT.280601
HARRISBURG,PA 17128-0601 R E 1 5 Tt F( 0FFIZIAL RECEIPT g
?015 SEP 2 R °n 1 N?I N R020094
RECEIVED FROM: ACN
CI-F. E a" ASSESSMENT
DANIEL A MISCAVIGE CONTROL AMOUNT
H [�?i 1';i+ NUMBER
67 N CHURCH ST
HAZELTON PA 18201 101 146.80
ESTATE INFORMATION
FILE NUMBER
9915-0718
NAME OF DECEDENT (LAST) (FIRST) (MI)
KEUCH ROBERT . L
DATE OF PAYMENT
9/18/2015
POSTMARK DATE
9/15/2015
COUNTY
Non-Resident
DATE OF DEATH
9/20/2014 TOTAL AMOUNT PAID $146.80
REMARKS
RECEIVED BY
Elizabeth Bloom
SEAL
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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