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HomeMy WebLinkAbout08-04-83 REV-tt62 'EX 1 COMMONWEALTH OF PENNSYLVANIA NO. L 0 q 7 211\ DEPARTMENT OF REVENUE . "b'\!'FICIAl RECEIPT. PENNSYlVANIA INHERITANCE AND ESTATE TAX RECEIVED FROM: r::.~e~.~~~.~.._~.C)~~~~.()n,__E~~q__, ....,....__.::-1 .' c=e '!~tl!Sl.'l~Il.r.lt New Bloomfield, Pa. 17068 L ESTATE INFORMATION: DATE OF PAYMENT 21-78-121 It );~T U8t 4, FI\1I83 MI FILE NUMBER NAME OF DECEDENT POSTMARK DATE COUNTY Cumberland Januar 13 1981 DATE OF DEATH REMARKS SEAL -. -- --- .-'" "'-"- -- G ACN Assessment Control No. Probate .J [;JTOTAL AMOUNT PAID RECEIVED BY " / / i - ~ "'''' -- SirilNA TURE / -~ - o .~ I I I I ~ ~ ! }I : )1 ~ C II e J' ~ '. ~ jl = ---_J AMOUNT 20.79 20.79 / - ~--