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09-16-05
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT Of REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7128~O601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CO 005807 FLOWER THOMAS E 2109 MARKET STREET CAMP HILL, PA 17011 ACN ASSESSMENT AMOUNT CONTROL NUMBER nn_n_ fold -- ------- ---- ..- 101 I $18,225.63 ESTATE INFORMATION: SSN: 578-32- 1260 I FILE NUMBER: 2105-0030 I DECEDENT NAME: LONG FRANKIE E I DATE OF PAYMENT: 09/16/2005 I POSTMARK DATE: 09/1 6/2005 I COUNTY: CUMBERLAND I DATE OF DEATH: 01/05/2005 I TOTAL AMOUNT PAID: $18,225.63 REMARKS: THOMAS FLOWER, ESQ CHECK# 1055 SEAL INITIALS: RSK RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ..,,,''!1l'iil'.mrT.:'I:;'=Ill,,",, . MN -0 L() ~- L() ~ 0 ~ ..- ci Z \ 'J) Q \ IJ- ) --- '....) I ,~ UJ :"1 ,- ~ -, Cl ", I~I 1-: ,- s r o ci) vJ v . r 1./ ~3 ~~ UZ,< "l!a.. 7d1!. 0..,;- u" zii a..U es ~,""";";.:jf", B~ i,! w iH a; ;> I' /'0, 0 f;i ~3li !< >- ~a; ~z <~ <E 0>- ~~ w >-00 w a~ ow >- ~ ooa: U) CIJ w:' a;,,- :J XO ww a; a: w"" ,,-a; >- ..: .----- ----.. ..J !i' i, i \:xl .... ..J - ~ 03 U;1)'~""'1r")jJ"'0~ ) / ) 'I ,""- L, CJ Z>< Oa: -'>< WW wJ '" -W '" ~C ! :$~ ;:; "'-~f"oo I&.~VJ~ I&.a:l:i:ic. o ><_ WZa::J I-Z.o:j; CC:1c. I-Ngj::;; Ul:l_.o: WUl",U LL o UJ ~ I- CIJ UJ A.1.3:1'1fS <lIJ NYIOl::l'llno ~ Ln n.J .... J r1"I ['- r1"I 0 0 Ln .. - CC r1"I ['- n.J .... r1"I .... r1"I 0 .. ~ Ln Ln 0 , .... 0 0 ~