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11-21-05
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 006017 DANIEL R WELOLOSKIE 636 ASPEN LANE LEBANON, PA 17042-9069 ACN ASSESSMENT CONTROL NUMBER AMOUNT nnn__ fold ESTATE INFORMATION: SSN: 195-16-5463 05146817 05146819 05146821 05146823 $.59 $61.21 $54.19 $10.22 FILE NUMBER: 2105-1020 WESOLOSKIE FLORENCE J 11/21/2005 11/18/2005 CUMBERLAND 07/27/2005 DECEDENT NAME: DATE OF PAYMENT: POSTMARK DATE: COUNTY: DATE OF DEATH: TOTAL AMOUNT PAID: $126.21 REMARKS: MARY H LESOLOSKIE CHECK# 09990 SEAL INITIALS: RSK RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ....J \ . . ;:: ru m ;:: ~ 0 .... ~ :0 "'I'ln CP \ ~~o -u 0 ~ a ;0 --z [p iI' O;;()ITI ;--@;o ru I Qg:Ul CP ....- O:C-I - 0 ,0;::.0, .. 1'-" ;;>g z " ITI 0 e, [p ru .... ru .... -u ~ ;r ~~ z ~ m " 8 ~ fit o o r r > :IJ CIJ --:... >--~ ~ "\'}.J '" ,- do \' B> 0"'''''' ~~u ,0>:: HJ~> >>:::D ZClJo( O"O:J: Zm, -Z "Or:E >>m ....Z(J) ~mo .j>. I I\:l 0 (J) ^ ;;; /J tJ C 2} ;5 0 )> -i m 0' ...... 0 0, --- 'J 0' \ '" iX) \..'J ~: '" \ c:::" i\ 0 CD co to 0 r i' wm i><z ..- W~o i Gi--Cii Q a:cS; ~ u.=>>- ..- oeo t:: !Z~~ ~ !l!iEw..-CJ i=u.(,)ca: a:ozl=>> C=>>~lm ffi:ia:.,.:ii: Oa:WD"a: ~ii~~ - - - - - - - - - - - - - - - - - - - - - - - - - - - -, - - - - - - - ~,-= - - - - - ~ ~ ~ ~ G) f:"g N Q. fI) "'=I" N 0=0 O...:l~ fI) ~5< Q.,~ ~<s:f .8\O~ OM ~\O.c ! ~ G) ...:I :a ~ ... I c 0 x , I ~ w ! ~ w c