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COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT 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
SLlKE JOHN E
2109 MARKET STREET
CAMP Hill, PA 17011
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ESTATE INFORMATION: SSN: 187-16-6203
FILE NUMBER: 2105-0527
DECEDENT NAME: MYERS DORIS R
DATE OF PAYMENT: 12/16/2005
POSTMARK DATE: 12/14/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 06/06/2005
NO. CD 006116
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $755.41
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$755.41
REMARKS:
CHECK#1007
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WillS