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59834***RECEIPT*** Date: 11 /18/13 Receipt: 59834 Quantity Transactions Reference Subtotal 1 Op And Assy (1203) 13-5657 $200.00 Total Paid: $200.00 Notes: Payment Type Amount CK #1401 $200.00 Name: Mel Mel Dental 1289 Route 9 Ste Wappingers Falls, NY 12590 Clerk ID: JF Paid By Mel Mel Dental Internal ID: 13-5657