60009* * * RECEIPT
Date: 12/03113 Receipt: 60009
Quantity Transactions Reference Subtotal
5 Cert. Copies -Death 60009 $50.00
Total Paid: $50.00
Notes:
Payment Type Amount Paid By
CK #1838/Cahill $50.00 Robert H. Auchmoody
Funeral Homes, Inc.
Name: Robert H. Auchmoody Funeral Homes, Inc.
1028 Main Street
Fishkill, NY 12524
Clerk ID: JF Internal ID: 60009