60048* * * RECEIPT
Date: 12/04/13
Receipt: 60048
Quantity Transactions Reference Subtotal
2 Cert. Copies -Death 60048. $20.00
Total Paid: $20.00
Notes:
Payment Type Amount Paid By
CK #4026 $20.00 Mele, Adrian D.
Name: Mele, Adrian D.
36 South Remsen Ave. Apt 207
Wappingers Falls, NY 12590
Clerk ID: JF Internal ID: 60048