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60049***RECEIPT*** Date: 12/04/13 Receipt: 60049 Quantity Transactions Reference Subtotal 4 Cert. Copies -Death 60049 $40.00 Total Paid: $40.00 Notes: Payment Type CK #4360 Amount Paid By $40.00 Home, Paul Lane Funeral Name: Home, Paul Lane Funeral 115-33 Sutphin Blvd. Jamaica, NY 11434 Clerk ID: JF Internal ID: 60049