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60225***RECEIPT*** Date: 12/18/13 Receipt: 60225 Quantity Transactions Reference Subtotal 10 Cert. Copies -Death 60025 $100.00 Total Paid: $100.00 Notes: Payment Type CK #1868/Orzechowski Amount Paid By $100.00 Robert H. Auchmoody Funeral Homes, Inc. Name: Robert H. Auchmoody Funeral Homes, Inc. 1028 Main Street Fishkill, NY 12524 Clerk ID: JF Internal ID: 60025