60296***RECEIPT***
Date: 12/23/13 Receipt: 60296
Quantity Transactions Reference Subtotal
10 Cert. Copies -Death 60296 $100.00
Total Paid: $100.00
Notes:
Payment Type Amount Paid By
CK #13845 $100.00 Miller & Son Funeral Home,
Inc.
Name: Miller & Son Funeral Home, Inc.
371 Hooker Avenue
Poughkeepsie, N Y 12603
Clerk ID: JF Internal ID: 60296