61761***RECEIPT***
Date: 03/04/14
Receipt: 61761
Quantity Transactions Reference Subtotal
1 Female, Spayed 00196 $6.00
Total Paid: $6.00
Notes:
Payment Type Amount
CK #5530 $6.00
Name: Ungar, Michael S.
15 Shale Dr.
Wappingers Falls, NY 125.90-3532
Paid By
Ungar, Michael S.
Clerk ID: JP Internal ID: 00196