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61934*** RECEIPT*** Date: 03/12/14 Receipt: 61934 Reference Subtotal Quantity Transactions 61934 $10.00 1 Cert. Copies -Birth Total Paid: $10.00 Notes: Payment Type Amount CASH $10.00 Name: Hacksaw, Denise Diana 1094 Rt9 Fishkill, NY 12524 Clerk ID: JP Paid By Hacksaw, Denise Diana Internal tD: 61934