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62011***RECEIPT*** Date: 03/18/14 Receipt: 62011 Quantity Transactions Reference Subtotal 10 Cert. Copies -Death 60211 $100.00 Total Paid: $100.00 Notes: Payment Type CK #1999/McCann 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: 60211