62850* * * RECEIPT *
Date: 04/25/14
Quantity
1
Notes:
Payment Type
CK #1030
Amount Paid By
$6.00 Mardorf, Brian T.
Name: Mardorf, Brian T.
35 Amherst Ln.
Wappingers Falls, NY 12590-3925
Transactions
Male, Neutered
Receipt: 62850
Reference Subtotal
00268 $6.00
Total Paid: $6.00
Clerk ID: JF Internal Iv: 00268