62852***RECEIPT***
Date: 04/25/14
Quantity
1
Notes:
Payment Type
CK #1030
Name:
Transactions
Male, Neutered
Amount
$6.00
Mardorf, Brian T.
35 Amherst Ln.
Wappingers Falls, NY 12590-3925
Paid By
Mardorf, Brian T.
Receipt: 62852
Reference Subtotal
00264 $6.00
Total Paid: $6.00
Clerk ID: JF Internal ID: 00264