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62853***RECEIPT***
Date: 04/25/14
Receipt#: 62853
Quantity Transactions Reference Subtotal
1 Female, Spayed 00263 $6.00
Total Paid: $6.00
Notes:
Payment Type Amount
CK #1030 $6.00
Name: Mardorf, Brian T.
35 Amherst Ln.
Wappingers Falls, NY 12590-3925
Paid By
Mardorf, Brian T.
Clerk ID: JF Internal ID: 00263
