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63269*** RECEIPT***
Date: 05/12/14
Receipt: 63269
Quantity Transactions Reference Subtotal
2 Copies 63269 $3.36
Total Paid: $3.36
Notes:
Payment Type Amount Paid By
CASH $3.36 Docherty, Thomas
Name: Docherty, Thomas
40 Balfour Dr
Wappingers Falls, NY 12590
Clerk ID: JP Internal ID: 63269