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36657 Town of Wappinger 20 Middlebush Rd Wappingers Falls, NY 12590 * * * RECEIPT * * * Date: 12/16/09 Receipt#: Transaction(s): Reference 1 1 Cert. Copies - Death 36655 Check#: 3221 C ~e\J ,la.c. aU 0-.. Total Paid: ~I./ If). Palm, Alison R llu 174 Mexico Lane Mahopac, NY 10541 Clerk 10: ~ t--- Name: 36657 Subtotal $10.00 $10.00 Internal 10: 36655