42263 Town of Wappinger 20 Middlebush Rd Wappingers Falls, NY 12590 * * * RECEIPT * * * Date: 03/11/11 Receipt#: Transaction(s): Reference 1 1 Marriage Licensing Fees 11 Cash Total Paid: Name: Rojas, David Steven Santillan 557 Broadway: Apt 13c Port Ewen, NY 12466 Clerk 10: CF 42263 Subtotal $40.00 $40.00 InternallD: 11