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50694 Town of Wappinger 20 Middlebush Rd Wappingers Falls, NY 12590 * * * RECEIPT * * * Date: 06/25/12 Receipt#: Transaction(s ): Reference 1 1 Marriage Licensing Fees 77 Credit Card Total Paid: Name: Alzate, Hugo Alberto 19 Brodie Road Hopewell Jet., NY 12533 Clerk 10: JF 50694 Subtotal $40.00 $40.00 IntemallD: 77