52676
Town of Wappinger
20 Middlebush Rd
Wappingers Falls, NY 12590
* * * RECEIPT * * *
Date: 10/19/12
Receipt#:
Transaction(s):
Reference
1
1
Marriage Licensing Fees
154
Cash
Total Paid:
Name:
Chase, Roy Christopher
133 New Hackensack Road #11
Wappingers Falls, NY 12590
Clerk 10: JF
52676
Subtotal
$40.00
$40.00
InternallD: 154