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54039Town of Wappinger 20 Middlebush Rd Wappi~ge~~ Falb, NY ~~5~0 ***RECEIPT*** Date: 01 /14/13 Receipt: 54039 Transaction(s): Reference Subtotal 3 3 Cert. Copies -Death 54038 $30.00 Check#: 52152\Reyes Total Paid: $30.00 Name: R. G Ortz Funeral Home, Inc