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55842
***RECEIPT*** Date: 04/08/13 Receipt: 55842 Quantity Transactions Reference Subtotal 1 Cert. Copies -Marriage 55842 $10.00 Total Paid: $10.00 Notes: Payment Type CASH Name: Derkach, Anton P.O Box 123 Chelsea, NY 12512 Amount Paid By $10.00 Derkach, Anton Clerk ID: JF Internal ID: 55842