56020* * * RECEIPT
Date: 04/12/13
Receipt: 56020
Quantity Transactions Reference Subtotal
12 Cert. Copies -Death 56013 $120.00
Total Paid: $120.00
Notes
Payment Type
CK #12911/Washburton
Amount Paid By
$120.00 Miller & Son Funeral Home,
Inc.
Name: Miller & Son Funeral Home, Inc.
371 Hooker Avenue
Poughkeepsie, N Y 12603
Clerk ID: JF Internal ID: 56013