56325*** RECEIPT***
Date: 04/25/13 Receipt#: 56325
Quantity Transactions Reference Subtotal
1 Returned Check Fee 56325 $20.00
Total Paid: $20.00
Notes:
Payment Type Amount Paid By
CASH $20.00 Gallman Sr., Thomas A.
Name: Gallman Sr., Thomas A.
6 Steinhaus Lane
Wappingers Falls, NY 12590
Clerk ID: JF Internal ID: 56325