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56614***RECEIPT*** Date: 05/06/13 Receipt: 56614 Quantity Transactions Reference Subtotal 10 Cert. Copies -Death 56614 $100.00 Total Paid: $100.00 Notes Payment Type CK #1498 Name: Amount Paid By $100.00 Robert H. Auchmoody Funeral Homes, Inc. Robert H. Auchmoody Funeral Homes, Inc. 1028 Main Street Fishkill, NY 12524 Clerk ID: JF internal ID: 56614