56991*** RECEIPT***
Date: 05/21 /13
Receipt: 56991
Quantity Transactions .Reference Subtotal
2 Cert. Copies -Marriage 56991 $20.00
Total Paid: $20.00
Notes:
Payment Type Amount
CASH $20.00
Name: La Perche, Dean Raymond
15 Kendell Drive
Wappingers Falls, NY 12590
Paid By
La Perche, Dean Raymond
Clerk ID: JF Internal ID: 56991