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56992***RECEIPT*** Date: 05/21 /13 Receipt: 56992 Quantity Transactions Reference Subtotal 1 Cert. Copies -Marriage 56992 $10.00 Total Paid: $10.00 Notes: Payment Type CREDIT CARD Amount Paid By $10.00 Patrick, Emily Ann Name: Patrick, Emily Ann 31 Youngblood Road Wappingers Falls, NY 12590 Clerk ID: JF Internal ID: 56992