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57043***RECEIPT*** Date: 05/22/13 Receipt: 57043 Quantity Transactions Reference Subtotal 1 Op And Assy (1203) 13-4530 $200.00 Total Paid: $200.00 Notes Payment Type CK #1030 Amount Paid By $200.00 Your Green Spa Name: Your Green Spa 1315 Route 9 Wappingers Falls, NY 12590 Clerk ID: ,1F Internal ID: 13-4530