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57142***RECEIPT*** Date: 05/28/13 Receipt: 57142 Quantity Transactions Reference Subtotal 1 Returned Check Fee 57142 $20.00 Total Paid: $20.00 Notes Payment Type Amount Paid By CASH $20.00 Bernardi, Lorraine Name: Bernardi, Lorraine 31 Park Hill Drive Hopewell Jct, NY 12533 Clerk ID: JF Internal ID: 57142