57338* * * RECEIPT
Date: 06/07/13
Receipt: 57338
Quantity Transactions Reference Subtotal
15 Cert. Copies -Death 57338 $150.00
Total Paid: $150.00
Notes:
Payment Type
CK #11224376
Amount Paid By
$150.00 Frank E. Campbell-The
Funeral Chapel
Name: Frank E. Campbell-The Funeral Chapel
1076 Madison Ave
New York, NY 10028
Clerk ID: JF Internal ID: 57338