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57343***RECEIPT*** Date: 06/07/13 Receipt: 57343 Quantity Transactions Reference Subtotal 2 Cert. Copies -Death 57343 $20.00 Total Paid: $20.00 Notes: Payment Type Amount Paid By CASH $20.00 Breese, Debra Name: Breese, Debra 5 Hudson Drive Wappingers Falls, NY 12590 Clerk ID: JF Internal ID: 57343