57410***RECEIPT***
Date: 06/10/13 Receipt: 57410
Quantity Transactions Reference Subtotal
1 Male, Neutered 01164 $6.00
Total Paid: $6.00
Notes
Payment Type Amount Paid By
CK #3560 $6.00 Tolliver, John W.
Name: Tolliver, John W.
301 Pine Ridge Dr.
Wappingers Falls, NY 12590-5924
Clerk ID: CF Internal ID: 01164