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57545***RECEIPT*** Date: 06/17/13 Receipt: 57545 Quantity Transactions Reference Subtotal 1 Cert. Copies -Marriage 57545 $10.00 Total Paid: $10.00 Notes: Payment Type Amount Paid By CASH $10.00 Staley, Lauren Name: Staley, Lauren 118 Market Street Unit 2 Wappingers Falls, NY 12590 Clerk ID: JF Internal ID: 57545