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57955*** RECEIPT*** Date: 07/09/13 Receipt: 57955 Quantity Transactions Reference Subtotal 2 Cert. Copies -Death 5602-5603 $20.00 -2 Cert. Copies -Death 5602-5603 -$20.00 Total Paid: $0.00 Notes: Payment Type Amount Paid By Name: Donnelly, John 13 Davies Drive Wappingers Falls, NY 12590 Clerk ID: JF Internal ID: 5602-5603