57956***RECEIPT***
Date: 07/09/13
Receipt#: 57956
Quantity Transactions Reference Subtotal
2 Cert. Copies -Death 57956 $20.00
Total Paid: $20.00
Notes:
Payment Type
CASH
Name: Donnelly, John L
67 Susan Drive
Newburgh, NY 12550
Amount Paid By
$20.00 Donnelly, John L
Clerk ID: JF Internal ID: 57956