58089* * * RECEIPT
Date: 06/28/13
Receipt: 57789
Quantity Transactions Reference Subtotal
1 Cert. Copies -Marriage 57789 $10.00
Total Paid: $10.00
Notes:
Payment Type
CASH
Name: Fath, Eric Alan
1736 Pine Creek Dr
Quakertown, PA 18951
Amount Paid By
$10.00 Fath, Eric Alan
Clerk ID: JF Internal ID: 57789