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58021
* * * RECEIPT * * * Date: 07/15/13 Receipt: 58021 Quantity Transactions Reference Subtotal 1 Male, Neutered 00571 $6.00 Total Paid: $6.00 Notes: Payment Type Amount Paid By CASH $6.00 Forlivio, Joseph Name: Forlivio, Joseph 46 DeGarmo Hills Rd. Wappingers Falls, NY 12590 Clerk ID: JF Internal ID: 00571