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58073
***RECEIPT*** Date: 07/16/13 Receipt: 58073 Quantity Transactions Reference Subtotal 1 Cert. Copies -Death 58073 $10.00 Total Paid: $10.00 Notes: Payment Type Amount CK #105 $10.00 Name: Tomlins, Jennifer 219 Osborne Hill Road Wappingers Falls, NY 12590 Paid By Tomlins, Jennifer Clerk ID: JF Internal ID: 58073