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58119*** RECEIPT*** Date: 07/18/13 Receipt: 58119 Quantity Transactions Reference Subtotal 10 Cert. Copies -Death 58119 $100.00 Total Paid: $100.00 Notes: Payment Type Amount CK #22522 $100.00 Name: Mchoul Funeral Home, Inc 1089 Main St Fishkill, NY 12524 Paid By Mchoul Funeral Home, Inc Clerk ID: JF Internal ID: 58119