58391***RECEIPT*** Date: 08/07/13 Receipt: 58391 Quantity Transactions Reference Subtotal 1 Op And Assy (1203) 13-5012 $200.00 Total Paid: $200.00 Notes: Payment Type CK #6136 Amount Paid By $200.00 Auto Elegance Collision Name: Auto Elegance Collision 3 Marlorville Road Wappingers Falls, NY 12590 Clerk ID: JF Internal ID: 13-5012