58450***RECEIPT***
Date: 08/09/13
Receipt: 58450
Quantity Transactions Reference Subtotal
1 Op And Assy (1203) 13-5029 $200.00
Total Paid: $200.00
Notes:
Payment Type
CK #1242
Amount Paid By
$200.00 Keli House Comuntiy
Services Inc.
Name: Keli House Comuntiy Services Inc.
1070 Route 9 Ste 101 a
Fishkill, NY 12524
Clerk ID: JF Internal ID: 13-5029