58569***RECEIPT***
Date: 08/19/13
Quantity
1
Notes:
Payment Type
CASH
Transactions
Male, Unneutered
Amount Paid By
$16.00 Sinzer, William H.
Name: Sinzer, William H.
1094 Route 9 Lot 12
Fishkill, New York 12524-2550
Clerk ID: JF
Receipt: 58569
Reference Subtotal
00023 $16.00
Total Paid: $16.00
Internal ID: 00023