58570***RECEIPT***
Date: 08/19/13
Receipt: 58570
Quantity Transactions Reference Subtotal
1 Female, Spayed 5156495 $6.00
Total Paid: $6.00
Notes:
Payment Type
CASH
Amount Paid By
$6.00 Black, Sr., John H
Name: Black, Sr., John H
22 Regency Dr.
Wappingers Falls, NY 12590-4520
Clerk ID: JF
Internal ID: 5156495