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58759***RECEIPT*** Date: 08/30/13 Receipt: Quantity Transactions Reference 4 Games Of Chance License 1304 58759 Subtotal $100.00 Total Paid: $100.00 Notes Payment Type CK#1106 Amount Paid By $100.00 Wappinger Elks # 2609 Name: Wappinger Elks # 2609 1195 Route 376 Wappingers Falls, N Y 12590 Clerk ID: JF Internal ID: 1304