58833***RECEIPT***
Date: 09105/13
Receipt:
58833
Reference Subtotal
Quantity Transactions 00796 $6.00
1 Male, Neutered
Total Paid: $6.00
Notes:
Payment Type ~ Amount
CASH $6.00
Name: Van Wagenen, Robert J
12 N. Remsen Ave.
Wappingers Falls, NY 12590
Clerk ID: JF
Paid By
Van Wagenen, Robert J
InternallD:00796