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58969***RECEIPT*** Date: 09/12/13 Receipt: 58969 Quantity Transactions Reference Subtotal 1 C/O Search 13-5255 $175.00 Total Paid: $175.00 Notes: Payment Type Amount Paid By CK #923637 $175.00 Fidelity National Title Insurance Compan Name: Fidelity National Title Insurance Company 898 Veterans Memorial Highway, Suite 340 Happauge, NY 11778 Clerk ID: JF Internal ID: 13-5255