59004***RECEIPT***
Date: 09/16/13 Receipt: 59004
Quantity Transactions Reference Subtotal
1 Bus Trips 59004 $144.00
Total Paid: $144.00
Notes:
Payment Type Amount Paid By
CK #9472 $144.00 Kverek, Richard C.
Name: Kverek, Richard C.
41 Gold Road
Wappingers Falls, N Y 12590
Clerk ID: JF Internal ID: 59004