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59019*** RECEIPT*** Date: 09/17/13 Receipt: 59019 Quantity Transactions Reference Subtotal 4 Cert. Copies -Death 59019 $40.00 Total Paid: $40.00 Notes: Payment Type CK #11101 /Blake Amount Paid By $40.00 Straub, Catalano &Halvey Funeral Home Name: Straub, Catalano &Halvey Funeral Home 55 E. Main St. Po Box 131 Wappingers Falls, NY 12590 Clerk ID: JF Internal ID: 59019