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59062***RECEIPT*** Date: 09/20/13 Receipt: 59062 Quantity Transactions Reference Subtotal 5 Cert. Copies -Death 59062 $50.00 Total Paid: $50.00 Notes: Payment Type CK #1759 Name: Amount Paid By $50.00 Robert H. Auchmoody Funeral Homes, Inc. Robert H. Auchmoody Funeral Homes, Inc. 1028 Main Street Fishkill, NY 12524 Clerk ID: JF Internal ID: 59062