59229***RECEIPT***
Date: 10/03/13
Receipt: 59229
Quantity Transactions Reference Subtotal
1 Female, Spayed 00792 $6.00
Total Paid: $6.00
Notes:
Payment Type Amount
CK #6093 $6.00
Name: Kolachik, Victor P.
23 Elizabeth Terr.
Wappingers Falls, NY 12590-3503.
Clerk ID: JF
Paid By
Kolachik, Victor P.
Internal ID: 00792