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59544*** RECEIPT*** Date: 10/23/13 Receipt: 59544 Quantity Transactions Reference Subtotal 1 Cert. Copies -Death 59543 $10.00 Total Paid: $10.00 Notes: Payment Type CASH Name: Freilich, Colombia Clerk ID: JF Amount Paid By $10.00 Freilich, Colombia InternallD:59543