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59581***RECEIPT*** Date: 10/25/13 Receipt: 59581 Quantity Transactions Reference Subtotal 2 Cert. Copies -Marriage 59581 $20.00 Total Paid: $20.00 Notes: Payment Type Amount Paid By CK #103 $20.00 Adamek, Dayna Marie Name: Adamek, Dayna Marie 12864 King Street Broomgfield, CO 80020 Clerk ID: JF Internal ID: 59581