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53158Town of Wappinger 20 Middlebush Rd Wappingers Falls, NY 12590 * * * RECEIPT Date: 11 /29/12 Transaction(s): Receipt: 53158 Reference Subtotal 1 1 Building Dept Fees -Building Permit 12-3758 $150.00 Check#: 6299 Total Paid: $150.00 Name: The 4065 Club, Inc. 339 Route 82 P. O. Box 514 Hopewell Junction, N Y 12533 Clerk ID: JF InternallD:12-3758