53577TOWN CLERK TG~ li asn_IAPPINGER SUPERVISOR
Christine Fulton Wappingers Fa '~ Barbara A. Gutzler
-;~:.
20 MIDDLEBUSH ROAD ~~+~'~,~ , "~
WAPPINGERS FALLS, NY 1.2590 TOWN BOARD
VVWW.TOWNOFWAPPINGER.US _ ~ William H. Beale
(845) 297-4158 -Main * * * RE / Vincent Bettina
(845) 297-5771 -Direct s~ Ismay Czarniecki
(845) 298-] 478 -Fax .'
Date: 12/31/12 __..~~--'" Receipt: Mich~~~tnicz
Office of the Town Clerk
Transaction(s): Reference Subtotal
1 1 Op And Assy (1203) 12-3873 $200.00
Check#: 1123 Total Paid: $200.00
Name: Shine Auto Spa
Internal ID: 12-3873
Clerk ID: JF