56764***RECEIPT***
Date: 05/13/13
Receipt: 56764
Quantity Transactions Reference Subtotal
1 Building Dept Fees -Building Permit 13-4433 $100.00
Total Paid: $100.00
Notes:
Payment Type Amount
CK #22260 $100.00
Name: Jacks Auto Body
26 Abe's Way
Poughkeepsie, NY 12601
Paid By
Jacks Auto Body
Clerk ID: JF Internal ID: 13-4433