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57037***RECEIPT*** Date: 05/22/13 Receipt: 57037 Quantity Transactions Reference Subtotal 1 Building Dept Fees -Building Permit 13-4523 $250.00 Total Paid: $250.00 Notes: Payment Type CK #3858 Amount Paid By $250.00 Hindu Samaj, Inc. Name: Hindu Samaj, Inc. P.O Box 1188 Wappingers Falls, NY 12590 Clerk ID: JF Internal ID: 13-4523