57038***RECEIPT***
Date: 05/22/13
Receipt: 57038
Quantity Transactions Reference Subtotal
1 Planning Fees 13-4524 $250.00
Total Paid: $250.00
Notes:
Payment Type
CK #22268
Amount Paid By
$250.00 Jacks Auto Body
Name: Jacks Auto Body
26 Abe's Way
Poughkeepsie, NY 12601
Clerk ID: JF Internal ID: 13-4524