57126***RECEIPT***
Date: 05/28/13
Receipt: 57126
Quantity Transactions Reference Subtotal
1 Building Dept Fees -Building Permit 13-4551 $250.00
Total Paid: $250.00
Notes:
Payment Type Amount
CK #4387 $250.00
Name: Damore, Lewis D
9 Split Tree Dr
Wappingers Falls, NY 125903017
Paid By
Damore, Lewis D
Clerk ID: JF Internal ID: 13-4551