57590*** RECEIPT***
Date: 06/19/13
Receipt: 57590
Quantity Transactions Reference Subtotal
1 Building Dept Fees -Building Permit 13-4720 $150.00
Total Paid: $150.00
Notes:
Payment Type Amount
CK #155 $150.00
Name: O'brien, Robert E.
19 Cindy Lane
Putnam Valley, NY 10579
Paid By
O'brien, Robert E.
Clerk ID: JF Internal ID: 13-4720