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58021***RECEIPT*** Date: 06/26/13 Receipt: 57721 Quantity Transactions .Reference Subtotal 1 Building Dept Fees -Building Permit 13-4769 $150.00 Total Paid: $150.00 Notes: Payment Type CK #546 Name: Carpenter, Matthew Po Box 289 Chelsea, NY 12512 Amount Paid By $150.00 Carpenter, Matthew Clerk ID: JF Internal ID: 13-x769