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58106*** RECEIPT*** Date: 06/28/13 Receipt: 57806 Quantity Transactions Reference Subtotal 1 .Sign Permit 13-4786 $75.00 Total Paid: $75.00 Notes: Payment Type Amount Paid By CK #9642 $75.00 Lite Brite Signs Name: Lite Brite Signs 51 Montgomery Street Middletown, NY 10940 Clerk ID: JF Internal ID: 13-4786