58072***RECEIPT***
Date: 07/16/13
Receipt: 58072
Quantity Transactions Reference Subtotal
1 Building Dept Fees -Building Permit 13-4877 $175.00
Total Paid: $175.00
Notes:
Payment Type Amount
CK #1070 $175.00
Name: Smith, Michael John
47 Marlorville Rd
Wappingers Falls, NY 12590
Paid By
Smith, Michael John
Clerk ID: JF Internal ID: 13-4877