58192*** RECEIPT***
Date: 07/24/13
Receipt: 58192
Quantity Transactions Reference Subtotal
1 Building Dept Fees -Building Permit 13-4921 $150.00
Total Paid: $150.00
Notes:
Payment Type Amount
CK #2728 $150.00
Name: Kunicki, Zenon
7 Bell Air Lane
Wappingers Falls, NY 12590
Paid By
Kunicki, Zenon
Clerk ID: JF Internal ID: 13-4921