58187* * * RECEIPT
Date: 07/23/13
Receipt: 58187
Quantity Transactions Reference Subtotal
1 Building Dept Fees -Building Permit 13-4917 $175.00
Total Paid: $175.00
Notes:
Payment Type Amount Paid By
CK #2633 $175.00 Marquez, Dina
Name: Marquez, Dina
31 Daisy Lane
Wappingers Falls, NY 12590
Clerk ID: JF
Internal ID: 13-4917