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58293*** RECEIPT***
Date: 07/30/13 Receipt: 58293
Quantity Transactions Reference Subtotal
1 Building Dept Fees -Building Permit 13-4957 $150.00
Total Paid: $150.00
Notes:
Payment Type Amount Paid By
CK #528 $150.00 Black, John
Name: Black, John
22 Regency Drive
Wappingers Falls, NY 12590
Clerk ID: JF Internal ID: 13-4957
