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58397***RECEIPT*** Date: 08/07/13 Receipt: 58397 Quantity Transactions Reference Subtotal 1 Building Dept Fees -Building Permit 13-4992 $200.00 Total Paid: $200.00 Notes: Payment Type Amount Paid By CK #022000046 $200.00 Chelsea Ridge Name: Chelsea Ridge 92 River Rd Summit, NY 07901 Clerk ID: JF Internal ID: 13-4992