58963* * * RECEIPT
Date: 09/12/13
Receipt: 58963
Quantity Transactions Reference Subtotal
1 Building Dept Fees -Building Permit 13-5261 $250.00
Total Paid: $250.00
Notes:
Payment Type Amount
CK #415 $250.00
Name: Tompkins, Robert R.
7 Pattie Place
Wappingers Falls, NY 12590
Paid By
Tompkins, Robert R.
Clerk ID: JF Internal ID: 13-5261