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58964*** RECEIPT*** Date: 09/12/13 Receipt#: 58964 Reference Subtotal Quantity Transactions 13-5262 $250.00 1 Building Dept Fees -Building Permit Total Paid: $250.00 Notes Payment Type CK #415 Amount Paid By $250.00 Tompkins, Robert R. Name: Tompkins, Robert R. 7 Pattie Place Wappingers Falls, NY 12590 Clerk ID: JF Internal ID: 13-5262