59335* * * RECEIPT * * *
Date: 10/09/13
Receipt: 59338
Quantity Transactions Reference Subtotal
1 Building Dept Fees -Building Permit 13-5425 $150.00
Total Paid: $150.00
Notes
Payment Type Amount
CK #2621 $150.00
Name: Werlitz, Charles R
9 Tor Road
Wappingers Falls, NY 12590
Paid By
Werlitz, Charles R
Clerk ID: JF Internal ID: 13-5425