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Building Receipt
Code Compliance Division 2300 Virginia Avenue Ft Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1148 Date: 12 January 2006 Job Address: BALSA AVE Received By: serranob Paid With: CK Building Receipt Paid By: FL TREND HOMES INC Sign: P Receipt#: 0000031505 Permit Number: SLC- 0601-0298 Amount: 5175.00 Credit Card Number: Check Number: 10235