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BUILDING RECEIPT
c� Building Code Compliance Division SCANNED Receipt 2300 Virginia Avenue ,B Ft Pierce, FL 34982 g g�eIB Phone: (772) 462-1553 Fax: (772) 46241Vi8 UCE coUNI T' " Date: 05 April 2006 Job Address: 2171 S BROCKSMITH RD Received By: rileys Paid With: CK Paid By: PBG HOMES Receipt#: 0000036526 'ermit Number: SLC- 0601-0026 Amount: $571.02 �redit Card Number: Check Number: - 536 Sign: