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BUILDING RECEIPT
G* Building Code compliance Division Receipt 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-2522 hftp://stfucieco.gov/ce Date: 27 February 2007 Job Address: 9416 PORTSIDE DR Received By: goycochb Paid With: CK Paid By: CENTEX HOME Receipt #: 0000051603 -emit Number: SLC- 0702-0479 Amount: $275.00 -redit Card Number: Check Number: 162575 Sign: I SC, St �8), "Cie 00 111741