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MISCELLANEOUS PAYMENT RECPT#: 3673295 Gov't of the U.S. Virgin Islan 2314 Kronprindsens Gade Charlotte Amalie VI 00802 DATE: 07/25/17 CLERK: Loma.rich CUSTOMERN: 0 TIME: 13:48 DEPT: DOPLAN SIT COMMENT: CHG: 49RFC1 CLM PERMITS ST. AMOUNT PAID: 200.00 PAID BY: GREAT ST JIM LLC LLC PAYMENT METH: CHECK 3788 REFERENCE: MINOR ANT TENDERED: 200.00 AMT APPLIED: 200.00 CHANGE: .00 200.00 EFTA00802841

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