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RECEIPT FM Harnett County 102 EAST FRONT ST P 0 BOX 65 LILLINGTON NC 27546 DATE: 9/29/17 RECEIPT #: 0000011200 TIME: 15 : 02 : 36 CASHIER: JBROCK APPLICATION NBR: 17-50042332 LOCATION ADDR: 10637 NC 27 W REFERENCE: FM FEES ITEM DESCRIPTION PAID FM* FINAL INSPECTION 50 . 00 TOTAL AMOUNT PAID: 50 . 00 PAYMENT TYPE: ESCROW