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Credit CardReceipt
TRANSACTION SUMMARY
Page 1 of 1
TRANSACTION TYPE: SALE
PAYMENT ITEM REFERENCE NUMBER AMOUNT
NPS Convenience Fee $3.00
Mist Cash $30.00
TOTAL: $33.00
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Falls,NY 12590
845-297-4158
JOSEPH A DELENO
Transaction Number:
568904
Date Processed:
11/13/2013 10:34:39 EST
Transaction Type:
MASTERCARD-Swiped Credit Cazd
CazdNumber: *"****""****2035
Authorization:
013375
Reference Number ~'`~ 00148604
Misc Cash ~' /
~
J
Total:
$30.00
/
/
~ $30.00
I agree to pay 'bove tal amo t~or in a Issuer agreement.
~~.
Signature:
400 Tech~Iology Way
Scazborough,ME 04074
877-564-5656
FEE TOWN OF WAPPINGER
JOSEPH A DELENO
. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Transaction Number: . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . ..
568904
Date Processed: 11/13/2013 10:34:39 EST
Transaction Type:
MASTERCARD - Swiped Credit Card
CazdNumber: * * * * * * * * * * * *2035
Authoti:
013242
Referent
Conveni 00148607
Total: $3.00
$3.00
I agree tc
Signature
Thank Y
Printed:
:e will be chazged to allow my payment via credit cazd.
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=... 11 /13/2013
