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Credit Card (2)
Receipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Misc Cash $20.00 TOTAL: $23.00 TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 MARY HENGST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: .. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . 587494 Date Processed: 12/03/2013 13:46:58 EST Transaction Type: Credit Cazd VISA -Swiped CardNumber: * * * * * * * * * * * *3861 Authorization: 064613 Reference Number: 00201157 Misc Cash $20.00 Total: $20.00 I agree to pay ove total amount ording to the d issuer agreement. Signature: `'. MUNICIPAY"SERVICE FIE~E~'O~ OF W~P~NGER 400 Technology Way Scarborough,ME 04074 877-564-5656 MARY HENGST Transaction Number: 587494 Date Processed: 12/03/2013 13:46:58 EST Transaction Type: Credit Card VISA -Swiped CazdNumber: * * * * * ** * * * * * 3861 Authorization: 064613 Reference Number: 00201153 Convenience Fee $3.00 Total: \ $3.00 I agree to pay a~ve total amount acrr~rding to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit cazd. Signature: Thank You Printed: 12/03/2013 13:4 7:05 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&... 12/3/2013