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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
Misc Cash $50.00
TOTAL:
$53.00
TOWN OF WAPPINGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
MOONLIGHT CLEANING SERVICE
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .
Transaction Number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date Processed: 610559
Transaction Type: 12/30/2013 12:34:27 EST
Credit Card
VISA -Swiped
Authorization:
CardNumber. ************5031
Reference Number:
022766
00100975
Misc Cas
Total: $50.00
$50.00
I agree tQ pay~ove to oun r 'suer agreement
MUNICIPAY"~ERVICE FEE TOWN OF WAPPINGER
400 Technolo Way
Scarborough,ME 04074
877-564-5656
MOONLIGHT CLEANING SERVICE
Transaction Number:
Date Processed: 610559
Transaction Type: 12/30/2013 12:34:27 EST
VISA-Swiped Credit Card
Authorization: CardNumber: ************5031
Reference Number:
022765
00100977
Convenience Fee
Total: $3.00
~ $3.00
I agree to pay abowlo 1 ount a ~ ing to the card issuer agreement & understand this convenience fee will be charged to allow my payment via credit card.
Signatwe:
Thank You /
Printed:l /201312:34:41
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=... 12/3 0/2013
