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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 $80.00 TOTAL: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $83.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOWN OF WAPPINGER 20 Middlebush Rd WappingersFalls,NY 12590 845-297-4158 EDWIN H PEREZ Transaction Ntunber: 608262 Date Processed: 12/27/2013 11:14:07 EST Transaction Type: Credit Card VISA -Swiped CazdNumber: * * * * * * * * * * * *9169 Authorization: 131544 Reference Number: 00423219 Misc Cash $80.00 Total: $80.00 ding to the card issuer ent. I agree to ay abov total amour r ` Signature MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 EDWIN H PEREZ Transaction Number: 608262 Date Processed: 12/27/2013 11:14:07 EST Transaction Type: Credit Card VISA -Swiped CazdNtunber: * * * * * * * * *"* *9169 Authorization: 131641 Reference Number: 00423220 Convenience Fee $3.00 Total: $3.00 I agree to pay above total amount accoFC~gty ILie card issuer agreetnent & understand this convenience fee will be charged to allow my payment via credit card Signature: Thank You Printed: 12/27/2013 11:14:24 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=... 12/27/2013