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Credit Card
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fal1s,NY 12590 845-297-4158 REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $16.00 $19.00 DAVID K STRICKLAND Transaction Number: Date Processed: 612628 12/31/2013 12:38:55 EST Transaction Type: VISA -Swiped Credit Card CazdNumber: * * * * * * * * * * * *8309 Authorization: Reference Number: 027102 00365845 Misc Cash - Total: $16.00 $16.00 ] agree to pay above total ount a~ to the Issuer agreement. ~ Signature: l/ MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 DAVID K STRICKLAND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date Processed: 612628 12/31/2013 12:38:55 EST Transaction Type: VISA -Swiped Credit Cazd CazdNumber: ************8309 Authorization: Reference Number: 027058 00365844 Convenience Fee Total: $3.00 $3.00 1 agree to pay above total ount acc ng to the c suer agreement & understand this convenience fee will be charged to allow my payment via credit cazd. Signature: Thank You Printed: l2/31/2013 12:39:0] https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=... 12/31 /2013