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Credit Card
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Permits TOTAL: REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $30.00 $33.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaIIs,NY 12590 845-297-4158 STEPHEN KRYSTY SR Transaction Number: Date Processed: 615555 Transaction Type: 01/03/2014 12:50:34 EST VISA -Swiped Credit Card AuWorization: CardNumber ***********+5485 Reference Number: 003283 Permits 00506122 Total: $30.00 $30.00 I agree to ay abov t t according to the cazd issuer agreement Signatur • ~--- MUNICIPAY*SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 STEPHEN KRYSTYSR ransachon Number: Dale Processed: 615555 Transaction Type: 01/03/2014 12:50:34 EST VISA -Swiped Credit Card CardNumber: "'**'***'*+5485 Authorization: Reference Number: ' 003294 Convenience Fee 00506123 Total: $3.00 $3.00 I agree pay above total amount according to the cazd issuer agreement & understand this convenience fee will be h d ll c arge to a ow my payment via credit card. Signature. Thank You ~ Printed: O 1 /03/2014 12:50:40 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 1 /3/2014