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Credit Card
Receipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT $3.00 NPS Convenience Fee $50.00 Misc Cash $53.00 TOTAL: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaI1s,NY 12590 845-297-4158 DEBORAH A MAIDA 619217 Transaction Number: 01/07/2014 14:00:55 EST Date Processed: Credit Cazd Transaction Type: ss++++++rsr+ CazdNumber: 9421 VISA -Swiped 835573 Authorization: 00886658 Reference Number: $50.00 Misc Cash Total: ~ $50.00 I aecee to day abo7~~~ ~y{tt according to th~~azdxlsuer agreement. FEE TOWN OF WAPPINGER Scazborough,ME 04074 877-564-5656 DEBORAH A MAIDA Transaction Number: 619217 01/07/2014 14:00:55 EST Date Processed: Credit Card Transaction Type: sss+ssss+++• CazdNumber: 942 ] VISA -Swiped 73483 ] Authorization: Reference Number: 00886656 $3.00 Convenience Fee $3.00 Total: /~\ I agree top above t ac ing to the c d iss'tr,agr~ en~tt t & understand this convenience fee will be chazged to allow my payment via credit card. Signature PP ~~((~/ Thank You / 1 Printed: O 1 14.1 :01:03 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 1 /7/2014