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Credit Card (2)
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Permits REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $30.00 $33.00 TOTAL. •.•••~ .................. • ................................................................................................................................... TOWN OF WAPP[NGER 20 Middlebush Rd Wappingers FaI1s,NY 12590 845-297-0158 MARY B KOZLOWSKI ... .............................................. ...................... ......................................:................................................................................ 620430 Transaction Number: 01/08/2014 13:14:28 EST Date Processed: Credit Cazd Transaction Type: CazdNtunber: "******"**""9754 MASTERCARD -Swiped 727194 Authorization: 00593631 Reference Number: $30.00 Permits $30.00 Total: e card suer agre ent. I agree to pay above total amount accordin g 1 ~ / ~(` Signature: / MUNICIPAY*SERVI FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 MARY B KOZLOWSKI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 620430 Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Convenience Fee Total: 01/08/2014 13:14:28 EST Credit Card CazdNtunber:***rr**rrrr*9784 727198 00593633 $3.00 $3.00 I agree to pay above total amoun ordin t the c d issuer a Bement & understand this convenience fee will be chazged to allow my payment via credit card. Signature: Thank You Printed: 01 /08/20 ] 4 13: 14:40 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt service=dir... 1 /8/2014