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Credit CardReceipt
TRANSACTION SUMMARY
PAYMENT ITEM
NPS Convenience Fee
Misc Cash
TOTAL:
TOWN OF WAPP[NGER
20 Middlebush Rd
Wappingers Fa11s,NY 12590
845-297-4158
JERZY OGINSKIJR
REFERENCE NUMBER
Page 1 of 1
TRANSACTION TYPE: SALE
AMOUNT
$3.00
$30.00
$33.00
Transaction Number: 632035
Date Processed: 01/21/2014 11:06:47 EST
Transaction Type: Credit Cazd
VISA -Swiped CazdNumber: """*****"***8551
Authorization: 000649
Reference Number: 00235026
Misc Cash $30.00
Total: $30.00
I agree to pay ove total amo~mt according tb the cazd i er agreeftient.
f
,
Signa e !
v
MUNI IPAY"SERVICE FEE TOWN OF WAPPINGER
400 Technology Way
Scazborough,ME 04074
877-564-5656
JERZY OGINSKIJR
Transaction Number: 632035
Date Processed: 01/21/2014 11:06:47 EST
Transaction Type: Credit Cazd
VISA-Swiped CazdNumber ************8551
Authorization: 000648
Reference Number: 00235025
Convenience Fee $3.00
Total: $3.00
I agree to pay abov otal amount acco ng t the card iss a Bement derstand this convenience fee will be charged to allow my payment via credit card.
~.....
Signature: ~
Thank You
Printed: O l/21(2014 11:07:03
https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 1 /21 /2014