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Credit Card
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Pemtits TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-0158 REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.68 $150.00 $153.68 DONALD WINGFIELD Transaction Number: Date Processed: Transaction Type: DISCOVER -Swiped Authorization: Reference Number: Permits Total: ~~\ /// I agree to pay ab v otal amour accordi to fhe c issuer agreement. Y Signature: _ ~ , MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 650012 02/06/2014 15:3 ] : l6 EST Credit Cazd CardNumber:***********"5278 00676R 00120233 $150.00 $150.00 DONALD WINGFIELD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . Transaction Number: 650012 Date Processed: 02/06/2014 15:31:16 EST Transaction Type: Credit Card DISCOVER-Swiped CazdNumber. ***********"5278 Authorization: 00672R Reference Number: 00120231 Convenience Fee $3.68 Total: $3.68 ~i I agree to pay a I amount cording to cazd issu gr ent & understand this convenience fee will be charged to allow my payment via credit card. Y Signature: /' Thank You Printed: 02/06/2014 15:31:22 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 2/6/2014