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Credit Card (2)
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Mist Cash TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers FaIIs,NY 12590 845-297-4158 Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 $53.00 JAMES D GALLAGHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Misc Cash Total: ..._ i ~ ;7 I agree to ay above total amount act ~ o ~ s er agreem nt. ~~ J - , ~. Signature".". '/ MUNICI~AY"SERVICE FEE TOWN &SF WAPPINGER ~~' 400`TCchnology Way L/ f Scazborough,ME 04074 877-564-5656 671052 02/24/2014 12:12:04 EST Credit Card CazdNumber: ************4682 011112 00864754 $50.00 $50.00 JAMES D GALLAGHER . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: 671052 Date Processed: 02/24/2014 12:12:04 EST Transaction Type: Credit Cazd VISA -Swiped CazdNumber. **********+*4682 Authorization: 011112 Reference Number: 00864755 Convenience Fee $3.00 Total: 53.00 7 I agree to y a ve total amount actor ' t the c ~ r greement & understand this convenience fee will be chazged to allow my payment via credit cazd. ~ Signa[ur :,~,~..... ~ - .~~~ > ~t , , Thank Yo ~ Print 2/24/2014 12:12:21 ! https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt& service=d... 2/24/2014