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Credit Card (4)Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: REFERENCE NUMBER TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $6.00 $9.00 LOUIS CAMACHO . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Misc Cash f yI~~ to pay above total amount a ording to th~~cazd issuer agreement. ~. ~: ~ : Signature:, ~' t~,~'~,G'/ -~ i ;`~~ ',~ 2~ ~~ !'.+~ ... l~:' `,~ v ,,,~ MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 670987 02/24/2014 11:54:45 EST Credit Card CazdNumber: ******"*****6135 640914 00859132 $6.00 $6.00 LOUIS CAMACHO Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: 670987 02/24/2014 11:54:45 EST Credit Cazd CazdNumber ************6135 725020 00859131 Convenience Fee Total: r ~-' e I ag~re0' to pay a}rovd total amount acco#ding to the; c'gi~~issuer agreerent & understand this convenience fee will be charged to allow my payment via credit cazd. ~,~Signature: rl -i: V ''G C~'' ~ '~~~L~~ v CC~ v ~• ~~ ;' Th~tk You Printed: 02/24/2014 11:54:53 $3.00 $3.00 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 2/24/2014