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Credit Card (2)
Receipt TRANSACTION SUMMARY Page 1 of 1 TRANSACTION TYPE: SALE PAYMENT ITEM REFERENCE NUMBER AMOUNT NPS Convenience Fee $3.00 Misc Cash $50.00 TOTAL: . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . $53.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOWN OF WAPPINGER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 JESSICA IPPOLITO-SOI . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . 698175 Date Processed: 03/] 8/2014 12:42:35 EDT Transaction Type: Credit Card VISA-Swiped CazdNumber: **********'*5016 Authorization: 203159 Reference Number: 00954088 Misc Cash $50.00 Total: / I $50.00 I agree to pay ab ve tot ]amount accord' the card issuer agreement. Signature: 400 04074 JESSICA IPPOLITO-SOI FEE TOWN OF WAPPINGER Transaction Number: 698175 Date Processed: 03/18/2014 12:42:35 EDT Transaction Type: Credit Card VISA-Swiped CazdNumber: ***••••*•***5016 Authorization: 035695 Reference Number: 00954089 Convenience Fee $3.00 Total: $3.00 I agree to pay ove total t acc ing to the Bement & under tand this convenience fee will be chazged to allow my payment via credit cazd. Signature: Thank You Printed: 03/]8 Ol 12:42:39 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 3 / 18/2014