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Credit Card
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Building Dept TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fal1s,NY 12590 845-297-0158 REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.68 $150.00 $153.68 EDWARD NORRIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Building Dept Total: I agree to pay abov otal am t accordi~ngJto the cazd issuer agreement. Signature: ~j % ~1.,, o--- MUNICIPAY"SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 702510 03/21/2014 14:43:12 EDT Credit Cazd CardNumber: ***********"4073 09434B 00877280 $150.00 $150.00 EDWARD NORRIS Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Convenience Fee Total: 702510 03/21/2014 14:43:12 EDT Credit Card CardNumber: "**********"4073 09434B 00877278 $3.68 $3.68 agree to pay above amount actor ' the card issuer agreement & understand this convenience fee will be chazged to allow my payment via credit card. ~'~' ~~ Signature: _~ Thank You Printed: 03/21 /2014 14:4 3:16 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 3/21 /2014