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Credit Card (2)
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misr Cash TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd WappingersFalls,NY 12590 845-297-4158 REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $65.00 $68.00 DEAN GOREY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Misc Cash I agree to pay ab-ov~e total amount according to the card issuer agreement. Signature: / / .t/) T ~l MUNICIPAY*SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scarborough,ME 04074 877-564-5656 706713 03/26/2014 10:20:01 EDT Credit Card CazdNumber: ************0324 02509B 0013]859 $65.00 $65.00 DEAN GOREY Transaction Number Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Convenience Fee Total: 706713 03/26/2014 10:20:01 EDT Credit Cazd CazdNumber: ************0324 02509B 00131863 $3.00 $3.00 agree to pay ab/ove total amount according to the cazd issuer agreement & understand this convenience fee will be chazged to allow my payment via credit card. Signature: / - Thank You Printed: 03/26/2014 10:2 0:08 https://trx.npspos. com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 3/26/2014