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Credit CardReceipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Fa11s,NY 12590 845-297-4158 REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $50.00 $53.00 ZOILA BERMEO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: Misc Cash Total: agree to pay a ov total am r g e cazd i uer agreement. Signature: ~ ,c'~f MUNICIPAY'~SERVICE FEE TOWN OF WAPPINGER 400 Technology Way Scazborough,ME 04074 877-564-5656 709503 03/28/2014 10:53:16 EDT Credit Cazd CardNumber. ************0687 781957 00714691 $50.00 $50.00 ZOILA BERMEO Transaction Number: Date Processed: Transaction Type: MASTERCARD -Swiped Authorization: Reference Number: 709503 03/28/2014 10:53:16 EDT Credit Card CazdNumber: **"*********0687 204314 00714692 onvenience Fee $3.00 Total: $3.00 I agree to pay abo+v to ot~ cording a c( . ''er ement understand this convenience fee will be chazged to allow my payment via credit card. Signature: t G"y~y ~ 54~ Thank You Printed: 03/2 8/2014 10:53:22 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=d... 3/28/2014