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Credit Card
Receipt TRANSACTION SUMMARY PAYMENT ITEM NPS Convenience Fee Misc Cash TOTAL: TOWN OF WAPPINGER 20 Middlebush Rd Wappingers Falls,NY 12590 845-297-4158 REFERENCE NUMBER Page 1 of 1 TRANSACTION TYPE: SALE AMOUNT $3.00 $70.00 $73.00 JULIAN GLASS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: Misc Cash Total: agree to pay abov t a Signature: MUNICIPAY" RVL 400 Technology ay Scazborough,ME 04074 877-564-5656 card issuer agreement. FEE TOWN OF WAPPINGER 715587 04/02/2014 13:47:57 EDT Credit Cazd CazdNumber: ************6858 467557 00174698 $70.00 $70.00 JULIAN GLASS Transaction Number: Date Processed: Transaction Type: VISA -Swiped Authorization: Reference Number: 715587 04/02/2014 13:47:57 EDT Credit Cazd CazdNumber: ************6858 603699 00174696 Convenience Fee $3.00 Total $3.00 I agree to pay above t ount accordin 'suer agreement & understand this convenience fee will be chazged to allow my payment via credit cazd. Signature: Thank You Printed: 04/02/2014 13:48:05 https://trx.npspos.com/payapp/app?component=%24DirectLink&page=Receipt&service=dir... 4/2/2014